This paper explores the African American heritage and also identifies the significance of nurses being culturally aware, sensitive and competent when caring for people of African American heritage. Although these terms mentioned above are used interchangeably, they have different meanings. Cultural awareness is appreciating the external or material part of the culture, such as the music, arts, and physical characteristics, and dress. Cultural sensitivity is the personal attitudes toward the culture, such as not saying things that is offensive to someone from a different ethnic or cultural background (Purnell, 2013, p. 4). Cultural competence is putting it all together; by using your knowledge to provide culturally congruent care and to be able to work effectively with people in cross-cultural situations. African Americans are the second largest ethnocultural groups in the United States; however, it is one of the most misunderstood cultures. This culture is so unique because they have mixed their cultures from their different homes of origin in Africa, along with American culture. This paper overviews the history, communications, family roles, workforce issues, biocultural ecology, high-risk behaviors, pregnancy and childbearing practices, spirituality, health care practices, nutrition, and death rituals in the African American culture. It is important that nurses see themselves as becoming culturally competent when caring for African Americans, and this involves incorporating cultural desire, cultural awareness, cultural knowledge, cultural skill, and cultural encounter with the people of African American heritage (Campinha-Bacote, 2009).…