The paper must demonstrate independent ideas and conclusions. At a minimum, the following topics must be well articulated in the paper.Assignment Requirements:Based upon current evidence-based research, explain how cultural competence improves health outcomes.Identify the differences between cultural awareness, cultural sensitivity, and cultural competence.Discuss why geographic regions, such as Appalachia, are often associated with a particular culture.Below is a list of five cultural factors that can have a significant impact on health outcomes. For each factor, give an example of how a particular culture (African Americans) may affect the health and development of a pediatric patient.Health Beliefs Health CustomsReligious BeliefsDietary Customs