Journal of Transcultural Nursing最新文献

Introduction: Understanding mental health in the context of type 2 diabetes self-care behaviors may lead to improvements in disease prognosis, overall well-being, and delivery of services. The purpose of this study was to understand differences in adherence to type 2 diabetes treatment among individuals who report anxiety, anger, and depression.

Methods: Questionnaires were administered to 111 individuals with type 2 diabetes in Oxcutzcab, Yucatan, Mexico. Participants completed the State-Trait Anxiety Inventory, State-Trait Anger Expression Inventory-2, the Beck Depression Inventory, and the Scale of Adherence to Diabetes Mellitus Type 2 Treatment.

Results: Independent-samples t-test was used to determine mean differences in mental health variables for adherence to treatment variables. Overall, reported levels of anxiety, anger, and depression differed for certain adherence-related behaviors and experiences.

Discussion: Our results indicate the importance of mental health assessment and support as part of the type 2 diabetes disease management process in Yucatan.

Introduction: Purnell's Model for Cultural Competence outlines that cultural competence is essential for bridging the gap between health care providers and patients from diverse cultural backgrounds.'

Methodology: This study followed PRISMA-ScR guidelines, focusing on studies involving nurses, nursing students, and educators using Purnell's Model. Literature was searched across six databases up to July 2024.

Results: From 834 records, 20 studies met the inclusion criteria. The primary themes identified were "Cultural competence in health care" and "Nursing interventions and patient relationships." Subtopics included Cultural health care practices, Patient-centric nursing, holistic and culturally sensitive care, and integrated care and education. These subtopics provide a nuanced understanding of cultural competence application across various settings.

Discussion: Findings highlight the importance of integrating cultural competence training to reduce health care disparities, improve patient-provider communication, and enhance the efficacy of nursing interventions in diverse populations. Incorporating these aspects into education and practice is crucial for achieving cultural competence in nursing.

Introduction: This study explored people's experiences of living with heart failure and their understanding of self-management and difficulties faced when making lifestyle changes in the context of high-salt food preferences and a subtropical climate.

Methods: This qualitative descriptive study was conducted with 20 Thai individuals with heart failure. Data were analyzed using thematic content analysis.

Results: Two overarching themes were: (a) adapting long-established dietary and lifestyle behaviors is challenging in the context of limited knowledge of heart failure, cultural food preparation practices and a subtropical climate and (b) personal values, attitudes, and preferences have primacy over dietary and fluid restrictions.

Discussion: In Thailand, strong cultural preferences for high salt, preprepared street foods contribute to repeated admissions for decompensated heart failure. Community-based models of care are urgently needed that support effective chronic heart failure management, with solutions that consider local needs, climate and cultural factors.

Introduction: It is essential to adapt mobile health (mHealth) interventions to cultural contexts of target populations to enhance acceptance and effectiveness. This paper describes the translation and cultural adaptation process of an mHealth intervention to educate and support diabetes self-management among U.S. Vietnamese.

Methodology: Eight essential dimensions of the Ecological Validity Model (EVM) guided the adaptation and emphasized culturally appropriate educational content and social contexts.

Results: By applying the EVM framework, cultural norms, values, and preferences of U.S. Vietnamese were aligned with the intervention.

Discussion: Through a systematic process employing the EVM, it was demonstrated that an mHealth intervention was culturally adapted among U.S. Vietnamese for diabetes self-management. Further research is needed to determine if this process is effective for other chronic conditions or other U.S. Asian groups. The EVM may serve as a valuable framework for transcultural nurses to adapt mHealth interventions for research, practice, and education.

Introduction: Effective self-care for managing diabetes requires culturally sensitive and patient-centered education. This study explored the educational needs and priorities of people with diabetes (PWD) and healthcare providers (HCPs). Method: A mixed-methods approach was employed with participants from a university-affiliated hospital in South Korea. Descriptive and content analyses were used for the questionnaire and interview data. Results: Both PWD (n=33) and HCPs (n=42) ranked diabetes-related side-effect management and medication purpose as the most important aspects of diabetes education. PWD had higher educational needs regarding diagnosed diseases and lifestyle modifications than HCPs. Three themes were revealed: incorporating lifestyle changes and medication taking, collaborating with HCPs and caregivers and providing care to meet person-centered mental health needs, and enhancing education on disease and complications. Discussion: Culturally sensitive and patient-centered education programs that recognize communal values, reflect individual preferences and needs, and promote lifestyle changes by leveraging technologies for Korean PWD are crucial.

Introduction: While local health departments (LHDs) recognize the need to provide culturally congruent care to rural Hispanic populations, the COVID-19 pandemic tested their capacity to leverage available knowledge, skills, and resources to integrate effective transcultural collaborations to improve health outcomes.

Methodology: Twelve semi-structured interviews of community leaders were conducted and interpreted using qualitative thematic analysis. The role of the LHD's Public Health Nurse (PHN) in the pandemic response was examined using the Public Health Intervention Wheel (2019), specifically collaboration, coalition-building, and community organizing components.

Results: The PHN directed the community response to the pandemic. Four pivotal themes emerged from the data: identifying gaps, forming alliances, putting boots on the ground, and moving forward.

Discussion: The need to provide culturally congruent care to the Hispanic population required the development of transcultural knowledge through multi-faceted strategies. Sustaining relationships borne out of the pandemic is important to enhance community response to future disasters.

Introduction: Widowhood cultural practices are detrimental to the health and well-being of widows in Nigeria. They are associated with a higher rate of morbidity and mortality than for single and married individuals.

Purpose: To explore and synthesize the literature on widowhood cultural practices and their effects on the health and well-being of Nigerian women in Nigeria and in the US to inform future research.

Methods: A comprehensive search of CINAHL, PubMed, Google Scholar, and Embase databases was performed using the Whittmore and Knafl Integrative Review Model. Critical appraisal was used to select the final 20 studies that met the inclusion criteria.

Results: Seven themes were identified: Inhumane treatment of widows, poor socio-economic status, support for detrimental widowhood cultural practices driven by culture, physiological well-being, psychosocial issues, support, and empowerment.

Discussion: Further research is needed to explore the practice and its impact in the Nigerian American population in the US.