Journal of Transcultural Nursing最新文献

Introduction: Bereavement disclosure in dementia care presents ethical and cultural challenges in Japan.

Methods: A cross-sectional survey was conducted with 25 family caregivers who had experience caring for a person with dementia and who had also experienced the death of a significant person, assessing attitudes toward disclosure and preferences for support.

Results: About 80% supported disclosure, citing dignity and relational closeness. Non-disclosure was most often attributed to physical condition, confusion, unpredictable reactions, or professional advice. Younger caregivers favored internet-based support, whereas older caregivers preferred booklets, lectures, and family association services.

Conclusion: Findings highlight ethical tension between dignity and avoidance of confusion, with relational and situational factors shaping decisions. Hybrid support models that combine asynchronous online resources with family association services may enhance accessibility and provide caregivers with sustained support in dementia care.

Introduction: Cultural diversity in health care requires nursing students to develop transcultural sensitivity and critical thinking to provide equitable care. This study explored the relationship between transcultural nursing sensitivity and critical thinking among senior nursing students in Türkiye.

Methods: A descriptive, cross-sectional, correlational design was conducted with 151 senior nursing interns from a university nursing department. Data were collected online using the Student Information Form, the California Critical Thinking Disposition Inventory, and the Turkish Intercultural Sensitivity Scale.

Results: The mean age of participants was 22.49 ± 1.52 years; 74.2% were female and 84.1% were Turkish. While 72.8% had experience with culturally diverse patients, 88.8% lacked formal intercultural training. Mean scores reflected moderate-to-high intercultural sensitivity (87.4 ± 11.47) and critical thinking (254.04 ± 27.85). Critical thinking significantly predicted intercultural sensitivity (β = .688, R² = .473, p < .001).

Discussion: Findings confirm a significant correlation, supporting integration of these skills into nursing education.

Introduction: Global nursing shortage emphasizes empowering newly graduated nurses (NGNs) to enhance retention and satisfaction. While empowerment is widely studied, little is known about NGNs' empowerment 1 year post-graduation. This study describes it and evaluates the Essential Elements of Nurse Empowerment (EENE ©Kuokkanen 2003) instrument.

Methods: In total, 239 NGNs from six European countries responded to this cross-sectional study using the EENE in 2019-2020. Data were analyzed statistically.

Results: Most NGNs reported moderate empowerment. NGNs planning to stay in their workplace and profession reported higher empowerment. Exploratory factor analysis supported a four-factor structure, and the Cronbach's alpha for the instrument was 0.88.

Discussion: Empowering NGNs is crucial for improving job satisfaction and retention. Inclusive practices and validated, culturally adaptable instruments like the EENE support equitable workforce development and culturally adaptable care. "Culturally adaptable" means retaining conceptual meaning across languages and contexts; translation revealed cultural nuances in how empowerment is understood and expressed.

Introduction: The purpose of this article is to describe Chicago's public health response to the Venezuelan migrants during its New Arrival Mission, review key challenges that plagued The Mission, and make recommendations for transcultural providers.

Methods: In this historical review, interviews with key informants are conducted. Additional information is curated from press releases, gray literature, and media outlets.

Results: Starting in 2022, Chicago initiated the New Arrival Mission, providing housing, education, and health care including mental health services to approximately 50,000 migrants until 2025. This article reviews public health crises, including infectious disease outbreaks in large, congregate shelters and health care access of this population that challenged the existing health care delivery model.

Discussion: Chicago successfully leveraged preexisting models and forged collaborations between diverse stakeholders helping to mitigate poor public health outcomes for both migrants and Chicagoans. Transcultural providers are advised to foster partnerships across organizations to address challenges during a migration crisis.

Introduction: Although community-based traditional Chinese exercises (CTCEs) are increasingly recognized for their benefits on sleep, their effectiveness among community-dwelling older adults across diverse settings remains unclear. This study aimed to synthesize the effects of CTCEs on sleep disturbance in this population.

Methods: Seven databases were searched for relevant articles published up to August 2025. Studies were appraised using the Cochrane risk-of-bias tool. A pairwise meta-analysis, subgroup analysis, and meta-regression were conducted using Comprehensive Meta-Analysis software.

Results: Thirteen studies met criteria. CTCEs are effective in reducing sleep disturbance among older adults. Both Qigong and tai chi improved sleep; Qigong showed a slightly larger effect size than tai chi, but the difference between modality was not significant. Meta-regression detected no significant moderators.

Conclusion: As a nonpharmacological strategy, CTCEs appear to reduce sleep disturbance in community-dwelling older adults. These findings support their integration into community-based health initiatives for aging populations.

Introduction: Globalization and rising immigration highlight the importance of culturally competent nursing care, yet global reports reveal persistent cultural insensitivity. This study explored how new mothers in postpartum units perceive nurses' cultural competence, examining its relationship to mothers' religious and cultural backgrounds and breastfeeding outcomes.

Method: After obtaining ethical approval, 229 Israeli mothers (Hebrew or Arabic speakers) who gave birth to full-term infants participated. Data were collected via a validated 42-item questionnaire assessing perceived cultural competence, religiosity, cultural customs, breastfeeding, and demographics. Statistical analyses included Pearson's correlations, ANOVA, and regression.

Results: Older age, higher religiosity, more children, and associate degrees were linked to higher perceived nurse competence. The "skills" dimension of cultural competence was associated with positive perceptions. Higher perceived cultural competence correlated with full breastfeeding.

Discussion: Findings underscore the need to enhance nurses' cultural awareness and skills as part of routine postpartum care to improve maternal experience and outcomes.

Introduction: As the COVID-19 vaccine transitions into an annual immunization, it is important to understand the factors contributing to vaccine hesitancy and uptake. This study aims to examine how information source use and trust are associated with COVID-19 and influenza vaccine hesitancy and influenza vaccine uptake.

Methods: This cross-sectional study surveyed undergraduate students aged 18-25 years between August 29, 2023, and February 20, 2024. A total of 230 participants were included in the analysis. Chi-square tests and multivariable logistic regression were used.

Results: Using Internet, professional sources, friends/co-workers, and social media was associated with vaccine hesitancy and uptake. Cross-national comparisons showed that US students reported lower COVID-19 but higher influenza vaccine hesitancy than Koreans.

Discussion: Information use and trust were associated with vaccine attitudes and behaviors in vaccine- and country-specific ways. Tailored strategies should strengthen professional channels, engage family networks, and optimize Internet and social media for vaccine communication.

Introduction: Cardiovascular disease is the leading cause of death in the Black population, accounting for over 22% of fatalities. Health equity science aims to explore this for evidence of social determinants that can eliminate cardiovascular health disparities.

Methods: This study explored associations between three American Heart Association constructs of positive psychological health that reflect cultural strengths (environmental well-being, Black identity, and spirituality) with three modifiable health behaviors (blood pressure checking, exercise, and physical activity) in 470 Black adults living in racially marginalized communities.

Results: Environmental well-being significantly predicted physical activity (β = 0.033, p = .04) and exercise (β = 0.045, p < .001). Black identity and spirituality demonstrated weaker and non-significant associations with the measured behaviors.

Discussion: Environmental well-being emerged as a key cultural strength promoting physical activity and exercise among Black adults. Black identity and spirituality may play nuanced roles influenced by systemic factors. Findings emphasize incorporating culturally relevant strategies into heart health promotion.