Journal of Transcultural Nursing最新文献

Introduction: Men's decisions regarding family planning and reproductive health are as crucial as women's especially in societies where patriarchal norms are strong, such as among Afghan communities. In this context, there is a need for studies on the opinions and experiences of Afghan men who have immigrated to Türkiye regarding family planning.

Method: The study employed a phenomenological design and involved 20 Afghan refugee men. Data collection was performed through in-depth, semi-structured interviews.

Results: Three main themes and their subthemes emerged from interviews: reproductive health and gender equity, enhancing family planning understanding, and navigating complex realities of family planning.

Discussion: The influence of cultural and religious teachings on Afghan men's reproductive choices is evident, shaping their perceptions of familial and social responsibilities. The study offers evidence that the social norms of host countries may influence Afghan men's attitudes toward reproductive health and family planning.

Introduction: Foreign-born care workers with limited native language proficiency have become a challenge for first-line managers (FLMs). The study explores FLMs' experiences of their role of leading a multicultural and multilingual staff group in nursing homes and implementing language development initiatives.

Method: This is an explorative descriptive study. Four focus-group discussions were held with 12 participants. Data analysis was performed in accordance with the method described for focus-group discussions.

Results: Three categories with six subcategories were generated: Challenging to adapt leadership to multicultural environment; Challenging and stimulating to work with language development; and Challenging to bridge gaps when conditions change.

Discussion: FLMs' role to implement different strategies and models to promote a favorable working environment, collegial relationships, and competence development is demanding. In conclusion, FLMs need sufficient time, resources, and support to develop competence in transcultural nursing leadership to deliver culturally congruent care and implement language development initiatives in multicultural teams.

Introduction: Male South Asian international nursing students in Australia navigate a complex interplay of cultural expectations, personal aspirations, and gender stereotypes. These students often encounter stigma and familial pressure due to their pursuit of a non-traditional career in nursing.

Method: A qualitative descriptive design involving 11 participants was employed. Data were analyzed using a thematic analysis framework informed by principles of transnationalism, intersectionality, and identity work.

Results: Participants strategically employed linguistic camouflage, referring to their studies as "health science" rather than "nursing." Motivations for pursuing nursing included migration opportunities, economic considerations, and aspirations for personal freedom and self-acceptance. The term "nurse" carried significant cultural baggage.

Discussion: This study reveals the strategic and pragmatic nature of these students' career choices. Despite facing unique challenges, including navigating a hostile educational environment, participants demonstrated remarkable resilience. Findings underscore the need for culturally sensitive support programs, curriculum reforms that challenge gender stereotypes, and faculty training in cultural competence to promote inclusivity and empower these students.

Introduction: This study aimed to understand the impact of nursing students' nursing professionalism, adjustment to college life, satisfaction with a major, and communication skills on cultural competence to develop future nursing education in a diversified and connected global world.

Methodology: A descriptive correlational study was conducted on undergraduate nursing students at two Korean cities in 2019. Data from 177 students were analyzed via Pearson's correlation and hierarchical regression analyses using SPSS version 25.0.

Results: Health care issue awareness, nursing professionalism, and adjustment to college life significantly affected cultural competence, with an explanatory power of 26% (F = 11.73, p < .001).

Discussion: This study strengthens the cultural competence of nursing students and presents key factors for caring for patients across various cultural backgrounds. Future-oriented integrated education and systematic curriculum based on factors influencing cultural competence should be prepared and provided.

Introduction: Breast cancer-related lymphedema is associated with a myriad of distressing symptoms and significantly impacts survivors' quality of life. The Breast Cancer-related Lymphedema Symptom Experience Index (BCLE-SEI) is a validated patient-reported outcome measure (PROM), but is unavailable in Indian languages. This study aimed to cross-culturally adapt the BCLE-SEI into the Bengali language.

Method: Following established guidelines, the BCLE-SEI was translated, back-translated, and validated in 168 Bengali-speaking women with or at risk of lymphedema.

Results: Content validity was confirmed by ≥98% of participants. Exploratory factor analysis identified two factors in symptom occurrence and distress subscales, explaining 43.9% and 51% of the variance, respectively. Internal consistency (α) was >0.85, and construct validity was supported with over 50% of predefined hypotheses met. Test-retest reliability (intraclass correlation coefficient [ICC_2,1]) was .46 (95% confidence interval [CI] = [-0.2, 0.8], p = .076).

Discussion: The BCLE-SEI-Bengali is a reliable and valid PROM for assessing lymphedema-related symptoms for Bengali-speaking women.

Introduction: Cultural bias can negatively affect processes such as making the correct diagnosis, creating appropriate treatment plans, and ensuring patient satisfaction when providing health care services to individuals. This study aims to develop and conduct the psychometric evaluation of a reliable tool to measure the bias levels of health care professionals.

Method: The scale was developed with a pilot study conducted on 50 nurses in Erzurum, Turkey. The scale initially consisted of 53 items, and data collection was performed on 720 participants.

Results: The scale Kaiser-Meyer-Olkin (KMO) value was found to be 0.861. The anti-image value for items was ≥0.5. Bartlett's sphericity tests indicated suitability for factor analysis (χ² = 2,850.732, df = 210, p < .01). The variance explained by each subscale of the scale was 18.582%, 16.342%, and 14.507%, respectively.

Discussion: Because health care professionals should take a holistic approach to patient care, the scale might be a useful a important instrument for evaluating the cultural biases of health care professionals.

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 article explores the positions of rural Côte d'Ivoire health care practitioners on the role of traditional beliefs in treating Rheumatic Heart Disease (RHD), a disease in which cardiovascular mortality is still high worldwide. Health care decisions in this region are hugely influenced by traditional African medicine (TAM).

Methods: A qualitative study was created using semi-structured interviews and focus groups with 24 health care experts. The themes and their significance were found using inductive thematic analysis.

Results: The integration of contemporary and TAM, community engagement and collaboration, improving patient education and awareness, consideration of cultural beliefs and practices in care delivery, and tackling delayed care and diagnosis are highlighted as the five main areas for development.

Discussion: The studies reveal possibilities for improving RHD control in rural Côte d'Ivoire. They emphasize the need for legislative action and cultural competency training to overcome challenges like cultural beliefs and budgetary constraints.

Introduction: Despite significant initiatives to address adverse social determinants, excess burden of disease and mortality persist among diverse minorities and socially disadvantaged groups. Recent changes to diversity, equity, inclusion, and belonging programs have affected organizational efforts to increase participation of underrepresented groups.

Methods: White Paper synthesizes initiatives designed to achieve health and health care equity and provides evidence from studies of different approaches.

Results: Distinct differences in approaches and outcomes were found specific to mitigating health disparities from health care inequities. Individual- and organizational-level approaches tend to mitigate inequities in health care delivery but are insufficient in eradicating adverse social determinants of poor health among socially disadvantaged groups.

Discussion: Organizational leaders and health care professionals are called upon to engage in multidisciplinary and multisectoral collaboration to influence public policies at the highest level of government and private stakeholders. Culturally competent approaches are envisioned to target individual-, organizational-, and community/societal-level changes.

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.