Journal of Transcultural Nursing最新文献

Introduction: Racial microaggressions are offensive and intimidating actions toward people of color and occur everywhere, including academia. Select studies report 40% to 98% of students of color report experiences with microaggressions on campuses. The purpose of this study was to describe the experience of microaggressions for diverse graduate nursing students in the online educational environment and to identify faculty strategies to create an inclusive learning milieu.

Method: This descriptive qualitative study employed 12 diverse graduate nursing students who participated in individual interviews about racial microaggressions. Two researchers used thematic analysis to evaluate the qualitative data.

Results: Five relevant themes were (a) online classroom is a barrier for microaggressions, (b) requirement of profile pictures is a risk factor for microaggressions, (c) experiences of past microaggressions carries over to the present, (d) diverse online students are resourceful, and (e) the reality of microaggressions online.

Discussion: Participants' suggestions, literature evidence, and research findings informed decision/action modes to assist the nurse educator with culturally competent methods to improve online learning spaces and decrease microaggressions for diverse students.

Introduction: Understanding a patient's culture is imperative to providing holistic patient care. The purpose of the study is to describe and explore the lived experiences of non-Muslim hospital-employed registered nurses providing care for Muslim patients in the United States.

Method: This study used a qualitative exploratory research design based on semi-structured interviews utilizing Husserlian phenomenology. A snowball technique was used to recruit the participants.

Results: Ten nurses who cared for hospitalized Muslim patients were interviewed and three major themes emerged from the participants' narratives: Nurse-Patient Relationship, Nurses' Knowledge and Western Health Care Systems, and Family Influence.

Discussion: Muslim patients have cultural expectations and differences that may not be anticipated by nurses, which affects nurses' experiences when providing care. As the Muslim population continues to grow in the United States, there is a need for increased education on culturally congruent care to assure the highest quality of nursing care.

Introduction: Globally, 27 million female refugees of reproductive age are subjected to numerous socio-ecological factors that increase their risks of mental health issues, especially during the postpartum period. This study seeks to explore Syrian refugee mothers' experiences and perceptions of postpartum depression.

Methods: We used a qualitative phenomenological approach to interview purposively sampled typical postpartum Syrian mothers living in informal camps in Lebanon to evaluate their maternal mental health perceptions, coping strategies, and help-seeking practices.

Results: Results revealed three major themes: conceptualizing maternal depression as extraordinary and ordinary, cultural perceptions of mental health help-seeking, and coping with negative emotions.

Discussions: Findings are critical to Lebanon and other Muslim refugee-hosting countries as they can inform future health policies, health care delivery models, and community interventions. Utilizing culturally and religiously appropriate frameworks in assessing and providing mental health services to this vulnerable group can substantially improve mental health services' acceptance, utilization, and impact.

Introduction: Many Asian immigrants, including Filipino Americans (FilAms), experience psychological distress (PD) due to the challenges in adjusting to their new country and culture. This descriptive comparative study aimed to compare FilAms and Filipinos concerning their levels of PD, sources of stress, and use of health-promotion strategies.

Methods: Data from 89 FilAms and 95 Filipinos living in urban cities, obtained from the I-HELP-FILIPINOS database, measuring cardiometabolic risks, mental health, and environmental stressors in 2017, including PD, were examined.

Results: The mean age of all participants (N = 184) was 44.2 ± 22.8 years old. Both groups rated their health as good to excellent, although Filipinos were significantly more likely to be distressed (p < .001). Filipinos were also more likely to ascribe stress to employment (48.3% vs. 68.2%, p =.006) and finances (28.1% vs. 52.6%, p <.001) than FilAms.

Discussion: While both groups shared comparative perspectives on health, FilAms reported lower PD than Filipinos. The most significant source of stress was the country of residence. We recommend tailoring interventions to each local context's unique social and environmental circumstances.

Introduction: More than 20,000 patients with chronic renal disease are receiving hemodialysis treatment in Saudi Arabia. Approximately, 57.4% of nurses in Saudi are expatriates. However, these nurses may not have sufficient cultural knowledge, which may affect perception of nursing care. Our purpose was to understand the lived experiences of middle-aged Saudi Arabian hemodialysis patients.

Method: This qualitative phenomenological study was conducted in Saudi Arabia in 2021. Data were analyzed using axial coding.

Results: Eleven patients aged 32 to 60 years participated. Two themes and three subthemes were identified: (a) hemodialysis's negative consequences (travel restriction, social isolation, and low responsibilities toward families) and (b) level of support (family support, nurses' support, and governmental support).

Discussion: Hemodialysis patients find travel and social engagement difficult. Furthermore, they cannot fully meet their family responsibilities due to fatigue and long hemodialysis hours. Health care providers should consider integrating these findings to deliver optimal holistic care.

Introduction: Urinary incontinence (UI) in women is a global public health issue. However, there is a limited understanding of the experience of women from underrepresented groups suffering from UI. The purpose of this systematic review was to examine current evidence regarding the experience of women with UI from these groups.

Methodology: A systematic search was undertaken to retrieve research studies that answered the research question. Four qualitative research studies were included. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses guided this review.

Results: Four themes emerged from this review: the perceived origin of UI, the physical, psychological, and social impact of UI, the impact of culture and religion on UI, and vice versa, and the interaction of women with health services.

Discussion: Social determinants of health, such as religion and culture, need to be considered by professionals providing care if women from underrepresented groups experiencing UI are to receive optimal care.

Introduction: Work and family duties may be in conflict, which can cause a problem faced by nurses and lead to significant physical and mental health risks. This study examined whether gender moderated the relationship between risk propensity with work-family and family-work conflicts in Jordanian nurses.

Method: A cross-sectional study was conducted to collect data from 206 nurses currently employed in two major referral hospitals. Data analysis was performed using the Macros process and correlations.

Results: The bivariate correlations showed that family-work conflict was significantly correlated with depression, stress, and risk propensity. Work-family conflict was only correlated with depression and stress. Macros process results showed that gender moderated the relationship between risk propensity and family-work conflict. These results showed that the risk propensity significantly affected family-work conflict in male but not female nurses.

Discussion: The results showed that gender moderated the relationship between risk propensity and family-work conflict but not between risk propensity and work-family conflict.