Journal of Transcultural Nursing最新文献

Introduction: This article explores the historical and cultural background of the Inupiat community, highlighting health disparities and emphasizing culturally competent care's role in addressing them.

Methods: Inupiat health beliefs, communication styles, family dynamics, and dietary habits are examined in relation to Western medical practices within tribal health systems. Strategies for cultural education include curriculum development, simulations, clinical assignments, and partnerships with Inupiat healthcare professionals.

Results: Challenges in providing culturally competent care to the Inupiat community are identified, including barriers in nursing education and legal implications for nursing practice. Strategies for enhancing nursing cultural competency are outlined.

Discussion: This paper advocates integrating cultural competency into nursing practices to improve care for the Inupiat community, focusing on training, education, and policy recommendations. It emphasizes the importance of respecting and integrating Inupiat cultural practices to enhance health outcomes and healthcare experiences.

Introduction: Nurses and midwives in family health centers play a critical role in maintaining effective communication with patients, especially those from diverse cultural backgrounds. This study aimed to explore the health communication competencies of these health care professionals and their impact on intercultural effectiveness.

Method: This cross-sectional study was conducted with 61 midwives and 54 nurses working in 34 family health centers. Data were collected using A Demographic Form, Communication Competence Scale, and Intercultural Effectiveness Scale.

Result: Regression analysis identified a significant relationship between communication competence and intercultural effectiveness (F = 14.218; p = .000 < .050). In total, 93.6% of the participants experience language barriers during the care process.

Discussion: Given that language barriers are identified as the greatest challenge, it is essential to provide short-term translator support and long-term language education to address this issue effectively. These findings underscore the need for targeted interventions to improve communication competencies, which are crucial for providing culturally competent care in diverse settings.

Introduction: COVID-19 created unprecedented disruption for school-age children and adolescents across the United States. This educational disruption was significant for American Indian/Alaska Native (AI/AN) students. Our study's purpose was to understand COVID-19's impact on AI/AN adolescents' education and their physical, emotional, mental, social, and spiritual well-being, as well as their coping mechanisms.

Methodology: We employed a qualitative descriptive design with 14 AI/AN adolescents aged 14 to 18 years among three Tribes in the Great Plains in August 2023.

Results: Our participants reported several disruptions, yet they found unique ways to stay connected. The themes identified were social network, physical activity, emotional well-being, gaming, responses of reservation schools to COVID-19, and challenges of virtual learning.

Discussion: There is a lack of focus on the resilience and protective factors among rural AI/AN adolescents. Understanding how these factors may enhance AI/AN well-being is essential for providing culturally responsive care and promoting healthy growth and development.

Introduction: Culturally tailored support group interventions can help family caregivers. Little is known about the impacts of integrating philosophical thoughts in the interventions on the psychosocial wellbeing of family caregivers of persons with dementia.

Methodology: A program integrating Chinese philosophies was provided to caregivers in the intervention group. A total of 33 and 30 caregivers in Hong Kong joined the intervention and control groups. They were asked to complete pre- and post-tests to assess their psychosocial health.

Results: There were significant positive changes for the level of satisfaction with social support (p < .05) and general quality of life (p < .05). There were also significant improvements in the four aspects of coping (positive reframing: p < .01; planning: p < .05; humor: p < .01; religion: p < .01).

Discussion: The intervention could provide insight into how culturally tailored interventions can improve the psychosocial wellbeing of family caregivers in Chinese communities.

Introduction: The increased globalization of nurses has prompted organizations to explore innovative strategies to retain their workforce. However, due to cultural variations and increased workforce diversity, a one-size-fits-all retention strategy may not be effective.

Methodology: In this paper, we discuss nurse migration and retention to identify points of intersection and possible theories that can be applied.

Results: Nurse migration and retention share a common motivation thread, indicating that a motivation theory could effectively integrate both concepts. Self-determination theory (SDT) is particularly relevant as it suggests that the needs for autonomy, competence, and relatedness influence motivation and retention and that these are universal, transcending cultural boundaries.

Discussion: Addressing migrant nurse retention is crucial. The continued international recruitment poses a threat, as any intake by host countries further depletes the already scarce pool of nurses in some source countries. The perspective offered by the SDT may prove instrumental in developing effective strategies for retaining migrant nurses.

Introduction: Nurses must possess the capacity for compassionate care and exhibit empathy to promote culturally competent care. This research investigated the mediating role of compassion in the relationship between ethnocultural empathy and intercultural sensitivity among nurses.

Method: The study was conducted at a hospital that provides health care services to refugees. In total, 125 nurses were recruited through the simple random sampling technique. Data were collected using a personal form and three scales. Statistical analysis was performed using SPSS23 and AMOS24.

Results: Nurses' cultural sensitivity positively influenced their compassion competence and ethnocultural empathy. Compassion competence did not function as a full mediator in the relationship between intercultural sensitivity and ethnocultural empathy.

Discussion: This study revealed that exposure to different cultures contributed to compassion competence, ethnocultural empathy, and cultural sensitivity skills in nurses. Cultural competence is a critical component of nursing care; therefore, it should be developed through curriculum revisions and a sensitive and supportive discussion of experiences.

Introduction: Traditional games are essential for children's social inclusion due to cultural values and beliefs. This study was conducted to measure the impact of traditional children's games on internet use, social skills, and stress levels.

Methods: A cross-sectional design was carried out. Children who had parental approval and agreed to participate were included in the study (n = 314). The data were collected using a questionnaire, the Perceived Stress Questionnaire (8-11 years), and the Social Skills Assessment Scale. Linear regression and multinomial logistic regression were performed to analyze the data. Mantel-Haenszel chi-square test was performed to assess the confounding factors for playing traditional games.

Results: The children's mean age was 11.58 (SD = 0.49), and 56.1% were girls. Children who did not play traditional games were more likely to use the internet than those who played traditional games (odds ratio [OR] = 2.16, p = .014). The social skills were significantly associated with daily internet use time (β = 0.164, p = .003), playing traditional games (β = 0.155, p = .008), and frequency of gaming per week (β = 0.123, p = .035). The stress levels were associated with gender (β = 0.120, p = .033) and academic level (β = 0.111, p = .048).

Discussion: Traditional game playing reduced the duration of one sitting and daily internet use. Moreover, outdoor gaming, frequency of playing games, and daily internet use duration were predictors of social skills, whereas being a girl and sixth-grade student were predisposing factors of stress level. Nurses could benefit from traditional games in reducing internet use and stress and improving social skills in children.

Introduction: Puerto Rico is a territory of the United States, making Puerto Ricans vulnerable to damaging colonial policy. The purpose of this article is to utilize the socioecological model (SEM) to evaluate how the Jones Act impacted Puerto Rico after Hurricane María, examining colonialist policy as a social determinant of health (SDOH) in Puerto Rico.

Methods: Levels of the SEM used in this examination included: individual, institutional, community, policy, and context.

Results: Evaluation of the Jones Act using the model demonstrated relationships between all socioecological levels. The Jones Act caused delays and increased prices for goods needed to rebuild community utility infrastructure, which led to extended closures of institutions like workplaces, schools, and hospitals, and ultimately contributed to increased acute and chronic physical and mental illness among Puerto Ricans.

Discussion: This evaluation establishes that colonialist policy negatively impacts the health of Puerto Ricans, positioning colonialism as an SDOH.

Introduction: Few interventions have focused on Latino family caregivers to persons with dementia, addressing their unique needs. This review aimed to identify best practices in cultural adaptation to make recommendations for adapting interventions for Latino family caregivers of persons living with dementia.

Method: This scoping review was conducted following the Joanna Briggs Institute Scoping Review guidelines, with findings extracted and summarized from 17 studies addressing cultural adaptation.

Results: Frameworks guiding the adaptations were comprehensive, addressing cultural values and traditions and the social context faced by Latino family caregivers. Features of the adaptations included diverse teams of researchers and community members, including Latino family caregivers, to inform the integration of cultural values into the content, mode, and place of intervention delivery.

Discussion: Culturally adapting evidence-based interventions will increase the number of available interventions for Latino family caregivers to persons living with dementia, thus reducing inequities in caregiver support.