Journal of Transcultural Nursing最新文献

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.

IntroductionThis study investigated the effects of food insecurity on depression among older adults living in Maryland, United States, focusing on the roles of health literacy and perceived health status.

Methods: Data from 211 hypertensive older adults in a community-based hypertension management project were analyzed. A hypothesized path model was tested to examine direct and indirect relationships among the variables.

Results: Of the participants, 12.4% reported food insecurity, and 13.8% had depressive symptoms. Food insecurity demonstrated a strong direct effect on depression and significant indirect effects through health literacy and perceived health status, indicating a double mediating effect.

Discussion: Food-insecure older adults are more vulnerable to depression, with low health literacy and poor perceived health contributing to this risk. Health literacy acted as a buffer. Transcultural nursing interventions should enhance intrapersonal reserve capacities like health literacy and adapt to cultural and behavioral contexts to boost engagement, reduce stigma, and improve well-being.

Introduction: The language barrier may cause ineffective communication during nursing care, and its potential consequences are felt in multicultural and multilingual societies due to language diversity. This study explored nurses' experiences of providing nursing care to monolingual patients at a national referral hospital in Namibia.

Methods: This qualitative, explorative, and descriptive research was conducted with conveniently sampled nurses who were then interviewed individually. These nurses worked for over a year and could speak only two or less languages. Data analysis followed Braun and Clarke's six phases of reflexive thematic analysis.

Results: From interviews with 19 nurses, four main themes were revealed: personal benefits, negative experiences, alternative communication approaches, and strategies to improve nursing care for monolingual patients.

Discussion: These results have implications for providing culturally congruent care by revealing the importance of recruiting professional interpreters and multilingual nurses, incorporating language courses into undergraduate curricula, and providing in-service training for nurses.

Introduction: Nurses play a pivotal role in delivering mental health care to migrants, but many lack the knowledge and training needed to effectively meet these populations' unique needs. This integrative review examined the existing literature on best practices for caring for migrants with mental health challenges.

Methods: Comprehensive searches were conducted across four databases as well as gray literature. After all eligible articles had been identified, data extraction and thematic analysis were performed.

Results: A total of 54 articles were examined, revealing four major themes: (a) core frameworks and principles; (b) building trust and fostering therapeutic relationships; (c) communication strategies; and (d) assessment and treatment planning.

Discussion: The findings of this review may assist health care providers, especially nurses, who are working with migrants with mental health difficulties to overcome stigma, discrimination, and cultural and linguistic barriers, thereby enhancing their health outcomes and overall health.

Introduction: Nursing education in Hong Kong often overlooks LGBTQIA+-inclusive content, leaving nursing students with inadequate clinical competence to address health disparities faced by these populations.

Methods: We evaluated a 6-hour, contact-based LGBTQIA+ workshop involving 32 nursing students using LGBT-DOCSS scale at baseline, post-workshop, and 2-month follow-up. Focus-group discussions among 21 participants explored their experiences and perspectives.

Results: The mean LGBT-DOCSS score increased significantly immediately post workshop (mean difference [MD] = 0.74, 95% CI: [0.32, 1.15], p < .001) and was maintained at the 2-month follow-up (MD = 0.78, 95% CI: [0.39, 1.16], p < .001). The results showed significant improvements in participants' clinical preparedness and knowledge (both p < .05) immediately after the workshop, with gains sustained at 2-month follow-up. Qualitative findings revealed that participants overwhelmingly endorsed the workshop's structure and valued the storytelling and case scenario discussions.

Discussion: A community-driven, contact-based workshop effectively enhanced LGBTQIA+ clinical competence among nursing students.

Introduction: Afghan refugee women face sexual and reproductive health (SRH) challenges shaped by displacement, sociocultural norms, and systemic barriers in host countries. Understanding these challenges is essential for delivering culturally congruent care. To address this disparity, a scoping review was conducted to synthesize global SRH practices and experiences among Afghan refugee women.

Methods: A scoping review of literature from 2010 to 2023 was conducted using Medline, Embase, Global Health, CINAHL, and Web of Science. Fourteen peer-reviewed articles met inclusion criteria. No formal quality assessment was performed, in line with guidelines.

Results: Four key themes emerged: violence; contraception and family planning; SRH knowledge and pleasure; and education preferences. Barriers included cultural and religious norms, economic dependence, limited knowledge, and inconsistent access to care. Women favored community-based, culturally sensitive health education.

Discussion: Findings underscore the need for comprehensive, culturally responsive, community-engaged interventions to promote equity and reproductive autonomy for Afghan refugee women.