Journal of Transcultural Nursing最新文献

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.

Introduction: Breast cancer is the most prevalent malignancy among Saudi women, yet mammography screening rates remain low despite government-funded initiatives. Socioreligious factors may influence mammography screening behaviors, but their roles remain underexplored. This study examines the direct effect of religiosity on mammography screening and the mediating roles of religious health fatalism (RHF) and modesty.

Method: A cross-sectional study was conducted among 86 Saudi women. Data were collected through self-administered questionnaires measuring religiosity, RHF, modesty, and mammography screening behavior. Hierarchical logistic regression and mediation analyses were performed using SPSS and Hayes's PROCESS macro.

Results: Religiosity positively influenced screening behavior (p = .006). However, RHF (p = .015) and modesty (p = .027) mediated this relationship, reducing screening likelihood. Physician recommendations were the strongest predictor (p < .001).

Discussion: While religiosity may encourage screening, RHF and modesty create barriers. Culturally sensitive interventions and physician engagement are crucial to improving screening uptake.

Introduction: Exploring the variables and outcomes of maternal-fetal attachment based on an understanding of cultural background is critical for providing a foundation for developing effective interventions. This scoping review aimed to identify the predictors and consequences of maternal-fetal attachment among pregnant women in East Asia.

Methods: The review was conducted in accordance with the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) and the framework proposed by Arksey and O'Malley. A comprehensive literature search was performed across PubMed, Scopus, Web of Science, and PsycINFO, covering studies published between March 2005 and March 2025.

Results: The scoping review found that the factors that influenced maternal-fetal attachment were divided into five levels based on ecological systems theory. Maternal-fetal attachment was found to have positive outcomes for both mothers and children.

Discussion: Nursing professionals should offer culturally and systemically informed support to promote maternal-fetal attachment, including tailored care for high-risk group, education program, and health services.

Introduction: The aim of this study is to determine the cultural awareness and cultural effectiveness levels of nurses who care for patients from different cultures, as well as the correlation between them.

Methods: This descriptive cross sectional study was completed with a total of 335 nurses.

Results: As a result of regression analysis done to determine the cause-and-effect relationship between the intercultural awareness and intercultural effectiveness total scores of the participants, significance was determined (p < .001). When the correlation analysis between intercultural effectiveness total score and intercultural awareness total score averages were analyzed, a moderate correlation was found (r = .473; p < .001).

Discussion: It was determined that the participants' intercultural effectiveness scores and intercultural awareness scores were affected by different personal variables. It may be recommended to plan and implement intercultural nursing education and training strategies in the future to raise nurses' intercultural awareness and intercultural effectiveness levels.

Introduction: Over 30,000 North Koreans have fled to South Korea, facing challenges in adapting to a new society. This study aimed to examine how cultural orientation, PTSD, and resilience influence their social adaptation.

Methods: A cross-sectional survey was conducted with 171 North Korean defectors using validated tools to assess cultural orientation, PTSD symptoms, resilience, and social adaptation.

Results: PTSD was prevalent in 24% of participants and strongly negatively correlated with social adaptation (r = -.61, p < .001). Resilience showed a positive association with adaptation (r = .46, p < .001) and served as a protective factor against PTSD. Horizontal cultural orientation correlated with adaptation but was not a significant predictor. PTSD severity was the strongest predictor of poor adaptation.

Discussion: These findings underscore the need for long-term, culturally appropriate mental health interventions and resilience-building programs to enhance the social integration of North Korean defectors and inform refugee support policy.

Introduction: Asian Americans are at heightened risk for type 2 diabetes, yet research on cultural and intergenerational dynamics remains limited.

Methods: Guided by Family Systems Theory and Leininger's Transcultural Nursing Theory, this cross-sectional study examined diabetes knowledge and family support in 102 Chinese and Filipino American dyads (parent with diabetes + adult child) in Northern California.

Results: Using the Diabetes Knowledge Questionnaire and the Family Supporters National Survey Tool, we found that Filipino parents scored higher in diabetes knowledge than Chinese parents. T-tests revealed significant differences in knowledge scores between Chinese and Filipino parents, t(102) = -2.91, p < .004, d = .45. Four significant predictors emerged: dyadic roles, age, English proficiency, and health status, F(9, 94) = 4.66, p < .001, R² = .31. A two-way analysis of variance (ANOVA) showed a positive correlation between diabetes knowledge and family support among Filipino children but an inverse trend among Chinese children, F(1, 97) = 4.22, p = .043.

Discussion: Findings suggest the importance of culturally tailored, family-centered diabetes interventions for Asian American communities.