Journal of Transcultural Nursing最新文献

Introduction: We evaluated telehealth utilization among Colorado Hispanics/Latinos during the COVID-19 pandemic.

Methods: A mixed methods design was used with urban and rural patients recruited through two Colorado Federally Qualified Health Centers (FQHCs) serving large Hispanic/Latino communities. Linguistically and culturally adapted Patient Attitudes Toward Telehealth (PATAT) surveys were collected electronically. Semi-structured interviews were conducted with a purposeful sample of Spanish-speaking Hispanics/Latinos.

Results: Although the FQHCs serve a Hispanic/Latino population, only 40% of survey respondents (82/204) were Hispanic/Latinos, and they reported less telehealth utilization (p < .01). Trust in telehealth seemed driven by previous use, with no differences in PATAT scores by ethnicity or geolocation. Interviews with Spanish-speaking Hispanics/Latinos showed they highly preferred in-person care, and factors that influenced telehealth utilization were situated within the intersection of culture and trust with socio-structural determinants of health.

Discussion: Resolving disparities in telehealth utilization requires patient-centric approaches and equitable transcultural care for underserved Hispanic/Latino populations.

Introduction: The family plays a crucial role in shaping children's identity and understanding of gender-based roles. This study aims to explore the experiences of Iranian transgender individuals with their families' reactions to their transgender identity disclosure.

Methods: In 2018, nurse researchers conducted this qualitative study on 11 transgender individuals in Iran using a phenomenological approach, targeted and snowball sampling, and Colaizzi's seven-step method for data analysis. Rigor was ensured by adhering to Lincoln and Guba's standards.

Results: The study found varied reactions to transgender children among Iranian families, including abuse to avoid stigma. The study revealed two main themes, maladaptive and adaptive reactions, and identified six categories: denial of reality, mourning, coercion, deprivation, support out of necessity, and compromise of family reactions.

Discussion: Education and support systems may help address the cultural challenges that face families with transgender children. The findings offer insights for enhancing public awareness of the transgender community in conservative cultures.

Introduction: This study aimed to determine the burden of suspected nonalcoholic fatty liver disease (NAFLD) and nonalcoholic steatohepatitis (NASH) in a predominantly Hispanic patient population and explore the utility of the American Gastroenterological Association's NAFLD Clinical Care Pathway (CCP).

Methodology: Electronic medical records (n = 223) were used to divide patients into risk groups based on the amount of metabolic risk factors they presented, diabetic status, or if they presented other liver diseases. Fribosis-4 (FIB-4) scores were used to determine the risk for advanced fibrosis.

Results: Most patients (83.8%) were considered at risk for NAFLD based on CCP criteria, and about a third of patients (33.2%) were found to be at indeterminate (n = 60; 26.9%) or high risk (n = 14; 6.3%) for advanced fibrosis. Most indeterminate-risk patients (78.3%) were not referred for liver imaging.

Discussion: This study demonstrates the potential of the CCP as a corrective tool that could help to better identify and screen patients at risk for NAFLD.

Introduction: The challenges faced by male migrant workers during the pandemic have not been fully understood. This study aimed to explore the experiences of male Indonesian migrant workers during the COVID-19 pandemic in Taiwan.

Methodology: This study used an interpretive phenomenological design. Twenty male Indonesian migrant workers in southern Taiwan were individually interviewed. Data were analyzed using reflective thematic analysis.

Results: The migrant workers had conflicting emotions during the pandemic, faced challenges during self-quarantine, lived on board ships, and experienced restrictions on social and religious activities. The workers prioritized maintaining their health to ensure that they would not be easily infected while working. COVID-19 vaccines were made available to migrant workers in Taiwan. The workers had many hopes that they would achieve a better and more prosperous life by working in Taiwan than in their home country.

Discussion: Although the 3-year COVID-19 period was difficult for Indonesian migrant workers in Taiwan, Taiwan's policies provided hope for them to endure the pandemic. The results have implications for Taiwan's health care system, labor development, and transcultural health care.

Introduction: We used an implementation science framework to investigate perceived health inequities in preventive health care initiatives in rural communities in the Philippines. We also identified health equity-focused quality improvement strategies.

Methods: Three health care providers and 12 barangay clinic patients were interviewed.

Results: Patient interviews showed that social determinants of health, respect, and attitudes toward health care providers affected patient empowerment to engage in self-management for noncommunicable diseases (NCDs). Health care providers identified six challenges in managing NCDs: (a) inefficient work processes; (b) staffing shortages; (c) insufficient access to low-cost medications; (d) inadequate primary preventive health education from the schools; (e) health care not considered a priority; and (f) lack of local government support.

Discussion: Inadequate preventive health care and education intensify health access and resource inequities in rural communities in the Philippines. A multi-sectoral plan may improve rural health infrastructure and education toward improving health care access and decreasing care disparities.

Introduction: Timely diagnosis is critical for persons with Alzheimer's disease and related dementias (ADRD) to ensure they receive adequate services; however, timely diagnosis may be prevented by a person's English language skills. The purpose of this integrative review was to understand how limited English proficiency (LEP) impacts older Latino's ability to access a timely ADRD diagnosis.

Methods: Whittemore and Knafl's methodological approach guided the review. Searches in five databases yielded 12 articles for inclusion.

Results: Lack of culturally congruent health care systems, health care providers, and knowledge of ADRD resulted in delays in obtaining a timely ADRD diagnosis among older Latinos with LEP.

Discussion: Latinos with LEP and risk for ADRD benefit from language assistance and support in navigating the health care system. Nurses must be advocates, even when a language barrier is present, and recognize that interpreters are not a single source solution.

Introduction: Chinese nurses in Japan face difficulties owing to differences in language, interpersonal behaviors, and nursing roles. This study examined how Chinese nurses in Japan cope with acculturation challenges.

Methodology: This study employed a qualitative descriptive design using individual semi-structured interviews with 10 Chinese nurses. Thematic content analysis was performed.

Results: Chinese nurses performed their tasks despite language barriers. Furthermore, they behaved according to Japanese social norms and adjusted their perceptions by focusing on the favorable aspects of different nursing roles. They used the same approach to overcome the psychological stress due to these differences. They learned these coping strategies through interactions with Japanese individuals in work settings.

Discussion: Providing support for learning language expression, behavior, and family nursing in accordance with Japanese social norms could facilitate Chinese nurses' adjustment. Moreover, a deeper understanding of each other's cultures is crucial for a successful cross-cultural collaboration.

Introduction: Globally, health care organizations need to provide quality, culturally congruent health care to increasingly diverse patients. Nursing education institutions must therefore produce culturally competent nursing professionals to provide safe and culturally congruent care. This review aimed to identify and outline strategies to enhance cultural competence of undergraduate nursing students.

Methodology: The integrative literature review followed the five steps of Lubbe et al. searching the university Libguides, EBSCOhost, Scopus, and Google Scholar databases for literature published between 2014 and 2023 that met the inclusion criteria. The methodological quality was ensured through the John Hopkins Evidence-based Appraisal Tool.

Results: Five themes emerged as strategies that can enhance cultural competence for nursing students: integrating cultural competence into undergraduate nursing curriculum, cultural immersion, innovative pedagogical approaches, role of nurse educators, and students' assessment.

Conclusion: Findings provide nurse educators with evidence-based information on strategies to enhance cultural competence of undergraduate nursing students at nursing education institutions.