Journal of Transcultural Nursing最新文献

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: Both communication and sexual and reproductive health knowledge play significant roles in family planning decisions. Individuals who face language barriers may struggle to access the education needed to make informed family planning decisions. This review seeks to describe the effects of language barriers on family planning outcomes in the United States.

Methods: An integrative review conducted per Whittemore and Knafl using an intersectional feminist framework. Systematic searches in four databases generated 17 studies for review.

Results: Language barriers were associated with lower-frequency and lower-quality family planning counseling. Patients facing language barriers also likely face other oppressive forces like racism, discrimination, poverty, and intimate partner violence that further complicate their experiences.

Discussion: Language barriers have significant effects on family planning outcomes. By considering language barriers and addressing factors beyond interpreter use and language concordance, nurses can support improved outcomes.

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.

Introduction: The study was conducted to determine the effect of rebozo massage on birth pain, anxiety, and childbirth experience in the intrapartum period.

Method: A randomized controlled trial was conducted with 62 primiparous women (31 experimental, 31 control) at the Şanlıurfa Training and Research Hospital in Türkiye. The experimental group received rebozo massage during the latent, active, and transitional phases of childbirth, while the control group received routine hospital care.

Results: Pain levels in the experimental group were significantly lower than in the control group in all phases (latent phase F = 78.875, p < .001; active phase F = 71.281, p < .001; transitional phase F = 9.978, p = .002).

Discussion: These findings indicate that rebozo massage effectively reduces birth pain by promoting pelvic relaxation and rhythmic movement.

Registration: The study was registered with Clinical Trials, and the registration number is NCT05583825.

Introduction: This article describes how a focused ethnography adapted Leininger's Sunrise Model (LSM) as a research enabler. The study sought to understand nursing's culture and its dynamics with nursing students.

Methods: LSM is a framework for conducting research with a cultural group to understand nursing's roles in providing them care. Similarly, this focused ethnography sought to identify nursing's culture and gain understanding of its role in providing clinical education.

Results: The adapted LSM was useful to explore the culture of the environment where nursing students' formation takes place, the nurses' perceptions of enculturation of nursing students, and that perception's effects on clinical teaching.

Discussion: The adapted LSM guided discovery and assessment of cultural data among staff nurses to gain understanding of their influences on nursing students' formation. Research results will inform academic and clinical partners about staff nurses' perceptions of enculturation and formation in preparing nursing students for practice.

Introduction: This article describes the development and implementation of a culturally focused simulation about Amish preference for a non-conventional type of burn care.

Methodology: Artificial intelligence (AI), specifically ChatGPT, was employed to create learning objectives, a clinical scenario involving an Amish man with chest burns, a detailed script, and debriefing tools aligned with INACSL Standards of Best Practice. This simulation was incorporated into course content on cultural competence for undergraduate nursing students.

Results: Through an iterative refinement process, AI helped tailor the simulation content. Nursing students were engaged with cultural beliefs and practices, particularly the use of B&W ointment and burdock leaves in burn treatment.

Discussion: The simulation promoted culturally sensitive communication and real-time adaptive feedback. While AI expedited content development, all material required expert validation. AI enhanced rather than replaced the instructional design process. Educators seeking to replicate this simulation may benefit from the cultural insights and methodology as described.

Introduction: The continued enforcement of traditional gender roles continues to oppress Arab women. This coupled with the taboo nature of discussing sexual health may contribute to unmet sexual health needs for Arabic women who have had a mastectomy. The aim of this article is to present qualitative findings of Arab women's sexual health experiences following mastectomy.

Method: This study was underpinned by social constructivism, feminist perspectives, and storytelling. A sample of 22 Arabic women, 28 to 60 years of age, who had a mastectomy were interviewed with data analyzed thematically.

Results: Arabic women's self-worth is inextricably linked with being a wife and mother. Participants experienced low self-esteem and feelings of inadequacy after the loss of their breast, which negatively affected their sexual health.

Discussion: A woman's journey navigating breast cancer and mastectomy within a patriarchal culture can be detrimental to not only their sexual health but also overall well-being.

Māori, the Indigenous people of Aotearoa/New Zealand, experience enduring inequities across surgical pathways shaped by historical, social, and political factors. This integrative review examined how Māori cultural safety is embedded in surgical care to identify principles for improving Indigenous health outcomes. Peer-reviewed studies published since 2017 were sourced from three databases and appraised using the Critical Appraisal Skills Program (CASP). Eleven studies met inclusion criteria (New Zealand, n = 6; Australia, n = 5). Two overarching themes, institutional racism and models of care, revealed inequities in prehabilitation, primary care access, and referral processes. While culturally centered models improved experiences, limited uptake restricted impact. Findings emphasize the need for system-level transformation to embed cultural safety and equity across surgical pathways. Six guiding principles include grounding initiatives in Māori worldviews, institutional commitment, barrier reduction, cultural training, whānau engagement, and Indigenous-led hospital design to achieve equitable Māori surgical outcomes.

Introduction: The challenges for internationally educated nurses are complex and nuanced, with employers implementing various support mechanisms. Nurses may experience cultural displacement, perceived differences in practice and communication problems. Little research exists about which interventions best address these issues. The review aimed to develop a comprehensive understanding of support interventions for internationally educated nurses.

Methods: Whittemore and Knafl's methodological approach guided the review. Literature searches were conducted across five databases between 2010 and 2024.

Results: A total 23 papers were examined. Two themes were developed: "Support interventions" and "Factors influencing the success of interventions."

Discussion: The review found that organizational interventions should address internationally educated nurses' competencies, be multifaceted, and include two-way learning. No evidence was found evaluating the success of multi-dimensional interventions. The review may support policy and practice recommendations.