Journal of Transcultural Nursing最新文献

Introduction: There is limited education provided to women about perimenopause and menopause, consequently many women have little knowledge and/or do not receive appropriate care in this critical life phase. The aim of this study was to explore Australian women's knowledge of perimenopause and menopause.

Methods: This concurrent mixed methods study using an online survey and qualitative interviews explored Australian women's knowledge and experiences of perimenopause and menopause.

Results: Four hundred eleven women completed the quantitative online survey with 25 participating in the semi-structured interviews. Data specific to women's knowledge of perimenopause and menopause were analyzed with qualitative data presented.

Discussion: Most participants in this study had some knowledge of perimenopause and menopause; however, expectations differed greatly from the reality they experienced. Findings highlighted that websites could be beneficial and discussions between women provided emotional and psychological support. There was no meaningful difference in knowledge scores due to education level.

Introduction: Rural and underserved communities like those in the southeast United States are more likely to have health inequities due to issues related to social determinants of health (SDOH). To adequately address these disparities, there must be culturally sensitive, innovative approaches that address the SDOH.

Methods: A grant-funded, capacity-building program among community-based organizations that have mobile health units (MHUs) and a large College of Nursing was designed to increase immersive clinical opportunities in rural communities while also expanding outreach activities.

Results: RN-BSN and graduate family nurse practitioner students worked with multi-disciplinary teams, civic groups, and church leaders during community outreach events. Thousands of health care screenings, assessments, and other health care interventions were conducted.

Discussion: The number of outreach projects with community partners increased. All students and partners reported satisfaction with the program.

Introduction: Cultural awareness (CA) is a fundamental component of cultural competence in nursing, essential for providing effective care in multicultural settings. This study aimed to assess the level of CA among nursing students in Poland and to identify correlations between CA and selected educational factors.

Methods: A cross-sectional survey was conducted in 2024 among 1,456 students from nine Polish medical universities using the Cultural Awareness Scale (CAS). Statistical analysis included analysis of variance (ANOVA) and post hoc tests.

Results: The average CAS score was 175.5 (SD = 26.69). Participation in intercultural communication training, prior discussion of cultural diversity, belief in the teachability of cultural competence, and support for integrating such training into curricula (p < .001, respectively) were significantly associated with higher CA scores.

Discussion: Systematic, reflective intercultural education significantly enhances CA. Integrating such training into nursing curricula is crucial for preparing students for multicultural practice.

Introduction: The lack of a culturally sensitive sexual and reproductive health (SRH) framework in Malaysia has contributed to misguided approaches and low acceptance of sexual education programs.

Methods: This study employed the Fuzzy Delphi Method (FDM) to develop and validate criteria for a culturally sensitive SRH framework. Data were derived from interviews with 31 parents and an analysis of an existing parenting sexuality module.

Results: Of the 36 proposed criteria, 34 were accepted by the expert panel and categorized into four dimensions. Criterion A6 (SRH provider should encourage those who have strayed to seek repentance) and Criterion C1 (Emphasizing men as the focal point for SRH education) were excluded due to exceeding the threshold value (d > 0.2).

Discussion: The FDM analysis prioritized culturally relevant criteria that shape SRH communication, providing guidance for educators and policymakers to strengthen SRH programs in Malaysia.

Introduction: Nurses often face demanding environments and workloads that harm their quality of work life (QWL). Religious coping may serve as a culturally relevant protective factor against occupational stress, especially in health care settings.

Methodology: This cross-sectional, correlational study examined the relationship between religious coping and QWL among 400 nurses working in a university hospital in Türkiye's Central Black Sea region. Data were collected using the Personal Information Form, Professional Quality of Life Scale (ProQOL R-IV), and Religious Coping Scale (RCS).

Results: Results showed mean scores of 23.90 ± 7.26 for compassion satisfaction, 20.52 ± 5.26 for burnout, and 16.58 ± 7.54 for compassion fatigue. Positive and negative religious coping were significantly associated with compassion satisfaction. Regression analysis identified gender, job satisfaction, and sleep quality as significant predictors of QWL (p < .05).

Conclusions: Findings suggest that enhancing job satisfaction, sleep quality, and adaptive religious coping may improve nurses' occupational well-being, particularly among male nurses.

Introduction: Type 2 diabetes mellitus (T2DM) is a common chronic disease, particularly affecting cross-cultural populations. These populations face socioeconomic, cultural, and health care barriers that hinder optimal disease management. Evidence suggests that culturally competent care (CCC) can improve diabetes management.

Methods: To evaluate the efficacy of CCC on blood glucose and body weight in cross-cultural T2DM patients through a meta-analysis. We included 33 randomized controlled trials (RCTs) with 6,956 participants. Studies were identified from eight databases. Risk of bias was assessed, and the meta-analysis was conducted using R.

Results: CCC led to significant reductions in HbA1c, body mass index (BMI), and fasting blood glucose (FBG) (p < .05). However, the effect on low-density lipoprotein (LDL) was inconclusive (p > .05).

Discussion: CCC improves blood glucose and weight management in cross-cultural T2DM patients. Further research is needed to explore long-term effects, optimize strategies, and refine subgroup classifications.

Introduction: Transitioning from academic education to clinical practice is challenging for newly graduated nurses. This study evaluated a 12-month culturally tailored internship on professional competence, self-efficacy, and perceived health among newly graduated Saudi nurses.

Methods: A longitudinal design with repeated measures was used to recruit 147 female Saudi newly graduated nurses who completed an internship program at two tertiary hospitals. Data were collected at beginning, 8 months, and completion of the program. The Nurse Professional Competence Scale-Short Form, General Self-Efficacy Scale, and self-reported health measures were used. Statistical analyses were conducted using analysis of variance (ANOVA) with post hoc comparisons.

Results: Significant improvements were found in professional competence, especially in leadership, documentation, and administrative skills. Value-based care competence remained high. Self-efficacy and perceived health were also improved.

Discussion: Culturally tailored internship programs are effective in enhancing newly graduated nurses' professional competence and perceived health. Such internship programs may effectively help to enhance training for practice-ready nurses.

Introduction: Assessing asthma self-management in school-aged children is crucial for healthcare professionals to support effective health behaviors. However, a valid, culturally appropriate tool has been lacking. This study aimed to develop and evaluate the psychometric properties of the Thai Childhood Asthma Self-Management Scale (CASMS).

Method: Using DeVellis's scale development approach, the process included defining objectives, item generation and refinement, expert review, and administration to a sample. Psychometric testing involved exploratory factor analysis with data from 153 Thai children with asthma, aged 7-18, in Bangkok, Thailand (March-June 2023).

Results: The final 13-item self-report scale, rated on a 5-point Likert-type scale, showed excellent content validity (content validity index = 0.98) and reliability (Cronbach's α = .82). Three factors, including symptom experience, management strategies, and outcomes, explained 60.96% of the variance.

Discussion: The CASMS is a reliable and valid tool for assessing asthma self-management in Thai children, supporting culturally tailored and effective asthma care strategies.