Journal of Transcultural Nursing最新文献

Introduction: Despite the recognized importance of nurses' spiritual well-being, there has been limited research conducted to measure its levels in Arab countries, including Palestine.

Methods: A cross-sectional, descriptive correlational design was used. Several hospitals were selected using cluster sampling method. A total of 306 registered nurses were recruited.

Results: A total of 88.2% of the participants endorsed moderate spiritual well-being levels, and 37.3% reported very good levels of the quality of nursing care. Positive relationships were found between the quality of nursing care and spiritual well-being, income, and work experience. A negative relationship existed between work hours/week and the quality of nursing care. Female nurses reported a higher quality of nursing care than males.

Discussion: Policymakers and hospital administrators can use the findings to provide an effective work environment and intervention programs concerning spiritual well-being for nurses caring for patients with chronic diseases to promote the quality of nursing care.

Introduction: Segregation was a 20th-century practice that was used to separate people based on race and other factors. Schools continue to be the central battleground for these issues. The purpose of this study was to explore relationships between school nurse (SN) staffing levels and student outcomes in the state of Georgia.

Methodology: Descriptive statistics were used to understand SN staffing practices across the state of Georgia. Linear regression was used to understand relationships between variables. Choropleth geomapping and Getis-Ord Gi* hot spot analysis were used.

Results: Descriptive statistics revealed disparities in SN staffing across the state of Georgia. Linear regression showed a relationship between SN staffing and academic outcomes. Mapping revealed patterns that indicated educational inequities in counties where the majority of residents are Black.

Discussion: Disproportionate school nurse staffing levels may be related to disproportionate funding, with roots from the 20th-century practices.

Introduction: Cultural competence is vital for nursing students providing patient-centered care. Generative artificial intelligence (AI) tools can enhance education in this area by promoting reflective learning and bias recognition.

Methods: This discussion paper reviews literature on AI applications in nursing education aligned with cultural competence frameworks such as Leininger's Sunrise Model and Jeffreys' Cultural Competence and Confidence Model. Examples include AI-generated case studies, bias evaluation, medical language translation, and simulated patient communication.

Results: AI tools can supplement human instruction and clinical experiences in hybrid learning models. They offer interactive, personalized learning to improve communication and promote ethical care. Challenges include ensuring AI accuracy, mitigating bias, and avoiding over-reliance that could diminish critical thinking.

Discussion: Thoughtful AI integration can strengthen cultural humility and critical thinking. To maximize benefits, faculty development, ethical safeguards, and interdisciplinary collaboration are necessary, ensuring that empathy and human judgment remain central to nursing education.

Introduction: The nurses in St. Kitts and Nevis, an independent island nation in the Caribbean, overcame oppression to implement strategic health reforms that significantly improved health outcomes. This research was conducted to gain a greater understanding of how this never-before-studied population of nurses from a historically marginalized community have overcome oppression to provide effective, culturally congruent care.

Methodology: This research was conducted using interpretive phenomenological and historical methods. Forty-five in-depth interviews, observations, and analyses of out-of-print historical documents were collected on-site in St. Kitts and Nevis.

Results: The research revealed significant themes regarding the impact of African heritage, history of oppression, gender roles, and the British System of Nursing on current nursing practices in St. Kitts and Nevis.

Discussion: Findings from this study may provide insight into how nurses can provide more culturally congruent care among traditionally marginalized, diverse communities in geographically isolated low-resource communities.

Introduction: The study aimed to investigate the prevalence of overweight and obesity among Chinese colorectal cancer survivors, and how they gain weight during treatment.

Methods: A sequential mixed method study was conducted. Pearson correlation analysis, univariate analysis and a multivariable-adjusted binary Logistic regression model were constructed to explore risk factors. Semi-structured in-depth interviews were conducted, and content analysis was employed for qualitative data analysis.

Results: There were 30.8% overweight and 4.2% obese colorectal cancer survivors. Gender (b = -1.10), caregiver (b = -0.76), dietary knowledge (b = -0.13, anxiety (b = 0.14), depression (b = -0.15), duration of illness (b = 0.95), and tumor staging (b = -1.25) were significantly associated with overweight and obesity. A total of four categories, six themes, and 12 codes were identified, revealing a "teachable moment" for lifestyle modification.

Discussion: One-third of the patients were overweight and obese. Being diagnosed was a "teachable moment" for lifestyle modification, but survivors showed limited knowledge and incorrect weight management goal.

Introduction: Studies on resilience, social support, and coping in Arab Muslim countries for individuals with diabetes mellitus are limited. The study aimed to investigate these factors among adult patients with diabetes mellitus in Oman.

Methodology: This descriptive cross-sectional study examined resilience, social support, and coping levels in 212 adult patients with diabetes mellitus in three diabetic comprehensive centers using validated instruments.

Results: The study found an average resilience score of 73.4 (0-100) and a mean social support level of 68.3 (0-100). Participants scored lower in emotional/informational support (M = 66.06, SD = 24.43) than in other support types. The overall mean coping level was 2.75 (1-4).

Conclusion: Findings indicated that Arab Muslim patients diagnosed with diabetes mellitus exhibited moderate to acceptable levels of resilience, social support, and coping mechanisms. Further investigation is warranted to explore the interrelationships among these variables and their potential impact on diabetes outcomes.

Introduction: Nursing home websites are critical resources for older adults and their families in making care decisions. This study examines the content of Canadian and Korean nursing home websites, focusing on how these messages reflect each country's distinct values.

Methodology: A content analysis of 102 Canadian and 102 Korean nursing home websites was conducted, examining message valence, regulatory focus, cultural values, target audience, and beneficiaries.

Results: Canadian websites emphasized positive, promotion-focused messages that highlighted individual choice, with more individualistic statements targeting residents and mentioning personal benefits. Korean websites used more negative, prevention-oriented messages that alluded to risks, collective responsibility, and family benefits. Despite these differences, both cultures showed a similar overall frequency of positive and promotion-focused messages.

Discussion: These findings reveal culturally congruent messaging strategies that align with each country's cultural norms, illustrating how nursing home websites use culturally specific messages to appeal to older adults and their families.

Members of the Transcultural Nursing Society (TCNS) mobilized a Migration Special Interest Group (MigSIG) to address the rising reports of human rights abuses and lack of basic resources for migrants worldwide. Migrants are some of the most vulnerable populations. This paper outlines the role of nurses as a "voice" or advocate for the most vulnerable. The paper identifies the challenges health providers face in caring for migrants and offers resources, strategies, and toolkits for nurses and providers who care for and intersect with those who migrate.