Journal of Transcultural Nursing最新文献

Background: The aim of this study was to evaluate the attitude of nursing students in providing health care to refugees due to cultural differences and to reveal individual factors (age, gender, marital status) affecting negative attitudes.

Method: This cross-sectional descriptive correlational study was conducted to determine the intercultural competence of nursing students and their attitudes toward immigrants in Turkey. The sample of the study consisted of 316 nursing students.

Results: The Negative Attitude Toward Immigrants Scale scores of the participants were high, however, the intercultural competence level of the health professionals was positive. A weak negative statistically significant relationship was found the Negative Attitude Toward Immigrants Scale and the Cross-Cultural Competence of Healthcare Professionals Scale (r = -.247, p = .000).

Conclusion: Our study revealed that nursing students have negative attitudes toward immigrants, and factors such as gender and caring for patients from a different ethnic origin, discomfort in providing care impacted their attitudes.

Introduction: The COVID-19 pandemic has resulted in severe illnesses worldwide. Around 655.5 million cases were having been confirmed, including 6.6 million deaths. The extreme cases experienced near death in the intensive care unit (ICU). This study explored the survivors' experience of being near death while critically ill with the infection.

Methodology: A descriptive phenomenological study was employed. Data were collected through in-depth interviews with 14 participants from Northeastern Thailand. Content analysis was applied by using Creswell's strategy.

Results: Four themes emerged: (a) anxiety and fear of dying alone, (b) environmental chaos, (c) using Thai Buddhist teaching in coping, and (d) returning from the brink of death. Moreover, the patients felt great gratitude and were grateful to the health care team.

Discussion: Traumas experienced by patients in the ICU included physical and psychological distress, coping strategies, and an understanding of cultural awareness.

Conclusion: Psychological and culturally congruent care should be implemented for patients in the ICU.

Introduction: Language barriers place patients at risk of substandard care. Hospitalized patients with limited English proficiency (LEP) face unique challenges, especially in the intensive care unit (ICU). The purpose of this review is to critique and synthesize quantitative evidence on LEP and ICU outcomes.

Methodology: Quantitative studies published in English between 1999 and 2022 were queried using intentional terminology.

Results: Searches yielded 138 results, with 12 meeting inclusion criteria. The analysis resulted in the extrapolation of five themes pertinent to outcomes of ICU patients or families with LEP: (a) knowledge deficit relating to conditions and care; (b) lack of language-appropriate care; (c) alienation from care process; (d) decreased confidence and ownership of care; and (e) relationship to clinical quality indicators.

Discussion: Outcomes associated with LEP were largely negative and revealed unmet needs for ICU patients with LEP. More research is needed to improve linguistically and culturally congruent care in the ICU.

Introduction: Cancer remains a significant health burden in Nigeria and requires the efforts of all stakeholders to address it. Little is known about how the worldviews of Nigerian patients with cancer and other institutional factors affect cancer management in Nigeria. This paper draws evidence from an ethnonursing study conducted in a Nigerian cancer care setting.

Method: This study adopted a qualitative design using an ethnonursing approach. The study was conducted in one of the primary cancer treatment centers owned by the federal government of Nigeria. Data collection was conducted using participant observation, interviews, and field notes. Data collected were analyzed using NVivo 12 and presented as categories and sub-categories.

Results: Analysis yielded two themes and seven sub-themes. The major themes included (1) dominant worldview and (2) institutional/contextual factors. Participants attributed life, living, and death as being controlled by a supreme being. Cancer care was constrained by unfavorable institutional factors such as lack of equipment, staffing, and intensified workload.

Discussion: Cancer institutions should provide more cancer care infrastructure that will facilitate the work of nurses and other health care workers. There should be an enabling environment that would attract and retain nurses in the cancer wards. The hospital environment should be made conducive for the cancer care providers, patients with cancer, and their relatives.

Introduction: Although abortion can be implemented within the framework of legal rules and practices, the issue of abortion in socio-cultural, philosophical, and religious terms is one of the crucial issues that has been discussed since the existence of humanity. This study aims to examine the relationship between women's thoughts on voluntary abortion, their stigmatizing attitudes, beliefs, behaviors, and their spiritual well-being in Turkiye.

Method: The sample of this analytical-cross-sectional study consisted of 300 women between the ages of 18 to 49 who had a telephone. Data were collected with the "Questionnaire Form, Functional Assessment of Chronic Illness Therapy Spirituality Well-Being (FACIT-Sp), and the Stigmatizing Attitudes, Beliefs and Actions Scale Toward Abortion (SABAS)."

Results: The findings showed that 30.3% of the women participating in this study had voluntary abortions. The FACIT-Sp total score of women who had voluntary abortion (12.58 ± 7.99) was significantly lower than those who did not have an abortion (29.02 ± 6.36), and the SABAS total score was not associated with having a voluntary abortion. A weak, positive linear relationship was found between FACIT-Sp and SABAS total scores (r = .115, p < .05).

Discussion: Study findings showed that there was a significant relationship between having had a voluntary abortion and a lower spiritual well-being score and there was a positive relationship between spiritual well-being and stigmatizing attitudes, beliefs, and behaviors toward abortion.

Introduction: Due to globalization, countries around the world are starting to notice diversity in their populations. It is crucial that midwives be able to communicate effectively with women from a variety of cultures to provide them with culturally effective health care.

Method: This cross-sectional study was conducted with 394 midwives who work in seven different regions of Türkiye. Data on the intercultural effectiveness and intercultural communication competence of midwives were collected. Data analysis was performed using descriptive statistics, t-tests, analysis of variance, and regression analysis.

Results: Midwives' intercultural effectiveness was influenced by their foreign language proficiency, experiences abroad, having friends from different cultures, following social media platforms in different languages and cultures, providing care to individuals from diverse cultures, and their willingness to do so.

Discussion: Findings suggest that exposure to different cultures enhances the level of intercultural effectiveness. Consequently, it is recommended to make plans to support midwives to have positive experiences with different cultures.

Introduction: This research was conducted as a descriptive study to determine the mental adjustment status of refugee children aged 6 to 14 in Duzce.

Method: The sample of the study consisted of 163 refugee children. Data were collected through face-to-face interviews with primary caregivers of children using the Hacettepe Mental Adjustment Scale. The collected data were analyzed in the SPSS 22.0 database using percentages, Mann Whitney U, Kruskal-Wallis H, and chi-square tests.

Results: Adjustment problems were detected in 25.8% of the children participating and behavioral problems were detected in over half (52.4%).

Discussion: In line with the findings obtained from the research, it has been suggested to form a team of mental health experts, including psychiatric nurses, who have adopted the principles of transcultural care to make early diagnosis and effective treatment of psychiatric diseases of refugee children.