Journal of Transcultural Nursing最新文献

Introduction: Saudi Arabia has a culturally diverse population that is rapidly expanding. Cultural competence is essential in pediatric units, where nurses work alongside parents to care for children.

Method: A simple random sample of 132 nurses was assessed for cultural competence using the Cultural Competence Assessment (CCA) tool to evaluate the cultural competence (CC) of nurses in pediatric units in Saudi Arabia's Northern Borders, examining demographic, cross-cultural, language, and organizational factors. Maternity and Children Hospital (MCH) in Arar and Rafha cities. Data analysis was performed using Statistical Package for the Social Sciences (SPSS) to obtain means, standard deviations, analysis of variance (ANOVA), and independent sample t-tests.

Results: The Moderate CC levels, with significant demographic differences in religion (p = .019) and education (p = .006). Cross-cultural factors influencing competence included cultural diversity (p <.001) and language differences (p = .002). Translation services were significant (p = .032), whereas organizational factors showed no differences.

Discussion: Further studies are recommended, focusing on cultural orientation for nurses and policies to better meet patients' cultural needs.

Aims: To evaluate the psychometric properties of the Turkish version of the Compassion Motivation and Action Scales (CMAS).

Method: The study had a methodological design and involved 433 participants aged 18 to 64. The translation validity of the CMAS was evaluated by 10 experts, and content validity indices were computed. The factor structure of the CMAS was assessed using confirmatory factor analysis (CFA). Pearson product-moment correlation was used to test convergent validity, and Cronbach's alpha and McDonald's ω coefficients were used to test internal consistency and reliability.

Results: Both the compassion and self-compassion scales of the CMAS showed excellent translational validity. CFA confirmed the three-factor structure of the compassion and self-compassion scales of the CMAS.

Conclusions: The CMAS has demonstrated good validity and reliability in adult individuals in Turkish society. The CMAS can be used to assess and follow up on compassionate action and motivation in adult individuals.

Introduction: The relationship between cultural sensitivity and self-esteem among nurses in neonatal intensive care units is critical to job satisfaction and patient care quality.

Methods: A cross-sectional study was conducted from February to March 2024 on 223 nurses in neonatal intensive care units. Data were collected using Intercultural Sensitivity Scale and the Rosenberg Self-Esteem Scale.

Results: The study found that nurses had a moderate level of cultural sensitivity (M = 78.3, SD = 9.4) and self-esteem (M = 24.8, SD = 1.0). A weak positive correlation was observed between cultural sensitivity and self-esteem (r = .26, p < .01). In addition, cultural sensitivity was found as a predictor of self-esteem (p < .05).

Discussion: Findings highlight the positive relationship between cultural sensitivity and self-esteem among NICU nurses, suggesting that enhancing cultural sensitivity could improve self-esteem and job satisfaction.

Introduction: The Latinx community is disproportionately impacted by social and structural inequities such as food insecurity and culturally and linguistically appropriate resources. To address a gap in culturally appropriate nutrition education with Latinx individuals among baccalaureate nursing students, a simulation learning experience (SLE) was developed.

Methodology: The SLE was designed using best practice standards by faculty experts and reviewed by consultants. After the SLE, students and faculty provided feedback regarding simulation design and implementation.

Results: Participants reported improved knowledge and confidence when providing culturally appropriate nutrition education and valued working with an interpreter.

Discussion: This innovative strategy using simulation offers nurse educators a guide to teach cultural humility in nutrition education.

Introduction: Culturally safe practices are crucial for equitable health care for Indigenous Peoples. Despite the vital role of internationally qualified nurses in delivering patient care in the host countries, there is limited evidence on their knowledge and practices of cultural safety. This paper, aims to identify and map existing evidence on cultural safety knowledge and practices among internationally qualified nurses in Australia, New Zealand and Canada.

Method: A scoping review was conducted using a comprehensive search strategy across five electronic databases and gray literature.

Results: Three studies met the inclusion criteria. Findings were grouped into two categories: knowledge on cultural safety and challenges in translating this knowledge into practice.

Discussion: Our review highlights the scarcity of evidence in this area. The findings from the limited existing evidence underscore the urgent need to plan future research on knowledge and practices related to cultural safety among internationally qualified nurses to promote health outcomes for Indigenous Peoples.

Introduction: Older migrants often face systemic barriers such as limited access to health care, social support, and culturally appropriate services, which hinder dignified aging. This concept analysis aims to define equitable aging among migrants and develop a model to guide transcultural nursing care. Methodology: Using Walker and Avant's concept analysis method, a systematic search following PRISMA-ScR guidelines yielded 351 records. After deduplication, 349 titles and abstracts were screened, 138 full-text articles were reviewed, and 68 studies were included in the final analysis. Results: Three defining attributes of equitable aging were identified: fair and just provision of health and social care; elimination of systemic barriers; and inclusive culturally responsive care. A conceptual model was developed, aligning equitable aging with key principles of transcultural nursing. Discussion: This concept analysis offers greater conceptual clarity on equitable aging among migrants and identifies defining attributes that may inform future development of theoretical models and culturally responsive practices.

Introduction: Providing education for graduate nursing students about implicit bias, covert/overt racism in the United States has become challenging due to state and federal policies. Yet, national accrediting bodies require these concepts in doctoral level nursing curricula. While these concepts may be viewed as divisive, faculty can facilitate meaningful discourse by fostering an authentic and safe learning environment.

Methods: This article describes a curricular revision and our approach of integrating these concepts into a doctoral level ethics course using Mezirow's Transformative Learning Theory and Kitchenham's evolution of Mezirow's theory with instrumental learning, dialogic/discourse learning, and self-reflection.

Results: Students evaluations revealed their enhanced awareness of implicit bias and racism and its toll on minoritized populations.

Discussion: With the ever-increasing diversity in the United States, our intentional approach for addressing implicit bias, covert/overt racism provided a platform for students to enhance their transcultural nursing skills by learning to appreciate differing worldviews and experiences.

Introduction: Medication self-management is critical in reducing morbidity and mortality among older adults. Limited research has explored how cultural beliefs and experiences shape medication self-management in older African American women. This study aimed to explore the experiences of medication self-management in this population.

Methods: This study used a qualitative design. Fifteen older African American women were recruited from a senior center in a large Midwestern city in the United States. In-person interviews were conducted. Thematic analysis was used for data analysis.

Results: Three themes emerged: Understanding and Living with Chronic Conditions, Medication-Taking Practices, and Responses to Medications. Six subthemes described how cultural beliefs, trust, and communication shaped their medication behaviors.

Discussion: Findings highlight the need for culturally appropriate nursing interventions that support medication self-management among older African American women. Nurses should consider cultural context and lived experience to promote equitable care.

Introduction: With a growing population of older Korean Americans in the United States, the understanding of how culturally tailored health care services are perceived is essential. This study aimed to explore the experiences of older Korean Americans attending an Adult Medical Daycare Center (AMDC) and their health-related decision-making.

Methods: We used a qualitative descriptive design involving purposive sampling of Korean Americans (>65 years) attending an AMDC. We performed interviews using a semi-structured interview guide and thematic analysis.

Results: A total of 12 participants were interviewed. Participants reported sociocultural benefits, improved care access, and increased mental/physical health with AMDC attendance. However, participants reported loneliness and financial stress. In addition, participants reported either relying on themselves or on their family members/health care providers for health-related decision-making.

Discussion: Older Korean Americans struggle with limited health knowledge from the language barrier, which limits their health-related decision-making ability. Older Korean Americans need culturally tailored interventions focused on increasing self-efficacy.