Journal of Transcultural Nursing最新文献

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: Despite the growing use of endoscopic resection for early gastric cancer (EGC), little is known about patients' posttreatment experiences. We explored the postprocedure experiences of gastric cancer patients in South Korea.

Method: A descriptive qualitative study was conducted with 13 patients who underwent endoscopic resection for EGC between December 2021 and February 2022. Data were analyzed using thematic analysis.

Results: Three themes and nine subthemes emerged from analysis: (a) feeling bewilderment in everyday decision-making, (b) the swirl of emotional turmoil, and (c) embracing the journey into the new normal.

Discussion: Our findings highlight the need for tailored health information, particularly regarding dietary guidance, and family involvement in posttreatment care. Cultural sensitivity is crucial when supporting South Korean patients who associate cancer with personal behaviors, experience shame, or avoid disclosing their diagnosis. These insights can help health care providers guide these patients in adapting to their cancer diagnosis and managing posttreatment challenges.

Introduction: Men's decisions regarding family planning and reproductive health are as crucial as women's especially in societies where patriarchal norms are strong, such as among Afghan communities. In this context, there is a need for studies on the opinions and experiences of Afghan men who have immigrated to Türkiye regarding family planning.

Method: The study employed a phenomenological design and involved 20 Afghan refugee men. Data collection was performed through in-depth, semi-structured interviews.

Results: Three main themes and their subthemes emerged from interviews: reproductive health and gender equity, enhancing family planning understanding, and navigating complex realities of family planning.

Discussion: The influence of cultural and religious teachings on Afghan men's reproductive choices is evident, shaping their perceptions of familial and social responsibilities. The study offers evidence that the social norms of host countries may influence Afghan men's attitudes toward reproductive health and family planning.

Introduction: Foreign-born care workers with limited native language proficiency have become a challenge for first-line managers (FLMs). The study explores FLMs' experiences of their role of leading a multicultural and multilingual staff group in nursing homes and implementing language development initiatives.

Method: This is an explorative descriptive study. Four focus-group discussions were held with 12 participants. Data analysis was performed in accordance with the method described for focus-group discussions.

Results: Three categories with six subcategories were generated: Challenging to adapt leadership to multicultural environment; Challenging and stimulating to work with language development; and Challenging to bridge gaps when conditions change.

Discussion: FLMs' role to implement different strategies and models to promote a favorable working environment, collegial relationships, and competence development is demanding. In conclusion, FLMs need sufficient time, resources, and support to develop competence in transcultural nursing leadership to deliver culturally congruent care and implement language development initiatives in multicultural teams.

Introduction: Male South Asian international nursing students in Australia navigate a complex interplay of cultural expectations, personal aspirations, and gender stereotypes. These students often encounter stigma and familial pressure due to their pursuit of a non-traditional career in nursing.

Method: A qualitative descriptive design involving 11 participants was employed. Data were analyzed using a thematic analysis framework informed by principles of transnationalism, intersectionality, and identity work.

Results: Participants strategically employed linguistic camouflage, referring to their studies as "health science" rather than "nursing." Motivations for pursuing nursing included migration opportunities, economic considerations, and aspirations for personal freedom and self-acceptance. The term "nurse" carried significant cultural baggage.

Discussion: This study reveals the strategic and pragmatic nature of these students' career choices. Despite facing unique challenges, including navigating a hostile educational environment, participants demonstrated remarkable resilience. Findings underscore the need for culturally sensitive support programs, curriculum reforms that challenge gender stereotypes, and faculty training in cultural competence to promote inclusivity and empower these students.

Introduction: This study aimed to understand the impact of nursing students' nursing professionalism, adjustment to college life, satisfaction with a major, and communication skills on cultural competence to develop future nursing education in a diversified and connected global world.

Methodology: A descriptive correlational study was conducted on undergraduate nursing students at two Korean cities in 2019. Data from 177 students were analyzed via Pearson's correlation and hierarchical regression analyses using SPSS version 25.0.

Results: Health care issue awareness, nursing professionalism, and adjustment to college life significantly affected cultural competence, with an explanatory power of 26% (F = 11.73, p < .001).

Discussion: This study strengthens the cultural competence of nursing students and presents key factors for caring for patients across various cultural backgrounds. Future-oriented integrated education and systematic curriculum based on factors influencing cultural competence should be prepared and provided.

Introduction: Breast cancer-related lymphedema is associated with a myriad of distressing symptoms and significantly impacts survivors' quality of life. The Breast Cancer-related Lymphedema Symptom Experience Index (BCLE-SEI) is a validated patient-reported outcome measure (PROM), but is unavailable in Indian languages. This study aimed to cross-culturally adapt the BCLE-SEI into the Bengali language.

Method: Following established guidelines, the BCLE-SEI was translated, back-translated, and validated in 168 Bengali-speaking women with or at risk of lymphedema.

Results: Content validity was confirmed by ≥98% of participants. Exploratory factor analysis identified two factors in symptom occurrence and distress subscales, explaining 43.9% and 51% of the variance, respectively. Internal consistency (α) was >0.85, and construct validity was supported with over 50% of predefined hypotheses met. Test-retest reliability (intraclass correlation coefficient [ICC_2,1]) was .46 (95% confidence interval [CI] = [-0.2, 0.8], p = .076).

Discussion: The BCLE-SEI-Bengali is a reliable and valid PROM for assessing lymphedema-related symptoms for Bengali-speaking women.

Introduction: Cultural bias can negatively affect processes such as making the correct diagnosis, creating appropriate treatment plans, and ensuring patient satisfaction when providing health care services to individuals. This study aims to develop and conduct the psychometric evaluation of a reliable tool to measure the bias levels of health care professionals.

Method: The scale was developed with a pilot study conducted on 50 nurses in Erzurum, Turkey. The scale initially consisted of 53 items, and data collection was performed on 720 participants.

Results: The scale Kaiser-Meyer-Olkin (KMO) value was found to be 0.861. The anti-image value for items was ≥0.5. Bartlett's sphericity tests indicated suitability for factor analysis (χ² = 2,850.732, df = 210, p < .01). The variance explained by each subscale of the scale was 18.582%, 16.342%, and 14.507%, respectively.

Discussion: Because health care professionals should take a holistic approach to patient care, the scale might be a useful a important instrument for evaluating the cultural biases of health care professionals.

Introduction: Purnell's Model for Cultural Competence outlines that cultural competence is essential for bridging the gap between health care providers and patients from diverse cultural backgrounds.'

Methodology: This study followed PRISMA-ScR guidelines, focusing on studies involving nurses, nursing students, and educators using Purnell's Model. Literature was searched across six databases up to July 2024.

Results: From 834 records, 20 studies met the inclusion criteria. The primary themes identified were "Cultural competence in health care" and "Nursing interventions and patient relationships." Subtopics included Cultural health care practices, Patient-centric nursing, holistic and culturally sensitive care, and integrated care and education. These subtopics provide a nuanced understanding of cultural competence application across various settings.

Discussion: Findings highlight the importance of integrating cultural competence training to reduce health care disparities, improve patient-provider communication, and enhance the efficacy of nursing interventions in diverse populations. Incorporating these aspects into education and practice is crucial for achieving cultural competence in nursing.