Journal of cultural diversity最新文献

The main purpose of this introauctory article is to evoKe professional awareness, spark interest, stimulate thought, and disseminate information concerning multiracial, multiethnic (multiple heritage) individuals within the United States. General background information, terms, definitions, ethno-historical influences, practice implications, and current issues will be highlighted. Areasforfurther exploration will be proposed. Transcultural imperatives urge all nurses and other health care professionals to become active participants in the new cultural evolution of a different, broader worldview that uncovers the "invisible" culture of multiple heritage individuals. The new vision challenges nurse and other health care professionals to embark upon a new journey in the quest for cultural congruent care for all individuals.

Past and present policies, politics, myths, stereotypes, and societal attitudes influence the lived experience of multiple heritage individuals, often resulting in marginalization, disparities, invisibility, cultural pain, and/or unmet needs. This article offers commentary about the past and present with thought-provoking questions for future direction regarding "The Invisible Culture of the Multiracial, Multiethnic Individual: A Transcultural Imperative." The commentary revisits and reminds readers about the 2001 article on the same topic, quickly brings them to the reality of the present, and challenges nurses and other professionals to dismantle disparities through cultural congruent care that focuses on making the invisible culture visible.

In a multicultural country, such as New Zealand, multicultural education has become the subject of early childhood polices and research. Increased national and international attention towards minority rights has resulted in the development and implementation of multicultural practice for realizing quality early childhood education for children and families of diverse cultural backgrounds. The study addressed in this paper set out to examine the multicultural education of early childhood set- tings in New Zealand from the experiences and perspectives of Chinese immigrant young children, their teachers and parents. It analyses data in the conceptualization of children as active agents, with the emphasis on the influence of their homes and the early childhood centres, giving rise to a tension between the children's needs to fit in the centres and the children's and their parents' right to inclusion and be different.

This study examined the cultural competence of expatriate nurses using self-reported individual assessment tool, and evaluated if there was an improvement after the educational training provided by nurse educators. Utilizing the Individual Assessment of Cultural Competence tool, questionnaires were administered to nurses (n=584) before the educational training and six months thereafter. A response rate of 90% was obtained. The data revealed that there was no significant difference between pre-test mean score and post-test mean score, (p-value=0.488). However, nurses' self-reported cultural competence was improved, (mean post-test gain = 0.020). Nurses'cultural competence was enhanced through the designed educational training program.

Project Purpose: Discuss the healing practices and expressions as well as any perceived barriers to practice of traditional Nandi healers working as specialized herbalists (three) and midwife (one) in a rural community in Western Kenya.

Methodology: This Doctorate of Nursing Practice (DNP) project used qualitative approaches including individual recorded interviews conducted in private in a community in rural western Kenya, which were later transcribed and reviewed with key messages identified. The key messages were then corroborated by the participants and reviewed by the doctoral project committee.

Participants: Four traditional healers, self-identified as herbalists and/or midwives.

Findings: Five key messages emerged from the data which included; knowledge related to traditional healing, practice of traditional healing, compensation, outsiders, and the future of traditional healing in this community.

The collaborative, student-led research team was concerned with race and ethnic diversity in outdoor recreation and explored this issue by interviewing outdoor instructors. Video action research and pedagogy was used based on characteristics of critical thinking, research, reflection, and social justice. The result indicate the disparity of outdoor recreation participation and factors contributing to it. The reflections show an interest, on the part of the next generation of outdoor recreation professionals and student researchers, to address the disparity issue and analyze thefieldfrom a new perspective.

African-Americans are disproportionately affected and have a greater incidence of heart failure compared to other populations. Current literature identifies many contributory factors, among which is the role of culture. Culture, defined to include socioeconomic status and the historical and sociological experience of African-Americans, may play a pivotal role in how clients manage their symptoms of heart failure. This study attempts to explain how culture contributes to the lack of successful management of heart failure among African-Americans using the framework of Hofstede's cultural dimensions of power distance and individualism.

The objective of this study was to understand the Burmese Chin refugees' experiences with and perspectives on the United States healthcare system. Using a mixed-methods study design, a survey was distributed and focus groups were conducted. Thirty-seven surveys were completed. Five major themes emerged from the focus group discussions: time, language barriers, relationships with healthcare providers, traditional medicine, and adolescents'roles in their community. Refugee healthcare perspectives give health providers insights on how to work towards providing culturally appropriate care.

Objective: To explore adolescent Latinas' perspectives on relationships and generate knowledge to inform interventions.

Setting: Seven Latina adolescents participated.

Design: This qualitative study was guided by principles of community-based participatory research and utilized the photovoice method.

Method: Participants took photos depicting elements of relationships and participated in guided discussions. They identified and named five elements of healthy relationships.

Results: The five elements included commitment, communication, faith, amigos y amores (friends and lovers) and play. These elements occur across all forms of relationships.

Conclusion: The results revealed important information that may be used to tailor health promotion interventions for Latina/o youth.

This paper examines the importance and increasing need for health care practitioners to develop cultural competence in an effort to engage patients in their care to minimize the health disparities that are found in predominately ethnic minority populations. Although Meaningful Use requires data collection related to race and ethnicity, there is no evidence to support that the data is being used to engage patients in a culturally competent way. Lessons learned from the field of education regarding strategies used to develop cultural competence in the teaching profession can be applied in the health care field. This paper argues that cultural competence and patient engagement are clearly linked.