Showing papers in "Journal of Transcultural Nursing in 2016"
TL;DR: Cultural humility was used in a variety of contexts from individuals having ethnic and racial differences, to differences in sexual preference, social status, interprofessional roles, to health care provider/patient relationships.
Abstract: Diversity is being increasingly recognized as an area of emphasis in health care. The term cultural humility is used frequently but society's understanding of the term is unclear. The aim of this article was to provide a concept analysis and a current definition for the term cultural humility. Cultural humility was used in a variety of contexts from individuals having ethnic and racial differences, to differences in sexual preference, social status, interprofessional roles, to health care provider/patient relationships. The attributes were openness, self-awareness, egoless, supportive interactions, and self-reflection and critique. The antecedents were diversity and power imbalance. The consequences were mutual empowerment, partnerships, respect, optimal care, and lifelong learning. Cultural humility was described as a lifelong process. With a firm understanding of the term, individuals and communities will be better equipped to understand and accomplish an inclusive environment with mutual benefit and optimal care.
358 citations
TL;DR: In article is considered bond of natural law with information society, determination of the main ideas of international information model and analysis of creation of Finland’s model information society.
Abstract: In article is considered bond of natural law with information society. Determination of the main ideas of international information model. Analysis of creation of Finland’s model information society. Denotes contemporary natural law in the context of technology.
77 citations
TL;DR: Barriers encountered in host countries may impede acculturation and successful nursing practice, resulting in circular migration and poor patient safety outcomes.
Abstract: Purpose: Global nurse migration has a recognized impact on host and source countries, but the lived experience of foreign educated nurses is an important aspect of the success of this migration. A systematic review of the literature was conducted to understand the lived migration and acculturation experiences of foreign educated nurses. Design: A systematic review of the literature, based on Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, was conducted. Primary research articles or secondary analyses were selected based on keyword and citation-based searches (n = 44). Findings: Nurses’ experiences included migration and licensing barriers, difficulty with communication, racism and discrimination, skill underutilization, acculturation, and the role of the family. Conclusions: Barriers encountered in host countries may impede acculturation and successful nursing practice, resulting in circular migration and poor patient safety outcomes. Implications for Practice: Soci...
77 citations
TL;DR: The barriers and facilitators identified in this review may be useful in the development and implementation of recruitment and research strategies that are culturally sensitive and that may enhance trust and willingness to participate among African Americans.
Abstract: Clinical research requires representation of racially and ethnically diverse participants to accurately represent the general population. Overall life expectancy of African Americans is shorter than that of the general U.S. population. Compared with the other ethnic groups in the United States, African Americans have higher rates of hypertension, stroke, obesity, and diabetes, and higher rates of mortality related to stroke and cancer. Although many health disparities exist among African Americans, they are well underrepresented in clinical research. This article provides an overview of barriers that may influence participation in clinical research among African Americans. Issues of trust, experimentation, communication, and logistics are the most commonly identified barriers. The barriers and facilitators identified in this review may be useful in the development and implementation of recruitment and research strategies that are culturally sensitive and that may enhance trust and willingness to participa...
70 citations
TL;DR: The exercise, nutrition, spiritual growth, and stress management subscale scores of those students regularly going for health checks were determined to be significantly higher than those of the students who did not obtain regular health checks.
Abstract: This descriptive study was carried out to determine factors affecting health-promoting behaviors in nursing students. The sample consisted of 245 students. A questionnaire about factors affecting lifestyle behavior and the Health Promotion Lifestyle Profile Scale-II were used to collect data from 245 nursing students during the spring semester of the 2012-2013 academic year. A significant difference was found between students with and without diagnosed health problems in terms of their mean scores on the Health Promotion Lifestyle Profile Scale-II subscales of health responsibility, spiritual growth, and interpersonal relations, as well as their total mean scores (p < .05). The exercise, nutrition, spiritual growth, and stress management subscale scores of those students regularly going for health checks were determined to be significantly higher than those of the students who did not obtain regular health checks. Students' healthy lifestyle behaviors were generally found to be at the medium level. This study provides evidence of the need for interventions to help nurses in Turkey.
49 citations
TL;DR: Findings of this exploratory study show some preliminary support for Internet-enhanced approaches to promote PA among overweight/obese AA women.
Abstract: Purpose: This study evaluated a culturally relevant, social cognitive theory–based, Internet-enhanced physical activity (PA) pilot intervention developed for overweight/obese African American (AA) ...
46 citations
TL;DR: The translation and validation processes revealed acceptable psychometric properties of the Arabic version of the Summary of Diabetes Self-Care Activities that could evaluate diabetes self-care in Saudi Arabia and has the potential to be used in other Arabic-speaking populations.
Abstract: Purpose: To translate and examine the psychometric properties of the Arabic version of the Summary of Diabetes Self-Care Activities. Design: An instrument translation and validation study. Settings: A total of 243 participants (33 first sample and 210 second sample) diagnosed with type 2 diabetes mellitus were recruited from four primary health care centers in Saudi Arabia. Methods: The study was guided by the World Health Organization guidelines for translation and validation of instrument. Results: Translation indicators showed satisfactory outcomes for each included process in the forward-translation, an expert panel, and back-translation stages. Reliability and validity outcomes were as follows: test–retest, r = .912 and p < .001; split-half = .9; and Cronbach’s alpha (α) = .76. The alpha scores for the subscales were as follows: diet, .89; exercise, .83; blood glucose testing, .92; and foot care, .77. Principal component analysis revealed the presence of four components with eigenvalues greater than ...
46 citations
TL;DR: It was determined that nurses with a master’s degree were exposed to bullying more and that nurses exposure to bullying suffered higher levels of psychological distress and preferred to keep silent about it.
Abstract: Purpose: The study aims to determine the influence of bullying on nurses’ psychological distress. Design: A descriptive design was adopted. The study sample included 284 nurses of a university hosp...
37 citations
TL;DR: The perceptions of acute, persistent, and disease-specific pain and treatment options held by adult African Americans are explored, highlighting an imperative to incorporate cultural patterns into pain management practice and education.
Abstract: Purpose: The purpose of this systematic review is to explore the perceptions of acute, persistent, and disease-specific pain and treatment options held by adult African Americans. Underassessment a...
36 citations
TL;DR: Evidence is provided for existing health disparities among immigrants based on ethnicity, immigration status, country of origin, duration in the United States and the sociopolitical environment affecting immigrant health and opportunities to change the course toward ameliorating health disparities.
Abstract: Introduction: Immigrants have a negative health trajectory due to interactions between immigration policies and the totality of the immigration experience. Despite the enactment of the Patient Protection and Affordable Care Act in 2010, an association with the sociopolitical environment and its influence on chronic disease prevalence remains. The purpose of this review was to provide evidence for existing health disparities among immigrants based on ethnicity, immigration status, country of origin, duration in the United States. The sociopolitical environment affecting immigrant health and opportunities to change the course toward ameliorating health disparities is discussed. Method: Using PRISMA guidelines, the literature focused on immigrants, disease prevalence, health care access, and policy. Twenty-nine articles were selected for this review. Results: Chronic disease prevalence is associated with the restrictive immigration and health care policies among all immigrant groups. Discussion: Recent evide...
32 citations
TL;DR: Culturally appropriate educational programs are needed to help Latino migrant/seasonal farmworkers’ adherence to hypertension treatment and blood pressure self-care.
Abstract: Purpose: This study explored Latino migrant/seasonal farmworkers’ (MSFWs’) adherence to hypertension treatment. Design: A cross-sectional correlational study was conducted. Method: Forty-five Latino MSFWs from two farmworker health clinics completed Spanish versions of the Morisky Medication Adherence Scale, the Blood Pressure Knowledge Scale and Blood Pressure Self-Care Scale, the Perceived Stress Scale, the Acculturation Rating Scale for Mexican Americans–II, the Short Assessment of Health Literacy for Spanish-Speaking Adults, health care access questions, and blood pressure measurements. Results: MSFWs had poor medication adherence (51%). Blood pressure knowledge, perceived stress, acculturation, health literacy, and health care access accounted for 49% of the variance in blood pressure self-care. Higher acculturation level and health literacy were associated with better blood pressure control (p = .01). Discussion: MSFWs had poor medication adherence and blood pressure control. Blood pressure knowledg...
TL;DR: An important understanding of the perspectives and meaning of survivorship among African American breast cancer survivors (AABCS) is provided and may assist in developing cancer survivorship care plans that are relevant, responsive, patient centered, and culturally appropriate.
Abstract: Background: While there is an abundance of cancer survivorship research among various racial/ethnic groups, there is a paucity of research on survivors of African descent. To date, the meaning of survivorship has not been reported exclusively among African American breast cancer survivors (AABCS). Purpose: The purpose was to describe and understand the meaning of survivorship among community-dwelling AABCS, mostly recruited from breast cancer support groups. Method: Using a qualitative descriptive approach, an open-ended questionnaire explored the meaning of survivorship among 155 AABCS. An analysis of the content was performed. Results: Among AABCS, survivorship meant having a strong spiritual base, thriving, being resilient, and being altruistic. The survivors self-identified with and embraced the term survivor.Conclusions: These results provide an important understanding of the perspectives and meaning of survivorship among AABCS and may assist in developing cancer survivorship care plans that are rele...
TL;DR: Psychometric properties of the NCCS-T were highly reliable and valid and can be used in the cross-cultural studies to compare nurses’ cultural competency.
Abstract: Purpose: Measuring the cultural competence of nurses is becoming an increasingly important aspect to assess the quality care for individuals in multicultural populations such as Turkey. The purpose is to adapt the Nurse Cultural Competence Scale (NCCS) into the Turkish language and to determine its validity and reliability. Design: A total of 235 nurses were included in the methodological study in Antalya, Turkey. The NCCS-Turkish (NCCS-T) form was used after linguistics and psychometric measurements. Results: Cronbach’s α value was .96, which demonstrated high reliability, and item–total correlations were between .66 and .81.Test–retest reliability correlation was .90. The content validity index was .98, and the 20 items of the NCCS-T loading on one factor varied between .70 and .83, explaining 59.02% of the variance. Conclusions: Psychometric properties of the NCCS-T were highly reliable and valid. Implications for Practice: The scale can be used in the cross-cultural studies to compare nurses’ cultural...
TL;DR: Somalia’s cultural and religious beliefs and practices influence their health care choices and the findings will improve care by promoting culturally congruent care for the Somali immigrant population.
Abstract: Purpose: Knowledge of Somali immigrants’ mental health care beliefs and practices is needed so that nurses can promote culturally congruent care. The purpose of this study was to explore, discover, and understand mental health meanings, beliefs, and practices from the perspective of immigrant Somalis. Method: Leininger’s qualitative ethnonursing research method was used. Thirty informants (9 key and 21 general) were interviewed in community settings. Leininger’s ethnonursing enablers and four phases of analysis for qualitative data were used. Results: Analysis of the interviews revealed 21 categories and nine patterns from which two main themes emerged. The themes are the following: (a) Our religion significantly influences our mental health and (b) Our tribe connectedness, cultural history, and khat usage are significant in mental health. Conclusions: Somali cultural and religious beliefs and practices influence their health care choices. Implications: The findings will improve care by promoting cultural...
TL;DR: The experiences, needs, and coping strategies of patients living with heart failure in Singapore are explored and health care professionals are offered practical and useful suggestions when providing holistic care for patients withheart failure.
Abstract: The purpose of this study was to explore the experiences, needs, and coping strategies of patients living with heart failure in Singapore. A descriptive qualitative design was used. A purposive sample of 15 informants was recruited from two cardiology wards of a tertiary public hospital in Singapore. Individual face-to-face interviews were conducted with a semistructured interview guideline that was developed based on a review of the literature and a pilot study. Content analysis was adopted to analyze the data, and four main categories were identified: perceived causes, manifestations, and prognosis; enduring emotions; managing the condition; and needs from health care professionals. The informants were overwhelmed with the experience of living with heart failure due to the disruptive and uncertain nature of the condition. This study offers health care professionals practical and useful suggestions when providing holistic care for patients with heart failure.
TL;DR: It is important that nurses provide information about the diagnostic phase to women with breast cancer and encourage them to ask questions and express their feelings and to be aware of psychosocial difficulties suffered during the diagnostic period.
Abstract: Purpose: The purpose of this qualitative study is to describe the experiences of women in Turkey during the diagnostic phase of breast cancer. Design: In the research, the phenomenological approach was used. The data were collected through semistructured in-depth interviews. The sample comprised nine breast cancer patients in the diagnostic phase. Results: The data were categorized into four themes: facing the breast cancer diagnosis, uncertainty, avoidance, and holding on to life. Women experience intense uncertainty about the disease, treatment, and social relationships and thus exhibit avoidance behavior. Implications: Nurses should be aware of psychosocial difficulties suffered during the diagnostic phase and provide care for patients. It is important that nurses provide information about the diagnostic phase to women with breast cancer and encourage them to ask questions and express their feelings.
TL;DR: The literature review identified that FAs were at high risk for cardiovascular disease, hypertension, type 2 diabetes, and metabolic syndrome at lower BMI levels and health beliefs/practices.
Abstract: Purpose: Filipino Americans (FAs) are at high risk for cardiovascular disease. The purpose of this literature review is to enhance understanding of cardiovascular health among FAs. Design: Database...
TL;DR: It is found that acculturated participants were more adherent to medications and physical activity and had better blood pressure control and further studies are needed to explore how acculturation improves adherence.
Abstract: Purpose: The aim of this study was to examine the relationship between acculturation, medication adherence, lifestyle behaviors (e.g., physical activity, nutrition, weight control), and blood pressure control among hypertensive Arab Americans. Design: The study utilized a cross-sectional descriptive design. A convenience sample of 126 participants completed questionnaires and had measures of blood pressure, weight, and height. Forty-six participants were hypertensive and were included in the analysis. Results: Only 29.2% of participants reported high medication adherence. High medication adherence was associated with lower diastolic blood pressure, eating a healthy diet, and following lifestyle modifications. Acculturation was significantly associated with physical activity and body mass index. Conclusion: Our study found that acculturated participants were more adherent to medications and physical activity and had better blood pressure control. Further studies are needed to explore how acculturation impr...
TL;DR: In this paper, the authors analyze the professional autonomy of Japanese nurses when caring for non-Japanese patients and identify its contributing factors, using a descriptive cross-section of nurses' characteristics.
Abstract: Purpose: The study aimed to analyze the professional autonomy of Japanese nurses when caring for non-Japanese patients and to identify its contributing factors. Method: A descriptive cross-sectiona...
TL;DR: A collaborative and deeply respectful process of Indigenous and non-Indigenous university staff collectively developing a model that has framed the embedding of a common faculty Indigenous graduate attribute across the curriculum is outlined.
Abstract: The well-documented health disparities between the Australian Indigenous and non-Indigenous population mandates a comprehensive response from health professionals. This article outlines the approach taken by one faculty of health in a large urban Australian university to enhance cultural competence in students from a variety of fields. Here we outline a collaborative and deeply respectful process of Indigenous and non-Indigenous university staff collectively developing a model that has framed the embedding of a common faculty Indigenous graduate attribute across the curriculum. Through collaborative committee processes, the development of the principles of "Respect; Engagement and sharing; Moving forward" (REM) has provided both a framework and way of "being and doing" our work. By drawing together the recurring principles and qualities that characterize Indigenous cultural competence the result will be students and staff learning and bringing into their lives and practice, important Indigenous cultural understanding.
TL;DR: Six themes were identified in relation to Somali immigrant new mothers’ experience of childbirth in the United States: the limitations of support due to separation from family, the importance of cultural and religious beliefs and practices, the desired relationships with nurses, the fear of Cesarean section, the value of education, and views on postpartum blues/depression.
Abstract: Purpose: To explore Somali immigrant new mothers’ experience of childbirth in Minnesota. Design: The ethnonursing research method was used. Semistructured interviews with 12 immigrant Somali mother...
TL;DR: The Australian nursing profession has a significant role to play in leading policy, education, practice, and consumer engagement initiatives aimed at ensuring a culturally responsive approach to end-of-life care for Australia’s aging immigrant population.
Abstract: Purpose: There is a lack of clarity regarding nursing roles and strategies in providing culturally meaningful end-of-life care to elderly immigrants admitted to Australian hospitals. This article redresses this ambiguity. Method: A qualitative exploratory descriptive approach was used. Data were obtained by conducting in-depth interviews with a purposeful sample of 22 registered nurses, recruited from four health services. Interview transcripts were analyzed using content and thematic analysis strategies. Results: Despite feeling underprepared for their role, participants fostered culturally meaningful care by “doing the ground work,” “facilitating families,” “fostering trust,” and “allaying fear.” Discussion and Conclusion: The Australian nursing profession has a significant role to play in leading policy, education, practice, and consumer engagement initiatives aimed at ensuring a culturally responsive approach to end-of-life care for Australia’s aging immigrant population. Implications for Practice: En...
TL;DR: U.S. nurses need to gain insight into factors influencing job satisfaction in Korean nurses to promote retention and quality care, and life satisfaction, self-esteem, and perceived stress predicted job satisfaction.
Abstract: Purpose: An increasing number of foreign-born nurses are working in the United States. Nurses’ job satisfaction is a critical issue for quality patient care. The purpose of this study was to examine factors affecting the job satisfaction of immigrant Korean nurses. Design: We used a cross-sectional mailed survey design. A convenience sample (n = 105) of members of the Greater New York Korean Nurses Association currently working or had previously worked in the United States completed the questionnaires. We used hierarchical regression to test the effects of acculturation and life satisfaction on job satisfaction. Results: Most participants were female (n = 98, 93.3%) aged 27 to 70 years (mean = 52.27 years, SD = 10.67). In the regression model, life satisfaction, self-esteem, and perceived stress predicted job satisfaction (F = 5.127, p < .001) and explained 44.5% of the variance of job satisfaction. Discussion and Conclusion: U.S. nurses need to gain insight into factors influencing job satisfaction in Ko...
TL;DR: The study evidenced that transnationalism, although positively influencing immigrants’ psychosocial well-being can negatively affect their experience with disease management, and health providers are urged to account for this transnationalist–disease management interaction when caring for this immigrant group.
Abstract: Purpose: Transnationalism—maintenance of transborder activities—has important implications for the health status of contemporary immigrants. Yet little is known about how such interconnectivity interacts with health. Design: In this critical ethnography study, 31 Haitian immigrants discussed the influences of transnationalism on their hypertension management. Transcripts of the semistructured individual interviews were analyzed and coded with the assistance of the Atlas.ti 6 software. Findings: Two major themes emerged: social support and financial obligation, both framed within the obligation to send monetary remittances. A duality emerged where social support facilitated hypertension self-management but consequently represented a financial burden. Discussion and implications: The study evidenced that transnationalism, although positively influencing immigrants’ psychosocial well-being can negatively affect their experience with disease management. Health providers are urged to account for this transnati...
TL;DR: The CQR-T was found to be a valid and reliable instrument for evaluating the compliance of Turkish BD patients with prescribed medications and might be a helpful tool in two ways: for determining the level of compliance of patients with BD and for adjusting their management and follow-up based on the results.
Abstract: Purpose: The aim of this study was to examine the psychometric properties of the Turkish versionof the Compliance Questionnaire on Rheumatology (CQR-T) for patients with Behcet’s disease (BD). Method:A sample of 105 Turkish patients with BD participated in this study. The scale was cross-culturally adapted through a process including translation, comparison with versions in other languages, back translation, and pretesting. Construct validity was evaluated by factor analysis, and criterion validity was evaluated using the Morisky Medication Adherence Scale. Results: The CQR-T demonstrated acceptable internal consistency (Cronbach’s α = .832), adequate test–retest reliability (intraclass correlation coefficient = .630), and correlations with Morisky Medication Adherence Scale scores (r = −.389, p< .001), indicating convergent validity. Conclusion:The CQR-T was found to be a valid and reliable instrument for evaluating the compliance of Turkish BD patients with prescribed medications. Implications for Pract...
TL;DR: Conclusions suggest that cultural traits of some residents are recognizable as unique from others in the nation’s mainstream, but they are not generalizable to all people living in the Appalachian region.
Abstract: Some disagreement exists about whether an Appalachian culture exists. Common notions about Appalachia's people are tied to myths that disguise truths about those that claim a heritage tied to place. Living in the region is different from having multiple generations of ancestors and a family legacy associated with place. Conclusions suggest that cultural traits of some residents are recognizable as unique from others in the nation's mainstream, but they are not generalizable to all people living in the Appalachian region.
TL;DR: In this paper, the authors examined the rela... of older adults with dementia in Latin America and found that life expectancy is increasing and there is a need for more family caregivers for older adults.
Abstract: Introduction:Life expectancy is increasing in Latin America resulting in the need for more family caregivers for older adults with dementia. The purpose of the current study was to examine the rela...
TL;DR: The need for the provision of culturally congruent care that respects the contextual rights and dignity of patients and families while, at the same time, recognizing the legal, ethical, and moral codes of the health professions and requirements of federal, state, and regulatory agencies within the United States will be explored.
Abstract: The process of obtaining informed consent for diverse patients poses many challenges for health care professionals as they try to balance ethical, legal, and accreditation requirements of the country within which they practice with the culture care needs of diverse consumers. Culturally competent health care organizations create a governance infrastructure that promotes equity and supports the delivery of culturally appropriate health care services that are responsive to diverse patients. The purpose of this article is to examine the concept of informed consent within the context of culturally congruent care to Saudi patients and families in an American hospital setting. The need for the provision of culturally congruent care that respects the contextual rights and dignity of patients and families while, at the same time, recognizing the legal, ethical, and moral codes of the health professions and requirements of federal, state, and regulatory agencies within the United States will be explored.
TL;DR: Connectedness is central to culturally well-informed nurse–patient interactions and contains subthemes explaining influences on nursing care in a model that informs culturally competent nursing care.
Abstract: Purpose: To explore nursing care actions that lead to culturally competent care for Hispanic patients. Background: Nurses report apprehension when delivering nursing care because of language barriers and a lack of Hispanic cultural understanding. Research is needed to inform culturally aware nursing practice actions for Hispanic patients. Design: The study used a qualitative, grounded theory design to address the questions: (a) What cultural knowledge should nurses have when caring for Hispanic patients and families and (b) What nursing actions should nurses take to provide culturally competent care? Hispanic lay health promoters and Hispanic community members were interviewed to make recommendations for care. Results: A model was identified that informs culturally competent nursing care. “Connectedness,” the central phenomenon, describes nursing actions and contains subthemes explaining influences on nursing care. “Up to You” and “At the Mercy of the System” are descriptive themes influencing connectedne...
TL;DR: Significant predictors of healthy lifestyle behaviors of adolescents were good relationships with family and friends, having a father who was a college graduate, and good health perception.
Abstract: Purpose: This was a descriptive–correlational study designed to determine factors associated with the healthy lifestyle behaviors of high school students in Turkey. Design: The study sample consist...