RESUMO
An interventional research study in public health was carried out with populations originating from sub-Saharan Africa living in France. With the aim of acting on health inequalities through health education, the researchers focused notably on the links between intercultural relationships and the improvement of health promotion actions.
Assuntos
Diversidade Cultural , Promoção da Saúde , África Subsaariana/etnologia , Competência Clínica , Comparação Transcultural , França , Comportamentos Relacionados com a Saúde/etnologia , Humanos , Enfermagem Transcultural/organização & administração , Enfermagem Transcultural/normasRESUMO
BACKGROUND: Overseas recruitment has been vital to the contribution of staff growth in the National Health Service (NHS). In 2011, high nursing vacancy rates within critical care required that overseas nurses were recruited. The recruited nurses were placed in an Overseas Nurses Program (ONP), a course designed to assist overseas nurses in adapting to the NHS. AIM: To describe the experiences of nurses recruited from India who participated in an ONP. DESIGN: A qualitative, research approach was chosen to gather descriptions of the lived experiences of nurses from India transitioning to London, to work in critical care settings. METHOD: A descriptive qualitative approach was taken using in-depth, semi-structured and audio-taped interviews. They were conducted over a 69-day period (30 November 2012 to 6 February 2013) with 16 nurses from India. The nurses were questioned about challenges, experiences and differences; they were also asked to make suggestions for other nurses undertaking an ONP in the future. Interviews were transcribed verbatim into a formal written style with NVivo10. RESULTS: Eleven females and five males aged 25-33 years who had completed up to four years of university training participated in this study. The themes extracted were autonomy and responsibility, language, culture (food and climate), loneliness and work challenges (ONP and essay writing). Participants identified that they would have benefited if pre-allocated mentors from non-English speaking countries who had previously been through the transition process were available to assist them with their personal and professional integration into a new country. CONCLUSION: Autonomy disparity, language barriers and cultural differences need to be recognised and acknowledged by multi-disciplinary teams, by allowing sufficient time and additional support for non-English nurses undergoing ONPs. RELEVANCE TO CLINICAL PRACTICE: Overseas nurses would benefit from being mentored by another nurse from a similar culture, with a non-English background. It may be feasible for overseas nurses to receive training in cultural competencies to improve disparities.
Assuntos
Enfermagem de Cuidados Críticos/educação , Enfermagem de Cuidados Críticos/estatística & dados numéricos , Competência Cultural , Recursos Humanos de Enfermagem Hospitalar/provisão & distribuição , Seleção de Pessoal/organização & administração , Enfermagem Transcultural/organização & administração , Adulto , Competência Clínica , Feminino , Humanos , Índia , Entrevistas como Assunto , Masculino , Inovação Organizacional , Seleção de Pessoal/legislação & jurisprudência , Pesquisa Qualitativa , Medição de Risco , Enfermagem Transcultural/educação , Enfermagem Transcultural/legislação & jurisprudência , Reino UnidoRESUMO
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.
Assuntos
Características Culturais , Diversidade Cultural , Assistência à Saúde Culturalmente Competente/organização & administração , Etnicidade/psicologia , Relações Enfermeiro-Paciente , Recursos Humanos de Enfermagem/psicologia , Enfermagem Transcultural/organização & administração , Humanos , Estados UnidosRESUMO
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.
Assuntos
Características Culturais , Diversidade Cultural , Assistência à Saúde Culturalmente Competente/organização & administração , Etnicidade/psicologia , Recursos Humanos de Enfermagem/psicologia , Grupos Raciais/psicologia , Enfermagem Transcultural/organização & administração , Humanos , Relações Enfermeiro-Paciente , Estados UnidosRESUMO
It has been nearly quarter of a century since nursing educator Irihapeti Ramsden wrote the guidelines on cultural safety (Kawa Whakaruruhau), ratified in 1992 and subsequently much revised (most recently in 2011) by the Nursing Council. The Te Puna Hauora Kaupapa Nursing Service at Tauranga Hospital has been in existence for more than 18 years. Despite this, the experiences of Maori nurses described here, and the lack of adoption of truly bicultural nursing services in other parts of the country, indicate far more investment is needed in Maori nursing. What all those working in the health-care system need is the capacity to deliver whanaungatanga models of care, through cultural awareness education, and through the development of cultural competencies.
Assuntos
Competência Cultural/educação , Serviços de Saúde do Indígena/organização & administração , Havaiano Nativo ou Outro Ilhéu do Pacífico , Recursos Humanos de Enfermagem/educação , Enfermagem Transcultural/educação , Enfermagem Transcultural/organização & administração , Humanos , Modelos de Enfermagem , Nova ZelândiaRESUMO
Nursing programs are increasingly offering international clinical experiences as part of nursing curricula. The purpose of this study was to understand what motivates student nurses to take part in these experiences. Related to motivation, student awareness of emerging nursing discourses on global citizenship was also examined. As part of a qualitative study, nine undergraduate nursing students were interviewed about their motivations for choosing a clinical placement to a low-income country. While students appeared to have a sincere desire to make a difference, closer examination of the data revealed that the majority approached their international clinical placement in ways that could be construed as paternalistic to some degree, rather than reflective of broader professional imperatives such as social justice. This finding suggests that additional education preparation may be needed prior to these experiences; global citizenship frameworks may be helpful in shifting perspectives towards a more critical enquiry of global issues.
Assuntos
Intercâmbio Educacional Internacional , Internacionalidade , Motivação , Preceptoria , Enfermagem Transcultural/educação , Atitude do Pessoal de Saúde , Canadá , Currículo , Coleta de Dados , Bacharelado em Enfermagem , Humanos , Papel do Profissional de Enfermagem , Pesquisa em Educação em Enfermagem , Enfermagem Transcultural/organização & administraçãoRESUMO
Midwives in New Zealand work within a unique cultural context. This calls for an understanding and appreciation of biculturalism and the equal status of Mãori and Europeans as the nation's founding peoples. This paper is the first of two papers that explore the notions of cultural safety and competence. Exploration and discussion take place in the New Zealand context, yet have transferable implications for midwives everywhere. This first paper provides a background to practice in a bicultural country where cultural safety strategies were introduced over 20 years ago to help reduce health disparities. The implications of these strategies are examined. The second paper will focus on midwifery education and practice.
Assuntos
Competência Cultural , Disparidades em Assistência à Saúde/organização & administração , Tocologia/organização & administração , Papel do Profissional de Enfermagem , Padrões de Prática em Enfermagem/organização & administração , Gestão da Segurança/organização & administração , Enfermagem Transcultural/organização & administração , Diversidade Cultural , Feminino , Humanos , Grupos Minoritários/estatística & dados numéricos , Pesquisa Metodológica em Enfermagem , Filosofia em Enfermagem , Gravidez , AutoeficáciaRESUMO
Churches throughout history have modeled ministry on Jesus' life of reaching out, teaching, preaching, and healing. Kampala Baptist Church (KBC) in Uganda is one such church that works to care spiritually and physically for their community. Partnering with local healthcare providers and short- and long-term healthcare missionaries, the church is transforming lives. Read about KBC and explore healthcare missions ministry.
Assuntos
Cristianismo , Atenção à Saúde/organização & administração , Missões Religiosas/organização & administração , Traumatismos da Medula Espinal/enfermagem , Enfermagem Transcultural/organização & administração , Adulto , Feminino , Humanos , Missionários , UgandaRESUMO
The Center of Excellence (COE) designation in the category of"student learning and professional development" has hallmarked Regis College as having nursing programs that create environments for students to excel academically, professionally, and personally. As a designated COE nursing program, our efforts have focused on creating and sustaining a curriculum that has a strong enculturation of diversity, with numerous local, regional, national, and international learning experiences. Examples of learning opportunities through global outreach health initiatives are included, demonstrating how the COE designation has provided recognition and led to further opportunities for faculty and students to become involved in health-related activities.
Assuntos
Bacharelado em Enfermagem/organização & administração , Bacharelado em Enfermagem/normas , Intercâmbio Educacional Internacional , Enfermagem Transcultural/educação , Enfermagem Transcultural/organização & administração , Canadá , Saúde Global , Haiti , Humanos , Pesquisa em Avaliação de EnfermagemRESUMO
The Nurses Christian Fellowship International Quadrennial Conference was held November 5-10, 2012, in Santiago, Chile. The theme, "Partners in Care: Unity in diversity through Christ" brought together nurses from all over the world for Bible teaching, education, networking, and fellowship. Plenary and session abstracts are available as supplemental digital content through the HTML and PDF versions of this article at journalofchristiannursing.com.
Assuntos
Cristianismo , Educação Continuada em Enfermagem/organização & administração , Bolsas de Estudo/organização & administração , Enfermagem Transcultural/educação , Enfermagem Transcultural/organização & administração , Diversidade Cultural , HumanosRESUMO
This article draws on the literature to present a conceptualization of global health (GH) that corresponds with the discipline of nursing and defines the contributions of nursing to GH. The author's perspective is that "health" should be defined and considered holistically to reflect the fact that GH involves more than the eradication of disease and that health as a fundamental right of every human being must be made explicit. "Global" refers to the supraterritorial links among the social determinants of health located at points anywhere on earth within a whole-world context. The focus of GH is the supraterritorial determinants and its ultimate objective is health equity for all nations and all people. The contributions of nurses are advocacy, healing and alleviating suffering through caring, and increasing nursing capacity globally. To truly advance the GH agenda, a new world order is needed, one in which political decision-making is guided by our shared humanity.
Assuntos
Saúde Global , Enfermagem Holística/tendências , Teoria de Enfermagem , Valores Sociais , Enfermagem Transcultural/tendências , Necessidades e Demandas de Serviços de Saúde , Enfermagem Holística/organização & administração , Humanos , Enfermagem Transcultural/organização & administraçãoRESUMO
Although the health of Indigenous peoples is affected by structural inequities, interventions to address health inequities are often focused locally rather than at a structural level where they could play a transformative role. Addressing structural health inequities by involving Indigenous peoples in health-policy discourses can serve to address power imbalances that are implicit in policymaking processes. Using an analytical framework based on interdisciplinary perspectives rooted in critical and decolonizing approaches, the author presents a discussion of theoretical considerations for including Indigenous peoples in policy discourses as a means of addressing health inequities. She argues that the involvement of Indigenous peoples in health-policy discourses has the potential to mitigate epistemological colonialism, push forward an agenda of decolonization, and address health inequities caused by inequitable systems of power. The article concludes with suggestions for future research and implications for nursing and health professionals of addressing structural inequities through attention to policy discourses.
Assuntos
Política de Saúde , Serviços de Saúde do Indígena/organização & administração , Indígenas Norte-Americanos , Área Carente de Assistência Médica , Enfermagem Transcultural/organização & administração , Canadá , Serviços de Saúde do Indígena/normas , Humanos , Enfermagem Transcultural/normasRESUMO
The authors briefly introduce a clinical outreach initiative that is innovative because of the types of partnerships that have been formed within an inner-city community context. The initiative was designed to foster access to primary health care and specialized services for children and families who are vulnerable because of their social and material circumstances.Through ongoing engagement and dialogue, the clinicians and the community have developed a number of points of engagement with the children and families.The authors use the case of Learning Circles to describe ways in which Indigenous knowledge and ways of being influenced the approaches taken to working with children and families. They reflect upon the ways in which this approach influenced community engagement and consider its potential for achieving health equity.
Assuntos
Redes Comunitárias/organização & administração , Promoção da Saúde/organização & administração , Indígenas Norte-Americanos , Atenção Primária à Saúde/organização & administração , Enfermagem Transcultural/organização & administração , Adulto , Canadá , Criança , Saúde da Família , Humanos , Avaliação de Programas e Projetos de Saúde , População UrbanaRESUMO
Multiple curricular approaches are being used to teach cultural competency to nursing students in the United States in accordance with accrediting board standards. As nurse educators are searching for evidence based teaching practices, this article reviews the most commonly current teaching methods being used. Although a variety of methods are being implemented, little empirical evidence exists to suggest any one methodology for teaching cultural competency for nursing students produces significantly better outcomes. The use of clinical experiences, standardized patients and immersion experiences have produced the most favorable results which increase student awareness, knowledge and confidence in working with ethnically diverse patients.
Assuntos
Competência Cultural/educação , Diversidade Cultural , Bacharelado em Enfermagem/organização & administração , Docentes de Enfermagem/organização & administração , Estudantes de Enfermagem/estatística & dados numéricos , Ensino/métodos , Enfermagem Transcultural/educação , Acreditação , Competência Cultural/organização & administração , Currículo , Difusão de Inovações , Humanos , Modelos de Enfermagem , Papel do Profissional de Enfermagem , Pesquisa em Educação em Enfermagem , Objetivos Organizacionais , Enfermagem Transcultural/organização & administração , Estados UnidosAssuntos
Prática Avançada de Enfermagem/educação , Doença Crônica/enfermagem , Educação de Pós-Graduação em Enfermagem , Enfermagem Pediátrica/educação , Enfermagem Transcultural/educação , Enfermagem Transcultural/organização & administração , Adolescente , Criança , Currículo , Alemanha , Humanos , SuíçaRESUMO
This article relays the experiences of a nurse practitioner serving in Haiti, before and after the 2010 Earthquake. She concludes, "I realized that God had indeed called me to serve--not as I had envisioned, but as he needed."
Assuntos
Cristianismo/psicologia , Terremotos , Profissionais de Enfermagem/organização & administração , Missões Religiosas/organização & administração , Enfermagem Transcultural/organização & administração , Haiti , Humanos , Profissionais de Enfermagem/psicologia , Missões Religiosas/psicologiaAssuntos
Assistência à Saúde Culturalmente Competente/métodos , Assistência à Saúde Culturalmente Competente/organização & administração , Assistência Terminal/métodos , Assistência Terminal/organização & administração , Enfermagem Transcultural/métodos , Enfermagem Transcultural/organização & administração , Adaptação Psicológica , Idoso , Idoso de 80 Anos ou mais , Competência Clínica , Emigrantes e Imigrantes , Empatia , Alemanha , Humanos , Comunicação Interdisciplinar , Colaboração Intersetorial , Relações Enfermeiro-PacienteRESUMO
PURPOSE: The purpose of this study was to discover ways to tailor health care interventions to fit the cultural identity of a minority group of people in order to reduce health disparity. DESIGN/ANALYSIS: A naturalistic approach was used to interview four self-identified Afro-Caribbean Americans about their experiences of living on the margin. Through content analysis, categories emerged from the transcription revealed embracing, non-entitlement, enduring disrespect, and caring for self CONCLUSION: Afro-Caribbean Americans have strong values, healthy intentions, and appropriate attitude which are critical combinations for successfully tailoring interventions. Implications are discussed.
Assuntos
População Negra/etnologia , Competência Cultural , Diversidade Cultural , Atenção à Saúde/organização & administração , Disparidades em Assistência à Saúde/organização & administração , Grupos Minoritários , Aculturação , Adulto , Feminino , Humanos , Masculino , Preconceito , Autocuidado/métodos , Enfermagem Transcultural/organização & administração , Estados Unidos , Índias Ocidentais/etnologiaRESUMO
This article traces the development of a research project with a Native American community. Four principles were used to guide the development of the "Community Partnership to Affect Cherokee Adolescent Substance Abuse" project using a community-based participatory research approach. The principles suggest that establishing trust is key when developing and conducting research with a Native American community.
Assuntos
Indígenas Norte-Americanos , Transtornos Relacionados ao Uso de Substâncias/etnologia , Transtornos Relacionados ao Uso de Substâncias/enfermagem , Enfermagem Transcultural/métodos , Confiança , Adolescente , Comportamento do Adolescente , Humanos , Relações Enfermeiro-Paciente , Desenvolvimento de Programas/métodos , Enfermagem Transcultural/ética , Enfermagem Transcultural/organização & administraçãoRESUMO
The rising number of international students studying outside their own country poses challenges for nursing education. Numbers are predicted to grow and economic factors are placing increasing pressure on tertiary institutions to accept these students. In adapting to a foreign learning environment international students must not only adapt to the academic culture but also to the socio-cultural context. The most significant acculturation issues for students are English as a second language, differences in education pedagogy and social integration and connectedness. Students studying in New Zealand need to work with Maori, the indigenous people, and assimilate and practice the unique aspects of cultural safety, which has evolved in nursing as part of the response to the principles underpinning the Treaty of Waitangi. The Hand Model offers the potential to support international students in a culturally safe manner across all aspects of acculturation including those aspects of cultural safety unique to New Zealand. The model was originally developed by Lou Jurlina, a nursing teacher, to assist her to teach cultural safety and support her students in practising cultural safety in nursing. The thumb, represents 'awareness', with the other four digits signifying 'connection" 'communication', 'negotiation' and 'advocacy' respectively. Each digit is connected to the palm where the ultimate evaluation of the Hand Model in promoting cultural safety culminates in the clasping and shaking of hands: the moment of shared meaning. It promotes a sense of self worth and identity in students and a safe environment in which they can learn.