Journal of Transcultural Nursing最新文献

Introduction: The United Nations 70th Session of the Commission on the Status of Women (CSW70) prioritized justice for all women and girls. Maternal health is central to this agenda, as preventable maternal morbidity and mortality reflect systemic inequities in societal and health systems worldwide.

Discussion: This article discusses maternal health as a fundamental justice for all women and girls. Advancing this agenda requires coordinated policy action, workforce support, and strong accountability mechanisms. Evidence-based strategies for effective maternal health include midwifery-led care, maternal mortality review systems, and community-based models. CSW70 can further integrate maternal health into global justice frameworks.

Recommendations: Policy recommendations include multi-sector collaboration, stronger national accountability, and investments in culturally appropriate care. Nurses, midwives, and birth support professionals are key stakeholders in shaping policies to advance maternal health justice. Recognizing maternal health as a human right is essential to advancing equity and justice for all women and girls globally.

Introduction: New technological advances, including generative artificial intelligence, have provided new methods of victimizing women and girls. The discussion on the impact of digital violence against women and girls throughout the United Nations 70th Session of the Commission on the Status of Women represented a global and unified effort to influence and shape global policy discourse for digital violence against women and girls.

Discussion: This perspective paper examined the digital violence against women and girls in a global context and reviewed existing international and the U.S. federal legal frameworks. Critical gaps were identified, and recommendations were presented.

Recommendations: Digital violence against women and girls is a justice and public health crisis. Concerted legal and legislative regulations at an international, national, regional, and local level are essential to protect women and girls. Nurses and health care professionals are stakeholders in the protection of women and girls from digital violence.

Introduction: Indigenous peoples in Canada continue to experience major health inequities and lower-quality care. Cultural safety provides a framework to address these disparities by transforming provider attitudes and practices and emphasizing the need for education and training to improve health care experiences and outcomes.

Methods: This paper deepens the understanding of cultural safety within Indigenous health care by highlighting the ongoing impacts of colonialism, systemic racism, and historical trauma on Indigenous health outcomes, and explores the role of nurses in advancing health equity.

Results: The paper highlights gaps in nursing practice, including limited tools to assess cultural safety from Indigenous perspectives, and underscores nurses' responsibility to support systemic change aligned with Truth and Reconciliation Commission Calls to Action and United Nations Declaration on the Rights of Indigenous Peoples.

Discussion: By identifying these issues and analyzing their impact on nursing practice, this paper underscores the urgent need for culturally safe approaches that are reflective, patient-defined, and embedded within both individual and institutional levels of care.

Introduction: Few cultural competence interventions exist for nurse educators who shape students' cultural competence. This article thus details the design, implementation, and evaluation (2021-2024) of an online cultural competence training program (TraINErS) for nurse educators and proposes design principles.

Methods: Following a design-based research approach, there were two development and testing cycles (TraINErS1.0 and TraINErS2.0), involving a multidisciplinary European team, with two corresponding testing cycles with nurse educators (N1 = 16; N2 = 22) from seven European countries. Data were collected through user reports, an evaluation questionnaire, and the System Usability Scale.

Results: Testing TraINErS1.0 led to content and sequencing adjustments. TraINErS2.0 achieved positive evaluations and high system usability scores (80.44). Participants valued flexibility and self-paced learning but noted asynchronous challenges. The resulting design principles emphasize metacognitive awareness, experiential learning, multimedia use, and motivation mechanisms.

Discussion: These principles can guide the design of online nurse educator training, preparing them to produce culturally competent nursing professionals.

Introduction: This study aimed to identify the multilevel factors influencing the subjective physical health of multicultural adolescents in South Korea, using the Rainbow Model of social determinants of health.

Methods: Waves 1-3 of the Multicultural Adolescents Panel Study (MAPS), second phase were analyzed using a random-effects ordered logistic regression.

Results: In the final adjusted model, individual psychological resources were the most robust predictors; higher self-esteem and life satisfaction significantly increased the odds of superior health. Social networks played a critical role, with parental support and peer support acting as protective factors, while bullying severity and higher body mass index were significant risk factors. Among sociocultural factors, positive bicultural acceptance attitudes and specific residential regions remained statistically significant.

Discussion: The physical health status of multicultural adolescents are influenced by multiple factors, including individual hereditary and lifestyle factors; social and community networks; living and working conditions; and broader socioeconomic, cultural, and environmental contexts.

Introduction: Tobacco use is disproportionately high among Arab Americans (AAs), with hookah normalized within social networks (SNs). Gaps remain in understanding how SNs, cultural norms, and migration-related identity shape tobacco use. This study examined how cultural norms, religion, and SNs are associated with tobacco use among AA adults.

Methods: A cross-sectional survey of 178 Massachusetts-based AA adults assessed tobacco use, cultural attitudes, religiosity, and SN structural and compositional characteristics.

Results: Current tobacco use was 51.69%, with hookah at 45.51%. Smoking, particularly hookah, was widely accepted within family and peer networks, with females reporting higher peer acceptability. Cultural norms, religious stance, and SN characteristics were significantly associated with tobacco use (p < .05).

Discussion: Tobacco use reflected identity, belonging, and adaptation within migration contexts, serving as a sociocultural connector. Culturally congruent, gender-sensitive, and network-informed cessation strategies engaging families, peers, and faith communities are recommended to enhance intervention effectiveness among AAs.

Introduction: Mental health among Black and Latino adults is shaped by social and cultural dynamics. We examined associations of social support-seeking, interpersonal violence, and loneliness with depressive and anxious symptoms in a low-income urban context.

Methods: A cross-sectional survey of 453 low-income Black and Latino adults in a Northeastern U.S. minority urban community. Data analyses included descriptive statistics, correlations, and regressions that controlled for all interpersonal experiences and sociodemographic characteristics.

Results: Latino adults reported greater depressive symptoms than Black adults. Loneliness was the strongest predictor of depressive and anxious symptoms. Social support-seeking predicted greater anxious symptoms only for Black adults in unadjusted models. Interpersonal violence predicted greater depressive symptoms in unadjusted models, and greater anxious symptoms only for Black adults in both models.

Discussion: Loneliness may be a key risk factor for mental health symptoms. Some interpersonal factors appeared more salient to Black adults' mental health, informing culturally congruent care.

Introduction: Artificial intelligence (AI) is increasingly influencing nursing and surgical care. Although AI-supported systems may improve efficiency, they also raise ethical and humanistic concerns, highlighting the importance of patient perspectives.

Methods: An explanatory sequential mixed methods design was used. Quantitative data were collected from 312 postoperative surgical patients to assess knowledge and attitudes toward AI-supported care. Based on these results, 15 participants were selected for in-depth qualitative interviews using purposive sampling. Descriptive qualitative content analysis was applied, and the findings were integrated.

Results: Patients' attitudes toward AI were generally moderate and cautious. Most participants reported limited knowledge and perceived AI as a media-driven and abstract concept. Major concerns included loss of human touch, system errors, data security, and trust. AI was viewed as a supportive tool rather than a replacement for nursing care.

Discussion: Acceptance of AI-supported nursing care is shaped by cultural values, trust, human-centered expectations, requiring empathy and professional oversight.

Introduction: As healthcare systems become diverse, tensions between Islamic modesty values and nursing guidelines remain underexplored. Requirements related to dress codes, cross-gender interaction, and physical contact may conflict with Islamic principles, while clear institutional guidance is often lacking.

Methods: A scoping review was conducted to map empirical and nonempirical literature examining conflicts between Islamic modesty and clinical nursing practice. Descriptive and content analysis were used to identify areas of conflict, challenges, navigational responses, and proposed solutions.

Results: Recurring conflicts involved professional dress requirements, cross-gender care, gender preference, physical contact, and limited gender-sensitive environments. Without clear guidance, Muslim healthcare providers and students relied on individual coping strategies rather than consistent organizational support.

Discussion: Addressing these conflicts requires culturally responsive policies, flexible practice arrangements, and religious sensitivity training to support inclusive and ethically sustainable care across diverse healthcare settings.