Journal of Cultural Diversity

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...

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...

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...

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...

be provided within the document. One option is the creation of a trustworthiness protocol with details noting the characteristic of rigor, the process used to document the rigor, and then a timeline directing the planned time for conducting trustworthiness activities. After reviewing several documents, an actual plan of conducting trustworthiness as not found. Thus, these authors set out to create a trustworthiness protocol designed not only for the dissertation, but aframework for others who must create similar trustworthiness protocols for their research...

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...

The United States 'population is growing and diversifying rapidly. The nation is also experiencing an increase in the frequency and magnitude of disasters. Yet, most organizations that respond to these disaster events operate with a homogenous volunteer base - largely, white, middle class, and older. To improve program reach and effectiveness, diversifying volunteer pools is increasingly important. This article presents an evaluation of one response organization attempting to diversify its volunteer base geographically, ethnically, and linguistically, to better serve disaster survivors...

Many health-care organizations and associations recommend that registered nurses be culturally competent and technologically savvy to compete in today's global society. This article reports both traditional and innovative technology-based teaching strategies that increased cultural competencies in nursing students in a BSNIMSN program for foreign-educated physicians. The Inventory for Assessing the Process of/Cultural Competency among Healthcare Professionals-Revised, was used at the beginning and at the end of the program...

This study examines students' levels of cultural competency before and after taking three different semester-long courses dealing with diversity and cultural competence with each course representing a different teaching methodology. A new 20-item survey, designed for students across disciplines, was used to measure cultural competency among 226 students from the fall of2012 to the spring of2 015. Differences were examined between scores before and after taking each class, as well as differences between classes...

This historical overview is a compilation of information from multiple archival sources; it provides a perspective of the course of events contributing to the present nursing shortage among American Indians. The review begins in the late 1800s by identifying educational assimilation efforts, the role offield nurses and field matrons in introducing Western healthcare to American Indians,followed by examples of American Indian nursing programs and early American Indian nurses and their contributions, and concludes with information about current American Indian nursing programs and recruitment efforts particularly the Recruitment and Retention of American Indians into Nursing (RAIN) program, introduced in the 1990s...

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...

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...

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...

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...

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...

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The purpose of this study was to identify perceptions of nursing faculty on the barriers to recruitment, hiring, and retention of minority nursing faculty who are Black/African-American, and Hispanic/Latina (o) in order to understand the current dynamics limiting the representation of these two minority groups in nursing education. The design was a descriptive, comparative design, using an online survey. A multi-stage sampling method selected 667 nursing faculty from 56 colleges, resulting in a final sample size of 103 (15...

The present case study examined English as a second language (ESL) teacher candidates' views on their preparedness on instructing culturally and linguistically diverse students. A survey was administrated to a group of ESL teacher candidates at the end of the training program. Results revealed that although the participants received training in culture and instructional strategies, lacking adequate knowledge in students' diverse cultures and languages was reported as a major challenge. Personality traits and knowing specific strategies are reported as their strengths...

There is a need for minority faculty in higher education due to the increase in minority high school graduates and higher education enrollees. Faculty members who are tenured have the ability to advocate for cultural equality in their institutions and serve as mentors for students. Minority faculty whose tenured process is hindered by inequality may also be unable to become a proper mentor for minority students. The purpose of this paper is to identify why faculty diversity will lead to increased student success and comfort, minority mentors, minority research, and equity advocacy, and representation from all minority groups...

Increased representation of the Black population in the health care system is central to decrease health disparities, enhance access to services, and improve health outcomes and quality of care. Current strategies for recruitment and retention of the Black population in higher education in the health fields are explored. The added value of mentorship programs are presented as a promising approach for addressing the high rates of attrition of the Black population in health professional education institutions...