VID Specialized University

Europe faces the dual challenges of population ageing and increasing migration, resulting in a growing demographic of older immigrants with complex healthcare needs. Despite extensive research on ageing and migration, regional evidence on healthcare provision for older immigrants remains fragmented. Participatory approaches that integrate the voices and experiences of older immigrants can improve cultural sensitivity, accessibility, and health equity, ultimately leading to better outcomes. This scoping review seeks to contribute to filling the existing knowledge gap by systematically mapping the literature on healthcare provision using participatory approaches for older immigrants in Europe. This scoping review followed Arksey and O'Malley's methodological framework and the PRISMA-ScR reporting guidelines. A comprehensive search of five electronic databases was conducted in February 2025. Eligible studies included empirical research focusing on immigrants aged 60 years and older in Europe that used participatory approaches to healthcare provision. Data were charted and synthesized thematically to identify barriers and facilitators of healthcare utilization discussed in the context of participatory approaches, as well as gaps in the literature. From 2,411 records, 23 studies published between 2011 and 2025 met the inclusion criteria. Most were conducted in the United Kingdom, Denmark, and Sweden, employing diverse qualitative, quantitative, and mixed-methods designs. Common participatory strategies included bilingual/bicultural staff, partnerships with community organizations, and the involvement of peer researchers. These approaches enhanced trust, relevance, and access to healthcare services. Key barriers were language and communication difficulties, cultural stigma, and distrust of services. Enablers included culturally adapted interventions, continuity of care, and trusted community engagement. However, many studies reported the use of superficial participatory methods, underrepresented certain migrant groups, and rarely assessed long-term outcomes or compared participatory versus non-participatory models. Participatory approaches demonstrate strong potential to enhance healthcare provision for older immigrants in Europe by improving cultural competence, accessibility, and trust. To achieve equity, participatory practices must be embedded into mainstream healthcare systems through sustainable funding, workforce training, and policy reforms. Future research should prioritize comparative evaluations, long-term impact assessments, and inclusion of underrepresented immigrant populations.

This commentary critically examines queer intimate partner violence (IPV) across Western, Educated, Industrialized, Rich, Democratic (WEIRD)—a category of societies disproportionately represented in psychological and social science research—and non-WEIRD sociocultural contexts. It argues that prevailing cis-heteronormative and Western-centric frameworks insufficiently capture the complexity of queer survivors’ experiences. I drew on empirical research and cross-cultural comparisons to examine IPV and barriers to help-seeking among queer individuals. Evidence from both WEIRD and non-WEIRD context demonstrates how sociopolitical climates, cultural norms, and institutional arrangements profoundly shape patterns of IPV and access to support. Across contexts, a shared theme of “institutional abandonment” emerges, wherein queer survivors remain underserved even within systems that appear formally inclusive. This commentary highlights the urgent need for a decolonized, queer-affirming approach to IPV research. Advancing IPV research requires the development of culturally grounded, identity-sensitive measurement tools, the transformation of institutional and community support systems and the cultivation of equitable global academic partnerships. Effectively addressing queer IPV necessitates moving beyond universalized Western frameworks toward intersectional, contextually nuanced approaches that authentically reflect the diversity of queer experiences worldwide.

Introduction: Cultural competence is essential for equitable, safe, and person-centered care in diverse populations. Nurses need to develop cultural understanding and abilities to provide culturally competent care. This study aimed to describe cultural competence among nurses working in somatic hospitals and investigate associations between demographic characteristics, knowledge and experience, self-efficacy, and cultural competence of nurses.Method: An online survey on nurses' cultural competence was conducted with 201 nurses from three hospitals in Norway. Logistic regression analyses were used to examine associations between demographic characteristics, knowledge, and self-efficacy with cultural competence.Results: Significant associations were identified between age, gender, birthplace, international experience, and hospital affiliation with dimensions of cultural competence. Knowledge and self-efficacy of nurses were identified as critical factors positively associated with cultural competence.Discussion: Demographic factors influence nurses' cultural competence and underline the importance of tailored training. Promoting knowledge and self-efficacy can improve culturally congruent care.

This article compares the existing legislative, policy and practice supports for young people transitioning from out-of-home care (known as care leavers) aged 18–25 years in three jurisdictions: Sweden, Norway and Australia. Attention is drawn to the impact of the different welfare regimes in these countries (i.e., social democratic vs liberal), the inconsistencies across different states and regions, and the eligibility and adequacy of existing support programmes. We also examine the respective factors that have influenced policy and practice reform to date, such as scholarly research evidence both domestic and global unveiling gaps in existing structures, advocacy by non-governmental organisations and youth with lived experience shaping improvements in programmes, and media coverage highlighting systemic failures and successes. The juxtaposition of these factors across the three nations provides insights into the disparate yet converging paths in supporting care leavers. Concluding with targeted recommendations, this study underscores the importance of cross-national learning, advocating for adaptive policies that are informed by global best practices while being locally relevant. The article calls for a heightened focus on collaborative efforts to optimise support for young care leavers, ensuring a smoother transition into adulthood.

Irregular financial remuneration, including salary and non-salary payments like overtime and incentives, poses a significant and persistent challenge within Cameroon’s healthcare sector, adversely affecting the well-being of nurses and the quality of patient care. This qualitative study explores how these financial irregularities influence job satisfaction and perceived patient safety from the unique perspectives of hospital-based nurses. Employing a qualitative descriptive design, we conducted semi-structured interviews with 40 nurses from public hospitals across Cameroon. Participants were purposively selected to ensure diverse experiences with financial irregularities across urban, regional, and rural settings. Data were analyzed using Braun and Clarke’s six-phase thematic analysis framework, utilizing an inductive coding process to allow themes to emerge directly from the participants’ narratives. Data saturation was achieved after 35 interviews, with an additional five interviews conducted to confirm consistency. Findings revealed three overarching themes: (1) Impact of irregular salary payments on job satisfaction; (2) Effects of financial stress on patient care; and (3) Coping mechanisms and resilience demonstrated by nurses. Specifically, irregular payments consistently generated high levels of financial stress, emotional exhaustion, and demotivation. Participants frequently reported experiencing burnout and reduced job commitment, which they directly associated with compromised patient care, including delayed treatments and limited nurse-patient interaction. The results indicate that financial instability profoundly undermines nurses’ ability to maintain professional standards and poses tangible risks to patient safety. Irregular financial remuneration negatively impacts both job satisfaction and the quality of patient care in Cameroonian hospital settings. Addressing this critical issue through timely disbursement of all owed funds and supportive policy reforms is essential for fostering a motivated, resilient nursing workforce and ensuring the delivery of safe, high-quality care. Future qualitative research should build on the identified coping mechanisms to explore effective support interventions and policy strategies that foster long-term resilience within the nursing workforce.