INTRODUCTION:Coherent understanding of culturally and linguistically diverse (CALD) nurses' interactions in hospitals is limited. The aim was to synthesise evidence of interactions. METHOD:Systematic review methods. INCLUSION:peer-reviewed primary studies (all designs) on CALD nurses' hospital interactions in English or Finnish. EXCLUSION:native-speaking CALD nurses, students, interpreter-mediated interactions, and simulations. Latest search in April 2025: four databases and Google Scholar without time restrictions. KEY TERMS:CALD nurses, language, interaction, and hospitals. DATA SYNTHESIS:deductive-inductive content analysis. Reporting: PRISMA statement. RESULTS:Fourteen qualitative studies were included. Interactions were categorised into language and terminology of nursing, activities performed through interaction, models and practices of interaction, style and tone of interaction, and interactional asymmetries. DISCUSSION:Findings synthesise the characteristics, challenges, barriers, and facilitators of interactions, describing how they shape interactions as interconnected. The findings inform education and workplaces in developing practices such as simulations and language mentoring to enhance interactions.
INTRODUCTION:Pregnancy rituals such as gender-reveal parties and baby showers have become increasingly visible through social media and may influence pregnant women's perceptions of motherhood and body image. This study examined the relationship between participation in pregnancy rituals, pregnant women's self-perception, and social media influence. METHODS:A cross-sectional survey was conducted with 287 pregnant women attending prenatal care at a tertiary hospital in western Türkiye. RESULTS:Overall, 42.5% of participants performed at least one pregnancy ritual, and 40.8% held a gender-reveal party. Women participating in rituals had higher motherhood perception scores and greater social media influence. Social media influence was the strongest predictor of ritual participation (p < .001). DISCUSSION:Pregnancy rituals appear to be shaped by digital culture and are associated with pregnant women's psychosocial self-perceptions. Prenatal counseling should address the influence of social media on maternal well-being.
INTRODUCTION:The number of refugees in Norway from African countries has increased, alongside increasing mental health challenges among youths with refugee backgrounds, linked to trauma and resettlement stress. Although parents wish to support their children, they encounter cultural barriers that hinder help‑seeking and treatment engagement. METHODS:Fifteen qualitative interviews with parents with refugee backgrounds from East and West Africa were conducted and analyzed using thematic analysis. RESULTS:Findings reveal trust barriers, including communication challenges, fear of child welfare services (CWS), limited parental involvement, unfamiliarity with Norwegian parenting norms, and lack of cultural sensitivity among health care professionals, all of which reduces parents' confidence in services and hinder effective treatment and follow-up. DISCUSSION:Health care professionals should prioritize culturally responsive care to promote equitable mental health care for refugee families. Strengthening trust requires clear information about health care services, professionals' roles, CWS, and child-upbringing practices in Norway, while using qualified interpreters to reduce communication barriers.
INTRODUCTION:Approximately 34 million Americans have diabetes with Hispanics being disproportionately affected. Yet, qualitative research exploring the diversity of experience of having diabetes within Hispanic subgroups or gender-specific experiences is lacking. This study explores the lived experiences of Hispanic men managing type 2 diabetes (T2D) to identify social, cultural, and psychological influences on self-management and inform culturally tailored interventions. METHOD:This phenomenological study utilized purposive sampling to explore the lived experiences of Hispanic men (N = 10) diagnosed with T2D. Data analysis was conducted using Colaizzi's seven-step phenomenological approach. RESULTS:Five themes emerged, highlighting the complex relationship of cultural values, health care barriers, emotional regulation, and social supports in shaping the lived experience of Hispanic men with T2D. DISCUSSION:The findings emphasize the need for targeted, culturally responsive interventions that address structural inequities, including poor working conditions, limited health care access, and mental health barriers, to advance health equity for Hispanic men.
INTRODUCTION:Nurses are poised to optimize the benefits of genomic technologies to advance population health. This report characterizes the outcomes of a signature course assignment using the RE-AIM or ConNECT frameworks to promote genomically informed care inclusive of communities historically underrepresented. The utility of the RE-AIM and ConNECT models is conceptually linked with Leininger's Sunrise Enabler model. METHODS:The setting was an online, asynchronous professional development course to promote genomic literacy for nurses pursuing or holding a doctorate degree. Projects were coded into categories and population types. RESULTS:Data were collected on 176 participants (January 2022 to December 2023). Coding categorized projects as genomic education (112), application to practice (32), or research (32). Seventy-five projects (42.6%) engaged communities historically marginalized. Thirty-four percent of course alumni indicated their projects were completed or underway. DISCUSSION:These frameworks have the potential to both integrate genomic science and address diverse population types.
INTRODUCTION:Grief among mothers of children with cerebral palsy (CP) has primarily been examined as caregiver burden, with limited attention to its cultural and moral meanings. This study explored culturally embedded experiences of grief among mothers in Northeast Thailand. METHODS:A qualitative study using an inductive thematic analysis approach was conducted with 25 mothers who were primary caregivers of children with CP. Participants were purposively recruited through a provincial special education center and community gatekeepers. Data were collected through semi-structured interviews in the Isan dialect, transcribed, translated, and analyzed until thematic saturation was achieved. RESULTS:Three themes emerged: disrupted life trajectory, continuous caregiving as lived loss, and meaning-making through relational and cultural resources, including Xiow, karma, and Kong Sibsi. Although many mothers found acceptance, some reported distress. DISCUSSION:Grief is an ongoing, culturally mediated process. Culturally congruent approaches that integrate relational and spiritual dimensions may enhance support for caregiving mothers.
INTRODUCTION:Inclusive hair and skin care are essential for culturally congruent health care; however, hospitalized patients with textured hair and skin of color experience limited access to appropriate products. Nursing staff also report gaps in knowledge related to culturally responsive care of hair and skin. This initiative aimed to improve care through product access and education. METHODS:A quality improvement project was conducted at a Midwestern academic medical center. Surveys of nurses, patient care assistants, and employee resource groups informed product selection and education design. Interventions included stocking products and providing education supported by a webpage and video library. RESULTS:Post-education evaluations showed increased knowledge of hair and skin care, along with improved confidence and ability to provide culturally sensitive care. DISCUSSION:Addressing hair and skin care through access to products and education enhances patient care. This model offers a replicable framework to improve inclusive hair and skin care practices.
INTRODUCTION:Peace is a key determinant of health, especially for marginalized populations facing racism, socioeconomic inequities, and chronic stress. This study explored how Black adults define and experience peace to inform culturally grounded, equity-focused health interventions. METHODS:As part of the community-engaged Nurses4BlackWellbeing project, 482 Black adults from a low-income community responded to the open-ended question, "What is peace?" via written or verbal formats. Inductive content analysis was conducted using NVivo. RESULTS:Four interconnected categories emerged: (a) peace as an inner state of harmony and emotional balance; (b) peace as freedom from racism, violence, and unmet needs; (c) peace as enjoyment of good things in life; and (d) peace as engagement with spirituality. DISCUSSION:Peace is a multifaceted, culturally meaningful concept for Black adults. Promoting peace through structural change, relational support, and spiritual engagement may foster well-being. Findings can guide strength-based, culturally relevant interventions and policies to reduce health disparities.
INTRODUCTION:The migratory phenomenon is reaching record levels, with children as a vulnerable group, facing challenges during travel and adaptation. This review aims to map the obstacles and strategies in the provision of nursing care to migrant, asylum-seeking, and refugee children. METHODS:This is a scoping review according to JBI guidelines; searches were conducted in June - July 2024 and updated in May 2026 in MEDLINE Complete, PubMed, CINAHL Complete, and Web of Science. Inclusion criteria were language (Portuguese, English, or Spanish), population (migrant children), and various settings. RESULTS:Ten studies identified several obstacles to nursing care, including cultural barriers, communication difficulties, nurses' attitudes, inadequate translation services, and limited knowledge of the health care system. DISCUSSION:Culturally congruent nursing care is essential for improving outcomes for vulnerable children. This review emphasizes the need for inclusive health policies and ongoing training to promote cultural competence among nurses.
Introduction: Family caregivers of people with dementia play an essential role in advance care planning (ACP), yet engagement remains low among socioeconomically disadvantaged caregivers. This study evaluated a brief video- and leaflet-based ACP intervention. Methods: A single-group pretest-posttest study was conducted with 47 dementia caregivers recruited from public health centers providing home-visiting services. Participants received a 30-minute ACP intervention. Outcomes included decisional conflict, ACP engagement, and ACP-related perspectives, assessed at baseline and 1-month post-intervention using paired t-tests. Results: Participants demonstrated significant improvements in ACP-related knowledge (d = 0.37, p = .014), decisional conflict (d = 0.44, p = .004), and ACP engagement (d = 0.64, p < .001) at 1-month follow-up. No significant changes were found in ACP-related attitudes, perceived benefits, or perceived barriers. Discussion: Brief ACP education reduced decisional conflict and improved engagement, indicating its potential value. Further controlled studies are needed to assess long-term psychosocial effects.
INTRODUCTION:Recruiting international registered nurses (RNs) is one solution health care systems employ to address nursing shortages; however, these nurses often encounter challenges. The purpose of this study was to explore international RNs' experiences at a large health system in the United States and identify strategies to effectively integrate these RNs into U.S. health care systems. METHODS:A mixed-methods study design was used. Nurses involved in the health system's International RN Program, all of whom were from the Philippines, were invited to participate in a survey and interviews. RESULTS:A total of 114 Filipino RNs completed the survey, and nine participated in interviews. Findings highlighted supportive workplace relationships, but challenges remained in community integration, orientation, and adapting to new clinical practices and communication styles. DISCUSSION:Recommended strategies to support international RNs include extending orientation programs, providing refresher sessions, offering structured mentorship programs, and providing cultural adaptation programs.
INTRODUCTION:Nurse-led digital transformation requires cultural competence. Because caregivers' cultural beliefs shape digital practices, understanding these perspectives during university training is vital. This study analyzes the beliefs of nursing students in Spain and Colombia regarding health technology implementation to identify gaps influencing future digital leadership. METHODOLOGY:This qualitative descriptive study included 208 students. Data collection involved playful, reflective workshops using interactive tools. Thematic analysis was used to analyze the data guided by a transcultural nursing framework. RESULTS:Four main themes emerged: digital empowerment as culture care accommodation in patient data management; nurses as agents balancing technology and humanistic care; improved communication and collaboration via digital tools; and multifaceted barriers, including cultural, educational, and systemic challenges to technology integration. DISCUSSION:The findings emphasize the need for culturally competent digital leadership in nursing education. Bridging these specific cultural and technological gaps is essential to foster equitable, culturally congruent care in digital environments.
INTRODUCTION:Increasing cultural diversity requires effective educational strategies to support nursing students' cultural awareness and readiness for culturally competent practice. METHODS:An explanatory sequential mixed-methods design was used. Forty-three fourth-year nursing students completed a single-group pre-test/post-test study without a control group using the Cultural Competence Assessment Tool. Four weekly sessions were delivered. Semi-structured interviews were conducted with 23 students and analyzed inductively. RESULTS:Post-test cultural awareness and total cultural competence scores were higher than pre-test scores (both p < .001; dz = 1.07 and dz = 0.67). Self-assessment scores increased in awareness and cultural sensitivity, whereas no significant change was found in self-assessed cultural practice. Qualitative findings highlighted language barriers, limited cultural knowledge, and the method's concise, awareness-raising nature. DISCUSSION:Pecha Kucha appears to function mainly as a reflective, awareness-oriented pedagogical approach that supports readiness for culturally competent practice, rather than as an intervention producing immediate behavioral competence.
Introduction: Children immigrating to the United States from Latin America experience cumulative stressors and trauma across the premigration, migration, and postmigration phases, placing them at increased risk for adverse mental health outcomes. This integrative review examined mental health outcomes associated with immigration-related trauma in Latin American immigrant children. Methods: Using Whittemore and Knafl’s framework, a systematic search of PubMed, CINAHL, and APA PsycINFO identified peer-reviewed English-language studies published between 2014 and 2026 involving children aged 0 to 18 years. Results: Ten studies met the inclusion criteria (five quantitative, two qualitative, and three mixed methods). Posttraumatic stress disorder occurred across all migration phases, while anxiety and depression were most common postmigration. Behavioral disorders and substance use, or risk-taking behaviors were also reported. Discussion: Cumulative migration-related trauma contributes to poor mental health outcomes. Trauma-informed, culturally congruent nursing assessment and interventions are critical to reduce long-term psychological morbidity.
INTRODUCTION:Psychological well-being is widely studied, yet existing measures often reflect Eurocentric ideals that may not generalize across cultural backgrounds. Social norms and historical experiences shape the meaning of well-being and influence measurement among groups historically underrepresented in research, such as African American women. This study examines the factor structure of Ryff's Scales of Psychological Well-Being (RSPWB) in this population. METHODS:This cross-sectional survey study was conducted via an online platform. A convenience sample of 248 African American women completed the 84-item RSPWB. Exploratory factor analysis was used to assess the underlying structure. RESULTS:Analysis revealed five distinct factors from the original six: (a) Environmental Mastery, Purpose in Life, Self-Acceptance (EPS); (b) Relational Satisfaction; (c) Autonomy; (d) Personal Growth; and (e) Helplessness. DISCUSSION:This research supports the need for consideration of sociocultural perspectives and experiences in nursing research. Culturally congruent measurement of psychological well-being is needed to promote accurate assessment.
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.
