Melissa Leal, Heather DeGrande, Lucas Enrique Espinoza, Luis Enrique Espinoza, Amy McClure
{"title":"When Pregnancy Isn't \"Safe\": The Struggle of Intimate Partner Violence and Traumatic Stress on Women's Mental and Physical Health.","authors":"Melissa Leal, Heather DeGrande, Lucas Enrique Espinoza, Luis Enrique Espinoza, Amy McClure","doi":"10.1177/10436596261447875","DOIUrl":"https://doi.org/10.1177/10436596261447875","url":null,"abstract":"<p><strong>Introduction: </strong>Intimate partner violence (IPV) and traumatic stress during pregnancy are major public health issues, particularly for women of color.</p><p><strong>Method: </strong>Using data from the 2019 to 2021 Pregnancy Risk Assessment Monitoring System, this cross-sectional study examines the association of IPV and traumatic stress on the prenatal physical and mental health of women of color who have recently given birth.</p><p><strong>Results: </strong>Hispanic women reporting IPV during pregnancy had increased odds of prenatal depression and diabetes compared to non-Hispanic White women with no IPV. Significant risk for diabetes was observed only among Hispanic women when stratified by race/ethnicity. Financial instability, partner incarceration, income, and being uninsured are structural factors that amplify these effects.</p><p><strong>Discussion: </strong>These findings highlight the value of culturally competent trauma-informed prenatal care, screens for IPV, and address systemic disparities. A collaborative initiative is necessary to ensure women can safely conceive by acknowledging survivor's experiences and eliminating obstacles to reproductive health care.</p>","PeriodicalId":49969,"journal":{"name":"Journal of Transcultural Nursing","volume":" ","pages":"10436596261447875"},"PeriodicalIF":1.4,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147845515","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Saadet Can Çiçek, Şeymanur Özdemir Arslan, İrem Öztürk Bardak
{"title":"The Relationship Between Transcultural Nursing Sensitivity and Critical Thinking Skills: A Study on Intern Nursing Students.","authors":"Saadet Can Çiçek, Şeymanur Özdemir Arslan, İrem Öztürk Bardak","doi":"10.1177/10436596251412782","DOIUrl":"10.1177/10436596251412782","url":null,"abstract":"<p><strong>Introduction: </strong>Cultural diversity in health care requires nursing students to develop transcultural sensitivity and critical thinking to provide equitable care. This study explored the relationship between transcultural nursing sensitivity and critical thinking among senior nursing students in Türkiye.</p><p><strong>Methods: </strong>A descriptive, cross-sectional, correlational design was conducted with 151 senior nursing interns from a university nursing department. Data were collected online using the Student Information Form, the California Critical Thinking Disposition Inventory, and the Turkish Intercultural Sensitivity Scale.</p><p><strong>Results: </strong>The mean age of participants was 22.49 ± 1.52 years; 74.2% were female and 84.1% were Turkish. While 72.8% had experience with culturally diverse patients, 88.8% lacked formal intercultural training. Mean scores reflected moderate-to-high intercultural sensitivity (87.4 ± 11.47) and critical thinking (254.04 ± 27.85). Critical thinking significantly predicted intercultural sensitivity (β = .688, <i>R</i><sup>2</sup> = .473, <i>p</i> < .001).</p><p><strong>Discussion: </strong>Findings confirm a significant correlation, supporting integration of these skills into nursing education.</p>","PeriodicalId":49969,"journal":{"name":"Journal of Transcultural Nursing","volume":" ","pages":"456-467"},"PeriodicalIF":1.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13058156/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146107733","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Cultural Safety and Equity in Surgical Pathways for New Zealand Māori: An Integrative Literature Review.","authors":"Karla Breen Rickerby, Sarah Ladouceur","doi":"10.1177/10436596251395677","DOIUrl":"10.1177/10436596251395677","url":null,"abstract":"<p><p>Māori, the Indigenous people of Aotearoa/New Zealand, experience enduring inequities across surgical pathways shaped by historical, social, and political factors. This integrative review examined how Māori cultural safety is embedded in surgical care to identify principles for improving Indigenous health outcomes. Peer-reviewed studies published since 2017 were sourced from three databases and appraised using the Critical Appraisal Skills Program (CASP). Eleven studies met inclusion criteria (New Zealand, <i>n</i> = 6; Australia, <i>n</i> = 5). Two overarching themes, institutional racism and models of care, revealed inequities in prehabilitation, primary care access, and referral processes. While culturally centered models improved experiences, limited uptake restricted impact. Findings emphasize the need for system-level transformation to embed cultural safety and equity across surgical pathways. Six guiding principles include grounding initiatives in Māori worldviews, institutional commitment, barrier reduction, cultural training, whānau engagement, and Indigenous-led hospital design to achieve equitable Māori surgical outcomes.</p>","PeriodicalId":49969,"journal":{"name":"Journal of Transcultural Nursing","volume":" ","pages":"433-441"},"PeriodicalIF":1.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145866310","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Historical Snapshot of Chicago's New Arrival Mission: Adapting the Health Care Delivery Model for Venezuelan Migrants.","authors":"Monica Naumann","doi":"10.1177/10436596251408499","DOIUrl":"10.1177/10436596251408499","url":null,"abstract":"<p><strong>Introduction: </strong>The purpose of this article is to describe Chicago's public health response to the Venezuelan migrants during its New Arrival Mission, review key challenges that plagued The Mission, and make recommendations for transcultural providers.</p><p><strong>Methods: </strong>In this historical review, interviews with key informants are conducted. Additional information is curated from press releases, gray literature, and media outlets.</p><p><strong>Results: </strong>Starting in 2022, Chicago initiated the New Arrival Mission, providing housing, education, and health care including mental health services to approximately 50,000 migrants until 2025. This article reviews public health crises, including infectious disease outbreaks in large, congregate shelters and health care access of this population that challenged the existing health care delivery model.</p><p><strong>Discussion: </strong>Chicago successfully leveraged preexisting models and forged collaborations between diverse stakeholders helping to mitigate poor public health outcomes for both migrants and Chicagoans. Transcultural providers are advised to foster partnerships across organizations to address challenges during a migration crisis.</p>","PeriodicalId":49969,"journal":{"name":"Journal of Transcultural Nursing","volume":" ","pages":"468-474"},"PeriodicalIF":1.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146020429","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Questionnaire-Based Cross-Sectional Study of Bereavement Disclosure and Support Needs in Dementia Caregiving in Japan.","authors":"Akiko Watanabe, Yousuke Hashimoto, Michika Tanoue","doi":"10.1177/10436596261417044","DOIUrl":"10.1177/10436596261417044","url":null,"abstract":"<p><strong>Introduction: </strong>Bereavement disclosure in dementia care presents ethical and cultural challenges in Japan.</p><p><strong>Methods: </strong>A cross-sectional survey was conducted with 25 family caregivers who had experience caring for a person with dementia and who had also experienced the death of a significant person, assessing attitudes toward disclosure and preferences for support.</p><p><strong>Results: </strong>About 80% supported disclosure, citing dignity and relational closeness. Non-disclosure was most often attributed to physical condition, confusion, unpredictable reactions, or professional advice. Younger caregivers favored internet-based support, whereas older caregivers preferred booklets, lectures, and family association services.</p><p><strong>Conclusion: </strong>Findings highlight ethical tension between dignity and avoidance of confusion, with relational and situational factors shaping decisions. Hybrid support models that combine asynchronous online resources with family association services may enhance accessibility and provide caregivers with sustained support in dementia care.</p>","PeriodicalId":49969,"journal":{"name":"Journal of Transcultural Nursing","volume":" ","pages":"402-408"},"PeriodicalIF":1.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146151030","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Anto Ajithpaul Joseph Jayasundar, Mel Duffy, Kumaresan Cithambaram
{"title":"Experiences of Internationally Trained Black, Asian, and Minority Ethnic Nurses Working in Western Health Care Settings: A Qualitative Evidence Synthesis.","authors":"Anto Ajithpaul Joseph Jayasundar, Mel Duffy, Kumaresan Cithambaram","doi":"10.1177/10436596251398994","DOIUrl":"10.1177/10436596251398994","url":null,"abstract":"<p><strong>Introduction: </strong>Nurses' shortage in Western countries has driven reliance on internationally trained Black, Asian, and Minority Ethnic (BAME) nurses, who now play a crucial workforce role. However, they face challenges compared to native nurses, making it essential to understand their experiences for fostering inclusivity. This qualitative evidence synthesis explores the experiences of internationally trained BAME nurses in Western health care settings.</p><p><strong>Method: </strong>A comprehensive search of MEDLINE, Embase, CINAHL, Web of Science, and gray literature was carried out. Quality was assessed using the CASP tool, and data were synthesized using Thomas and Harden's thematic synthesis approach.</p><p><strong>Results: </strong>This review of 38 studies identified three themes: Initial Adaptation Hurdles, Professional Adversities, and Coping Strategies. Nurses experienced cultural and communication barriers, unfamiliar policies, and discriminatory interactions, with racism forming part of their professional experiences.</p><p><strong>Discussion: </strong>Culturally tailored orientation, mentorship, and equitable opportunities are vital to enhancing integration and satisfaction, strengthening health care safety and performance.</p>","PeriodicalId":49969,"journal":{"name":"Journal of Transcultural Nursing","volume":" ","pages":"475-495"},"PeriodicalIF":1.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13058157/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145844544","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"An Integrative Literature Review Exploring Support Interventions for Nurses Who Have Trained Outside of Their Country of Employment.","authors":"Analisa Smythe, Daphne Laing","doi":"10.1177/10436596251397361","DOIUrl":"10.1177/10436596251397361","url":null,"abstract":"<p><strong>Introduction: </strong>The challenges for internationally educated nurses are complex and nuanced, with employers implementing various support mechanisms. Nurses may experience cultural displacement, perceived differences in practice and communication problems. Little research exists about which interventions best address these issues. The review aimed to develop a comprehensive understanding of support interventions for internationally educated nurses.</p><p><strong>Methods: </strong>Whittemore and Knafl's methodological approach guided the review. Literature searches were conducted across five databases between 2010 and 2024.</p><p><strong>Results: </strong>A total 23 papers were examined. Two themes were developed: \"Support interventions\" and \"Factors influencing the success of interventions.\"</p><p><strong>Discussion: </strong>The review found that organizational interventions should address internationally educated nurses' competencies, be multifaceted, and include two-way learning. No evidence was found evaluating the success of multi-dimensional interventions. The review may support policy and practice recommendations.</p>","PeriodicalId":49969,"journal":{"name":"Journal of Transcultural Nursing","volume":" ","pages":"496-513"},"PeriodicalIF":1.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145858935","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Perceived Cultural Competence in Postpartum Units: Perspectives of Culturally Diverse New Mothers Regarding Nurses and Implications for Breastfeeding.","authors":"Elena Zlatkin, Gillie Gabay, Sigal Shafran-Tikva, Ronit Segal, Yaron Sela, Libbie Goldstein, Anita Noble, Rely Alon, Revital Zelker","doi":"10.1177/10436596251410873","DOIUrl":"10.1177/10436596251410873","url":null,"abstract":"<p><strong>Introduction: </strong>Globalization and rising immigration highlight the importance of culturally competent nursing care, yet global reports reveal persistent cultural insensitivity. This study explored how new mothers in postpartum units perceive nurses' cultural competence, examining its relationship to mothers' religious and cultural backgrounds and breastfeeding outcomes.</p><p><strong>Method: </strong>After obtaining ethical approval, 229 Israeli mothers (Hebrew or Arabic speakers) who gave birth to full-term infants participated. Data were collected via a validated 42-item questionnaire assessing perceived cultural competence, religiosity, cultural customs, breastfeeding, and demographics. Statistical analyses included Pearson's correlations, ANOVA, and regression.</p><p><strong>Results: </strong>Older age, higher religiosity, more children, and associate degrees were linked to higher perceived nurse competence. The \"skills\" dimension of cultural competence was associated with positive perceptions. Higher perceived cultural competence correlated with full breastfeeding.</p><p><strong>Discussion: </strong>Findings underscore the need to enhance nurses' cultural awareness and skills as part of routine postpartum care to improve maternal experience and outcomes.</p>","PeriodicalId":49969,"journal":{"name":"Journal of Transcultural Nursing","volume":" ","pages":"390-401"},"PeriodicalIF":1.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145999608","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Beneficial Effects of Community-Based Traditional Chinese Exercises on Sleep Disturbance Among Older Adults: Systematic Review, Meta-Analysis, and Meta-Regression of Randomized Controlled Trials.","authors":"Wei-Ting Lin, Bih-O Lee, Virapun Wirojratana, Yusti Muzdalifa Taplo, Santo Imanuel Tonapa","doi":"10.1177/10436596251412642","DOIUrl":"10.1177/10436596251412642","url":null,"abstract":"<p><strong>Introduction: </strong>Although community-based traditional Chinese exercises (CTCEs) are increasingly recognized for their benefits on sleep, their effectiveness among community-dwelling older adults across diverse settings remains unclear. This study aimed to synthesize the effects of CTCEs on sleep disturbance in this population.</p><p><strong>Methods: </strong>Seven databases were searched for relevant articles published up to August 2025. Studies were appraised using the Cochrane risk-of-bias tool. A pairwise meta-analysis, subgroup analysis, and meta-regression were conducted using Comprehensive Meta-Analysis software.</p><p><strong>Results: </strong>Thirteen studies met criteria. CTCEs are effective in reducing sleep disturbance among older adults. Both Qigong and tai chi improved sleep; Qigong showed a slightly larger effect size than tai chi, but the difference between modality was not significant. Meta-regression detected no significant moderators.</p><p><strong>Conclusion: </strong>As a nonpharmacological strategy, CTCEs appear to reduce sleep disturbance in community-dwelling older adults. These findings support their integration into community-based health initiatives for aging populations.</p>","PeriodicalId":49969,"journal":{"name":"Journal of Transcultural Nursing","volume":" ","pages":"419-432"},"PeriodicalIF":1.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146004461","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Renáta Zeleníková, Lenka Štureková, Petr Bujok, Helena Leino-Kilpi, Liisa Kuokkanen, Alvisa Palese, Laura Visiers-Jiménez, Anna Brugnolli, Jana Nemcová, Célia Simão De Oliveira, Marília Rua, Satu Kajander-Unkuri