{"title":"Response Shift and Measurement Invariance of Chronic Stressor Scale.","authors":"Wan-Chin Kuo, Rachel Hawn, Roger L Brown","doi":"10.1177/10436596251377079","DOIUrl":"https://doi.org/10.1177/10436596251377079","url":null,"abstract":"<p><strong>Introduction: </strong>Troxel's Chronic Stressor Scale (CSS) is widely used in survey-based comparative research to investigate racial or gender differences in stress-health relationships, but its measurement invariance remains untested. This study aimed to examine the measurement invariance of CSS across age, gender, race, ethnicity, and temporality.</p><p><strong>Methods: </strong>This analysis used the longitudinal data from the Health and Retirement Study (<i>N</i> = 2,263). Model fit was evaluated using infit/outfit statistics, person/item separation, and reliability indices. Differential Item Functioning (DIF) was assessed using Rasch's Rating Scale Model.</p><p><strong>Results: </strong>CSS demonstrated strong item reliability but poor person reliability. Significant DIF was identified in housing stress between Black and White Americans, in self-health stress and occupational stress between younger and older groups, and financial stress between 2012 and 2020.</p><p><strong>Discussion: </strong>Despite strong item reliability, CSS's significant DIF across race, age, and temporality suggests caution when directly comparing composite or item scores across diverse populations and time points.</p>","PeriodicalId":49969,"journal":{"name":"Journal of Transcultural Nursing","volume":" ","pages":"10436596251377079"},"PeriodicalIF":1.4,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145245321","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}
G Duran-Kiraç, R Uittenbroek, H van Hout, M I Broese van Groenou
{"title":"Using Design Thinking to Develop a Tool for Strengthening Nurses' Cultural Competence: Lessons Learned.","authors":"G Duran-Kiraç, R Uittenbroek, H van Hout, M I Broese van Groenou","doi":"10.1177/10436596251370604","DOIUrl":"https://doi.org/10.1177/10436596251370604","url":null,"abstract":"<p><strong>Introduction: </strong>Nurses working in dementia care lack cultural competence to improve access to health care for ethnic minority persons. This study aimed to develop a tool to strengthen nurses' cultural competence, using a Design Thinking approach in the Netherlands.</p><p><strong>Method: </strong>This qualitative participatory study followed five Design Thinking phases: empathize, define, ideate, prototype, and test. Data were collected during co-creation sessions with a Design Team consisting of nurses, an informal caregiver, researchers and students.</p><p><strong>Results: </strong>The Design Team (<i>n</i> = 7) formulated the problem statement: \"It is difficult to map all involved in the care for the person with dementia, and to be able to ask right questions.\" In response, the Good Conversation Method was developed, including a genogram to visualize the care network and conversation cards to explore cultural and religious identity.</p><p><strong>Discussion: </strong>Design Thinking lessons included the importance of including all stakeholders, managing differing perspectives, and allowing time for iterative development.</p>","PeriodicalId":49969,"journal":{"name":"Journal of Transcultural Nursing","volume":" ","pages":"10436596251370604"},"PeriodicalIF":1.4,"publicationDate":"2025-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145233969","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":"\"As Long as I am Connected Through Virtual World, It Is Fine for Me to Stay Here\": Retaining Nurses in Rural and Remote Areas of Indonesia.","authors":"Ferry Efendi, Eka Mishbahatul Mar'ah Has, Rifky Octavia Pradipta, Mei Chan Chong, Ismawiningsih","doi":"10.1177/10436596251377894","DOIUrl":"https://doi.org/10.1177/10436596251377894","url":null,"abstract":"<p><strong>Introduction: </strong>Indonesia's rural and remote areas struggled to retain nurses due to isolation, limited resources, and restricted professional growth. A stable nursing workforce was essential to ensure equitable health care access and improve population health in these underserved regions. This study explored Indonesian nurses' perspectives on retention in these settings.</p><p><strong>Methods: </strong>A descriptive qualitative approach was used, involving semi-structured interviews with 20 registered nurses working in remote and rural Indonesia. Data were analyzed thematically using QSR NVIVO 15.</p><p><strong>Results: </strong>Six key themes emerged: virtual connectivity, personal characteristics, security guarantees, social recognition, civil servant employment, and scholarships for further education. Reliable internet was crucial for professional development, reducing isolation, and facilitating communication.</p><p><strong>Discussions: </strong>Nurse retention in Indonesia's rural and remote areas was influenced by several factors, with internet connectivity emerging as particularly critical. Further research is needed to develop multifaceted sustainable retention programs tailored to specific local contexts.</p>","PeriodicalId":49969,"journal":{"name":"Journal of Transcultural Nursing","volume":" ","pages":"10436596251377894"},"PeriodicalIF":1.4,"publicationDate":"2025-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145233996","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}
Abeer Selim, Rabie Adel El Arab, Salwa Hassanein, Amira Mohammed Ali, Hanaa Abo Shereda, Heba Mohamed, Abeer Omar
{"title":"Psychometric Validation of Culturally Adapted Tool for Measuring Attitudes Toward Domestic Violence: Bridging Social Norms and Community Interventions.","authors":"Abeer Selim, Rabie Adel El Arab, Salwa Hassanein, Amira Mohammed Ali, Hanaa Abo Shereda, Heba Mohamed, Abeer Omar","doi":"10.1177/10436596251376220","DOIUrl":"https://doi.org/10.1177/10436596251376220","url":null,"abstract":"<p><strong>Introduction: </strong>Domestic violence against women (DVAW) is a global health issue, particularly in areas with patriarchal norms and a lack of culturally relevant assessment tools. We developed a culturally adapted questionnaire to measure community attitudes toward DVAW in Saudi Arabia.</p><p><strong>Methods: </strong>We conducted a cross-sectional study involving expert review, exploratory factor analysis (EFA), and assessments of internal consistency. The study included a convenience sample of 831 adult participants, comprising 417 males and 414 females.</p><p><strong>Results: </strong>The adapted instrument showed excellent psychometric properties (Cronbach's alpha = 0.93) and strong validity across demographic groups. Although excluding acceptance-oriented items narrowed the conceptual scope, the remaining items effectively measure key dimensions of DVAW rejection, reflecting community attitudes and their mental health implications.</p><p><strong>Discussion: </strong>This reliable instrument measures community attitudes toward DVAW. Future work may explore cognitive neuroscience methods to study attitude change and the long-term effects of culturally adapted interventions on mental health.</p>","PeriodicalId":49969,"journal":{"name":"Journal of Transcultural Nursing","volume":" ","pages":"10436596251376220"},"PeriodicalIF":1.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145201942","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":"The Effect of Forum Theater on Nursing Students' Attitudes Toward Immigrants: A Single Group Pretest-Posttest Study.","authors":"Hümeyra Hançer Tok, Lütfiye Nur Uzun","doi":"10.1177/10436596251372840","DOIUrl":"https://doi.org/10.1177/10436596251372840","url":null,"abstract":"<p><strong>Introduction: </strong>Nursing education plays a key role in addressing xenophobia. The aim of this study was to examine the effect of forum theater on nursing students' attitudes toward immigrants.</p><p><strong>Method: </strong>The study was a quasi-experimental research conducted with undergraduate nursing students. Forum theater was used as an educational technique in the study. The sample of the study consisted of <i>n</i> = 24 nursing students. Personal information form and Health Workers' Attitudes Toward Immigrants Scale were used as data-collection tools. Wilcoxon Signed Ranks Test was used for statistical analysis.</p><p><strong>Results: </strong>The findings of the study show that the forum theater practice significantly changed nursing students' attitudes toward racism and discrimination. As a result of the study, nursing students' positive attitudes increased and negative attitudes decreased (<i>p</i> < .05).</p><p><strong>Discussion: </strong>Forum theater may be an effective educational tool for nursing students to decrease negative attitudes and increase positive attitudes toward racism and discrimination.</p>","PeriodicalId":49969,"journal":{"name":"Journal of Transcultural Nursing","volume":" ","pages":"10436596251372840"},"PeriodicalIF":1.4,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193692","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":"The Mediating Role of Religious Health Fatalism and Modesty on the Association Between Religiosity and Mammography Screening Behavior Among Saudi Women.","authors":"Reem Alahmari","doi":"10.1177/10436596251370374","DOIUrl":"https://doi.org/10.1177/10436596251370374","url":null,"abstract":"<p><strong>Introduction: </strong>Breast cancer is the most prevalent malignancy among Saudi women, yet mammography screening rates remain low despite government-funded initiatives. Socioreligious factors may influence mammography screening behaviors, but their roles remain underexplored. This study examines the direct effect of religiosity on mammography screening and the mediating roles of religious health fatalism (RHF) and modesty.</p><p><strong>Method: </strong>A cross-sectional study was conducted among 86 Saudi women. Data were collected through self-administered questionnaires measuring religiosity, RHF, modesty, and mammography screening behavior. Hierarchical logistic regression and mediation analyses were performed using SPSS and Hayes's PROCESS macro.</p><p><strong>Results: </strong>Religiosity positively influenced screening behavior (<i>p</i> = .006). However, RHF (<i>p</i> = .015) and modesty (<i>p</i> = .027) mediated this relationship, reducing screening likelihood. Physician recommendations were the strongest predictor (<i>p</i> < .001).</p><p><strong>Discussion: </strong>While religiosity may encourage screening, RHF and modesty create barriers. Culturally sensitive interventions and physician engagement are crucial to improving screening uptake.</p>","PeriodicalId":49969,"journal":{"name":"Journal of Transcultural Nursing","volume":" ","pages":"10436596251370374"},"PeriodicalIF":1.4,"publicationDate":"2025-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145187414","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":"Influencing Factors and Consequences of Maternal-Fetal Attachment among Pregnant Women in East Asia: A Scoping Review.","authors":"Eungil Ko, Yaelim Lee","doi":"10.1177/10436596251368727","DOIUrl":"https://doi.org/10.1177/10436596251368727","url":null,"abstract":"<p><strong>Introduction: </strong>Exploring the variables and outcomes of maternal-fetal attachment based on an understanding of cultural background is critical for providing a foundation for developing effective interventions. This scoping review aimed to identify the predictors and consequences of maternal-fetal attachment among pregnant women in East Asia.</p><p><strong>Methods: </strong>The review was conducted in accordance with the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) and the framework proposed by Arksey and O'Malley. A comprehensive literature search was performed across PubMed, Scopus, Web of Science, and PsycINFO, covering studies published between March 2005 and March 2025.</p><p><strong>Results: </strong>The scoping review found that the factors that influenced maternal-fetal attachment were divided into five levels based on ecological systems theory. Maternal-fetal attachment was found to have positive outcomes for both mothers and children.</p><p><strong>Discussion: </strong>Nursing professionals should offer culturally and systemically informed support to promote maternal-fetal attachment, including tailored care for high-risk group, education program, and health services.</p>","PeriodicalId":49969,"journal":{"name":"Journal of Transcultural Nursing","volume":" ","pages":"10436596251368727"},"PeriodicalIF":1.4,"publicationDate":"2025-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145187342","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":"Impacts of North Korean Defectors' Cultural Orientation, PTSD, and Resilience on Their Social Adaptation in South Korea.","authors":"So Hyeon Bang, Alexandra A García, Kon Hee Kim","doi":"10.1177/10436596251371528","DOIUrl":"https://doi.org/10.1177/10436596251371528","url":null,"abstract":"<p><strong>Introduction: </strong>Over 30,000 North Koreans have fled to South Korea, facing challenges in adapting to a new society. This study aimed to examine how cultural orientation, PTSD, and resilience influence their social adaptation.</p><p><strong>Methods: </strong>A cross-sectional survey was conducted with 171 North Korean defectors using validated tools to assess cultural orientation, PTSD symptoms, resilience, and social adaptation.</p><p><strong>Results: </strong>PTSD was prevalent in 24% of participants and strongly negatively correlated with social adaptation (<i>r</i> = -.61, <i>p</i> < .001). Resilience showed a positive association with adaptation (<i>r</i> = .46, <i>p</i> < .001) and served as a protective factor against PTSD. Horizontal cultural orientation correlated with adaptation but was not a significant predictor. PTSD severity was the strongest predictor of poor adaptation.</p><p><strong>Discussion: </strong>These findings underscore the need for long-term, culturally appropriate mental health interventions and resilience-building programs to enhance the social integration of North Korean defectors and inform refugee support policy.</p>","PeriodicalId":49969,"journal":{"name":"Journal of Transcultural Nursing","volume":" ","pages":"10436596251371528"},"PeriodicalIF":1.4,"publicationDate":"2025-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145187383","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":"Essentials for Integrity and High-Quality Peer Review in the Era of Generative Artificial Intelligence.","authors":"Mei Rosemary Fu, Melissa Joy Roberts","doi":"10.1177/10436596251382994","DOIUrl":"https://doi.org/10.1177/10436596251382994","url":null,"abstract":"","PeriodicalId":49969,"journal":{"name":"Journal of Transcultural Nursing","volume":" ","pages":"10436596251382994"},"PeriodicalIF":1.4,"publicationDate":"2025-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145180269","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}
Larizza A Limjuco Woodruff, Joane T Moceri, Dieu-My T Tran
{"title":"Adapting Leininger's Sunrise Model to Understand the Culture of Clinical Teaching.","authors":"Larizza A Limjuco Woodruff, Joane T Moceri, Dieu-My T Tran","doi":"10.1177/10436596251371692","DOIUrl":"https://doi.org/10.1177/10436596251371692","url":null,"abstract":"<p><strong>Introduction: </strong>This article describes how a focused ethnography adapted Leininger's Sunrise Model (LSM) as a research enabler. The study sought to understand nursing's culture and its dynamics with nursing students.</p><p><strong>Methods: </strong>LSM is a framework for conducting research with a cultural group to understand nursing's roles in providing them care. Similarly, this focused ethnography sought to identify nursing's culture and gain understanding of its role in providing clinical education.</p><p><strong>Results: </strong>The adapted LSM was useful to explore the culture of the environment where nursing students' formation takes place, the nurses' perceptions of enculturation of nursing students, and that perception's effects on clinical teaching.</p><p><strong>Discussion: </strong>The adapted LSM guided discovery and assessment of cultural data among staff nurses to gain understanding of their influences on nursing students' formation. Research results will inform academic and clinical partners about staff nurses' perceptions of enculturation and formation in preparing nursing students for practice.</p>","PeriodicalId":49969,"journal":{"name":"Journal of Transcultural Nursing","volume":" ","pages":"10436596251371692"},"PeriodicalIF":1.4,"publicationDate":"2025-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145180182","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}