AsianPacific Island Nursing Journal最新文献

{"title":"Cultural Narratives of Micronesian Islander Parent Leaders: Maternal and Children’s Health, the School System, and the Role of Culture","authors":"C. Nguyen-Truong, Jacqueline Leung, Kapiolani Micky","doi":"10.31372//20190404.1078","DOIUrl":"https://doi.org/10.31372//20190404.1078","url":null,"abstract":"Abstract Background: In Oregon in the United States’ Pacific Northwest, Native Hawaiians/Pacific Islanders including Micronesian Islanders (MI) substantially grew by 68%; however, research is sparse. This is often due to data aggregation as Asian and Pacific Islanders and community members’ reluctance and wariness to participate in research due to a history of unethical research in the Pacific. The MI community experienced miscarriages, stillbirths, and intellectual and developmental disabilities. Organizational MI community leaders expressed a need to explore the voices of MI parent leaders (MIPLs). The purpose of the community-based participatory qualitative descriptive pilot study was to explore the perceptions and experiences of MIPLs with maternal and children’s health, the school system, and the influence of culture. Methods: A trained MI community health worker recruited eight MIPLs from an urban area of the Pacific northwest in the United States. A group level assessment included illustrative storytelling and is a participant-driven qualitative method that guided data collection and analysis with real-time involvement with MIPL. The discussions lasted for 90 minutes. MIPL shared stories by writing and drawing pictures onto the flip chart papers, transcribed main points, and analyzed the data with researchers. Researchers recorded field notes of the interactions. Researchers debriefed with MIPL to assure trustworthiness and credibility of the findings. Findings: MIPL are Compact of Free Association citizens. Their age ranged from 26 to 42 years, have lived in the United States an average of 12.63 years, and most reported having less than $15,000 total household income before taxes. Four main themes were identified: MI cultural identity, English language and MI culture disharmony, zero or delayed prenatal care, and uncertainty for the future of MI children who have disabilities or developmentally delayed as they progress through the school system. Conclusion: Health care providers including nurses and school officials need to have a culturally specific understanding of the MI community and must consider their needs, culture, and language barriers.","PeriodicalId":55723,"journal":{"name":"AsianPacific Island Nursing Journal","volume":"4 1","pages":"173 - 182"},"PeriodicalIF":0.0,"publicationDate":"2020-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43220424","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Characteristics of Hardcore Male Smokers in Taiwan: A Qualitative Study.","authors":"Hui-Wen Huang,&nbsp;Kuang-Chieh Hsueh,&nbsp;Wen-Wen Li,&nbsp;Chih-Ling Huang","doi":"10.31372/20200502.1085","DOIUrl":"https://doi.org/10.31372/20200502.1085","url":null,"abstract":"<p><p><i>Objectives:</i> The purpose of this study was to explore the characteristics of hardcore smokers who were previously hospitalized. <i>Study design:</i> A descriptive qualitative design was used to investigate a sample of 29 male Taiwanese smokers. <i>Methods:</i> Male hardcore smokers were recruited at a hospital in southern Taiwan and their smoking behaviors and attitudes were explored in semistructured interviews. Inclusion criteria were: (1) smoking at least weekly or daily during the past year, (2) 100 cigarettes during the lifetime, (3) persistent smoking, or (4) at least one hospitalization. Audio-recorded interview data were analyzed using content categorization of the responses. <i>Results:</i> Four main themes emerged to describe characteristics of Taiwanese hardcore smokers: (1) physiological and psychological dependence, (2) no motivation to quit despite knowledge of negative health consequences, (3) social interaction and cultural norms, and (4) negative attitudes toward, but compliance with, smoking-free policies. <i>Conclusions:</i> The results can inform public health nurses of characteristics of Taiwanese hardcore smokers, which in turn may develop effective smoking cessation program to increase smoking cessation rate among Taiwanese hardcore smokers.</p>","PeriodicalId":55723,"journal":{"name":"AsianPacific Island Nursing Journal","volume":"5 2","pages":"55-62"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7544014/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38480185","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How Do Acculturation, Maternal Connectedness, and Mother-Daughter Sexual Communication Affect Asian American Daughters' Sexual Initiation?","authors":"BoRam Kim,&nbsp;Yurun Cai,&nbsp;Teri Aronowitz","doi":"10.31372/20200501.1080","DOIUrl":"https://doi.org/10.31372/20200501.1080","url":null,"abstract":"<p><p><i>Purpose:</i> There was a growth of approximately ten million Asian American individuals in the United States between 2000 and 2015. Asian Americans have conservative values surrounding sexual health and sexual communication is a cultural taboo. Researchers have shown discrepancies on whether the level of acculturation influences Asian mother-daughter sexual communication. In other minority populations there is evidence that a connected mother-daughter relationship increases sexual communication and delays sexual initiation. The purpose of this study was to examine whether mother-daughter connectedness and level of acculturation predict sexual communication in turn affecting the age of female Asian emerging adult's sexual initiation. <i>Methods:</i> This was a longitudinal, secondary analysis of AddHealth examining whether mother-daughter connectedness and level of acculturation predict sexual communication. There were 243 Asian American mother-daughter dyads in Wave I with linked data in Wave III who were included in the study. Acculturation, connectedness, and sexual communication were all measured using interval level data. <i>Results:</i> Connectedness did not significantly contribute to the relationship between any of the concepts. Although it was predicted that sexual communication would delay initiation, the opposite was found. Also, communication mediated the relationship between acculturation and initiation. <i>Conclusions:</i> Further studies are needed to explore how connectedness is defined by Asian American mother-daughter dyads. In addition, more detailed operational definitions of acculturation and communication are needed, specifically the timing of sexual communication.</p>","PeriodicalId":55723,"journal":{"name":"AsianPacific Island Nursing Journal","volume":"5 1","pages":"12-20"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7373255/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38185276","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors Associated with Hypertension Among Men in Darkhan-Uul Province, Mongolia: A Cross-Sectional Study.","authors":"Naoko Hikita,&nbsp;Megumi Haruna,&nbsp;Masayo Matsuzaki,&nbsp;Emi Sasagawa,&nbsp;Minoru Murata,&nbsp;Ariunaa Yura,&nbsp;Otgontogoo Oidovsuren","doi":"10.31372/20190404.1067","DOIUrl":"https://doi.org/10.31372/20190404.1067","url":null,"abstract":"<p><p>In Mongolia, cardiovascular disease is the leading cause of death, and prevalence of hypertension is very high. The aim of this study was to investigate the association between hypertension and sociodemographic factors and health-related behaviors among men in Darkhan-Uul Province, Mongolia. This cross-sectional study was conducted between November 2015 and January 2016. Men whose wives were pregnant with ≤ 20 weeks gestation and had attended antenatal health checkups at public health facilities were recruited in this study. The data were collected as part of a survey of pregnant women and their partners. Data were collected using self-administered questionnaires, anthropometry, and spot urine samples. A total of 224 men participated in the survey, and data from 209 participants were included in the analysis. Multiple logistic regression analysis showed that men with higher BMI had higher odds of hypertension than those with lower BMI (adjusted odds ratio [AOR]: 1.14, 95% CI: 1.03-1.26). Those with urinary cotinine > 100 ng/ml (smokers) had a lower risk of hypertension (AOR: 0.24, 95% CI: 0.09-0.67) compared to participants with urinary cotinine/ml (nonsmokers). This is the first study to investigate the association between hypertension and sociodemographic factors and health-related behaviors among men in Mongolia. Based on the findings of this study, clinicians responsible for public health in Mongolia should provide health education regarding the importance of weight control in preventing hypertension.</p>","PeriodicalId":55723,"journal":{"name":"AsianPacific Island Nursing Journal","volume":"4 4","pages":"151-158"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7014380/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37640753","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Building Safe Didactic Dialogues for Action Model: Mobilizing Community with Micronesian Islanders.","authors":"Connie K Y Nguyen-Truong, Jacqueline Leung, Kapiolani Micky, Jennifer I Nevers","doi":"10.31372/20200501.1066","DOIUrl":"10.31372/20200501.1066","url":null,"abstract":"<p><p><i>Background:</i> Despite mandates by the United States (U.S.) government to ensure the inclusion of women and minorities in federally funded research, communities of color continue to participate less frequently than non-Latinx Whites. There is limited research that examines maternal health outcomes and early childhood resources. Pacific Islanders (PI) have grown substantially in a county in the Pacific Northwest region of the U.S. (from 4,419 to 9,248, of which 52% are female). About 62.7% of PI women are not accessing prenatal care in the first trimester, and this is substantially higher than the national target of 22.1%. Researchers found that PI children are leaving school to take care of family obligations. The purpose of the educational innovative project, <i>Building Safe Didactic Dialogues for Action</i> model, was to respond to Micronesian Islanders (MI) parent leaders' need to feel safe and to build a close kinship to encourage dialogue about difficult topics regarding access and utilization of early education systems and prenatal/perinatal health for community-driven model for action planning and solutions. <i>Approach:</i> Popular education tenets were used in the project to be culturally sensitive to the human experience. The MI community health worker outreached to MI parent leaders in an urban area in the Pacific Northwest region of the U.S. Eight partners participated in this project: parent leaders from the MI community-at-large, community partners from the MI Community organization, and academic nurse researchers. Didactic dialogues lasted two hours per session for four. Topics included: collaborative agreements, MI parent leaders' identified needs and existing resources regarding preschool and immunization, parent-child relationship (stress and trauma, adverse childhood experiences), and MI experience regarding prenatal care access and postpartum depression. Group discussion on reflection was used to evaluate utility. <i>Outcomes:</i> <i>Building Safe Didactic Dialogues for Action</i> model was foundational via mobilizing community with MI, trust and rapport building, and engaging in a safe and courageous space for dialogues for action planning and solutions as community and academic partners as stakeholders. <i>Conclusion:</i> Many previously unspoken issues such as abuse, language, and cultural beliefs including barriers were openly shared among all partners. Dynamic thoughts towards identifying needs for change and then planning steps toward creating positive change created an atmosphere of empowerment for change.</p>","PeriodicalId":55723,"journal":{"name":"AsianPacific Island Nursing Journal","volume":"5 1","pages":"1-11"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7373254/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38185274","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Gaining Entrée into a Micronesian Islander-Based Community Organization Through Culturally Responsive Team Building and Reflection.","authors":"S Robert Spence,&nbsp;Jacqueline Leung,&nbsp;Shelley Geil,&nbsp;Connie K Y Nguyen-Truong","doi":"10.31372/20200503.1099","DOIUrl":"https://doi.org/10.31372/20200503.1099","url":null,"abstract":"Building trust and rapport is crucial in developing sustainable relationships with communities of color who have suffered historical trauma (Nguyen-Truong, Closner, & Fritz, 2019; 1Nguyen-Truong, 1Leung, & Micky, 2020a). A history of nuclear weapons testing by the United States in Micronesia, and subsequent ill-prepared cleanup efforts, has created a historical trauma for the Micronesian Islander community (Letman, 2013). The purpose of this brief article is to describe a critical foundational engagement project approach when gaining entrée into a Micronesian Islander community-based organization to co-develop the culturally relevant main project to improve rates of Micronesian Islander enrollment in early childhood learning (ECL) programs. Building a sustainable community-academic partnership through culturally responsive team (CRT) building and leveraging the collective strengths, to address a community need, took half a year for relationship building, and shared decision-making.","PeriodicalId":55723,"journal":{"name":"AsianPacific Island Nursing Journal","volume":"5 3","pages":"177-180"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7733629/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38714536","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Community Engagement Leads to Professional Identity Formation of Nursing Students.","authors":"Edna R Magpantay-Monroe,&nbsp;Ofa-Helotu Koka,&nbsp;Kamaile Aipa","doi":"10.31372/20200503.1105","DOIUrl":"https://doi.org/10.31372/20200503.1105","url":null,"abstract":"Professional identity formation is essential to nursing education. Knowledge, skills, attitudes, and values help form nursing students’ identity. Professional identity is a process of becoming independent and having self-awareness of one’s educational journey (All Answers Ltd., 2018). Maranon and Pera (2015) described that the contrast between didactic and clinical learning may play a role in the ambiguity that initiates nursing students about professional identity. There is a gap in the current research literature and has been underexplored with no intentional plan to address new areas (Godfrey, 2020; Haghighat, Borhani, & Ranjbar, 2020). The goal of professional identity\u0000formation is to develop well-rounded students with moral competencies who will blossom into future nursing leaders (Haghighat et al., 2020). The benefit to the community of producing well-rounded nursing students is safety and quality in their actions. This descriptive paper will address examples of how professional identity may be achieved by nursing students’ participation in community engagement such as attendance to professional conferences and intentional mentoring.","PeriodicalId":55723,"journal":{"name":"AsianPacific Island Nursing Journal","volume":"5 3","pages":"181-184"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7733628/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38714537","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reviewers Acknowledgment","authors":"J. Inouye","doi":"10.31372//20200501.1094","DOIUrl":"https://doi.org/10.31372//20200501.1094","url":null,"abstract":"","PeriodicalId":55723,"journal":{"name":"AsianPacific Island Nursing Journal","volume":"3 3 1","pages":"1 - 11"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82736000","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development of a Culturally Specific Leadership Curriculum through Community-Based Participatory Research and Popular Education.","authors":"Connie K Y Nguyen-Truong,&nbsp;Jacqueline Leung,&nbsp;Kapiolani Micky","doi":"10.31372/20200502.1086","DOIUrl":"https://doi.org/10.31372/20200502.1086","url":null,"abstract":"<p><p><b>Background:</b> The purpose of this innovative capacity building pilot project was to develop, implement, and evaluate a nine-workshop curriculum, <i>Rekki Lemnak [Thinking of] Parent Leadership</i>, to prepare community and academic partners for community organizing within the Micronesian Islander community. The purpose of the partnership was to build team leadership and research capacity to lay a foundation for implementing a change in healthcare and school systems. Working collaboratively helped ensure access to shared leadership through the learning by doing approach, enabling a culturally responsive method to build a sustainable partnership. <b>Approach:</b> Community-based participatory research and Popular Education tenets and reflection were used as a guide in the development of the <i>Rekki Lemnak [Thinking of] Parent Leadership</i> curriculum. Nine workshops (two hours for eight workshops and three hours for one workshop) were held over a period of a year. Community and academic partners developed the learning objectives, capacity building topics, experiential activities, and an evaluation on the strengths and areas for improvement. The partnership consisted of seven Micronesian Islander parent leaders who are residents from the community at large, the Micronesian Islander Community organization including the Executive Director who is a community primary researcher and certified community health worker, and a Micronesian Islander-certified community health worker staff member, and the academic primary nurse researcher and another academic nurse researcher from Washington State University. A range from five to 10 partners with an average of eight attended the workshops, of which an average of five Micronesian Islander parent leaders attended the workshops. Community partners from the Micronesian Islander Community organization and the academic primary nurse researcher co-led four workshops. Community partners from the Micronesian Islander Community organization and MI parent leaders led two workshops respectively; academic nurse researcher partners led one workshop. <b>Outcomes:</b> We identified three main themes: initially shy and humble MI parent leaders who through their participation transformed to empowered voices, togetherness-coming from different Islands and academia, and the need for more outreach to Micronesian Islanders. <b>Conclusions:</b> Key elements of the <i>Rekki Lemnak [Thinking of] Parent Leadership</i> curriculum may be translatable to other community and academic partnerships. Culturally responsive research is more than a process in conducting a study. This requires an ongoing investment to establish and sustain authentic partnerships to conduct research with MI communities.</p>","PeriodicalId":55723,"journal":{"name":"AsianPacific Island Nursing Journal","volume":"5 2","pages":"73-88"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7544012/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38477678","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Essential Engagement as the First Step in Gaining Entrée into the Laotian American Community on Cervical Cancer Screening.","authors":"Catherine Pravisay-Malmstadt,&nbsp;Connie K Y Nguyen-Truong","doi":"10.31372/20200503.1095","DOIUrl":"https://doi.org/10.31372/20200503.1095","url":null,"abstract":"Asian American women, including Laotian American women (LAW), have the lowest rate of being up to date with cervical cancer (CC) screenings at 75% compared to other ethnic groups (85% White, 86% Black, 79% Hispanic, 79% American Indian/Alaska\u0000Native; American Cancer Society, 2019; Nghiem, Davies, Chan, Mulla, & Cantor, 2016). This rate is substantially lower than the national objective of 93% (Healthy People.gov, 2020). CC is highly treatable if caught early in the localized stage with a 91.8% 5-year\u0000survival rate (National Cancer Institute, n.d.). There is scant research on the incidence and factors surrounding CC screening in Laotian Americans and has primarily\u0000been representative of California. The Portland metropolitan area in the United States’ (U.S.) Pacific Northwest has one of the top ten highest Laotian American populations (Greblo, 2011). The Laotian American cultural community leaders (CCLs) in the\u0000Pacific Northwest expressed to our academic project team at Washington State University Elson S. Floyd College of Medicine and the College of Nursing that the\u0000Laotian American community is a private ethnic group wary of those from the outside and particularly researchers.","PeriodicalId":55723,"journal":{"name":"AsianPacific Island Nursing Journal","volume":"5 3","pages":"173-176"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7733633/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38714535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}