Jana Lauderdale

Standards of Practice for Culturally Competent Nursing Care 2011 Update

University of California, San Francisco, San Francisco, CA, USA Pierce and Associates Nursing Consultants, Knoxville, TN, USA Georgia Health Sciences University, Augusta, GA, USA University of Medicine and Dentistry of New Jersey, Newark, NJ, USA Brigham Young University, Provo, UT, USA California State University, Northridge, CA, USA Vanderbilt University, Nashville, TN, USA University of Toledo, Toledo, OH, USA University of St. Francis, Joliet, IL, USA University of Delaware, Newark, DE, USA

Standards of Practice for Culturally Competent Nursing Care: A Request for Comments

Authors’ Note: This document was developed through collaboration of members of The american academy of Nursing expert Panel on global Nursing and Health and The Transcultural Nursing Society, with participation by members of The american academy of Nursing expert Panel on Cultural Competence. Sharon M. Weinstein, MS, CRNI, RN, FaaN, Larry Purnell, PhD, RN, FaaN, Cheryl Leuning, PhD, RN, and Ruth Davidhizar, DNS, RN, aRNP, BC, FaaN, also participated in the discussion and critique during the development of this document. Standards of Practice for Culturally Competent Nursing Care: A Request for Comments

Respecting tribal traditions in research and publications: voices of five Native American nurse scholars.

A dialogue with five Native American scholars provides insight into conducting research and publishing resulting manuscripts on Native American topics, specifically healing beliefs and practices. This information provides a means to develop sensitivity and create understanding about concerns held by Native Americans regarding sharing certain defined cultural information with those outside the culture. The article identifies salient tribal issues related to research, discusses perspectives important to tribal nations and Native individuals surrounding research, and supplies a base on which to formulate further discussions

A Guide to Field Notes for Qualitative Research: Context and Conversation:

Field notes are widely recommended in qualitative research as a means of documenting needed contextual information. With growing use of data sharing, secondary analysis, and metasynthesis, field notes ensure rich context persists beyond the original research team. However, while widely regarded as essential, there is not a guide to field note collection within the literature to guide researchers. Using the qualitative literature and previous research experience, we provide a concise guide to collection, incorporation, and dissemination of field notes. We provide a description of field note content for contextualization of an entire study as well as individual interviews and focus groups. In addition, we provide two “sketch note” guides, one for study context and one for individual interviews or focus groups for use in the field. Our guides are congruent with many qualitative and mixed methodologies and ensure contextual information is collected, stored, and disseminated as an essential component of ethical, rigorous qualitative research.

Use of the talking circle for Comanche women's breast health education.

Background: As breast cancer screening is critical to early detection and treatment, it is imperative to furnish health care providers with effective educational materials for the populations they serve. To do so for Comanche American Indian women requires understanding the cultural constructs that influence the use of screening and treatment recommendations. Purpose: The purpose of this article is to describe the health—illness beliefs and barriers to breast health for a group of Comanche women. Design: This was a descriptive, qualitative study guided by the principles of community-based participatory research. Seven community health representatives serving Comanche women participated in a “Talking Circle,” an indigenous method of making decisions and conducting group process among American Indian people. Findings: Themes were Barriers to Information, Barriers to Screening, Economic Barriers, Barriers to Follow-up, and Protecting Our Women. Discussion/Conclusion: This study provided insight into barriers to breast health for women in the Comanche Nation. These findings contribute to a foundation for enhancements needed to make breast health education and interventions culturally appropriate. These findings also add to the cultural knowledge of nurses for use in the practice area to improve understanding and communication with American Indian patients.

On the same page: a novel interprofessional model of patient-centered perinatal consultation visits

Objective:To plan and implement an interprofessional collaborative care clinic for women in midwifery care needing a consultation with a maternal–fetal medicine specialist.Study Design:A community-engaged design was used to develop a new model of collaborative perinatal consultation, which was tested with 50 women. Participant perinatal outcomes and semistructured interviews with 15 women (analyzed using qualitative descriptive analysis) and clinic providers were used to evaluate the model.Results:Participant perinatal outcomes following a simultaneous consultation visit involving a nurse-midwife and maternal–fetal medicine specialist were similar to practice and hospital averages. Women’s comments on their experience were positive and had the theme ‘on the same page’ with six subcategories: clarity, communication, collaboration, planning, validation and ‘above and beyond’. Providers also were pleased with the model.Conclusion:A simultaneous consultation involving the woman, a nurse-midwife and a maternal–fetal medicine specialist improved communication and satisfaction among women and providers.

Cultural Expressions of Intergenerational Trauma and Mental Health Nursing Implications for U.S. Health Care Delivery Following Refugee Resettlement: An Integrative Review of the Literature.

Purpose: The purpose of this integrative review of the literature is to examine cultural expressions of intergenerational trauma among refugees following resettlement, and to determine culturally sensitive mental health care practice implications for health care practitioners working in U.S. health care delivery. Methodology: Data were collected utilizing a comprehensive computer-assisted search in CINAHL and PsychARTICLES/ProQuest from 2003 to 2013 of full text, peer-reviewed, scholarly journal articles, published in English. Eight articles met selection criteria and were analyzed using Gadamer’s philosophical interpretation of play, symbolism, and festival in The Relevance of the Beautiful. Results: Six recurrent themes were identified important to refugee health care delivery: silence, communication, adaptation, relationship, remembering, and national redress. Implications for Practice: Practitioners need to consider cultural influences of intergenerational trauma in processing grief related to loss and how artistic modes of expression are experienced, both individually and communally, in refugee health care delivery.

Case Study: Caring for Urban, American Indian, Gay, or Lesbian Youth at Risk for Suicide

Larry, a newly graduated baccalaureate-prepared nurse, has just moved to the Midwest from the upper northern United States (US). Being part Lakota Indian, he is interested in working with tribes different from his own and knows Oklahoma has the largest American Indian (AI) population of any state in the United States. His career plan is to get as much experience as possible working for tribal clinics, learning about, and caring for AI suicide victims in urban settings. He is aware of several suicides on his reservation as he was growing up, but no one talked much about them, so neither did he. Larry then plans to go to graduate school to become a psych-mental health nurse practitioner (PMHNP) and return to the Dakotas to work with his people to help reduce psych-mental health disparities. For this reason, he has just accepted a new position with the Indian Health Service (IHS) at the Oklahoma City Tribal Clinic in Oklahoma City, Oklahoma. This will be a new experience for Larry, not living on a reservation and working in an urban setting.

President’s Message Taking the Lead to Inform and Transform

Your BOT is already deep into planning for the Charleston, SC, 2014 Conference. As part of this planning, I would like to remind our members that we agree, for the long-term stability of the Transcultural Nursing Society, it is critical to begin engaging nursing students from all levels, new graduates and nurses who believe—as we do—that working together to provide culturally congruent care, we benefit both our patients and our collective selves. The truth is, many students and nurses have never heard of our organization. They do remember learning about our founder and theorist, Madeline Leininger, but few remember discussing how transcultural nursing can transform and inform their practice. It is time we take the lead to inform and make the evidence available to ensure future generations of nurses will continue to expand and enhance the application of transcultural nursing as the profession of nursing continues to grow and change. Strategies to assist us in a robust, meaningful organizational growth include the following:

Developing cancer-related educational content and goals tailored to the Comanche Nation.

Cancer-related educational content and goals should be modified to the needs of Native Americans to ensure adherence to healthy lifestyles. The current article describes the development of cancer-related educational modules that include creating behavioral goals specific to the people of the Comanche Nation. A community-based participatory research approach was used to conduct focus groups in the Comanche Nation and obtain feedback related to cancer-related educational modules and behavioral goals. Content analysis, verbatim transcriptions, field notes, and observations were used to analyze data and create five major themes. Comanche people need cancer educational modules and goals tailored to their culture to become engaged and maintain interest, thereby improving the likelihood of increasing cancer-related knowledge. Oncology nurses should respect guidance provided by Comanche community members to adapt cancer-related education materials and processes, as well as goal development, to address cultural concepts. When Comanche community members become knowledgeable and work toward healthy behavioral change, cancer health disparities may decrease.