Rick Zoucha

The Experiences of Mexican Americans Receiving Professional Nursing Care: An Ethnonursing Study

The focus of this study was to discover the experiences of Mexican Americans receiving professional nursing care. The purpose of this study was to explore the care experiences, views, patterns, and meanings of Mexican Americans who have received professional nursing care. The need for this study arises from nursings lack of knowledge regarding the experiences and cultural values of Mexican Americans receiving professional nursing care and how these values influence the health and/or well being of Mexican Americans.

The ethical dimensions of delivering culturally congruent nursing and health care.

This article discusses the ethical parameters of giving culturally congruent care to individual patients by health care professionals. Leininger?s Cultural Care Diversity and Universality theory (Leininger, 1995) is used to demonstrate the importance of culture in a person?s life and Husted?s and Husted?s (1995) bioethical theory is used to create a mind-set of ethical interaction and to direct the analysis of a bioethical dilemma involving cultural differences between persons of the same culture, a depressed Mexican-American woman and her husband. The differences between transculturalism and multiculturalism are explored. We defend the position that a patient?s culture is only a useful tool in caring for a patient if the individual person is made the primary focus of care.

Chapter 3: Theoretical Basis for Transcultural Care

Margaret Andrews, PhD, RN, CTN, FAAN1 Jeffrey R. Backstrand, PhD2 Joyceen S. Boyle, PhD, RN, CTN, FAAN3 Josepha Campinha-Bacote, PhD, MAR, PMHCNS-BC, CTN-A, FAAN4 Ruth E. Davidhizar, DNSc, RN, APRN, BC, FAAN (deceased)5 Dawn Doutrich, PhD, RN, CNS6 Mercedes Echevarria, DNP, APN7 Joyce Newman Giger, EdD, APRN, BC, FAAN8 Jody Glittenberg, PhD, RN, FAAN, TNS9 Carol Holtz, PhD, RN10 Marianne R. Jeffreys, EdD, RN11 Janet R. Katz, PhD, RN12 Marilyn R. McFarland, PhD, RN, FNP-BC, CTN-A13 Gloria J. McNeal, PhD, MSN, ACNS-BC, FAAN14 Dula F. Pacquiao, EdD, RN, CTN15 Irena Papadopoulos, PhD, MA, RN, RM, FHEA16 Larry Purnell, PhD, RN, FAAN17 Marilyn A. Ray, PhD, MA, RN, CTN-A18 Mary C. Sobralske, PhD, RN, CTN19 Rachel Spector, PhD, RN, CTN-A, FAAN20 Marian K. Yoder, EdD, RN21 Rick Zoucha, PhD, PMHCNS-BC, CTN22

Cultural Competence in Nursing Faculty: A Journey, Not a Destination

Nurse educators work with the intention of empowering students to provide holistic and comprehensive care. One concept that is essential in the delivery of patient-centered comprehensive care is cultural competence. The process of cultural competence is an imperative for nurses, faculty, and students. Little research exists to substantiate cultural desire in nursing faculty. Subsequently, questions arise about the facultys desire to teach and promote nursing care that is culturally competent. Therefore, are nursing faculty committed to the process of culturally competence for themselves, students, and the profession? This article reviews the literature on cultural competency as it applies to nursing faculty. Campinha-Bacotes model of cultural competence provides the theoretical underpinning for the discussion and implications of enhancing cultural competence for nursing faculty. Cultural competency among nursing faculty could yield a significant impact by facilitating achievement and provision of culturally competent care for nurses at the local, national, and global level.

Identification of Suicide Risk Among Rural Youth: Implications for the Use of HEADSS

INTRODUCTION Nurse practitioners have the power to assess psychosocial risk and detect and prevent suicide, a problem plaguing rural areas of the United States. Suicide risk assessment can be completed using the Home, Education, Activities, Drug use and abuse, Sexual behavior, and Suicidality and depression (HEADSS) interview instrument. The purpose of this study was to determine if HEADSS is appropriate for guiding suicide risk assessment of rural adolescents. METHOD High school students in Southwestern Pennsylvania completed qualitative questions from the Child Behavior Checklist and Coping Response Inventory as part of the Intervention to Promote Mental Health in Rural Youth. Qualitative content analysis was performed. RESULTS Prominent themes identified by participants included academic performance, relationships, dislikes about school, friends, death, mental health, and the future. Several minor themes concerned safety. Most known risk factors for suicide were concerns of participants. DISCUSSION The expansion of HEADSS to include death and safety should be considered. The modified version-HEADDSSS-can be used to guide suicide risk assessment of youth in rural Pennsylvania, ensuring both thoroughness of assessment and safety.

The Significance of Culture in Caring for Mexican Americans in a Home Health Setting

The patients of nurses and other clinicians represent a variety of distinct cultural backgrounds. Demographic data suggest that the number of Mexican Americans will continue to increase in the United States. Therefore, it will become increasingly important for all health care professionals to learn about the cultural values affecting the health and well-being of these people. Understanding the significance of culture in the treatment of Mexican Americans will enhance the effectiveness of care and improve treatment outcomes. This article describes the significance of culture as an essential concept of nursing and home health care practice.

Strengthening the science of forensic nursing through education and research.

1Director, Forensic Graduate Programs, School of Nursing, Duquesne University, Pittsburgh, PA 2 Robert Wood Johnson Faculty Scholar, Assistant Professor, School of Nursing, Duquesne University, 600 Forbes Avenue, Pittsburgh, PA 3 526 Fisher Hall, School of Nursing, Duquesne University, Pittsburgh, PA 4Associate Professor, Robert Wood Johnson Nurse Faculty Scholar, Director, Advanced Practice Forensic Nursing Program, William F. Connell School of Nursing, Boston College,140 Commonwealth Avenue, Chestnut Hill, MA 5 Safe Place, Child Advocacy Center, 24 N Walnut Street Ste 200, Hagerstown, MD

Understanding the Cultural Self in Promoting Culturally Competent Care in the Community

The purpose of this article is to assist nurses and other health care professionals in understanding their own culture and their perceptions of racism and prejudice as the beginning step in delivering and promoting culturally congruent nursing care. Through the process of understanding the cultural self, nurses and other health care professionals can begin to understand the cultural other. Through this process, nurses and other health care professionals can promote the cultural health and well-being of those they serve through health care.

Case Study: Communication, Language, and Care with a Person of Mexican Heritage with Type 2 Diabetes

Mr. Jose Garcia is a 57-year-old man who identifies culturally as Mexican American or a person of Mexican heritage. He recently presented at the behest of his wife to his primary care physician (PCP) with symptoms of type 2 diabetes such as frequent urination, increased thirst, blurry vision, and tingling in his hands (American Diabetes Association 2017). His blood glucose was 210 and his A1C was 9.5. Mr. Garcia was diagnosed with type 2 diabetes and was provided with educational information in English and a prescription for metformin 500 mg two times per day. Mr. Garcia went to his PCP appointment alone since his wife was not able to get off work. After leaving the office, Mr. Garcia felt confused and not sure how to proceed with his prescription and suggestions for managing his new diagnosis of type 2 diabetes. He did not understand much of the discussion and instructions with the nurse and physician regarding his diagnosis. The interactions were in English, and Mr. Garcia did not feel confident in both comprehension and speaking English. Mr. Garcia has certain beliefs about diabetes and was not sure if those beliefs were consistent with what he heard and understood during his visit with the nurse and physician.

Understanding Jordanian Women’s Values and Beliefs Related to Breast Cancer: A Focused Ethnography

Purpose: To understand Jordanian women’s beliefs and values related to breast health and how these beliefs influence their decisions to receive breast cancer screening. Design: A focused ethnography method was used; 31 key informants were recruited from Ma’an city located in the southern part of Jordan. Data were collected using semistructured interviews. Data Analysis: Leininger’s four phases of qualitative data analysis. Findings: Three major themes were identified: (a) Feeling of embarrassment, fear, denial, and lack of knowledge are common experience among women regarding breast cancer screening; (b) Hesitancy on the part of health care professionals to offer education about breast health and screening; and (c) Willingness to learn about breast health and cancer screening. Conclusions: Based on the findings, it is recommended that nurses be trained about breast assessment and additional resources mobilized for mammography and health promotion programs targeting rural Jordan.