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Background and Purpose: Cultural competence is significant in addressing the health needs of vulnerable populations. This study conducted psychometric testing of a cultural competency instrument in the Philippines. Methods: Brislin's translation and a cross-sectional online design were used. Exploratory factor analysis (EFA) with varimax rotation examined construct validity of the 23-item scale among 157 adult LGBTQ+ residents. The scale revealed overall reliability (α =.85) including two subscales (α =.87, α =.81, and α =.61). The EFA yielded three theoretical factorial solutions. Conclusion: The Filipino version of the instrument demonstrated reliability and validity. Measuring clients' perceptions of provider and organizational cultural competency can improve the utilization of healthcare in Filipino LGBTQ+ communities. Future research will examine the dimensional structures of the instrument among expanded LGBTQ+ communities. [ABSTRACT FROM AUTHOR]

The purpose of this collective case study was to explore the experiences of three American Indian nurses of the Plateau Tribes in their nursing education. Specifically, the study sought to gain an understanding that could be used to evaluate and promote culturally congruent strategies for recruitment and retention. Findings indicated that influences for choosing nursing included family expectations to become educated; wanting to break a cycle that included early pregnancy, dropping out of high school and abuse of alcohol and drugs; and a desire to serve their communities. Nursing school was stressful due to leaving home, culture shock, and feeling a need to prove oneself. Returning to their communities as a nurse required integrating new learning with traditions and becoming a role model. Returning to school for advanced nursing education was deemed necessary in order to meet the challenges of their work. Nursing needs to support American Indian/Alaska Native students by providing pre-college preparation and guidance, by reducing college stress, and by providing appropriate career support and assistance for going to graduate school.

Introduction: This study developed and validated the Clients' Perceptions of Providers' Cultural Competency instrument. Method: A sequential exploratory mixed design identified three constructs derived from the studies of Leininger and others. Constructs were compared with publications on cultural competency. A panel of experts reviewed for content validity. Results: Three hundred and nine mostly Asians and Native Hawaiians completed the questionnaire. Twenty-two items with item-to-total correlation coefficients >.2 were retained. Overall instrument Cronbach's alpha was.89. Construct validity demonstrated the three constructs accounted for 49.6% of variance supported by distinct items with Cronbach's alphas of.82,.83, and.76, respectively. Preliminary criterion validity revealed no statistically significant differences in scores based on the location of services received or race/ethnicity. Discussion: The Clients' Perceptions of Providers' Cultural Competency instrument is congruent with nursing principles of equity and justice by measuring provider cultural competency from a client's perspective. Active client engagement in care contributes to transcultural nursing's goals to improve health equity. [ABSTRACT FROM AUTHOR]

Several available interventions have shown promise in identifying and treating patients with an inherited heart disorder called hypertrophic cardiomyopathy (HCM). Treatments include dual-chamber pacemakers, calcium or beta channel blocker medication, or surgical correction. It is often difficult to identify patients with HCM. However, research has shown echocardiography to be an accurate screening test among patients suspected of having HCM. Many patients with HCM die without any previous indications of disease.

Presents tips on providing effective patient teaching to promote understanding and self-care. Promotion of patient interest and attention; Quality teaching sessions; Utilization of every learning opportunity; Reinforcement of instructions; Evaluation of patient's understanding; Overcoming barriers to learning. INSET: Assessing readiness to learn..

Background: Innovations in technology offer potential solutions to address pain care inequities. To maximize impacts, greater understanding is needed regarding preferences and priorities of people experiencing or treating pain., Objectives: This study conducted focus groups to investigate the perspectives of people with pain and healthcare workers regarding online resources for pain management. Researchers asked about barriers to current pain management and what resources would be most desired in an online format to meet needs., Methods: Participants were a randomly selected sub-sample of adults from a northwestern region of the United States who participated in an online, survey-based study. Eligible participants identified as either a person who had received treatment for pain or a healthcare worker who cared for people with pain. Of the 199 survey respondents, 30 participated in one of three focus group sessions. Focus groups were conducted using videoconferencing technology, then recorded, transcribed, and analyzed using thematic analysis., Results: Focus group participants included 22 adults who identified as a person treated for pain of any type and 8 healthcare workers. Themes relating to eHealth use reflected desires for (1) freely accessible and vetted pain management information in one place, (2) reliable information tailored to need and pain type, and (3) easy-to-use resources. Findings revealed that some effective pain management resources do exist, yet obstacles including inflexible and inequitable healthcare practices and lack of knowledge about options may limit access to these resources., Conclusion: Including preferences of user groups can assist in creating resources that are likely to be useful for those with pain and their caregivers. Innovations are needed to address persisting gaps in care., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2024. Published by Elsevier Inc.)