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Institutional racism and systemic bias must be addressed in health care education with embedded cultural sensitivity training. We report the results of remote training on culturally sensitive care to increase knowledge, self-efficacy, and empathy in undergraduate nursing students (n = 16). The training included four weekly remote sessions (~90 minutes). A pre-post survey indicated knowledge and self-efficacy increased (p < .01); empathy increased but not significantly, likely because of ceiling effects (p > .11). Compliance (94%) and satisfaction were excellent. This pilot study demonstrates a flexible, effective training model for nurse educators to implement within or alongside undergraduate nursing curricula. [ABSTRACT FROM AUTHOR]

Opportunities exist to promote inclusive cancer care and clinical research to reduce disparity and achieve health equity. Through raising awareness of the nuances of the clinical encounter to promote inclusivity as well as reducing barriers to access and enrollment in clinical trials, a more complete understanding regarding the spectrum of disease and opportunity for inclusive cancer care can be achieved. [ABSTRACT FROM AUTHOR]

Abstract Background Substantial mass migrations to the Scandinavian countries have made them heterogeneous and multicultural societies. Migration has also influenced the workforce, especially the healthcare system that has had to accommodate a culturally diverse population. This qualitative study aimed to explore nurses’ experiences in caring for patients with an ethnic minority background. Methods Focus group interviews with a total of 21 nurses were conducted. Thematic analysis was performed on the transcribed and translated interviews. Results The findings of this study revealed three major themes: various experiences concerning language barriers and the use of interpreters, the impact of religious and cultural values, and caring for patients with an ethnic minority background is professionally interesting but demanding. Conclusions Caring for culturally diverse patients offers both challenges and opportunities to enhance cultural competence and cultural sensitivity among nurses. Various culturally divergent needs of patients such as family visits, food preferences, expression of pain, and gender sensitivity are interlinked and depend on effective communication during encounters with nurses and the healthcare system at large.

Diabetes is a major cause of morbidity and premature mortality worldwide and now identified as a ‘public health emergency’ and a ‘modern and preventable pandemic’. Indigenous populations are disproportionately affected by type 2 diabetes mellitus (T2DM) and associated complications. Student run free clinics (SRFCs) may play an important role in the prevention and management of T2DM. The primary objective of this scoping review was to investigate the opportunity for curriculum enhancement through the role and effectiveness of SRFCs in managing T2DM. Electronic databases such as PubMed, CINAHL, Science Direct and Cochrane Library were searched from inception to October 2022. Identified records from database literature searches were imported into Covidence®. Two independent reviewers screened and extracted the data. The research team collectively created a data charting table/form to standardize data collection. A narrative synthesis was used to summarize the evidence. Six studies (total of 319 participants) that met our eligibility criteria were included in this scoping review. SRFCs can provide high-quality diabetic care, especially for uninsured and economically weaker population. Preliminary evidence further indicate that shared medical appointments and telehealth may facilitate diabetic care especially during times where access to care may be difficult (e.g., COVID lockdown). However, no study included in the review explored or discussed family centred/culturally sensitive interventions. Hence, such interventions should be made part of the curriculum in the future with students in SRFCs exposed to such an approach.

In the case of important theories that have been taught for decades, it is usually assumed that the foundation is correct, the research has been verified and therefore one does not have to scrutinize the theoretical basis. This is how I felt about John Bowlby's theory of attachment, until the primatologist and anthropologist Volker Sommer confronted me with the claim, that the biological foundation of attachment theory cannot be maintained. This paper discusses that criticism as well as others: the vague definition, the postulated universality of attachment theory and the occasionally problematic methodology for testing attachment qualities. The critique is supplemented by a modulating reflection of my own process in the context of dealing with the topic. [ABSTRACT FROM AUTHOR]

Objective Acculturation has been linked to health outcomes in Hispanics/Latinos (H/Ls). However, there is equivocal evidence of a relationship between acculturation and neuropsychological outcomes. Various factors limit the ability to subject the evidence to systematic/meta-analytic review. We sought to examine the current state of the literature in the context of H/Ls and neuropsychology and describe the various limitations of measuring acculturation across the lifespan. Method Applying a scoping review approach, we identified unique stand-alone (e.g. questionnaires) measures of acculturation. We focused on psychometric (e.g. internal consistency) and other characteristics (e.g. language, structure/format) and description of the validation samples (e.g. cultural background/country of origin). Results A total of 40 unique acculturation measures were identified. Measures spanned various domains (e.g. language proficiency, food preference, music choice), and relied heavily on linguistic behavioral characteristics. Internal consistency varied from unacceptable to clinically acceptable ranges. Variable approaches to development and validation were reported. Validation samples varied from 22 to 2,048 respondents (median = 380), most of which represented a general adult population. Only eight measures were validated for use in pediatric populations; none were developed specifically for use with older adults. Conclusions Published measures are outdated, evidence highly variable psychometric and methodological weaknesses, and lack a lifespan perspective. Several themes in the types of items considered elemental to the acculturative process are revealed and findings are summarized via an "ABC" framework, categorizing items as antecedents, behaviors, and consequent acculturative changes, that lends itself to clinical and research settings. [ABSTRACT FROM AUTHOR]

The increase in births to Southeast and East Asian (SEEA) immigrants in their adopted countries is of international importance. SEEA women experience the postpartum period differently than that of the general population. Despite the documented difference, there is limited representation of SEEA women in the literature. The purpose of this meta‐ethnography is to synthesise the qualitative findings from different research studies examining the experiences of SEEA immigrant women during the first 4–6 weeks of the postpartum period and has been written in adherence with enhancing transparency in reporting the synthesis of qualitative research (PRISMA). Noblit and Hare's meta‐ethnographic approach was used. Seven articles (four qualitative and three mixed‐methods studies) were reviewed, analysed and synthesised. Four themes emerged: two were facilitators of birth culture (availability and quality of social support and maternity care provider cultural knowledge and response) and two were barriers to birth culture (lack of structural and social support and cultural alienation after childbirth). Due to lack of structural and social support in SEEA immigrant women's adopted countries, they also experienced social and economic hardships after childbirth and made conscious decisions to modify their postpartum cultural practices out of convenience and practicality. SEEA immigrant women also experienced discrimination from maternity care providers, which prevented them from fully engaging in postpartum cultural practices. Maternity care providers can advocate and intervene for SEEA immigrant women by eliciting any postpartum cultural beliefs, assess their social and economic needs early on in prenatal care and make culturally congruent referrals based on those assessments. [ABSTRACT FROM AUTHOR]

Aims: To explore ethnic minorities' lived experiences of health‐seeking and healthcare utilization in Hong Kong, and to examine the impact of intersectionality of sociocultural identities on intercultural health communication. Design: Qualitative exploratory design. Methods: Data collection methods were semi‐structured interviews, unstructured observations, and unstructured informal group discussions. Twenty‐five informants, including eight Pakistanis, seven Nepalese, five Indians, four Bangladeshis and one Sri Lankan, were recruited using the snowball sampling method and individually interviewed between 25th June and 23rd September 2019. Results: Sixteen females and nine males, aged 21–76 years, were in the study. Two‐thirds could communicate in English, but eight required interpreters. Thematic analysis reveals four factors affecting intercultural health communication: healthcare professionals' cultural insensitivity, red‐tapism and ethnic minorities' language improficiency and/or deficiency in medical knowledge. Health professionals' workplace stress and cultural insensitivity prompt ineffective intercultural communication, making ethnic minority patients feel disrespected despite having adopted the Hong Kong culture. The intersectionality of sociocultural identities plus health professionals' blocking behaviours results in health inequalities. Conclusion: The unequal power relationship between health professionals and ethnic minority patients may lead to dehumanizing and depersonalized experiences for patients, as humanity is the heart and soul of medicine. Therefore, the government should raise healthcare providers' cultural sensitivity and diversity awareness, and offer ethno‐specific care and more interpretation services. Impact The study addresses health inequalities among Hong Kong ethnic minority patients with different sociocultural identities. About the impact of ineffective intercultural health communication on health inclusion and health outcomes, policies and practices should ameliorate health professionals' cultural sensitivity, awareness of the unequal power relationship and respect for diversity. Patient or Public Contribution: Referred by organizations serving ethnic minorities, the minority patients shared their lived experiences in health‐seeking. [ABSTRACT FROM AUTHOR]

Aims: This interview study focuses on the needs and wishes of Arabic‐speaking migrant women in the Netherlands to culturally adapt and optimize the digital support platform SAFE (safewomen.nl) for intimate partner violence and abuse (IPVA) for their use. Design: This is a qualitative interview‐based study. Methods: We conducted the study between March 2020 and 2021. The study entailed 16 semi‐structured interviews with Arabic‐speaking women in the Netherlands with a migration background. Results: Findings suggest that a cultural gap, a lack of knowledge of the Dutch law, and the prevalence of restrictive gender roles amongst the participants and their spouses affected their acknowledgement of the different forms of IPVA. Furthermore, mental health consequences of IPVA were also strongly stigmatized. Clear information in their native language, summarizing infographics and potential interactive features should be main components of any eHealth intervention for this target group. Conclusion: The participants in our study deemed e‐help a potentially valuable support option for women experiencing IPVA in their community. The impact of IPVA on mental health is currently overlooked within this target group and should be emphasized in future interventions. Impact Cultural sensitivity proved crucial in understanding the concepts of IPVA amongst women with migrant backgrounds. To ensure effective eHealth interventions for migrant women, they should be involved in the design and delivery of these interventions. [ABSTRACT FROM AUTHOR]

Aim: The aim of this study was to gain a deeper understanding of the experience of Norwegian bachelor nursing students during clinical placement in an African country, with a focus on communication, relationship building and nurse identity. Design: Explorative, qualitative methods were used. Methods: The data consisted of individual written reflection notes from 8 students' clinical placement in Africa, and transcripts from one semi‐structured focus group interview. The materials were analysed with systematic text condensation. Results: The students described their experience with the community of practice as challenging and enlightening. They found themselves in contexts where communication and language problems occurred. The students described how important relationships were for their practical training, and how this helped shape their nursing identity. [ABSTRACT FROM AUTHOR]

In this study, we aimed to examine the factors affecting the culturally responsive teaching competencies of academics and tested whether the personality traits and personal meaning profiles of the academics had significant effects on culturally responsive teaching self-efficacy. Data were obtained from 1,883 academics by using the Culturally Responsive Teaching Self-Efficacy Scale, Ten-Item Personality Inventory and Personal Meaning Profile Scale — Short Form. Correlation, regression and structural equation modelling analyses were run to analyse the data. We found that culturally responsive teaching self-efficacy is low. In terms of personal meaning profiles, ‘openness to experience’, ‘agreeableness’ personality traits and ‘self-transcendence’ and ‘fair treatment’ had a significant effect on culturally responsive teaching self-efficacy while ‘religion’ and ‘self-acceptance’ were found to have no effect. Based on the findings, we made various suggestions for academics to participate in training on culture-sensitive teaching pedagogy to be more sensitive to different cultures. [ABSTRACT FROM AUTHOR]

Nurses must possess the capacity for compassionate care and exhibit empathy to promote culturally competent care. This research investigated the mediating role of compassion in the relationship between ethnocultural empathy and intercultural sensitivity among nurses.The study was conducted at a hospital that provides health care services to refugees. In total, 125 nurses were recruited through the simple random sampling technique. Data were collected using a personal form and three scales. Statistical analysis was performed using SPSS23 and AMOS24.Nurses’ cultural sensitivity positively influenced their compassion competence and ethnocultural empathy. Compassion competence did not function as a full mediator in the relationship between intercultural sensitivity and ethnocultural empathy.This study revealed that exposure to different cultures contributed to compassion competence, ethnocultural empathy, and cultural sensitivity skills in nurses. Cultural competence is a critical component of nursing care; therefore, it should be developed through curriculum revisions and a sensitive and supportive discussion of experiences. [ABSTRACT FROM AUTHOR]

The following study proposes a new framework for mental health care in the Middle East that incorporates digital innovation along with culturally sensitive models to reduce stigma and improve access to mental health services. This framework will make use of technology and community-based strategies to overcome the region-specific problems in creating a more inclusive and effective mental health system. [ABSTRACT FROM AUTHOR]

Global nursing shortages and increasing cultural diversity in healthcare necessitate the development of culturally sensitive nurses. Intercultural learning and exchange programs have been shown to enhance nursing students' intercultural knowledge, cultural awareness, and sensitivity. However, non-technical skills such as communication, leadership, and teamwork are less emphasized in existing programs, despite their importance in facilitating adaptation to clinical contexts and ensuring patient safety across different ethnic groups. This study aims to evaluate the effectiveness of a Collaborative Learning in a Student-led Global Classroom (CLSGC) program that employs video-based learning and student-led debriefings to enhance non-technical skills, and to explore the experiences of undergraduate nursing student participants from three different regions. Seventy-eight nursing students from the Hong Kong Polytechnic University, Malmo University, and La Trobe University participated in the program. The program included three webinars on teamwork, communication skills, and leadership, facilitated through student-led discussions and video simulations. Data were collected using the Team Strategies and Tools to Enhance Performance and Patient Safety Teamwork Attitudes Questionnaire, and qualitative methods including focus groups and reflective journals. A paired t -test and manifest content analysis were used to analyze the quantitative and qualitative data, respectively. The quantitative results indicated significant improvements in the students' attitudes towards teamwork, communication, and leadership. The qualitative data shed light on the students' learning experiences, highlighting the value of cultural exchanges in exploring the importance of non-technical skills in practice, and the effectiveness of the program structure. The CLSGC program effectively improved nursing students' non-technical skills and enriched their clinical practice. Integrating simulation-based learning and student-led debriefing sessions to enhance nursing students' knowledge and attitudes towards teamwork, communication, and leadership is recommended in nursing education. Continuous exposure to simulation should be part of nursing education to reinforce the significance of non-technical skills in practice. • Non-technical skills such as leadership, teamwork, and communication are less emphasized in existing intercultural programs within nursing education. • Video-based learning and student-led debriefing are essential for integrating non-technical skills into a program. • Non-technical skills should be incorporated into nursing curricula at the early stages of a course. [ABSTRACT FROM AUTHOR]

Abstract Background The COVID-19 pandemic has severely impacted the learning experience of students by limiting their opportunities for face-to-face intercultural exchanges. Given the importance of cultural competence in medical education, there is a need to develop a programme that promotes cultural awareness, but that offers more flexibility in terms of outbound mobility. This study aims to evaluate the effectiveness of an internationalization at home programme and to explore the learning experiences of medical and nursing students from Hong Kong and Indonesia. Methods Students were recruited from two universities in Hong Kong and Indonesia. They attended an online internationalization at home programme designed by members of the research team from both countries. A mixed-methods study was conducted using a concurrent triangulation approach. A pre-test post-test design was used to evaluate the effects of the programme on cultural awareness, and four focus groups were conducted to explore the students’ experiences in the programme. Quantitative and qualitative data were analysed by T-test and reflexive thematic analysis, respectively. Data were integrated and triangulated using joint displays by comparing findings from both sources. Results One hundred and forty-eight students from Hong Kong and Indonesia participated in the study. After the programme, there was a significant improvement in cultural awareness. Three themes were identified: (1) learning process: enjoyable, but a desire remains for face-to-face cross-cultural communication; (2) learning outcomes: gained cultural awareness, developed cultural sensitivity, had an opportunity to practice language and learn about new learning styles; (3) factors influencing learning outcomes: facilitators (micro-movie and active communication) and barriers (language barrier, inappropriate time arrangement, insufficient prior briefing). Conclusion This programme achieved the learning outcomes by successfully enhancing the cultural awareness of students during a time of pandemic when outbound student exchanges were not possible. Further adaptations of the programme are required to enhance different learning outcomes.

Abstract Background Cultural competence is considered a core qualification for dealing with socio-cultural diversity and balancing disparities in health care. Objectives To explore features supporting and inhibiting cultural competence in the hospital at both organisational and staff levels. Design Cross-sectional online survey in the form of a full census from May to November 2018. Setting Two organisations that run a total of 22 hospitals in Germany. Participants Eight hundred nursing and medical professionals [nurses: n = 557; doctors: n = 243]. Methods Using the Short Form Cultural Intelligence SCALE (SFCQ), cultural competence was measured and its relation to potential influencing factors at staff level and organisational level examined, using bivariate (t-Test, one-way ANOVA, Pearson and Spearman correlations) and multivariate (multiple linear regression) approaches. Model 1 examined features at organisational level, Model 2 at individual level and Model 3 included organisational and individual features. Results The mean cultural competence measured was 3.49 [min.: 1.3; max.: 5.0]. In the bivariate and isolated multivariate models [Models 1 and 2], factors on both organisational and individual levels were significantly related to the hospital staff’s cultural competence. The multivariate overview [Model 3], however, revealed that individual features at staff level were the statistically relevant predictors. Positive influencing features included staff’s assessment of the importance of cultural competence in their professional context [B: 0.368, 95% confidence interval 0.307; 0.429], participation in competence training [B: 0.193; 95% confidence interval 0.112; 0.276] and having a migration background [B: 0.175; 95% confidence interval 0.074; 0.278], while negative features included length of medical service [B: -0.004; 95% confidence interval -0.007; -0.001]. Conclusions The development and practice of cultural competence appear to be determined less by organisational features and more on the level of individual actors. In addition to staff development, adequate organisational structures and an economic incentive system are required to promote sociocultural diversity in hospitals.

Purpose: The tourism industry in India is rising and has excellent potential to create jobs and produce a large amount of foreign capital, thereby promoting the region’s overall economic and social growth. The inviting customs of tribal India, the diverse community and native culture are always drawing the attention of tourists. Sustainable tourism is an enterprise that aims to get a minimal effect on the atmosphere and native customs while helping to generate revenue, employment, and conserve local environments. Tribal tourism will promote the development of locally generated goods, apart from direct and indirect jobs, and have essential multiplier effects as money is recycled into communities. Also, the sector offers substantial improvements in the tribal region development with provincial taxes and encourages local and national infrastructure growth for India. This paper describes tribal tourism, sustainable tribal tourism, and its significance in the Indian scenario. Methods: Responses of 213 tribes were analysed with multiple regression to build a model for sustainable tribal tourism’s success in Rajasthan. Results: Social, economic, environmental sustainability, facility and problems dimensions are found to have a positive impact on the sustainability in tribal tourism. Implications: This study has been conducted to acquaint the growth prospects in the form of social, economic, environmental and facility aspects and challenges of sustainable tribal tourism in India.

Abstract Background Autism spectrum disorder (ASD) is a neurodevelopmental disorder with increasing prevalence worldwide. Early identification of ASD through developmental screening is critical for early intervention and improved behavioural outcomes in children. However due to long wait times, delays in diagnosis continue to occur, particularly among minority populations who are faced with existing barriers in access to care. A novel Mobile Developmental Outreach Clinic (M-DOC) was implemented to deliver culturally sensitive screening and assessment practices to increase access to developmental health services, reduce wait times in diagnoses, and aid in equitable access to intervention programs among vulnerable populations in Ontario. Methods This study applied two evaluation frameworks (process and outcome evaluation) to determine whether the delivery model was implemented as intended, and if the program achieved its targeted goals. A mixed-methods design was undertaken to address the study objectives. Results Between September 2018–February 2020, M-DOC reached 227 families with developmental health concerns for their child, while successfully targeting the intended population and achieving its goals. The mean age of the child-in-need at intake was 31.6 months (SD 9.9), and 70% of the sample were male. The program’s success was attributed to the use of cultural liaisons to break cultural and linguistic barriers, the creation of multiple points of access into the diagnosis pathway, and delivery of educational workshops in local communities to raise awareness and knowledge of autism spectrum disorder. Conclusions The findings underscore the need for community-based intervention programs that focus on cultural barriers to accessing health services. The model of delivery of the M-DOC programs highlights the opportunity for other programs to adopt a similar mobile outreach clinic approach as a means to increase access to services, particularly in targeting hard-to-reach and vulnerable populations.

全球化使人類緊密相連，亦帶動文化間的碰撞，跨文化素養已是全球公民的基本素養。面對全球共同議題及漸趨多元的社會，臺灣人更應了解並具備跨文化素養。教育是涵育素養的基石，臺灣致力於教育國際化已逾十年，其跨文化素養成果值得檢視。本文闡述跨文化素養的意義及重要性，並由2017∼2020年對高等教育本籍及境外生的研究及觀察，歸納出臺灣現階段需省思的三大跨文化素養議題，包括文化刻板印象、文化敏感度及跨文化學習動機，進而提出加強教師跨文化素養培 訓、將跨文化素養列為高等教育核心能力，以及持續校園國際化的建議。 Globalization has made people closely connected. It has also led to the collision of cultures. Intercultural competence (IC) has become the basic competence of global citizens. Facing global issues and an increasingly diverse society, it is necessary for Taiwanese to gain the knowledge of and be equipped with IC. Education is the cornerstone of competence cultivation. Taiwan has been committed to internationalizing its education for more than a decade, its achievements in IC need to be examined. This paper first expounded the meaning and importance of IC, then presented three major current issues in IC Taiwan needs to contemplate based on observation and the college student (domestic and external) data collected between 2017-2020: cultural stereotypes; cultural sensitivity; and motivation to learn. It moreover put forward 3 suggestions: strengthening teachers’ training; making IC the core competence of higher education; and continuing campus internationalization to improve IC cultivation.

Background: Cultural competence (CC) is a crucial attribute in attaining quality healthcare service outcomes, mitigating malfunctioning practices, and improving patient satisfaction. Studies suggested comprehensive CC assessment requires appraising existing CC tools to measure health workers’ CC in the Ethiopian context. Selecting existing CC tools, identifying sub-constructs, pinpointing demographic characteristics, and evaluating items are the study objectives. Methods: 20 cultural competence tools of 20 to 83 items, 1-5 sub-constructs, and 4–10 Likert-Type rating options were identified, to be rated by eight experts in three groups. Consensus based Standards for the selection of health Measurement INstruments (COSMIN) and test construction literature are used to develop raters rating codes to compute Inter-Raters Reliability (IRR). The first group of three experts was rated to decide the inclusion of CC tools, factors, and demographic information. The second group of three experts selected six CC tools and 65 items. Two experts in the third group further evaluated the selected items. Results: Reliability for the inclusion of CC tools, factors, and demographic variables were found to be 75%–87%, 50%–93%, and 50%–86% respectively. 13 items that violate test construction principles like absoluteness, endorsement, proneness to multiple interpretation, ambiguity and double barring were excluded. Cultural skill, cultural knowledge, and cultural awareness are the three most common sub-constructs. Cultural sensitivity, cultural desire, and cultural encounters are the least incorporated factors. Gender, age, language, department, patients encounter, education, and cultural diversity training are demographic variables to assess health workers’ CC. Conclusions: Items of CC instruments cover cognitive, affective, and skill domains as prominent dimensions of CC tools. The reviewed tools consist of items that violate test construction principles. To conduct CC assessment in the Ethiopian context, apart from refining and validating selected items, generating additional items is recommended.

To examine the impact of a co-created culturally sensitive diabetes self-management education and support (DSMES) intervention on the physical and mental health of immigrants with type 2 diabetes (T2D). Pre- and post-test among people with T2D whose primary language was Urdu, Arabic or Turkish (n = 97). Participants were offered a six-week intervention based on a person-centred approach using research-based dialogue tools to facilitate learning and reflection, which was developed in co-creation with immigrants and healthcare professionals. Data were collected at baseline, post-intervention and after 6 months and analysed using paired t-tests, Wilcoxon signed-rank tests, chi-square tests and regression models when appropriate. Several clinical outcomes were improved post-intervention, including HbA1c (P < 0.001), body fat percentage (P = 0.002), self-rated general health (P = 0.05), well-being (P = 0.004) and several self-management behaviours, e.g., physical activity (P < 0.001). Most outcomes remained improved after 6 months, but the effect on HbA1c was no longer statistically significant. Some outcomes were improved only at 6 months, including waist circumference (P < 0.001) and diabetes-related emotional distress (P < 0.001). Fatigue did not change. Attendance at more programme sessions was associated with better outcomes. The DSMES intervention developed in a co-creation process was highly effective in improving the health of immigrants with T2D. [ABSTRACT FROM AUTHOR]

How can one conclude that well-being is higher in country A than country B, when well-being is being measured according to the way people in country A think about well-being? We address this issue by proposing a new culturally sensitive method to comparing societal levels of well-being. We support our reasoning with data on life satisfaction and interdependent happiness focusing on individual and family, collected mostly from students, across forty-nine countries. We demonstrate that the relative idealization of the two types of well-being varies across cultural contexts and are associated with culturally different models of selfhood. Furthermore, we show that rankings of societal well-being based on life satisfaction tend to underestimate the contribution from interdependent happiness. We introduce a new culturally sensitive method for calculating societal well-being, and examine its construct validity by testing for associations with the experience of emotions and with individualism-collectivism. This new culturally sensitive approach represents a slight, yet important improvement in measuring well-being. [ABSTRACT FROM AUTHOR]

Imperatives to eliminate racial inequalities in higher education (HE) have led to calls for diversification of curricula. Qualitative evidence is growing about racially minoritised students' perceptions of their curricula and its impact on them. Yet there are no specific instruments to facilitate evaluation of curricular diversification and its impact on students. We examined the relationship between students' perceptions of the cultural sensitivity of their curriculum and their engagement, as measured by students' interactions with their teachers and their interest in their programme of study. To do so, we conceptualised and developed a new set of four Culturally Sensitive Curriculum Scales, making a significant, original conceptual and methodological contribution. A racially diverse sample of second through postgraduate students primarily in arts, humanities and social sciences (N = 262; 189 F) rated the cultural sensitivity of the curriculum of their programme, their interactions with teachers, and their interest. Racially minoritised students (n = 157) perceived their curriculum as less culturally sensitive on all four dimensions, reported fewer academic interactions with teachers, and had lower levels of interest than White students (n = 100). Each of the four Culturally Sensitive Curriculum Scales was significantly related to academic interactions with teachers and to interest. Regression analyses showed that all dimensions of cultural sensitivity mediated effects of ethnicity on interactions with teachers. Two dimensions of cultural sensitivity (Diversity Represented and Challenge Power) mediated effects of ethnicity on interest. Therefore, ensuring curricula are diverse and critical may support racially minoritised students' engagement, potentially contributing to reducing achievement gaps. Further implications are discussed. [ABSTRACT FROM AUTHOR]

As an integral and guiding approach, woman centred care is well-grounded as the cornerstone of midwifery training and practice. A previous global review established that the concept, even though acknowledged as pivotal, has limited attention within the professional standards documents that underpin the discipline [1]. Whilst not detracting from the overall importance of woman centred care, it is further suggested that a broader meaning is generally being implied. Whether other related inferences and meanings of the actual term 'woman centred care' are also being utilised, has not yet been established. Therefore, this review of professional documents sought to investigate the occurrence of further depictions of the concept. With an implied and inferred meaning of 'woman centred care' as the focus, a review and synthesis of narrative from a global sample of midwifery professional standards was conducted. The principles of meta-ethnography were utilised to develop a qualitative approach. Rather than the actual words 'woman centred care' further phrases implying or inferring the concept were sought. 'A priori' phrases were developed and narrative and examples were synthesised for each. Standards and governance documents were located from within Australia, the United Kingdom and New Zealand and a further 139 nations. Overall, the seven phrases, each considered as an inference to woman centred care, were all substantiated. As a proportion of all documents, these were collated with the outcomes being a woman's right to choice (89%), being culturally sensitive (80.5%), a woman's voice and right to be heard (78%), the woman as an individual (68%), universal human rights (40%), being holistic (39%) and being self-determined (17.5%). The outcomes of this review demonstrate that woman centred care may be a multidimensional concept. There were occurrences of all seven phrases across a broad scope of global professional midwifery documents, and each can be shown through its meaning to contribute something to an understanding of woman centred care. The creation of a universal meaning is recommended. [ABSTRACT FROM AUTHOR]

In this paper, we tackle three central questions: (1) How is cultural sensitivity currently shaping development agendas? (2) How can collaborations between development agencies and (cross-) cultural psychologists ensure that development priorities are culturally sensitive and bottom-up, rather than culturally universal and top-down? And finally, (3) How can utopian thinking be used as a bottom-up research device to tap into the content of the social imaginary of people across cultures and contexts in a way that can inform and guide development paradigms? We review relevant literatures and research from development agencies, cultural, and cross-cultural psychology, highlight advancements in devising culturally sensitive development goals, and advocate for a bottom-up approach to prioritizing needs and goals of citizens across different cultures. To that end, we propose that utopian thinking could be leveraged as a culturally sensitive research tool that could illuminate culturally specific development needs and goals that have been left untapped by contemporary development approaches. We conclude by reiterating the importance of leveraging knowledge, research methods, and expertise from cultural and cross-cultural psychology to reach the ultimate development goal—the improvement of the human condition in a sustainable, equitable manner. [ABSTRACT FROM AUTHOR]

According to the United Nations, an estimated 26.6 million people worldwide were refugees in 2021. Experiences before, during, and after flight increase psychological distress and contribute to a high prevalence of mental disorders. The resulting high need for mental health care is generally not reflected in the actual mental health care provision for refugees. A possible strategy to close this gap might be to offer smartphone-delivered mental health care. This systematic review summarizes the current state of research on smartphone-delivered interventions for refugees, answering the following research questions: (1) Which smartphonedelivered interventions are available for refugees? (2) What do we know about their clinical (efficacy) and (3) nonclinical outcomes (e.g., feasibility, appropriateness, acceptance, and barriers)? (4) What are their dropout rates and dropout reasons? (5) To what extent do smartphone-delivered interventions consider data security? Relevant databases were systematically searched for published studies, gray literature, and unpublished information. In total, 456 data points were screened. Twelve interventions were included (nine interventions from 11 peer-reviewed articles and three interventions without published study reports), comprising nine interventions for adult refugees and three for adolescent and young refugees. Study participants were mostly satisfied with the interventions, indicating adequate acceptability. Only one randomized controlled trial (RCT; from two RCTs and two pilot RCTs) found a significant reduction in the primary clinical outcome compared to the control group. Dropout rates ranged from 2.9 to 80%. In the discussion, the heterogeneous findings are integrated into the current state of literature. [ABSTRACT FROM AUTHOR]

The present study was designed to investigate the impact of breeding methods like artificial insemination (AI) vs natural mating (NM) and body weight variations on bacterial contamination and antimicrobial resistance (AMR) in broiler breeders. Ross-308 broiler breeder hens (n=3000) and males (n=255) were selected for this study. Out of those 255 male birds 150 (10%) were selected for natural mating and 105 (7% of hens) for artificial insemination groups. Both male and female groups were further subdivided into three weight categories sub-groups; underweight (UW), standard weight (SW) and overweight (OW). Fifteen (3%) hens out of 500 hens from each weight group were randomly selected and slaughtered to get samples for bacteriological and molecular analysis. A total 18.89% and 35.92% samples were found positive for Salmonella and E. coli respectively. Results revealed that the bacteria like Salmonella pullorum-gallinarum and E. coli were found significantly higher in AI groups as compared to NM groups. It was also found that at late life cycle (60th week of age), the presence of Mycoplasma gallisepticum (MG), Mycoplasma synoviae (MS), Salmonella pollurum-gallinarum, and E. coli were significantly higher than that of lower age groups. The results also indicated that there is a comparatively lesser chance of MG, MS, E. coli, and Salmonella pollurum-gallinarum at the 30th week of age as compared to 45th and 60th weeks of age. On the basis of antibiotic sensitivity testing results; Oflaxacine and colistin were found susceptible among 23 tested antibiotics. In conclusion, it was observed that the chance of bacterial contamination increases with the increase of age in AI groups. [ABSTRACT FROM AUTHOR]

Intimate partner violence (IPV) around the time of pregnancy is a recognized global health problem. Ethnic minorities and immigrant pregnant women experiencing IPV require culturally responsive health services. The aim of this scoping review was to identify aspects of cultural sensitivity in interventions to prevent or reduce IPV among ethnic minorities and immigrant pregnant women in high-income countries. Eight databases were searched in November 2019. Any type of scientific research, quantitative, qualitative, or mixed methods studies regarding interventions against IPV among pregnant women were considered for inclusion. Resnicow et al.'s definition of cultural sensitivity was used to identify aspects of cultural sensitivity. Ten papers relating to nine interventions/studies met our inclusion criteria. These studies, which included randomized controlled trials, a mixed methods study, a program evaluation, and a longitudinal study, were conducted in Australia, Belgium, Norway, and the United States. Aspects of surface cultural sensitivity, including the translation of intervention content into the language of the target group(s) and the involvement of bilingual staff to recruit participants, were identified in eight studies. Deep structure aspects of cultural sensitivity were identified in one study, where the intervention content was pretested among the target group(s). Results that could be related to the culture-sensitive adaptions included successful recruitment of the target population. Three studies were planning to investigate women's experiences of interventions, but no publications were yet available. This scoping review provides evidence that culturally sensitive interventions to reduce or prevent IPV among immigrant pregnant women are limited in number and detail. [ABSTRACT FROM AUTHOR]

Music and arts for healing purposes look back over a multifaceted evolution and a myriad of phenomena in various cultures. Interdisciplinary considerations suggest to distinguish five different, but partly overlapping stages. The first refers to historical roots and ethnological sources, which have also influenced modern meta-theoretical perspectives and practices. The next stage marks the heterogeneous origins of modern music therapy in the 20th century that mirror psychological positions and novel clinical ideas about the healing power of music and the arts. The following heyday of music therapeutic models and schools of thought yielded an enormous variety of concepts and methods such as Nordoff-Robbins MT, Orff MT, Analytic MT, Regulatory MT, GIM or Sound Work. As music and arts therapies gained in international importance, clinical applications required research about their therapeutic efficacy. According to standards of evidence based medicine and with regard to clearly defined diagnoses research on music therapeutic practice became the core of stage four. The present stage is characterised by an emerging epistemological dissatisfaction with the paradigmatic reductionism of evidence based medicine and the strong will to discover the ‘true healing nature’ of music. This trend has given birth to interdisciplinary hermeneutics for novel foundations of music and arts therapies. Epigenetics, neuroplasticity, regulatory and chronobiological sciences, quantum physical philosophies, universal harmonies, spiritual and religious views, and the cultural anthropological phenomenon of aesthetics and creativity have become guiding principles. The present paper relates to the author’s EASA-speech on the 2nd of December 2022 about landmarks in the evolution of modern music therapy and its interdisciplinary perspectives. [ABSTRACT FROM AUTHOR]

Background: South Asian individuals experience a higher burden of chronic diseases and limited access to health care services compared with their Caucasian peers. Digital health interventions can enhance the delivery of health care, minimize health inequities, and consequently improve health status among minority ethnic groups. However, it is unclear how South Asian people view and perceive the use of digital health technologies to support their health needs. Objective: The aim of the review is to identify South Asian individuals' experiences and attitudes of digital health and explore the barriers and facilitators affecting their use of digital health services. Methods: The Arksey and O'Malley methodological framework was used to guide this scoping review. Five electronic databases were examined for pertinent papers, which were augmented by searching bibliographies of the retrieved papers and gray literature. A total of 1328 potentially relevant papers were retrieved from the initial search, and the supplemental search added 7 papers to the final list of potentially included papers. Each paper on the initial inclusion list was independently reviewed, leaving 15 papers to be included in the review. Results: Data were analyzed thematically leading to the development of two overarching themes: (1) barriers to uptake of digital health and (2) facilitators of use of digital health services. There was a general consensus that South Asian communities still struggle with inadequate access to digital health technologies. Some studies suggest multiple initiatives to improve accessibility and acceptability of digital health services within South Asian communities in order to mitigate health disparities and develop a more inclusive health care system. These include the development of multiple-language and culturally sensitive interventions and digital skill development sessions. Most studies were conducted in South Asian countries, focusing on measurable outcomes of digital health interventions. Few explored the experiences and views of South Asian community members residing in the West as a minority ethnic group, for example, British South Asians. Conclusions: Literature mapping proposes that South Asian people frequently struggle with a health care system that may limit their access to digital health services, and sometimes fails to consider social and cultural needs. There is growing evidence that digital health interventions have the potential to facilitate supported self-management, which is part of the plans to adopt person-centered care. These interventions are particularly important for overcoming some of the challenges, for example, time constraints, safety, and gender sensitivity, associated with the delivery of health care interventions in minority ethnic groups such as South Asians in the United Kingdom, and thus to improve minority ethnic groups' access to health care services to support individual health needs, and consequently enhance health status. [ABSTRACT FROM AUTHOR]

This paper connects the ideologies of cultural competence to the diverse business ecosystem. Contributing to the body of knowledge the critical need for cultural competency in business. Providing practical suggestions for leaders to enhance cultural competency within their organization. Written for practitioners to provide an understanding of cultural competency and business ecosystems. It includes business rationales for increasing cultural competency and reducing biases within operations. It is widely regarded that cultural competence is a fundamental requirement for working effectively with diverse people and have both intangible and tangible benefits. This paper discusses the benefits of cultural competence in business ecosystems. [ABSTRACT FROM AUTHOR]

Copyright of Social Work. Experience & Methods / Socialinis Darbas: Patirtis ir Metodai is the property of Vytautas Magnus University, Faculty of Social Sciences and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Although the sexual and reproductive health and rights (SRHR) of young people and migrants should be prioritised, young migrants' sexual and reproductive health (SRH) is rarely studied in Sweden. To explore young migrants' understanding and experiences of sexual rights and examine their perceptions and experiences in accessing SRH services. This is a mixed method study including a national survey that recruited 1773 newly arrived young migrants; a youth clinic survey that recruited 1089 youths after visiting youth clinics; and a qualitative study that included 13 interviews with newly arrived Arabic-speaking migrant men. The results are synthesised using a new ecological framework of access to understand the factors influencing young migrant access to health care based on the levels of the ecological model and the five steps of access: approachability, acceptability, adequacy, affordability, and quality. Young migrants understood SRH as both 'essential' and 'a right.' Their sexual rights were less fulfiled compared to other young people in Sweden, particularly for men, non-binary, LGBTQ+, those born in South Asia, without a residence permit, and those of low economic conditions. SRH services were largely unapproachable as almost half of those who needed them did not utilise them. Services were generally acceptable due to the 'open environment,' however, some young migrants faced cultural insensitivity, fear of exposure, low parental support, and long waiting times. SRH services' quality was perceived as good, however, negative experiences were reported, particularly in the domains of respect, equity, privacy, non-prejudice, and consultation quality. The access of young migrants to SRH services is facilitated by an 'open environment' and available and good quality services; however, they faced serious barriers such as limited access to information about the health system, comprehensive sexual education, lack of cultural sensitivity, and cultural racism. [ABSTRACT FROM AUTHOR]

Copyright of Clotho is the property of University of Ljubljana, Faculty of the Arts and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Most graduate medical education programs dedicate almost no time in their curricula to the topic of transgender health. This study aimed to assess medical (MD), physician assistant (PA), and clinical nutrition (CN) students' self-reported knowledge, skills, and attitudes toward healthcare for transgender patients and identify differences between groups. This cross-sectional study was conducted at a single United States academic health center. Students were surveyed using a questionnaire with 16 Likert-type items. A total of 178 MD, 96 PA, and 28 CN students completed the survey. Most (67%) respondents reported a "high" level of personal comfort in caring for a transgender patient, with no difference between groups (p =.57). MD students were more likely than PA or CN students to report greater knowledge of gender dysphoria management (p <.001) and transgender care guidelines (p <.001), as well as a greater skill level in caring for patients with gender dysphoria (p =.009) and inquiring about gender identity (p <.001). All three groups, however, reported overall "low" or "intermediate" levels of knowledge and skills. Our research demonstrates that MD, PA, and CN students exhibit an equally high degree of personal comfort in caring for transgender patients but lack the knowledge and skills to confidently care for them. [ABSTRACT FROM AUTHOR]

Cultural sensitivity in societal development has been advocated for since at least the 1960s but has remained understudied. Our goal is to address this gap and to investigate folk theories of societal development. We aimed to identify both universal and culturally specific lay beliefs about what constitutes good societal development. We collected data from 2,684 participants from Japan, Hong Kong (China), Poland, Turkey, Brazil, France, Nigeria, the USA, and Canada. We measured preferences for 28 development aims. We used multidimensional scaling, analysis of variance, and pairwise comparisons to identify universal and country‐specific preferences. Our results demonstrate that what people understand as modernization is fairly universal across countries, but specific pathways of development and preferences towards these pathways tend to vary between countries. We distinguished three facets of modernization—foundational aims (e.g., trust, economic development), welfare aims (e.g., poverty eradication, education), and inclusive aims (e.g., openness, gender equality)—and incorporated them into a folk meta‐theory of modernization. In all nine countries, the three facets of modernization were preferred more than conventional aims (e.g., military, demographic growth). We propose a method of implementing our findings into a culturally sensitive modernization index. [ABSTRACT FROM AUTHOR]

Cultural stigma, shame, self-concealment, and language and socio-economic barriers often keep Asian immigrant parents and children away from mental and behavioral services in the United States. Research shows that increased levels of parent distress suggest a negative impact on parenting practices and correlate child-maltreatment. Therefore, this study aimed to test one functionally contextual strategy to address such issues. The current study evaluated the effects of an online Acceptance and Commitment Training (ACT) Matrix for Japanese-speaking mothers living the United States. A nonconcurrent multiple baseline single-subject design across four mothers was used to assess the effect of ACT Matrix on value-driven behaviors, parental engagement (session attendance and daily assignment completion), parental distress, and psychological flexibility. The study consisted of a baseline, treatment (three ACT Matrix treatment sessions adapted from the six-step protocol), maintenance, and follow-up phases. A visual analysis reporting level, trend, variability, immediacy of change and overlap was used to identify a functional relation between the treatment and observable overt behaviors of value-driven behaviors and daily assignment completion. In addition, a non-overlap of all pairs was used to measure effect sizes for these behaviors. For psychological flexibility and parental distress, we used the reliable change index to assess whether clinically significant improvement occurred or not. The results revealed that the online ACT Matrix parent training program was effective in improving all four dependent variables. Mothers reported that the training was culturally sensitive, effective, and acceptable. The details of findings and the implications for future research as preventive science are discussed. Highlights: This is the first single-subject-design research that evaluated an adapted online ACT Matrix six-step protocol via telehealth. This study aimed to explore a contextually functional treatment for distressed Japanese-speaking parents in the U.S. Treatment improved distress, psychological flexibility, value-driven behavior, and participation of distressed Japanese-speaking parents. Japanese immigrant mothers reported that the treatment was culturally sensitive, effective, and acceptable. This study contributes to prevention science by highlighting health disparities and needs for culturally sensitive approach. [ABSTRACT FROM AUTHOR]

Summary: The prevalence of obesity is higher among Black women (56.6%) compared to Hispanic women (50%) and non‐Hispanic White women (42%). Notably, interventions to reduce obesity typically result in initial weight loss that is not maintained. This study tested (a) the effectiveness of a 6‐month Health‐Smart Weight Loss (HSWL) Program for Black women patients with obesity implemented by community health workers (CHWs) within primary care clinics and (b) the comparative effectiveness of two 12‐month physician‐implemented weight loss maintenance programs—a Patient‐Centred Culturally Sensitive Weight Loss Maintenance Program (PCCS‐WLM Program) and a Standard Behavioural Weight Loss Maintenance Program (SB‐WLM Program). Black women patients (N = 683) with obesity from 20 community primary care clinics participated in the HSWL Program and were then randomized to either maintenance program. The HSWL Program led to significant weight loss (i.e., 2.7 pounds, 1.22 kg, p <.01, −1.1%) among the participants. Participants in both the PCCS‐WLM Program and the SB‐WLM Program maintained their weight loss; however, at month 18, participants in the PCCS‐WLM Program had a significantly lower weight than those in the SB‐WLM (i.e., 231.9 vs. 239.4 pounds or 105.19 vs. 108.59 kg). This study suggests that (a) the HSWL Program can produce significant weight loss among Black women patients with obesity when implemented in primary care clinics by CHWs, and (b) primary care physicians can be trained to successfully promote weight loss maintenance among their Black women patients. [ABSTRACT FROM AUTHOR]

Background: The COVID-19 pandemic focused public attention on the importance of responsible tourism. The purpose of this study was to characterise irresponsible tourist behaviour leading to deportation from the destination country. Methods: A web-based search of media reports relating to deportations of tourists was conducted. Results: The most common reasons for deportation were related to indecent exposure or physical damage to sacred monuments and violations of COVID-19-related national public health rules. Other incidents resulted from social media posts and breach of environmental regulations. Conclusions: The results of this study may inform future research efforts and targeted public awareness campaigns. [ABSTRACT FROM AUTHOR]