Journal of cultural diversity
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Driven by the institutionalization of healthcare, and the attendant financial and regulatory issues, health caregivers now need to objectively define and assess the quality of care that is delivered to patients. Measures of quality care for children lag behind the measures that are utilized for adults. To date, little is understood about how quality care for children is identified and measured. ⋯ From a convenience sample of six parent participants, this study finds that parents experience childcare in a hospitalized setting in terms of four interconnecting, circular processes: (a) facing boundaries, (b) attempting to understand, (c) coping with uncertainty and (d) seeking reassurance from caregivers. The experiences shared by the parent participants in this study convey new meaning to the interactional nature of the parent-caregiver relationship. In particular, the researcher finds that parents use the parent-caregiver relationship to help cope with their child's condition, and this in turn influences the parents' sense that their and their child's needs are being met.
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With the growing number of foreign-born residents in the United States, nurse educators face the challenge of educating students who may have difficulty with the English language. There are an estimated 28.4 million foreign-born residents in the United States, which is the largest number in the history of this country (U. S. ⋯ As the nursing shortage deepens, recruiting minorities into nursing is essential to meet the increasing demand. This change presents unique challenges and opportunities in nursing education. Colleges and universities will need to develop innovative programs to attract these nontraditional students, and support programs to help them complete the nursing curriculum.
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Review Case Reports
End of life issues in a palliative care framework for a critically ill adult African American with cystic fibrosis: a case study.
The purpose of this investigation, using case study methodology, was to explore the end of life issues and to give meaning to the biopsychosocial experiences of the study participant, an adult African American female patient diagnosed with Cystic Fibrosis. Two theoretical frameworks were used to guide the investigation of the study: Kubler-Ross Model of the Stages of Dying and the Conceptual Framework for Palliative Care Practice. Data analysis included review of medical records and patient journals, interviews, observations and clinical assessment. The findings indicated that end of life issues can be articulated within the context of a palliative care framework and that the biopsychosocial experiences of the dying person acquire meaning when situated within life history, ethical values and metaphysical belief systems.
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Comparative Study
Pain as a mutual experience for patients, nurses and families: international and theoretical perspectives from the four countries.
In Level III, country specific themes, outlined as quantitative and qualitative findings in Level II, were subjected to extended analyses using the same methods, from an international perspective. Aggregated themes, examined for patients, nurses and families, across all four countries are presented in that order.
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When a researcher who belongs to the dominant white western society engages in research with members of a nondominant racial group, she often experiences a profound transition into understanding the meaning of personal and societal racism. What happens when the fieldwork is on the other side of town and the researcher must move back and forth between a middle class white world and a poor black neighborhood? As the researcher becomes more involved with her research group, the meaning of "home" becomes lost as the researcher inevitably struggles with the significance of white privilege and the consequences of the racism this privilege serves to perpetuate.