To improve diabetes care in the Hmong population, health educators should consider the use of cultural competency, language assistance, and culturally appropriate education to achieve better clinical outcomes.
Although minimal change disease (MCD) is a major cause of nephrotic syndrome in children, it's less common in adults. It develops from damage to the glomeruli with a loss of large amounts of protein in the urine. Early recognition and treatment is the key to a good outcome. This article describes the diagnosis, treatment, and nursing care of an adult with MCD.
Myxedema coma (MC) develops from a long-standing, unrecognized, or untreated hypothyroidism. This article discusses the pathophysiology, clinical manifestations, treatment, and nursing considerations for patients with MC.
Background:
An increase of ethnic minorities in the United States heightens concerns for health disparities. International service-learning provides an immersion in a community to identify issues related to culture and health. This study reports nursing students' experiences related to participation in an international service-learning project.
Method:
A qualitative phenomenological design was used. Twenty participants who immersed in the community for 9 days were interviewed. Two semistructured focus interviews were audio recorded, transcribed, and analyzed using thematic analysis.
Results:
Four themes emerged: Value Communication, Appreciate Differences, Provide Education, and Accept Humanity.
Conclusion:
This experience highlights the needs of diverse communities and enhances participants' skills to deliver culturally competent care with better education, compassion, and communication. By exploring students' experiences, service-learning experiences may be better understood as a pedagogy for teaching cultural competency and improving health outcomes in diverse populations.
[
J Nurs Educ
. 2020;59(9):485–492.]
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