Margaret M. Andrews and Joyceen S. Boyle, coauthors of Transcultural Concepts in Nursing Care, provide a comprehensive framework for providing culturally competent nursing care for individuals, families, groups, communities, and institutions. The book is divided into four parts: Part 1 introduces the theoretical foundations of TCN and cultural competence. Part 2 uses a developmental approach in providing culturally competent care across the life span from infancy to old age. Part 3 examines the application of transcultural concepts in selected settings. Part 4 critically analyzes contemporary TCN challenges related to nutrition, pain, religion, ethics, the multicultural health care workforce, and international nursing. Transcultural Concepts in Nursing Care has received the American Journal of Nursing Book of the Year Award and Sigma Theta Tau International’s Best Pick Award.
In this qualitative study we used an interpretive, critical ethnographic approach to provide an understanding of childbirth and maternal illness and death in Liberia through the lens of women, families, and communities. We identified three major themes from the data: (a) secrecy surrounding pregnancy and childbirth; (b) power and authority; and (c) distrust of the health care system. The interpretive theory, Behind the House, generated from data analysis provides an understanding of the larger social and cultural context of childbirth in Liberia. Our findings provide a more complete understanding of the contextual factors that impact on the intractable problem of maternal mortality.
Undocumented migration is a global phenomenon that manifests in various contexts. This article describes the impact of the movement of large numbers of people in several African countries, producing a unique type of migrant—the refugee. We describe issues that refugee movements create on fragile health care systems, situations that precipitate refugee movements, certain human rights violations that are of particular concern such as gender based violence (GBV) and child soldiers, and lastly, implications for nursing practice and policy. We use examples from several countries in Sub-Saharan Africa, including the Democratic Republic of the Congo, Rwanda, Liberia, Sierra Leone, and Mozambique. Drawing on key documents from the United Nations High Commissioner for Refugees, current literature, as well as the international experience of the authors, this article presents an overview of forced migration and discusses opportunities for nurses to impact research, practice and policy related to refugee health.
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