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The transition from new graduate to professional nurse can be a challenging process. In some cases, more than 50% of new graduates have left their first position within the first year. One strategy that has been shown to yield positive results in facilitating new graduate role transition is nurse internship programs. All studies of internship programs in this review demonstrated lower turnover at 1 year after hire when compared with traditional clinical orientation programs.

Intergenerational cultural conflicts (ICC) refer to disagreements that occur as a result of acculturation gaps between parents and children, often leading to a clash in values and beliefs. Research exploring ICC often does not provide a nuanced exploration of how conflicts manifest, are experienced, and understood over time. ICC are especially important for Asian Americans because family-related stress has been linked to increased levels of anxiety, depression, and somatic problems among both parents and children. Together, Chinese Americans and Taiwanese Americans represent the largest ethnic group of Asian Americans. Using the consensual qualitative research methodology (Hill, 2011), this qualitative study explores how 13 second-generation Chinese Americans and Taiwanese Americans between the ages of 25 and 32 years experience ICC, how these conflicts have changed over time, and how they have made meaning of these conflicts. The 3 domains (or themes) that emerged were as follows: (a) relationship with parents and system(s), (b) specific areas of conflict, and (c) meaning-making of conflicts. All 3 domains are influenced by cultural differences between the parent and the child and highlight the dynamic nature of relationships and conflicts. Although some adolescent experiences with ICC remained the same in adulthood, there were also reported shifts in how they navigated and coped with conflicts over time. Participants' shift in experiences and meaning-making occurred and were often attributed to their ability to engage in perspective-taking, highlighting the shifts in social-cognitive development that are characteristic of emerging adulthood. Limitations and implications for practice and research are offered. What is the public significance of this article?Research indicates that family conflicts, particularly those in immigrant families that are based on differences of cultural values, are associated with psychological health. This study explores family conflicts within Chinese American and Taiwanese American young adults, groups that have not been a focus of family conflict research.

Background The development of evidence-based care geared towards Black and Latina women living with uncontrolled type 2 diabetes is contingent upon their active recruitment into clinical interventions. Well-documented impediments to recruitment include a historical mistrust of the research community and socioeconomic factors that limit awareness and access to research studies. Although sociocultural and socioeconomic factors deter minorities from participating in clinical research, it is equally important to consider the role of stigma in chronic disease intervention studies. Objective We aim to share our discovery of diabetes-related stigma as an underrecognized impediment to recruitment for the Women in Control 2.0 virtual diabetes self-management education study. Methods Our initial recruitment plan used traditional strategies to recruit minority women with uncontrolled type 2 diabetes, which included letters and phone calls to targeted patients, referrals from clinicians, and posted flyers. After engaging a patient advisory group and consulting with experts in community advocacy, diabetes-related stigma emerged as a prominent barrier to recruitment. The study team reviewed and revised recruitment scripts and outreach material in order to better align with the lived experience and needs of potential enrollees. Results Using a more nuanced, community-centered recruitment approach, we achieved our target recruitment goal, enrolling 309 participants into the study, exceeding our target of 212. Conclusions There is a need for updated recruitment methods that can increase research participation of patients who experience internalized diabetes stigma. To address disparities in minority health, further research is needed to better understand diabetes-related stigma and devise strategies to avert or address it.

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