In this article, we explore the phenomenon of acculturation in filial practices among 21 Chinese immigrants in a suburban city in the Midwestern United States using focus groups and individual interviews. All participants were situational-reciprocal-filial caregivers who had acculturated into mainstream filial practices while preserving their heritage to deal with the challenges of parental care. Factors that influenced participants' acceptance of new filial practices included comfort in accepting new practices, financial status, and past relationship with the care receiver. Their motivations to acculturate included being overwhelmed, a multitude of situational constraints from being an immigrant, access to and utilization of resources, and the need for a coordinated approach to filial responsibilities. Their filial motivations included love, honoring traditions, meeting personal values, and meeting social expectations. These findings provide insight for designing culturally competent training and immigrant caregiver education.

There are a variety of initiatives to provide education to improve the quality of care for children with diabetes in the school setting. This study piloted and evaluated an online continuing education program for school nurses about diabetes management for children in schools using current practice principles. The evaluation determined if objectives of the program were met, if participants believed the education provided would enhance their ability to manage children with diabetes, and participants' opinions about the online delivery method. Nineteen participants were recruited from among school nurses unable to attend statewide face-to-face diabetes workshops. The majority reported that the objectives were met, and 91% reported the education would enhance their ability to manage students with diabetes. Whereas 33% preferred online continuing education, 17% preferred face-to-face education, and 50% were unsure. Because of the increasing prevalence of diabetes in children, it is important that school nurses have access to continuing education that provides current principles for diabetes management for children. The method of delivery should be determined by the learner's learning style preferences.

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The Chinese version of the SF-36 showed good reliability and validity and was culturally equivalent. The scale is appropriate for use with older Chinese adults with diabetes.