Development of culturally competent nursing care requires an examination of ethnocentric values and behaviors. Ethnocentric practices, as shown in the literature, have resulted in adverse patient care outcomes. Although it is recognized that awareness of personal values is the key to developing cultural competence, ethnocentrism is woven into the fabric of one's own cultural makeup. Ethnocentrism is not clearly defined in the nursing literature and use of the term is vague and ambiguous. This article utilizes the Walker and Avant method of concept analysis to clarify the meaning of ethnocentrism resulting in a new definition.

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Latinos are at elevated risk for metabolic syndrome (MetS), a cluster of metabolic factors predictive of cardiovascular disease and diabetes. This study summarizes the association of MetS risk factors with self-reported health behaviors for 225 low-income, Northwest Latino men and women according to age and gender. The Health-Promoting Lifestyle Profile II (HPLP II) in English and Spanish was used to measure the extent to which participants engaged in health-promoting behavior. Biophysical measures included body composition, blood pressure, and fasting venous blood analysis. Men had significantly higher triglycerides, blood glucose, and systolic and diastolic blood pressure readings. Both men and women had central obesity measurements above the recommended cutoffs. There were no statistically significant differences except for physical activity on the HPLP II scores according to level of risk for MetS.

Acknowledgement:The authors wish to thank Jane Schade Henderson, PhD, RN, for the use of her tool -the Urinary In conti nence Scales -and her valuable insight regarding urinary incontinence-associated attitudes, beliefs, practice, and knowledge. ResearchThis study examined the attitudes of baccalaureate student nurses regarding the care of the incontinent patient and to explore their beliefs of the psychosocial impact urinary incontinence has on the affected adult patient. It explored the beliefs and attitudes of traditional-aged student nurses compared to those of older, non-traditional students. Students have a more positive attitude when caring for patients who have urinary incontinence yet have a moderate level of understanding regarding the associated psychosocial sequela. The benefit of this research is that it gives insight into how student nurses perceive incontinent patients' feelings and concerns, and refines the current understanding of how important students believe it is to deal with a patient's incontinence.

Based on the results of this study, the authors suggest that, when possible, patients who receive non-bariatric abdominal surgery be encouraged to watch cooking shows to experience the potential benefits such as early return of bowel functioning.