Managing Managed Care: The Next Level for Transcultural Nurses

Abstract

Words are not as satisfactory as we should like them to be, but, like our neighbors, we have got to live with them and must make the best and not the worst of them.

Transcultural Nursing Concepts and Experiences in Nursing Curricula

“…Furthermore, social, political, and organizational changes in American society have created conflicts among various groups of people resulting in gaps in health care systems. Health professionals need to find ways of dealing with a wide variety of complex clinical situations and caring for individuals in ways that do not conflict with clients' beliefs and values (Leininger, 1998;Meleis, 1999;Spector, 1996;Uhl Pierce, 1999). All nurses need to address this issue, especially faculty in schools of nursing in which professional attitudes and behaviors are formed.…”

Using Focus Groups to Evaluate and Strengthen Public Health Nursing Population-Focused Interventions

“…The purpose of this article is to describe the use of focus group methodology as a tool to evaluate and strengthen public health nursing (PHN) population-focused interventions among diverse cultural groups as they experience enrollment into Nebraska's Medicaid Managed Care (MMC) system. Evaluation of PHN interventions with populations is complex, especially with vulnerable populations whose needs are related to economic status, education, and culture, including belief systems, ethnicity, social class, and language (Blanchard, Rose, Taylor, McEntee, & Latchaw, 1999;Kulwicki, Miller, & Schim, 2000;Lindenberg, Solorzano, Vilaro, & Westbrook, 2001;Meleis, 1999;Pierce, 1999;Spence, 2001). Cultural factors can influence patterns of help-seeking behavior, perceptions about health service delivery, and meanings of health and illness (Esposito, 2001;Kulwicki et al, 2000;Lindenberg et al, 2001;Ludwig-Beymer, 1999;McKenna, 1999;Meleis, 1999;Salmond, 1999;Spence, 2001).…”