An educational approach to develop intercultural nursing care for refugees from Ukraine: A qualitative study.

Aim: To describe how nurses and nursing students in Poland and the United States perceive the practice of intercultural care of refugees from Ukraine.

Background: Millions of Ukrainian citizens sought safety in other countries when Russia invaded Ukraine in February 2022.

Introduction: Nurses in Poland and the United States are positioned to provide nursing care for refugees from Ukraine yet lack intercultural knowledge, skills, and attitudes to meet refugee needs.

Classes of medications prescribed to malnourished children and their relationship with time to recovery.

Objective: There is conflicting evidence around prescription practices in the management of malnutrition; the study objective was to explore medication classifications prescribed and their relationship between time-to-recovery and specific demographic characteristics among children with malnutrition in Guatemala.

Design: Descriptive correlational study of data obtained in a retrospective record review.

Sample: Children aged 0-5 years with malnutrition treated in a Guatemalan Nutrition Rehabilitation Center between 2019 and 2020 (N = 155).

Changing Life Plans: When to Engage Caregivers of Older Adults With Cancer in Advance Care Planning.

Advance care planning (ACP) is a continuous process where individuals discuss and document their end-of-life preferences with trusted caregivers and health care providers. Caregivers are pivotal to include in ACP discussions because they assist loved ones to navigate serious medical illness. The purpose of this study was to examine caregivers' engagement in ACP decision making with their loved ones with cancer.

Understanding time-to-recovery among Guatemalan Children before and during COVID-19.

Purpose: To understand malnutrition recovery at a Guatemalan Nutrition Rehabilitation Center (NRC) before and during the COVID-19 pandemic.

Design And Methods: A retrospective chart review was conducted on-site in November 2022. The NRC is located on the outskirts of Antigua, Guatemala.

Original Research: Can a Palliative Care Lay Health Advisor-Nurse Partnership Improve Health Equity for Latinos with Cancer?

Purpose: A palliative care infrastructure is lacking for Latinos with life-threatening illness, especially in rural regions of the United States. The purpose of this study was to develop and evaluate a community-based palliative care lay health advisor (LHA) intervention for rural-dwelling Latino adults with cancer.

Methods: An exploratory mixed-methods participatory action research design was carried out by an interprofessional research team that included community and academic members.

A Feasibility Study to Examine Clinical Variables of Childhood Malnutrition in Guatemala.

Guatemala is the country with the highest rate of malnutrition in Latin America and fifth highest worldwide. The objective of this pilot study was to determine the feasibility of examining clinical variables of malnutrition among a subset of children at a Guatemalan Nutrition Rehabilitation Center (NRC). The study was conducted using a secondary dataset of children admitted and discharged at the NRC in 2018.

Fluid Intake and Hydration Status Among North Carolina Farmworkers: A Mixed Methods Study.

Background: Agricultural workers are disproportionately at risk for heat-related morbidity and mortality. The purpose of this study was to explore how sociocultural and occupational factors, and environmental heat stress influenced fluid intake and hydration status among Latino farmworkers working in eastern North Carolina.

Methods: A community-informed, mixed methods research study was conducted in partnership with staff at a federally qualified health center.

A community engagement strategy to sustain safe drinking water in Guatemala.

We sought to examine a community engagement (CE) strategy, defined as a monetary contribution, on water filter usage DESIGN: A natural, quasi-experimental study was conducted in Guatemala following the distribution of water filters. Households in the 2014-2015 group (free water filter) were compared with households in the 2018-2019 group (CE strategy: US$5.50 for water filter) SAMPLE: One-year post-distribution, the comparison group (n = 56) and intervention group (n = 38) completed a survey on family health and water filter use RESULTS: Households in the CE group had almost five times higher odds (OR = 4.

Call the : Aiding Latino Families at the End of Life.

Introduction: The , a lay spiritual leader, provides support to Latino families as they provide end-of-life (EOL) care for loved ones. The purpose of this study was to learn about the work of the rezadora in Guatemala as a resource for Latinos with serious illness in the United States.

Methods: An ethnographic exploratory case study was conducted during summer 2018 in rural Guatemala.

Four Kinds of Hard: An Understanding of Cancer and Death among Latino Community Leaders.

Early integration of palliative care after a diagnosis of cancer improves outcomes, yet such care for Latino populations is lacking in rural regions of the United States. We used a participatory action research design with Latino community leaders from emerging immigrant communities in North Carolina to explore sociocultural perspectives on cancer and death. Thematic analysis was conceptualized as represented by four themes: Receiving an Eviction Notice, Getting in the Good Book, Talking is (Sometimes) Taboo, and Seeing Their Pain Makes us Suffer.

Breastfeeding Decision-Making in an Addiction Trajectory: An Exploratory Grounded Theory Study.

Background And Purpose: Globally, five million women are affected by opioid use disorder (OUD). Women with OUD are less likely to breastfeed than the general population, increasing risk of neonatal withdrawal. Theoretical frameworks related to breastfeeding did not address women with OUD.

Planting the Seeds: The Role of Latino Lay Health Advisors in End-of-Life Care.

Latinos are less likely to have an advance care plan, use hospice or palliative care services, and have conversations about end of life than the general population. This article describes processes and outcomes of a Latino lay health advisor advance care planning training program in eastern North Carolina. An exploratory case study was used to understand the perspectives of Latino leaders.

In Sickness and Health: Views on Child Health From a Mayan Village.

Introduction: Guatemala is the only country in Central America with a majority indigenous population. Most indigenous Mayans prefer to seek health advice from family members. It is important to understand the beliefs of Mayan caregivers.

Team-Based Learning in a Community Health Nursing Course: Improving Academic Outcomes.

Background: Population health concepts, such as upstream thinking, present challenging ideas to undergraduate nursing students grounded in an acute care orientation. The purpose of this study was to describe how team-based learning (TBL) influenced academic outcomes in a community health nursing course.

Method: A descriptive correlational design examined the relationship among student scores on individual readiness assurance tests (iRATs), team readiness assurance tests (tRATs), and the final examination.

Acceptance and Impact of Point-of-Use Water Filtration Systems in Rural Guatemala.

Purpose: Infants and children in developing countries bear the burden of diarrheal disease. Diarrheal disease is linked to unsafe drinking water and can result in serious long-term consequences, such as impaired immune function and brain growth. There is evidence that point-of-use water filtration systems reduce the prevalence of diarrhea in developing countries.

At the Grave We Make Our Song: A Palliative Care Study in Rural Guatemala.

Purpose: We sought to understand decision making, family involvement, and cultural factors that influence palliative care for Guatemalans.

Design: A qualitative descriptive study was conducted in Guatemala to explore palliative care experiences among seven participants.

Findings: The overarching theme was Relief from Suffering, reinforced by three support systems: the family, community rezadora, and priest.

Testing the feasibility of ¡Cuídate! With Mexican and Central American youth in a rural region of a southern state.

Regions of the US with growing Latino populations are in need of culturally sensitive sexual risk reduction programs. A Latino community, a public school district, and a university in eastern North Carolina collaborated to test the feasibility of ¡Cuídate!, a culturally tailored, evidence-based sexual risk reduction program, with Mexican and Central American youth. Ten male and 10 female adolescents, ages 13-17 years, participated in the ¡Cuídate! program and post-program focus groups.

International cultural immersion: en vivo reflections in cultural competence.

A baccalaureate nursing program developed and implemented an international cultural immersion course in Guatemala to explore the impact of cultural immersion on student nurses' cultural competence. This qualitative descriptive study generated data through in-depth interviews and en vivo reflective journals. The three themes: Navigating daily life, Broadening the lens, and Making a difference, revealed an expanded context and worldview of culture.

Walking out of one culture into another: health concerns of early adolescent Latinos.

Adolescence is considered a critical life transition that can lead to heightened vulnerability. Acculturation takes on increased importance during this period. The purpose of this study was to explore the relationship between acculturation and perceived health concerns of early adolescent Latinos in rural North Carolina.