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1 – 10 of 926Gary D. Futrell and Tiffany N. Clemons
The purpose of this research is to compare the mission statements of the hospitals listed on the 2014 US News & World Report’s Best Hospitals List to investigate the research…
Abstract
Purpose
The purpose of this research is to compare the mission statements of the hospitals listed on the 2014 US News & World Report’s Best Hospitals List to investigate the research question, “Are high ranking hospitals (HRH) more likely than low ranking hospitals (LRH) to address cultural diversity in strategic statements?”
Design/methodology/approach
The strategic statements of 44 HRH and 56 LRH were compared using chi-square and Fisher’s exact test.
Findings
While the data do not support the notion that HRHs are more likely than LRHs to address diversity in strategic statements, HRHs are more likely than LRHs to actually devote resources to address the issues of cultural diversity.
Research limitations/implications
The current research is limited to a sample taken from the US News & World Report Best Hospitals. This is not a definitive list, and a multitude of third-party hospital raters exist – each with its own unique metrics.
Practical implications
The results do not show a relationship between a hospital’s mission statement and its ranking in the US News List of Best Hospitals. However, the findings suggest that hospitals that maintain a dedicated diversity manager/office do tend to be higher ranked.
Originality/value
This is the first known investigation of the relationship between the inclusion of diversity in hospital mission statements and hospital rankings. The research suggests that addressing diversity in strategic statements is simply not enough and that dedicated, ground-level resources are necessary to properly impact quality care and third-party ratings.
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Weerati Pongthippat, Gunnel Östlund, Mehrdad Darvishpour, Jureerat Kijsomporn and Lena-Karin Gustafsson
Globalisation provides new opportunities for immigrant women to supply financial benefits transnationally to uphold their families in their home countries. The purpose of this…
Abstract
Purpose
Globalisation provides new opportunities for immigrant women to supply financial benefits transnationally to uphold their families in their home countries. The purpose of this study is to explore the experiences of Thai immigrant women regarding transnational family responsibilities effects on their health and wellness.
Design/methodology/approach
Qualitative data were collected using semi-structured interviews with 40 Thai immigrant women, of which 34 described having transnational family responsibilities. The transcribed data were analysed using a phenomenographic approach.
Findings
The findings revealed five structural aspects of transnational family responsibilities of Thai immigrant women: being a dutiful daughter, being a caring mother, being a kind relative, being a “giving” person and striving for a wealthy life. The interviewees seldom encountered enough support from the spouse in handling their transnational family responsibilities. In general, a transnational marriage includes family responsibilities that are continuous and that often is the cause of migration.
Practical implications
This paper illuminates the transnational responsibilities of marriage migration and argues for women’s rights of culturally congruent health care.
Originality/value
Traditionally Thai women’s values are based on how they handle family responsibilities and acknowledging own health needs are not. These interviewees perceived doubled burden in terms of family responsibilities and workload in employed work, which contributed to poor health and wellness.
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Kathryn Connors, Dean V. Coonrod, Patricia Habak, Stephanie Ayers and Flavio Marsiglia
This chapter examines birth outcomes of patients enrolled in Familias Sanas (Healthy Families), an educational intervention designed to reduce health disadvantages of low-income…
Abstract
Purpose
This chapter examines birth outcomes of patients enrolled in Familias Sanas (Healthy Families), an educational intervention designed to reduce health disadvantages of low-income, immigrant Latina mothers by providing social support during and after pregnancy.
Methodology/approach
Using a randomized control-group design, the project recruited 440 pregnant Latina women, 88% of whom were first generation. Birth outcomes were collected through medical charts and analyzed using regression analysis to evaluate if there were any differences between patients enrolled in Familias Sanas compared to those patients who followed a typical prenatal course.
Findings
Control and intervention groups were found to be similar with regard to demographic characteristics. In addition, we did not observe a decrease in rate of a number of common pregnancy-related complications. Likewise, rates of operative delivery were similar between the two groups as were fetal weight at delivery and use of regional anesthesia at delivery.
Research limitations/implications
The lack of improvements in birth outcomes for this study was perhaps because this social support intervention was not significant enough to override long-standing stressors such as socioeconomic status, poor nutrition, genetics, and other environmental stressors.
Originality/value of chapter
This study was set in an inner-city, urban hospital with a large percentage of patients being of Hispanic descent. The study itself is a randomized controlled clinical trial, and data were collected directly from electronic medical records by physicians.
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Berit Johannessen, Magnhild Hoie, Kristin Haraldstad, Solvi Helseth, Liv Fegran, Thomas Westergren, Åshild Slettebø and Gudrun Rohde
The number of adolescents experiencing pain is increasing. Pain has a major impact on several areas of daily living, such as function at school and school absenteeism, loss of…
Abstract
Purpose
The number of adolescents experiencing pain is increasing. Pain has a major impact on several areas of daily living, such as function at school and school absenteeism, loss of appetite and socializing. One out of ten pupils in Norwegian schools is immigrants, and surveys have shown that immigrants suffer from poor health more often than the general population. The purpose of this study was to explore how school nurses and teachers experience pain in young immigrants in the school setting.
Design/methodology/approach
A qualitative design using focus group interviews was chosen for data collection. A total of 11 focus groups (17 school nurses and 25 teachers) consisting of school nurses and teachers in junior high schools (age: 13-16 years) in Southern Norway were conducted. Data were analyzed using a qualitative content analysis.
Findings
School nurses and teachers experienced communication of pain with young immigrants as characterized by cultural differences and language problems. Immigrants waiting for residency permits experienced pain more often than others. They also experienced that young immigrants often were absent from school and used pain as an excuse for not participating in classes, but this was not the case at the special school for immigrants. During Ramadan, they experienced that immigrant pupils had an increase of pain, especially headaches.
Originality/value
Culture affects the assessment and management of pain and different strategies may assist school nurses and teachers in their encounter with young immigrants with pain. There is a need for education in cultural competence among teachers and school nurses.
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The purpose of this article is to describe a creative library orientation program utilizing Blackboard to help nursing students develop information literacy and successfully…
Abstract
Purpose
The purpose of this article is to describe a creative library orientation program utilizing Blackboard to help nursing students develop information literacy and successfully complete a cultural research paper.
Design/methodology/approach
Information literacy components and course‐specific library resources are integrated seamlessly into NRS 110 Blackboard course. The students attend a one‐hour library orientation and continue to receive research assistance from the librarian via Blackboard. Surveys are conducted to help evaluate the program's effectiveness.
Findings
Results suggest that librarian‐faculty collaboration in integrating information literacy and course‐specific library resources into Blackboard courses is an effective way to improve library instruction and student learning.
Practical implications
The article offers a model for incorporating information literacy and course‐specific library resources into faculty Blackboard courses.
Originality/value
The study will be of particular value to librarians looking to use LMS such as Blackboard to enhance traditional library instruction.
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Zoleikha Abbasi, Jon Billsberry and Mathew Todres
The purpose of this paper is to integrate research conducted on work values, political values and cultural values to develop a new heuristic model of values that can be applied to…
Abstract
Purpose
The purpose of this paper is to integrate research conducted on work values, political values and cultural values to develop a new heuristic model of values that can be applied to workplace outcomes.
Design/methodology/approach
This is a conceptual paper that draws upon the work values, political values and cultural values literatures and the “similarity leads to attraction” and “dissimilarity leads to repulsion” hypotheses to advocate an integrative conceptual model spanning these constructs.
Findings
Integrating the three types of values with the underlying hypotheses of “similarity leads to attraction” and “dissimilarity leads to repulsion”, an internally consistent two-factor model of values is developed. This heuristic model argues that one set of factors causes value congruence and its associated outcomes and a different set of factors causes value incongruence and its associated outcomes. By conceptualizing value congruence and value incongruence as a two-factor theory, the idea is advanced that people do not assess value similarity and value dissimilarity unidimensionally, but these are two separate dimensions supported by different theoretical hypotheses and processes.
Originality/value
Previous conceptual work on values has isolated different types of values and considered them separately. A contribution is made by integrating the three main streams of values research. The paper is the first to advocate a two-factor theory to values and the first to incorporate the “similarity leads to attraction” and “dissimilarity leads to repulsion” hypotheses. The model repositions the focus for future research on value congruence and incongruence.
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Valerie Naquin, Spero Manson, Charles Curie, Shannon Sommer, Ray Daw, Carole Maraku, Nemu Lallu, Dale Meller, Cristy Willer and Edward Deaux
The demand for evidence‐based health practices has created a cultural challenge for Indigenous people around the world. This paper reports on the history and evolution of…
Abstract
The demand for evidence‐based health practices has created a cultural challenge for Indigenous people around the world. This paper reports on the history and evolution of evidence‐based care into its mainstream status within the behavioural health field. Through the leadership of an Alaska Native tribal organisation, an international forum was convened to address the challenges of evidence‐based practice for Indigenous people. Forum participants developed a model for gathering evidence that integrates rigorous research with Indigenous knowledge and values. The model facilitates development of practices and programmes that are culturally congruent for Indigenous people, accepted and validated by the research community, and deemed supportable by private and governmental sponsors.
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Autumn Behringer, Carolyn C. Perrucci and Richard Hogan
To what extent do couples expect to retire together? What distinguishes “atypical congruent” couples who expect to retire separately? What distinguishes “non-congruent” couples…
Abstract
To what extent do couples expect to retire together? What distinguishes “atypical congruent” couples who expect to retire separately? What distinguishes “non-congruent” couples who disagree on retirement plans? Using U.S. Health and Retirement Study (HRS) data, we find that “Atypical Congruent” (separate retirement) couples have shorter marriages, larger age differences, unequal decision-making, dependent children, and pension plans for both husband and wife. They are also more frequently interracial or minority couples. “Non-Congruent” couples (who disagree on retirement plans) are distinguished by wife's earnings and husband's occupational status and work schedule.
Native American (NA) women's health needs in general are underresearched, and use of holistic, community-informed, and resilience-based approaches are rare. Despite extensive…
Abstract
Native American (NA) women's health needs in general are underresearched, and use of holistic, community-informed, and resilience-based approaches are rare. Despite extensive documentation of the continuing health inequalities between NA women and the general US population, little research examines what healthcare infrastructure and healthcare provider factors most impact, and exacerbate, these health disparities. The purpose of the study was to provide insight into the healthcare experiences of NA women. A qualitative descriptive research methodology with “hues” of an ethnographic life-history approach was used. Data were collected through qualitative semi-structured life-history interviews with 31 NA women from the Gulf Coast region of the United States. All women identified healthcare obstacles and barriers. These barriers were predominately comprised of Healthcare Infrastructure Barriers, which entailed: (1) Cost and Insurance Barriers; (2) Concerns about Western Medication; (3) Language Barriers; (4) Distance to Medical Facilities or Specialists; and (5) Long-wait Times, and Negative Provider Relationships, which included: (1) Rushed or Rude Provider Interactions; (2) Providers not Listening, or Ignoring Patient Concerns; (3) Poor, Inaccurate, or Inadequate Care or Diagnosis; (4) Discrimination in Healthcare; and (5) The need for Personal Relationships with Providers. These findings suggest that healthcare infrastructure issues and poor healthcare provider relationships are important structural issues that contribute to health disparities. The findings from this study have important implications for the type of training those working in healthcare services receive to be more sensitive to the needs of NA women and suggest that NA women may need unique support when accessing healthcare.
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