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Full-Text Articles in Education

Invisible Outsiders: Developing A Working Alliance With Appalachian Clients, Jake J. Protivnak, Cassandra G. Pusateri, Matthew J. Paylo, Kyoung Mi Choi Sep 2017

Invisible Outsiders: Developing A Working Alliance With Appalachian Clients, Jake J. Protivnak, Cassandra G. Pusateri, Matthew J. Paylo, Kyoung Mi Choi

Kyoung Choi

Appalachian clients are often ‘invisible’ within the majority culture and possess characteristics unique to the region that must be considered within the counseling relationship (Tang & Russ, 2007).  Individuals in Appalachia have higher incidences of certain mental health disorders and substance use as compared to the national average (Appalachian Regional Commission [ARC], 2008).  Although the need for mental health services is evident, limited research exists to inform mental health professionals how to deliver culturally competent interventions to build a working alliance with Appalachian clients.  The authors will discuss a framework for mental health professionals to develop a strong working alliance …


The Influence Of International Service-Learning On Cultural Competence In Baccalaureate Nursing Graduates And Their Subsequent Nursing Practice, Roxanne Amerson Aug 2014

The Influence Of International Service-Learning On Cultural Competence In Baccalaureate Nursing Graduates And Their Subsequent Nursing Practice, Roxanne Amerson

Roxanne Amerson

A series of research studies was completed over 3 years to evaluate baccalaureate nursing students' transcultural self-efficacy following the completion of service-learning projects. A quantitative pilot study was completed in 2007 with a convenience sample of students (n=60) enrolled in a community health nursing course. Several clinical groups worked with local communities and one clinical group took part in a one-week program in Guatemala. The Transcultural Self-Efficacy Tool (TSET) was administered at the beginning and completion of the semester. A paired-samples t test demonstrated a significant increase for pre-test to post-test total and subscale scores. A follow-up field study was …