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The Challenge Of Cultural Competency In The Multicultural 21st Century: A Conceptual Model To Guide Occupational Therapy Practice, Wesam Darawsheh, Gill Chard, Mona Eklund

The Open Journal of Occupational Therapy

Background: Occupational therapists increasingly encounter clients from diverse cultural backgrounds and need to meet their professional obligation of delivering culturally competent practice. Yet the process of cultural competency is poorly understood in occupational therapy practice. There is a need for a clear understanding of the meaning and process of cultural competency as it is enacted in practice with a wide range of individuals from culturally diverse backgrounds.

Aim: To investigate the process, stages, characteristics, and requirements of cultural competency as practiced by experienced occupational therapists.

Method: Semi-structured interviews were carried out with 13 community occupational therapists experienced …

Ciis Today, Spring 2015 Issue, California Instituite Of Integral Studies

CIIS Today

This volume is the Spring 2015 issue of CIIS Today, the Magazine of the California Institute of Integral Studies.

Muslim Women And United States Healthcare: Challenges To Access And Navigation, Dayna M. Seeger

What All Americans Should Know About Women in the Muslim World

This paper offers an analysis of the interactions of Muslim women in the US healthcare system in order to unpack challenges and propose potential accommodations. Islam may inform values or considerations in the context of other cultural factors or present Muslim women with specific challenges in seeking healthcare based on Islamic teachings or social constructs. This paper examines these factors by elaborating on an overview of Muslim interpretations of healthcare using religious authorities, text from the Qur’an, and social norms. It then delves into challenges faced by Muslim women in the US healthcare system and the implications of those challenges …

Marshall University Joan C. Edwards School Of Medicine, Professional Enhancement Newsletter, Spring 2015, Darshana T. Shah Phd

Professional Enhancement News (PEN)

Spring 2015, Volume 7, Number 1

Cus M! Let’S Go!: The Flourishing Of Bali’S Komunitas Gay In The Hiv/Aids Crisis, Ikaika Ramonès

Independent Study Project (ISP) Collection

This paper draws on approximately one month of field research with two Indonesian Non-Governmental Organisations (NGOs), exploring how Bali’s komunitas gay has been affected by, reacted to, proactively combated, and even transcended the ongoing HIV/AIDS epidemic. This paper first situates the argument by explaining the uniqueness of Bali as a site of HIV/AIDS resurgence and centre of gay life in Indonesia. In this context, the paper discusses the observed phenomena, testimony of experiences from collaborators, and the role one of these NGOs plays in the community. This paper argues against the commonly-held static and victimizing notion that the HIV/AIDS crisis …

Access To Care Barriers For Native American Veterans, Joanne Kristen Rhoads

Doctoral Projects

There are very few studies that examine Native American Veterans and access to care issues. Therefore, the researchers implemented an exploratory, descriptive, qualitative project to explore and identify the potential barriers that Native American Veterans have experienced with access to healthcare and participation in veteran benefit programs. A purposeful sample consisted of 14 Native veterans from the American Indian Veteran Association who were eligible for veteran services, and were willing to participate in the project. Fieldwork was performed in the natural environment of the Sierra Nevada foothills on the ancestral homeland of a California Tribe. The facilitator utilized a demographic …

The Impact Of Vaccine Hesitancy On The Polio Vaccine In South Asia, Leah Everist

Independent Study Project (ISP) Collection

A disease that paralyzes hundreds of children each year, polio is incurable but also entirely preventable through vaccination. Though part of the reason some children are not reached for immunization is that they are in areas too volatile for healthcare workers to access, vaccine hesitancy is increasingly being recognized as an important player. The objective of this study is to ascertain the degree to which vaccine hesitancy affects polio vaccine campaigns in Afghanistan and Pakistan, the countries in South Asia where polio continues to be endemic, to assess the drivers behind hesitancy in this region, and to present recommendations for …

Volume 07, Rachel C. Lombardi, Ben Osterhout, Lindsay Graybill, Rebecca E. Dey, Skyler T. Carpenter, Emma Beckett, Jason Ware, Mollie Andrews, James Bates, Landon Cooper, Tiffani Jeffries, Maria Wheaton, Dallas Price, Laura Kahler, Sarah Charlton, Anna Bultrowicz, Emily Spittle, Erin Godwin, Eamon Brokenbrough

Incite: The Journal of Undergraduate Scholarship

Introduction from Interim Dean Dr. Jennifer Apperson

Spatial Analysis of Potential Risk Factors Associated with Addition of Atlantic Coast Pipeline Through Virginia by Rachel C. Lombardi

"Delicate Matters with No Speaking," "Hope and Nothing," "Mono Duality" by Ben Osterhout

"Connect" Graphic Design Senior Project by Lindsay Graybill

Phenolic Acids in Brassicaceae Plants: Ovipositional Stimulants or Deterrents for Cabbage White Butterfly, Pieris Rapae? by Rebecca E. Dey And Skyler T. Carpenter

"Abecedarian Cards" by Emma Beckett, Jason Ware, And Mollie Andrews

Helvetica: A Type Specimen Book by James Bates, Landon Cooper, Tiffani Jeffries, And Maria Wheaton

“Things Left Behind” by Dallas …

When Nurses Are Also Patients: Intimate Partner Violence And The Health System As An Enabler Of Women's Health And Agency In Johannesburg, Courtenay Sprague, Nataly Woollett, Jane Parpart, Abigail M. Hatcher, Theresa Sommers, Shelley Brown, Vivian Black

Conflict Resolution, Human Security, and Global Governance Faculty Publication Series

While violence against women is a recognised global health problem, women’s agency in marginalised settings is poorly understood, particularly in relation to health systems. We explored agency as a practical and theoretical construct through qualitative research among 20 nurses with direct or indirect experiences of intimate partner violence (IPV) in Johannesburg. Interviews conducted from August 2013 to March 2014 generated rich descriptions from respondents in five health facilities. Nurses’ self-reported IPV matched national prevalence of 24–31%. Findings revealed the way in which agency is enacted by nurses, allowing them the economic means to leave abusive partnerships, yet disabling them from …

Knowledge Of Stroke Symptom And Risk Factors And Acculturation Among Cambodian Immigrants Living In Southern California, Samantha N. Sangsanoi-Terkchareon

Dissertations

The purpose of this quantitative study was to describe and examine the relationships between age, gender, educational level, health insurance status, and income to level of acculturation and knowledge of stroke symptom and risk factors recognition among Cambodian immigrants (n=200) living in Southern California. The data were analyzed using Pearson correlation, Kendal Tau, Chi-Square, and multiple regression to the determine relationship between depend and independent variables. The results of this study were that Cambodian participants’ mean age was 46.07 (SD= 17.51), average years of education were 8.95 (SD=5.26) and the mean number of people in each household was …

Llu Dentistry - Volume 26, Number 1, Loma Linda University School Of Dentistry

Articulator (Dentistry)

Contents:

4 | Dean's message
6 | Philanthropy:
Vision 2020 and LLUSD
9 | By the numbers
10 | Transitions:
Division of General Dentistry established
18 | Alumni Student Convention (ASC):
Student Dedication
20 | ASC #55
24 | Science:
CDR Expansion
32 | Student Research
36 | News:
LLU researchers take Boston
38 | PNAM alumni reunion
41 | Clinic With A Heart celebrates Silver Anniversary
44 | Icy challenges for ALS
46 | Alumnus elected to CA Assembly
48 | LLUSD + MEND-a collaboration
54 | Fond Farewells

Are We Empowered? A Qualitative Approach To Unfold The Experiences Of Female Nurses In Pakistan, Saleema A. Gulzar, Rozina Karmaliani, Nasreen Lalani, Qurratulain Nasiruddin

School of Nursing & Midwifery

The disparity of men and women in certain societies, such as Pakistan, is a growing concern. The disparity, unchanging mind-set, and definitions rooted in traditions do not free individuals from the socially bound gender identities. In such circumstances, educational institutions can become a way of transforming social structures. Considering female nurses in Pakistan as a case study, this paper explores the notion of “empowerment” and the factors responsible for empowerment or disempowerment of female nurses. The study also evaluates the role of a leading nursing institution in Pakistan namely the Aga Khan University- School of Nursing and Midwifery (AKUSONAM) in …

Nutrinews Volume 4, April 2015, Department Of Nutrition And Dietetics, University Of North Florida

NutriNews

This issue features Maternal Vitamin D Intake and Childhood Asthma, What Would a Caveman Eat?, and Get your Gardening On

Confronting Cultural Challenges For Migrant Healthcare In Switzerland, Rebecca Weiss

Independent Study Project (ISP) Collection

Switzerland is home to many migrants, and migration exacerbates health risks. In addition to physical health problems, migrants are more likely than Swiss nationals to face mental health challenges and cultural barriers, which complicate their experiences seeking healthcare. Similarly, clinicians encounter numerous challenges related to the special circumstances of migrant patients. As a response to the specific health needs of migrants, hospital networks and migrant support organizations promote the migrant health situation. However, these services are not ubiquitous in Switzerland, partly due to the partial freedoms of each canton to create its own health policy. This paper explores the barriers …

Babies First: Ensuring Proper Infant Nutrition During Emergencies, Abigail M. Alonso

Independent Study Project (ISP) Collection

Background: Breastfeeding is the best source of nutrition for an infant, living in all regions and cultures. Recommendations apply across the board, from developed nations to refugee camps, from women with HIV to those with time constraints regarding feeding. There also exists a complex relationship between corporations that provide BMS and the NGOs working to promote breastfeeding in emergency situations amongst vulnerable populations.

Objective: The objective of this paper is to expose breastfeeding promotion, using the Dadaab camps in Northeastern Kenya as a case study of IYCF programs and support of breastfeeding among low-literacy populations with an emphasis on women …

El Rol Del Parto Mapuche En El Mundo De La Medicina Moderna / The Role Of Mapuche Birth In A World Of Modern Medicine, Nita Chai

Independent Study Project (ISP) Collection

Research Question: Is there existing demand for Mapuche birth practices and what are the barriers to incorporating them in the Chilean healthcare system? Objective: Analyze the current role of Mapuche birth practicesby determining what is the demand from the Mapuche for their use, describing the quality of communication between Mapuche women andmodern professionals, and identifying the perspectives of modern professionals on Mapuche birth practices. Background: Childbirth is an integral process for the human race. For many indigenous communities, the arrival of a new life holds cultural significance that is recognized through ceremonies during or after childbirth. Chile has implemented health …

Diffusion Of Inclusion: Measuring Willingness, Janet A. Levey

Dissertations (1934 -)

The purpose of the study was to: (1) examine psychometric properties of the Willingness to Adopt Inclusive Teaching Strategies (ITSinNE) instrument and (2) measure factors influencing a nurse educator's willingness to adopt inclusive teaching strategies based in universal design for instruction (UDI). Universal design for instruction (UDI) is one approach to facilitate multiple ways of learning and evaluation in various learning environments for all learners; however, it is not well known or researched in nursing education. Diffusion of innovation theory (Rogers, 2003) and universal design for instruction (McGuire & Scott, 2006) provided the theoretical framework for the study. A cross-sectional …

Pubh 9630 - Public Health Doctoral Seminar, Joseph Telfair

College of Public Health: Faculty Syllabi (2014-2021)

This course is designed to provide doctoral candidates with instruction and practice allowing for the enhancement of knowledge and skills in the areas of critical thinking, information analyses and synthesis, and scientific writing. Give doctoral candidates the opportunity to determine, refine and comprehensively (written, oral) describe their dissertation research topic. Work with doctoral candidates to thoroughly identify, research, screen, then secure commitment from potential dissertation committee members, particularly the chair.

Chbe 9230 - Community-Based Public Health Program Planning And Evaluation, Moya L. Alfonso

College of Public Health: Faculty Syllabi (2014-2021)

This course introduces students to the theory and application of community-based program planning and evaluation. Concepts in community assessment, organization, and mobilization for the purposes of addressing identified public health concerns will serve as the foundation for the public health planning process. Appropriate techniques of partnership building, planning strategies, data collection, data analysis, and evidence-based decision-making will also be introduced.

Chbe 9331 - Health Disparities & The Rural Underserved, Andrew Hansen

College of Public Health: Faculty Syllabi (2014-2021)

This course provides an in-depth look at health disparities, including factors related to history, politics, socioeconomics, race/ethnicity and public health. The extant literature in each of these areas will be examined and discussed.

Chbe 9630 - Doctoral Seminar In Community Health, John S. Luque

College of Public Health: Faculty Syllabi (2014-2021)

This course will provide students with the opportunity to analyze the history and current applications of social and behavioral science theories, approaches, models and strategies (learned throughout the curriculum) to public health practice and research. This seminar will examine the breadth of epistemologies employed as we develop effective methods to create change across the ecological spectrum, from individual to policy levels. Emphasis will be placed on critical thinking skills to help students engage in dialogue about what will be effective research and practice in diverse public health settings over the next 10 years.

Cohe 7233 - Ecologically Focused Program Evaluation, Moya L. Alfonso

College of Public Health: Faculty Syllabi (2014-2021)

This course provides an overview of the principles of program evaluation. It explores the methods associated with systematic evaluation of public health education programs. Students will learn the skills needed to plan, conduct, and critique evaluation research. The content of the course includes: program logic models, formative, process, impact, outcome, and summative evaluation; theory driven evaluation; a review of validity issues as they relate to evaluation; sampling in a complex context; operationalizing variables; assessment of measurement instruments; and analysis of quantitative evaluation designs. In addition, issues that impact evaluation across the ecological model, specifically the importance of context and equity …

Cohe 7237 - Rural Community Health Issues, Ashley Walker

College of Public Health: Faculty Syllabi (2014-2021)

A study of social, economic, political, and cultural influences that impact the health of individuals and families in rural communities. Designed for health professionals, this course focuses on improving health status and developing culturally appropriate and effective interventions and services in rural settings.

Cohe 7238a - Communication For Change, John S. Luque

College of Public Health: Faculty Syllabi (2014-2021)

This course is designed to familiarize students with the history and current applications of health communication theory and strategies to public health practice and research. This course examines how to structure, develop and evaluate social marketing, media advocacy, risk communication and advocacy skills for change. In addition, systematic qualitative data collection processes such as interviewing skills, participant observation and focus groups will be developed. Emphasis is placed on critical thinking skills to help students analyze and utilize these skills in research and practice.

Review Article: Sociocultural And Economic Dimensions Of Rift Valley Fever, Geoffrey Otieno Muga, Washington Onyango-Ouma, Rosemary Sang, Hippolyte Affognon

All Peer-Reviewed Publications

Health researchers have advocated for a cross-disciplinary approach to the study and prevention of infectious zoonotic diseases, such as Rift Valley Fever. It is believed that this approach can help bring out the social determinants and effects of the zoonotic diseases for the design of appropriate interventions and public health policy. A comprehensive literature review using a systematic search strategy was undertaken to explore the sociocultural and economic factors that influence the transmission and spread of Rift Valley Fever. Although the findings reveal a paucity of social research on Rift Valley Fever, they suggest that livestock sacrificial rituals, food preparation …

Perception Of Cultural Competence In Nurse Practitioners, Carolina G. Huerta, Peter L. Kranz, Janice A. Maville

School of Nursing Faculty Publications

Purpose: Nurse practitioners are at the forefront in providing quality care to diverse populations and must become cognizant of the importance of cultural competence in caring for diverse patients. The purpose of this study was to examine perceptions of cultural competence and its integration in the delivery of health care in nurse practitioners practicing in a Mexican-American region of South Texas.

Methodology: A descriptive, qualitative design using grounded theory and purposive sampling was utilized for this study. Sixteen nurse practitioners, fourteen females and two males, participated in the study. Qualitative data collection was elicited through individual interviews and …

The Perception And Employability Of Dental Hygienists With Visible Tattoos, Christina Lynn Cox

Dental Hygiene Theses & Dissertations

Purpose: The aim of this study was to determine if the presence of visible tattoos could hinder employment for dental hygienists. Methods: 1,800 electronic surveys were distributed to licensed dentists in the state of Virginia. Surveys were arbitrarily assigned according to subject's birth month. Participants were shown a photograph of a dental hygienist with one of the three conditions: 1) no tattoo, 2) small tattoo, or 3) large "sleeve" tattoo. Respondents were asked to score the image based on five categories: ethical, responsible, competent, hygienic and professional, using a 5-point Likert scale, ranging from 1 (strongly disagree) to 5 (strongly …

45rd Annual Wku Student Research Conference, Student Research Council

Student Research Conference Select Presentations

See document below for project abstracts

Food Insecurity And Hunger Experiences And Their Impact On Food Pantry Clients In The Tampa Bay, Nora Brickhouse Arriola

USF Tampa Graduate Theses and Dissertations

Since 1999, there has been a significant increase in the number of food insecure individuals in the United States. The Great Recession (2007-2009) and slow economic recovery has led to additional increases in rates of food insecurity and the usage of emergency food assistance programs. Thirty qualitative interviews with individuals seeking emergency food assistance at a Tampa Bay food pantry were conducted. Interviews focused on collecting the life experiences of participants, the barriers they face in having food security, their strategies to cope with limited food budgets, and how food insecurity impacts their household's overall health and wellbeing. Recommendations for …

Melding Data Collection Methodology With Community Assistance: Benefits To Both Researchers And The Indigenous Groups They Study, Douglas S. London

Journal of Ecological Anthropology

I present a description of a model of melding data collection with community aid in the form of health educator training that emerged in the process of research collaboration during 2009-2011 with the Kawymeno Waorani foragers of Amazonian Ecuador. Some guidelines are suggested as to how benefits to both parties might be achieved when collecting data with indigenous populations. In this article I describe some of the advantages and pitfalls of melding data collection and community aid with research when collaborating with vulnerable indigenous groups.