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McDermott-Levy R, Mariani B, Lupinacci P. Nursing Students' Self-Efficacy in Immigrant Health. Nurse Educ 2022; 47:225-229. [PMID: 35113052 DOI: 10.1097/nne.0000000000001151] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
BACKGROUND The United States has the largest, most diverse immigrant population. Nurses will care for immigrant clients in all areas of nursing practice. PURPOSE The purpose of this study was to determine nursing students' self-efficacy in working with immigrant clients following a service-learning experience. METHODS A pre-/posttest descriptive study was used to measure students' self-efficacy in cultural aspects of screening, providing health education, and assisting with health care access prior to and after a voluntary service-learning experience at a resettlement agency. RESULTS Statistical significance was found in overall scale score and in all 19 individual items except 2 related to working with (P = .21) and communicating with (P = .49) the health care team. Overall, pretest and posttest results revealed that students' self-efficacy working with immigrant clients was improved. CONCLUSION Collaborating with an immigrant resettlement program to provide a structured immigrant health learning experience for prelicensure nursing students can improve self-efficacy in working with immigrant clients.
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Affiliation(s)
- Ruth McDermott-Levy
- Professor (Dr McDermott-Levy) and Associate Professor and Vice Dean for Academic Affairs (Dr Mariani), M. Louise Fitzpatrick College of Nursing, Villanova University, Villanova, Pennsylvania; Co-Director (Dr McDermott-Levy), Mid-Atlantic Center for Children's Health and the Environment, Villanova, Pennsylvania; and Associate Professor (Dr Lupinacci), Department of Mathematics and Statistics, Villanova University, Villanova, Pennsylvania
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Jervelund SS, Maltesen T, Wimmelmann CL, Petersen JH, Krasnik A. Know where to go: evidence from a controlled trial of a healthcare system information intervention among immigrants. BMC Public Health 2018; 18:863. [PMID: 29996799 PMCID: PMC6042399 DOI: 10.1186/s12889-018-5741-x] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2018] [Accepted: 06/22/2018] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Immigrants may face problems with accessing the Danish healthcare system due to, for example, lack of knowledge of how to navigate it, which may cause inappropriate healthcare-seeking. Danish municipalities provide a mandatory introduction and language programme for newly arrived immigrants, but no information on the healthcare system is offered. This study investigated what effects information about the Danish healthcare system may have on the hypothetical healthcare-seeking behaviour of newly arrived immigrants and their actual healthcare use. METHODS A prospective intervention study of 1572 adult immigrants attending two language schools in Copenhagen was carried out. Two intervention groups received either a course or written information on the Danish healthcare system, respectively, while the control group received neither. Survey data included three case vignettes on healthcare-seeking behaviour (flu-like symptoms, chest pain and depression) and were linked to registry data on sociodemographic characteristics and healthcare use in the year to follow. Logistic regression and binomial regression analyses were performed. RESULTS Appropriate hypothetical healthcare-seeking behaviour was reported by 61.8-78.8% depending on the vignette. Written information showed no effect on immigrants' hypothetical healthcare-seeking behaviour, while the course showed a positive effect on hypothetical healthcare-seeking behaviour for flu-like symptoms (adjusted odds ratio [AOR] = 1.71, 95% confidence interval [CI] = 1.01-2.91, p-value = 0.0467), but not on chest pain or depression. The interventions did not affect immigrants' actual healthcare use; all groups made lower use of health care services in the following year compared with the year where the study took place, except for the use of dental care which remained stable. CONCLUSIONS Information on the healthcare system embedded in the language school programme has the potential to facilitate immigrants' access to healthcare. Yet, the results underscore the need for further refinement and development of educational interventions, as well as ensuring adequate utilisation of healthcare services by other means. Multi-dimensional and multi-sectional efforts are important for integration issues within healthcare in Europe. TRIAL REGISTRATION Health-seeking behaviour among newly arrived immigrants in Denmark ISRCTN24905314 , May 1, 2015 (Retrospectively registered).
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Affiliation(s)
- Signe Smith Jervelund
- Department of Public Health, Section for Health Services Research, Danish Research Centre for Migration, Ethnicity, and Health, University of Copenhagen, Øster Farimagsgade 5A, DK-1014, Copenhagen K, Denmark.
| | - Thomas Maltesen
- Department of Public Health, Section for Biostatistics, University of Copenhagen, Øster Farimagsgade 5A, DK-1014, Copenhagen K, Denmark
| | - Camilla Lawaetz Wimmelmann
- Department of Public Health, Section for Health Services Research, Danish Research Centre for Migration, Ethnicity, and Health, University of Copenhagen, Øster Farimagsgade 5A, DK-1014, Copenhagen K, Denmark
| | - Jørgen Holm Petersen
- Department of Public Health, Section for Biostatistics, University of Copenhagen, Øster Farimagsgade 5A, DK-1014, Copenhagen K, Denmark
| | - Allan Krasnik
- Department of Public Health, Section for Health Services Research, Danish Research Centre for Migration, Ethnicity, and Health, University of Copenhagen, Øster Farimagsgade 5A, DK-1014, Copenhagen K, Denmark
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Salerno JP, McEwing E, Matsuda Y, Gonzalez-Guarda RM, Ogunrinde O, Azaiza M, Williams JR. Evaluation of a nursing student health fair program: Meeting curricular standards and improving community members' health. Public Health Nurs 2018; 35:450-457. [PMID: 29667239 DOI: 10.1111/phn.12402] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2017] [Revised: 02/01/2018] [Accepted: 02/08/2018] [Indexed: 11/28/2022]
Abstract
BACKGROUND Public health nursing (PHN) is an essential component of baccalaureate nursing education. In order to build PHN competencies, universities must design and operationalize meaningful clinical activities addressing community and population health. Currently, there is a paucity of literature delineating best practices for promoting competency in PHN. AIMS The purpose of this manuscript is to describe a PHN-student health fair program as a means for meeting undergraduate PHN curricular standards, and to report results of an evaluation conducted examining its effectiveness in improving community member's health knowledge. METHODS Health fairs were held at community agencies that served the homeless or victims of intimate partner violence. A total of 113 community members that attended a health fair were assessed at baseline and immediate posttest using open-ended questionnaires. The design of the health fairs included a community assessment, intervention, and evaluation flow that followed the nursing process. RESULTS We report that results from participants surveyed indicated that PHN-student delivered health fairs improved health knowledge among community members in this sample (p = .000). CONCLUSION Health fairs conducted by PHN students appear to be promising community health promotion and disease prevention interventions that can serve as an effective strategy for teaching PHN student competencies and facilitating engagement with the community.
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Affiliation(s)
- John P Salerno
- Department of Behavioral and Community Health, University of Maryland School of Public Health, College Park, MD, USA
| | - Evan McEwing
- School of Nursing and Health Studies, University of Miami, Coral Gables, FL, USA
| | - Yui Matsuda
- School of Nursing and Health Studies, University of Miami, Coral Gables, FL, USA
| | | | - Olutola Ogunrinde
- School of Nursing and Health Studies, University of Miami, Coral Gables, FL, USA
| | - Mona Azaiza
- School of Nursing and Health Studies, University of Miami, Coral Gables, FL, USA
| | - Jessica R Williams
- University of North Carolina at Chapel Hill School of Nursing, Chapel Hill, NC, USA
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Abstract
Hypertension is highly prevalent in Chinese Canadians and diet has been identified as an important modifiable risk factor for hypertension. The current anti-hypertensive dietary recommendations in hypertension care guidelines lack examination of cultural factors, are not culturally sensitive to ethnic populations, and cannot be translated to Chinese Canadian populations without cultural considerations. Guided by Leininger's Sunrise Model of culture care theory, this paper investigates how cultural factors impact Chinese Canadians' dietary practice. It is proposed that English language proficiency, health literacy, traditional Chinese diet, migration and acculturation, and Traditional Chinese Medicine influence Chinese Canadians' dietary practices. A culturally congruent nursing intervention should be established and tailored according to related cultural factors to facilitate Chinese Canadians' blood pressure control. In addition, further study is needed to test the model adapted from Sunrise Model and understand its mechanism.
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Svensson P, Carlzén K, Agardh A. Exposure to culturally sensitive sexual health information and impact on health literacy: a qualitative study among newly arrived refugee women in Sweden. CULTURE, HEALTH & SEXUALITY 2017; 19:752-766. [PMID: 27894219 DOI: 10.1080/13691058.2016.1259503] [Citation(s) in RCA: 28] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
Abstract
In Sweden, migrants have poorer sexual and reproductive health compared to the general population. Health literacy, in the form of the cognitive and social skills enabling access to health promoting activities, is often poorer among migrants, partly due to language and cultural barriers. Culturally sensitive health education provides a strategy for enhancing health literacy. Since 2012, specially trained civic and health communicators have provided sexual and reproductive health and rights information to newly arrived refugees in Skåne, Sweden. The aim of this study was to explore how information on sexual and reproductive health and rights was perceived by female recipients and whether being exposed to such information contributed to enhanced sexual and reproductive health and rights literacy. Semi-structured in-depth interviews were conducted with nine women and analysed using qualitative content analysis. Two themes emerged: (1) opening the doors to new understandings of sexual and reproductive health and rights and (2) planting the seed for engagement in sexual and reproductive health and rights issues, illustrating how cultural norms influenced perceptions, but also how information opened up opportunities for challenging these norms. Gender-separate groups may facilitate information uptake, while discussion concerning sexual health norms may benefit from taking place in mixed groups.
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Affiliation(s)
- Pia Svensson
- a Social Medicine and Global Health, Department of Clinical Sciences , Lund University , Malmö , Sweden
| | - Katarina Carlzén
- b Department of Social Sustainability , County Administrative Board of Skåne , Malmö , Sweden
| | - Anette Agardh
- c Social Medicine and Global Health, Department of Clinical Sciences , Lund University , Malmö , Sweden
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Jervelund SS, Maltesen T, Wimmelmann CL, Petersen JH, Krasnik A. Ignorance is not bliss: The effect of systematic information on immigrants' knowledge of and satisfaction with the Danish healthcare system. Scand J Public Health 2017; 45:161-174. [PMID: 28077059 DOI: 10.1177/1403494816685936] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
AIMS Suboptimal healthcare utilisation and lower satisfaction with the patient-doctor encounter among immigrants has been documented. Immigrants' lack of familiarity with the healthcare system has been proposed as an explanation for this. This study investigated whether a systematic delivery of information affected immigrants' knowledge of and satisfaction with the Danish healthcare system. METHODS A prospective, randomised intervention study of 1158 adult immigrants attending two language schools in Copenhagen was conducted. Two intervention groups received written information or a 12-hour course on the Danish healthcare system, while a control group received nothing. Survey data included self-assessed knowledge, true/false questions on access and questions relating to satisfaction with the healthcare system. Data were linked to socioeconomic registry data. Logistic regression analyses were performed. RESULTS The course improved knowledge of who to contact in the event of an accident (odds ratio (OR) = 2.67, 95% confidence interval (CI) = 1.56-4.59) but not in the event of illness. Further, it positively affected correct answers for nine out of 11 questions on the healthcare system (varying from OR = 1.87, 95% CI = 1.08-3.24 to OR = 3.11, 95% CI = 1.58-6.11). Written information positively affected correct answers for three out of 11 questions, but negatively affected one out of 11 compared with the control group. Neither intervention affected immigrants' satisfaction with the healthcare system. CONCLUSIONS Knowledge of the healthcare system is necessary for optimal healthcare-seeking behaviour. The results may form the basis of national and international changes in immigrant reception and optimise immigrants' contact with the healthcare system.
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Affiliation(s)
- Signe Smith Jervelund
- 1 Department of Public Health, Section for Health Services Research, Danish Research Centre for Migration, Ethnicity, and Health, University of Copenhagen, Copenhagen K, Denmark
| | - Thomas Maltesen
- 2 Department of Public Health, Section for Biostatistics, University of Copenhagen, Copenhagen K, Denmark
| | - Camilla Lawaetz Wimmelmann
- 1 Department of Public Health, Section for Health Services Research, Danish Research Centre for Migration, Ethnicity, and Health, University of Copenhagen, Copenhagen K, Denmark
| | - Jørgen Holm Petersen
- 2 Department of Public Health, Section for Biostatistics, University of Copenhagen, Copenhagen K, Denmark
| | - Allan Krasnik
- 1 Department of Public Health, Section for Health Services Research, Danish Research Centre for Migration, Ethnicity, and Health, University of Copenhagen, Copenhagen K, Denmark
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Kamimura A, Nourian MM, Jess A, Chernenko A, Assasnik N, Ashby J. Perceived benefits and barriers and self-efficacy affecting the attendance of health education programs among uninsured primary care patients. EVALUATION AND PROGRAM PLANNING 2016; 59:55-61. [PMID: 27591485 DOI: 10.1016/j.evalprogplan.2016.08.006] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/01/2016] [Revised: 06/07/2016] [Accepted: 08/13/2016] [Indexed: 06/06/2023]
Abstract
Lifestyle interventions have shown to be effective in improving health status, health behaviors, and self-efficacy. However, recruiting participants to health education programs and ensuring the continuity of health education for underserved populations is often challenging. The goals of this study are: to describe the attendance of health education programs; to identify stages of change to a healthy lifestyle; to determine cues to action; and to specify factors affecting perceived benefits and barriers to healthy food choices and physical activity among uninsured primary care patients. Uninsured primary care patients utilizing a free clinic (N=621) completed a self-administered survey from September to December of 2015. US born English speakers, non-US born English speakers, and Spanish speakers reported different kinds of cues to action in attending health education programs. While self-efficacy increases perceived benefits and decreases perceived barriers for physical activity, it increases both perceived benefits and perceived barriers for healthy food choices. The participants who had attended health education programs did not believe that there were benefits for healthy food choices and physical activity. This study adds to the body of literature on health education for underserved populations.
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Affiliation(s)
- Akiko Kamimura
- Department of Sociology, University of Utah, Salt Lake City, UT, USA.
| | - Maziar M Nourian
- School of Medicine, University of Utah, Salt Lake City, UT, USA.
| | | | - Alla Chernenko
- Department of Sociology, University of Utah, Salt Lake City, UT, USA.
| | - Nushean Assasnik
- Health, Society and Policy, University of Utah, Salt Lake City, UT, USA.
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Majid S, Douglas R, Lee V, Stacy E, Garg AK, Ho K. Facilitators of and barriers to accessing clinical prevention services for the South Asian population in Surrey, British Columbia: a qualitative study. CMAJ Open 2016; 4:E390-E397. [PMID: 27975044 PMCID: PMC5143023 DOI: 10.9778/cmajo.20150142] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
BACKGROUND British Columbia falls short in uptake of recommended clinical prevention services, with even lower rates among immigrant populations. This study explored facilitators of and barriers to uptake of clinical prevention services among people from South Asia, who represent 31% of the population in Surrey, British Columbia. METHODS We used a qualitative descriptive approach and employed vignettes in a focus group setting to elicit perspectives of South Asian people on accessing clinical prevention services. Participants aged 40 years or more were recruited between October 2014 and February 2015 from health care and community settings such as older-adult housing, day programs and health education events. Letters of introduction to the study were provided in English or Punjabi or both to all potential participants. We conducted qualitative content analysis of the results. RESULTS Sixty-two South Asian adults (36 women and 26 men) aged 40-87 years participated in 1 of 8 focus groups in health care or community settings. Facilitators of and barriers to accessing clinical prevention services were noted at the patient, primary care provider and health care system levels. Facilitators at the patient level included taking ownership over one's health, health literacy and respecting the provider's advice; barriers included fear of the diagnosis, death and/or procedures, perceived low risk of disease or utility of the intervention, and side effects of procedures. Provider factors centred on a trust-based patient-provider relationship, strong communication and adequate time during visits. Health care system factors included such facilitators as processes to routinely offer prevention services as part of other health care or social services, systems that encourage prevention-oriented family practice and services at low or no cost to the patient. INTERPRETATION Our findings validate previously identified facilitators of and barriers to accessing preventive care for immigrant populations. However, the results suggest that system-level factors influencing the duration of primary care visits may have a more salient impact on uptake of clinical prevention services in this population.
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Affiliation(s)
- Sanaa Majid
- MPH practicum student, Fraser Health Authority, Surrey, BC, and MPH candidate, University of Waterloo (Majid), Waterloo, Ont.; Population Health Observatory (Douglas), Fraser Health Authority, Surrey, BC; Fraser Health Authority (Lee), Surrey, BC; Digital Emergency Medicine (Stacy, Ho) and Department of Emergency Medicine (Ho), Faculty of Medicine, University of British Columbia, and the University of British Columbia P.A. Woodward Instructional Resources Centre (Stacy, Ho), Vancouver, BC; South Asian Health Institute, Fraser Health Authority and Department of Pathology and Laboratory Medicine, Faculty of Medicine, University of British Columbia (Garg), New Westminster, BC
| | - Rachel Douglas
- MPH practicum student, Fraser Health Authority, Surrey, BC, and MPH candidate, University of Waterloo (Majid), Waterloo, Ont.; Population Health Observatory (Douglas), Fraser Health Authority, Surrey, BC; Fraser Health Authority (Lee), Surrey, BC; Digital Emergency Medicine (Stacy, Ho) and Department of Emergency Medicine (Ho), Faculty of Medicine, University of British Columbia, and the University of British Columbia P.A. Woodward Instructional Resources Centre (Stacy, Ho), Vancouver, BC; South Asian Health Institute, Fraser Health Authority and Department of Pathology and Laboratory Medicine, Faculty of Medicine, University of British Columbia (Garg), New Westminster, BC
| | - Victoria Lee
- MPH practicum student, Fraser Health Authority, Surrey, BC, and MPH candidate, University of Waterloo (Majid), Waterloo, Ont.; Population Health Observatory (Douglas), Fraser Health Authority, Surrey, BC; Fraser Health Authority (Lee), Surrey, BC; Digital Emergency Medicine (Stacy, Ho) and Department of Emergency Medicine (Ho), Faculty of Medicine, University of British Columbia, and the University of British Columbia P.A. Woodward Instructional Resources Centre (Stacy, Ho), Vancouver, BC; South Asian Health Institute, Fraser Health Authority and Department of Pathology and Laboratory Medicine, Faculty of Medicine, University of British Columbia (Garg), New Westminster, BC
| | - Elizabeth Stacy
- MPH practicum student, Fraser Health Authority, Surrey, BC, and MPH candidate, University of Waterloo (Majid), Waterloo, Ont.; Population Health Observatory (Douglas), Fraser Health Authority, Surrey, BC; Fraser Health Authority (Lee), Surrey, BC; Digital Emergency Medicine (Stacy, Ho) and Department of Emergency Medicine (Ho), Faculty of Medicine, University of British Columbia, and the University of British Columbia P.A. Woodward Instructional Resources Centre (Stacy, Ho), Vancouver, BC; South Asian Health Institute, Fraser Health Authority and Department of Pathology and Laboratory Medicine, Faculty of Medicine, University of British Columbia (Garg), New Westminster, BC
| | - Arun K Garg
- MPH practicum student, Fraser Health Authority, Surrey, BC, and MPH candidate, University of Waterloo (Majid), Waterloo, Ont.; Population Health Observatory (Douglas), Fraser Health Authority, Surrey, BC; Fraser Health Authority (Lee), Surrey, BC; Digital Emergency Medicine (Stacy, Ho) and Department of Emergency Medicine (Ho), Faculty of Medicine, University of British Columbia, and the University of British Columbia P.A. Woodward Instructional Resources Centre (Stacy, Ho), Vancouver, BC; South Asian Health Institute, Fraser Health Authority and Department of Pathology and Laboratory Medicine, Faculty of Medicine, University of British Columbia (Garg), New Westminster, BC
| | - Kendall Ho
- MPH practicum student, Fraser Health Authority, Surrey, BC, and MPH candidate, University of Waterloo (Majid), Waterloo, Ont.; Population Health Observatory (Douglas), Fraser Health Authority, Surrey, BC; Fraser Health Authority (Lee), Surrey, BC; Digital Emergency Medicine (Stacy, Ho) and Department of Emergency Medicine (Ho), Faculty of Medicine, University of British Columbia, and the University of British Columbia P.A. Woodward Instructional Resources Centre (Stacy, Ho), Vancouver, BC; South Asian Health Institute, Fraser Health Authority and Department of Pathology and Laboratory Medicine, Faculty of Medicine, University of British Columbia (Garg), New Westminster, BC
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Abstract
In this essay, the concept of relational practice and its relevance to nursing will be analyzed; a personal experience of nurse-patient interaction will be described; relational practice will be applied as a lens to analyze my episode of nurse-patient interaction; other concepts, including culture and cultural safety, will be integrated into the discussion; and, finally, the implications of relational practice for my future practice will be explored.
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Affiliation(s)
- Ping Zou
- School of Nursing, Nipissing University, Toronto, Ontario, Canada
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Daher M, Chaar B, Saini B. Impact of patients' religious and spiritual beliefs in pharmacy: From the perspective of the pharmacist. Res Social Adm Pharm 2015; 11:e31-41. [DOI: 10.1016/j.sapharm.2014.05.004] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2014] [Revised: 05/22/2014] [Accepted: 05/22/2014] [Indexed: 11/30/2022]
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Lopez-Dicastillo O, Belintxon M. The Challenges of Participant Observations of Cultural Encounters within an Ethnographic Study. ACTA ACUST UNITED AC 2014. [DOI: 10.1016/j.sbspro.2014.04.347] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Ounnapiruk L, Wirojratana V, Meehatchai N, Turale S. Effectiveness of a behavior modification program for older people with uncontrolled Type 2 Diabetes. Nurs Health Sci 2013; 16:216-23. [DOI: 10.1111/nhs.12089] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2012] [Revised: 07/07/2013] [Accepted: 07/09/2013] [Indexed: 01/06/2023]
Affiliation(s)
| | | | | | - Sue Turale
- HOPE School of Nursing; Wuhan University; Wuhan China
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