Improving Cultural Competence and Self-Efficacy Among Postgraduate Nursing Students: Results of an Online Cultural Care Training Program.

INTRODUCTION: Since nurses and nursing students interact with culturally diverse clients in health care settings, training programs are required to improve cultural competence and self-efficacy among them. This study aimed to investigate the effect of an online cultural care training program on cultural competence and self-efficacy among postgraduate nursing students. METHODS: The present interventional study used random sampling to allocate 80 postgraduate nursing students into the intervention and control groups. Cultural care training program was held for the intervention group. RESULTS: No significant difference in cultural competence and self-efficacy scores was found between the intervention and control groups in the pretest. However, the intervention group scored higher in terms of cultural competence and self-efficacy after the intervention. DISCUSSION: Given cultural diversity and prevalence of medical tourism, nursing instructors need to pay special attention to cultural care education at all academic levels.

Theoretical reflections of Leininger's cross-cultural care in the context of Covid-19.

OBJECTIVE: To reflect on cross-cultural care for the population based on the theoretical assumptions and concepts of Leininger's Transcultural Theory, related to the recommendations for combating the Covid-19 pandemic. METHOD: Reflective theoretical study based on culturally competent care, related to the Brazilian reality, using the conceptual attributes of care, culture, and worldview. Critically articulated the reasonings about the guidelines for preserving, accommodating, and repatterning actions for the care of people. RESULTS: The nurse must know cross-cultural care in order to consider individual and/or collective treatment and respect the existing differences in beliefs and values. This premise corroborates the adherence to Covid-19 prevention and treatment recommendations. The lack of knowledge about the transmissibility and invisibility of the virus and the risk factors, combined with the cultural diversity of the population, can make it difficult to adhere to health recommendations. FINAL CONSIDERATIONS: Cross-cultural care favors the practice of health education and can provide conditions for greater adherence of the population to nursing actions.

Utilizing the ACCESS Model to Understand Communication With the Ultraorthodox Community in Beit Shemesh During the First Wave of COVID-19.

INTRODUCTION: The coronavirus pandemic has disproportionately negatively affected the ultraorthodox in Israel. Their unique characteristics and slow adoption of preventative health guidelines resulted in a significant increase in morbidity and mortality. To lower these rates, health and government authority figures employed methods to change the ultraorthodox community health behaviors. METHODOLOGY: This study utilizes the ACCESS model for transcultural nursing to analyze the response by authorities to high infection rates in the large ultraorthodox community in city of Beit Shemesh during the first wave of the outbreak (through early May). RESULTS: The authorities employed all model components to varying degrees and found moderate success in changing health behaviors of the ultraorthodox. DISCUSSION: Employing the ACCESS model as a response to the health care crisis among the ultraorthodox community in Beit Shemesh led to some success in increased compliance, thus lowering morbidity rates. However, not establishing strong respect and rapport hindered the process.