Nursing lecturers’ perception and experience of teaching cultural competence: a european qualitative study

Cultural competence is an essential component in providing effective and culturally responsive healthcare services, reducing health inequalities, challenging racism in health care and improving patient safety, satisfaction and health outcomes. It is thus reasonable that undergraduate nursing students can develop cultural competency through education and training. The aim of this paper was to investigate nursing lecturers’ perception and experience of teaching cultural competence in four undergraduate nursing programs. A phenomenological approach was selected to illicit nursing lecturers’ perception of culture and experience of teaching cultural competence. Semi-struc-tured personal interviews were held with a sample of 24 lecturers from four European universities. The anonymized transcripts were analyzed qualitatively following Braun and Clark’s phases for thematic analysis. Six themes and fifteen subthemes emerged from thematic analysis of the tran-scripts. Cultural competence was not explicitly integrated in the nursing curricula. Instead, the lecturers used mainly examples and case studies to illustrate the theory. The integration of cultural content in the modules was unplanned and not based on a specific model. Nursing programs should be examined to establish how cultural content is integrated in the curricula; clear guidelines and standards for a systematic integration of cultural content in the nursing curriculum should be de-veloped

Nursing students’ experience of learning cultural competence

Introduction European societies are rapidly becoming multicultural. Cultural diversity presents new challenges and opportunities to communities that receive immigrants and migrants, and highlights the need for culturally safe healthcare. Universities share a responsibility to build a fair and equitable society by integrating cultural content in the nursing curricula. This paper aims to analyze European student nurses´ experience of learning cultural competence and of working with patients from diverse cultural backgrounds. Materials and methods A phenomenological approach was selected through a qualitative research method. 7 semi-structured focus groups with 5–7 students took place at the participants’ respective universities in Spain, Belgium, Turkey and Portugal. Results 5 themes and 16 subthemes emerged from thematic analysis. Theme 1, concept of culture/ cultural diversity, describes the participants’ concept of culture; ethnocentricity emerged as a frequent element in the students’ discourse. Theme 2, personal awareness, integrates the students’ self-perception of cultural competence and their learning needs. Theme 3, impact of culture, delves on the participants’ perceived impact of cultural on both nursing care and patient outcomes. Theme 4, learning cultural competence, integrates the participants’ learning experiences as part of their nursing curricula, as part of other academic learning opportunities and as part of extra-academic activities. Theme 5, learning cultural competence during practice placements, addresses some important issues including witnessing unequal care, racism, prejudice and conflict, communication and language barriers, tools and resources and positive attitudes and behaviors witnesses or displayed during clinical practice. Conclusion The participants’ perceived level of cultural competence was variable. All the participants agreed that transcultural nursing content should be integrated in the nursing curricula, and suggested different strategies to improve their knowledge, skills and attitudes. It is important to listen to the students and take their opinion into account when designing cultural teaching and learning activities. © 2021 Antón-Solanas et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited

Neglected patellar tendon rupture: a case of reconstruction without quadriceps lengthening

Neglected rupture of the patellar tendon is a rare, can be easily missed in a group of patients. We present a 24 year old, male patient who sustained right femoral diaphyseal and tibial plateau fractures and a patellar tendon rupture following a motor vehicle accident. The fractures were treated by open reduction internal fixation but the patellar tendon rupture was missed and the diagnosis was delayed by 7 months. Patella was migrated proximally. It was moved distally to the original location and neglected patellar tendon rupture treated successfully with modified Ecker technique. Neither preoperative traction nor additional intraoperative procedures were performed to relocate the patella to its anatomic position in the extended knee and good functional result was achieved with intensive rehabilitation

Key dimensions of women’s and their partners’ experiences of childbirth: A systematic review of reviews of qualitative studies

Background The World Health Organization 2018 intrapartum guideline for a positive birth experience emphasized the importance of maternal emotional and psychological well-being during pregnancy and the need for safe childbirth. Today, in many countries birth is safe, yet many women report negative and traumatic birth experiences, with adverse effects on their and their families’ well-being. Many reviews have attempted to understand the complexity of women’s and their partners’ birth experience; however, it remains unclear what the key dimensions of the birth experience are. Objective To synthesize the information from reviews of qualitative studies on the experience of childbirth in order to identify key dimensions of women’s and their partners’ childbirth experience. Methods Systematic database searches yielded 40 reviews, focusing either on general samples or on specific modes of birth or populations, altogether covering primary studies from over 35,000 women (and >1000 partners) in 81 countries. We appraised the reviews’ quality, extracted data and analysed it using thematic analysis. Findings Four key dimensions of women’s and partners’ birth experience (covering ten subthemes), were identified: 1) Perceptions, including attitudes and beliefs; 2) Physical aspects, including birth environment and pain; 3) Emotional challenges; and 4) Relationships, with birth companions and interactions with healthcare professionals. In contrast with the comprehensive picture that arises from our synthesis, most reviews attended to only one or two of these dimensions. Conclusions The identified key dimensions bring to light the complexity and multidimensionality of the birth experience. Within each dimension, pathways leading towards negative and traumatic birth experiences as well as pathways leading to positive experiences become tangible. Identifying key dimensions of the birth experience may help inform education and research in the field of birth experiences and gives guidance to practitioners and policy makers on how to promote positive birth experiences for women and their partners

Pirincipal component analysis of the annual precipitation of west black sea hydrological basin in Turkey

A hydrological regionalization of the Western Black Sea hydrological basin of Turkey is developed based on a multivariate analysis of precipitation records of the 18 (out of 40) meteorological stations from the periods 1929-2004. A regionalization of annual data is carried out using PCA. Precipitation series from 18 gauging stations were chosen to characterize climatic differences in the basin. The PCA indicated that there are 6 climatic regions in the basin. © by PSP Volume 18-No 5a. 2009

Determination of bar parameters caused by cross-shore sediment movement

Waves, topographic features and material properties are known as the most important factors affecting the sediment movement and coastal profiles. In this study, considering wave height (H=6.5, 17, 16, 20, 23, 26 and 30 cm) and period (T=1.46 and 2.03 s), bed slope (m=1/10, 1/15 and 1/25) and sediment diameter (d50=0.18, 0.26, 0.33 and 0.40 mm), cross-shore sediment movement was investigated using a physical model and various offshore bar geometric parameters were determined by the resultant erosion profile. The offshore bar geometric characteristics are the distance between the bar crest and the shoreline, the depth from bar crest to the still-water level, the distance between the equilibrium point and the shoreline, the distance between the closure point and the shoreline, and the bar volume. Dimensional and non-dimensional equations were obtained by using non-linear regression methods through the experimental data and compared with those of previously developed equations. The results have indicated that the proposed equations fit to experimental data better than previously developed equations. © 2006 Elsevier Ltd. All rights reserved

The effects of nourishment material size, wave and berm heights on artificial nourishment

7th International Conference on the Mediterranean Coastal Environment, MEDCOAST 2005 -- 25 October 2005 through 29 October 2005 -- Kusadasi -- 105144Coastal erosion is one of the most important problems of beaches. Traditional methods, including groins, detached breakwaters, revetments and seawalls, can be effective at local scale and generally cause erosion problems in the vicinity (especially at the down drift sides) of the coasts on which they are applied, while protecting the coasts near them. Artificial beach nourishment is one of the modern methods to be employed in protecting coasts from erosion. The performance of a nourishment project is generally determined by percent remaining material (the ratio of material volume remained at a time to the total material volume used in the nourishment). This ratio (M) depends on various wave, coast and material parameters. In this study, the results of a series of experimental studies, performed to study the effects of wave height (H), nourishing berm height (B) and nourishment material size (D) on M are presented. Experimental studies were performed at the Hydraulic Laboratory Basin, with the dimensions 30*12*1.2 m, in the Civil Engineering Department of Karadeniz Technical University (KTU), Trabzon. The initial bed slope (m=1/15) and wave period (T=1.2s) were constant for each experiment. The length and width of nourishing berm were 2.15 m and 0.30 m. The duration of an experiment was t=90 minutes. During each experiment, bed profiles were measured at 5, 10, 20, 30, 45, 60 and 90 minutes. The measuring area was divided 20*20 cm measuring grids. The remaining material volume and remaining ratio were calculated by using the results of the measurements. Three kinds of material (D=0.18, 0.40 and 0.80 mm), three wave heights (H=4.0, 5.5 and 7.0 cm) and two berm heights (B=5 and 8 cm) were employed. According to the results of the experiments, M decreases with H. This decrease is especially significant for fine material (D=0.18mm). For medium (D=0.40 mm) and coarse (D=0.80 mm) material, M values also significantly decrease for high waves (H=7 cm), however, for medium (H=5.5 cm) and small (H=4 cm) waves, the changes in M values are small. For all wave and berm conditions, M increases with D and B. But, the dependence of M to B is less than that to D

Energy situation and renewables in Turkey and environmental effects of energy use

The effects on global and environmental air quality of pollutants released into the atmosphere from fossil fuels in power plants provide strong arguments for the development of renewable energy resources. Clean, domestic and renewable energy is commonly accepted as the key for future life, not only for Turkey but also for the world. In this regard, the objective of this paper is to present a review of the energy situation, technical and economical potential and utilization of renewables, including hydraulic energy, biomass energy, solar energy, wind energy and geothermal energy, in Turkey and then concerned with greenhouse gas emissions status, especially in air pollution, and environmental impacts of renewable energy sources. The renewable energy potential of the country, their present utilization, and greenhouse gas emissions status are evaluated based on the available data. The present paper shows that there is an important potential for renewables in Turkey and making use of renewable energy and energy efficiency resources to provide energy services to the electricity consumers can provide significant environmental benefits for Turkey. © 2007 Elsevier Ltd. All rights reserved