scholarly journals Cultural Appropriateness of an Intervention to Promote Functional Recovery From Hospitalization: Caregiver Views

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 375-375
Author(s):  
Marie Boltz ◽  
Rhonda BeLue
Keyword(s):  
Ecological Model ◽  
Care Pathway ◽  
Community Context ◽  
Comfort Level ◽  
Cultural Norms ◽  
Cultural Appropriateness ◽  
Content Integration ◽  
Caregiver Education ◽  
Cultural Terms ◽  
Education And Care

Abstract The Fam-FFC model includes caregiver education and care pathway to promote physical function, wellbeing, and cognition. The Ecological Model (EM) provided a framework to assess the cultural appropriateness of the Fam-FFC intervention, through interviews with family caregivers, patients, and nurse champions, and focus groups with staff. Findings are described within the eight dimensions of the EM: 1 ) language: perceptions of the dyads’ comfort level with intervention information; (2) persons: representation of dyads’ ethnic /racial group within the nurse champions’ ethnicity/race; (3) metaphors: use of cultural terms equivalent to those used by participants; (4) content: integration of participants’ values, customs, and traditions in the intervention; (5) concepts: congruence of caregiving concepts with cultural norms; (6) goals: congruence of the intervention goals with participants’ cultural norms and goals; 7) Methods: the culturally appropriateness of the delivery of the intervention; and (8) context: alignment of the intervention with the participant’s socio-community context.

scholarly journals Socio-ecological determinants of alcohol, tobacco, and drug use behavior of adolescents in Kilifi County at the Kenyan coast

2018 ◽  
Vol 25 (12) ◽  
pp. 1940-1953 ◽  
Author(s):  
Derrick Ssewanyana ◽  
Patrick N Mwangala ◽  
Vicki Marsh ◽  
Irene Jao ◽  
Anneloes van Baar ◽  
...  
Keyword(s):  
Risk Factor ◽  
Young People ◽  
Drug Use ◽  
Poverty Alleviation ◽  
Ecological Model ◽  
Community Empowerment ◽  
Cultural Norms ◽  
Khat Chewing ◽  
Kenyan Coast ◽  
Use Behavior

Alcohol, tobacco, and other drug use form a risk factor for health and social problems during adolescence. From a socio-ecological model, perceptions of 85 young people and 10 stakeholders on the types of alcohol, tobacco, and other drugs used and the predisposing and protective factors were explored; among adolescents at the Kenyan Coast in the Kilifi County. We found that the consumption of home-brewed alcohol, tobacco and marijuana smoking, and khat chewing was common and requires multi-component and community-centered intervention. Countering alcohol, tobacco, and other drug use needs enforcement of strong measures to regulate access to alcohol, tobacco, and other drugs for minors; addressing social and cultural norms; strategies for poverty alleviation; and community empowerment.

scholarly journals Optimal Cancer Care for Aboriginal and Torres Strait Islander People: A Shared Approach to System Level Change

2020 ◽  
pp. 108-114 ◽  
Author(s):  
Jennifer Chynoweth ◽  
Meaghan M. McCambridge ◽  
Helen M. Zorbas ◽  
Jacinta K. Elston ◽  
Robert J.S. Thomas ◽  
...  
Keyword(s):  
Health Services ◽  
Health Professionals ◽  
Cancer Care ◽  
Torres Strait Islander ◽  
Care Pathway ◽  
System Level ◽  
Culturally Appropriate ◽  
Torres Strait Islander People ◽  
Cultural Appropriateness ◽  
Torres Strait

PURPOSE To improve cancer outcomes for Aboriginal and Torres Strait Islander people through the development and national endorsement of the first population-specific optimal care pathway (OCP) to guide the delivery of high-quality, culturally appropriate, and evidence-based cancer care. METHODS An iterative methodology was undertaken over a 2-year period, and more than 70 organizations and individuals from diverse cultural, geographic, and sectorial backgrounds provided input. Cancer Australia reviewed experiences of care and the evidence base and undertook national public consultation with the Indigenous health sector and community, health professionals, and professional colleges. Critical to the OCP development was the leadership of Aboriginal and Torres Strait Islander health experts and consumers. RESULTS The OCP received unanimous endorsement by all federal, state, and territory health ministers. Key elements of the OCP include attention to the cultural appropriateness of the health care environment; improvement in cross-cultural communication; relationship building with local community; optimization of health literacy; recognition of men’s and women’s business; and the need to use culturally appropriate resources. The OCP can be used as a tool for health services and health professionals to identify gaps in current cancer services and to inform quality improvement initiatives across all aspects of the care pathway. CONCLUSION The development of the OCP identified a number of areas that require prioritization. Ensuring culturally safe and accessible health services is essential to support early presentation and diagnosis. Multidisciplinary treatment planning and patient-centered care are required for all Aboriginal and Torres Strait Islander people, irrespective of location. Health planners and governments acknowledge the imperative for change and have expressed strong commitment to work with Indigenous Australians to improve the accessibility, cultural appropriateness, and quality of cancer care.

Gendered Discipline in Globalising India

2018 ◽  
Vol 119 (1) ◽  
pp. 72-88 ◽  
Author(s):  
Kavita Krishnan
Keyword(s):  
Political Economy ◽  
Violence Against Women ◽  
Cultural Norms ◽  
Gendered Violence ◽  
Traditional Family ◽  
Cultural Terms ◽  
Women's Oppression ◽  
Women In India

Discrimination and violence against women in India often tend to be discussed, framed and explained in cultural terms alone. It is a commonplace assumption that Indian cultural norms are responsible for women's oppression in India and that India's moves to open up the economy to globalisation will usher in modernity and empower women. Another similar assumption is that gendered violence and patriarchal oppression are produced and located primarily in the (Indian traditional) family and community, and that women's entry into the globalised workforce will empower and help them confront and overcome such violence and oppression. This paper attempts to challenge this false binary between ‘family/community/tradition/culture’ and ‘modern political economy’. It looks at the methods used across various sites—household/family, college/university and factory—to subject women's labour and sexuality to a regime of surveillance and gendered discipline. It also looks at the ways in which this regime is disrupted and challenged repeatedly by women's protests.

scholarly journals Urethral Polyembolokoilamania: An Unusual Manifestation of Behavioral and Psychological Symptoms of Dementia (BPSD)

2018 ◽  
Vol 2018 ◽  
pp. 1-3
Author(s):  
Reem M. A. Shafi ◽  
Laura Suarez ◽  
Maria I. Lapid
Keyword(s):  
Psychological Symptoms ◽  
Cultural Norms ◽  
Team Approach ◽  
Neurocognitive Disorder ◽  
Unusual Manifestation ◽  
Caregiver Education ◽  
Foreign Objects ◽  
Related Symptom ◽  
Behavioral And Psychological Symptoms

Behavioral and psychological symptoms of dementia (BPSD) have varied presentations and frequently occur throughout the trajectory of dementia. Hypersexuality and general disinhibition of societal and cultural norms are commonly documented in all types of dementia. However, sparse literature exists on polyembolokoilamania (insertion of foreign objects in bodily orifices) without a sexual component as a dementia-related symptom. We review an unusual case of a 94-year-old man who presented with urethral polyembolokoilamania without hypersexuality or other behavioral disinhibition. We highlight clinical considerations of managing urethral polyembolokoilamania in an elderly patient without a previous neurocognitive disorder diagnosis. A multidisciplinary team approach with input from Internal Medicine, Urology, Psychiatry, and Neurology lead to a comprehensive assessment of a patient that could have been managed solely as a surgical case. This spearheaded a formal diagnosis of neurocognitive disorder—guiding successful management, follow-up, caregiver education, and reduction of further harm.

Social Workers' Understanding of Bi-Culturalism and Its Cultural Differences in Aotearoa New Zealand

2019 ◽  
pp. 255-270
Author(s):  
Selina Akhter
Keyword(s):  
New Zealand ◽  
Cultural Values ◽  
Cultural Differences ◽  
Cultural Knowledge ◽  
Cultural Norms ◽  
Cultural Appropriateness ◽  
Aotearoa New Zealand ◽  
Migrant Community ◽  
Treaty Of Waitangi ◽  
Different Cultures

The chapter attempts to review some conceptualizations developed in the literature around the topic cultural appropriateness and examines how culture interacts with child abuse and domestic violence situations of ethnic migrant community. Also, the chapter highlights specific cultural knowledge of ethnic migrant community that the practitioners from different cultures need to deal with in society. The uniqueness of New Zealand is that it takes into account the discourse of the Treaty of Waitangi, history, racism, colonization, Matauranga Maori, etc. while the major focus of the concept cultural sensitiveness developed in multicultural context is on the differences between Western and non-Western cultural values and the legacy of their cultural norms and socio-economic context.

Cultural Inequivalences from Albanian into English in the Translation of “Pallati I Ëndrrave” by Ismail Kadare

2016 ◽  
Vol 4 (1) ◽  
pp. 41
Author(s):  
Morena Braçaj
Keyword(s):  
Figurative Language ◽  
Cultural Translation ◽  
Cultural Norms ◽  
Source Text ◽  
Cultural Aspects ◽  
Social Customs ◽  
Cultural Terms ◽  
Idiomatic Expressions

This article focuses on cultural translation, especially addressing the issue of cultural inequivalences or losses occurring in the translation of “Pallati i Ëndrrave” written by Ismail Kadare. The main aim of this article is to investigate how different cultural aspects of source text are transmitted into the target text, causing cultural losses. As we might know, cultural losses are defined as the losses of cultural norms, social customs, idioms, and proverbial wisdom that are inherited through generations and comprise the identity of the source culture. Such losses occur during the process of correlating the verbal signs of one culture to another different culture and result mainly from misrepresenting the literariness of the source text and its pragmatic forces. Therefore, to present such cases, many examples of cultural losses are given, which are divided based on different type of losses in both version. Thus, in order to illustrate cultural aspects in literature, we analyze figurative language such as culture items, idiomatic expressions, proverbs in two texts: Albanian (the source text) and English (the target text). The analysis of examples have shown that translation of cultural aspects of the source text was communicatively successful, however, it failed to represent the culture-bound words which represent the implicit level of the source text. In this sense, we argue that figurative language and cultural terms of the source text are unfamiliar for target text and they should be looked at from the perspective of a cultural insider.

Speech-Language Pathologists' Comfort Level With Use of Term “Stuttering” During Evaluations

2020 ◽  
Vol 29 (2) ◽  
pp. 841-850 ◽  
Author(s):  
Courtney T. Byrd ◽  
Danielle Werle ◽  
Kenneth O. St. Louis
Keyword(s):  
Communication Disorders ◽  
Academic Experiences ◽  
Comfort Level ◽  
Future Research ◽  
Clinical Experiences ◽  
Speech Language Pathologists ◽  
Comfort Levels ◽  
Parents And Children ◽  
Evaluation Feedback ◽  
Study Participants

Purpose Speech-language pathologists (SLPs) anecdotally report concern that their interactions with a child who stutters, including even the use of the term “stuttering,” might contribute to negative affective, behavioral, and cognitive consequences. This study investigated SLPs' comfort in providing a diagnosis of “stuttering” to children's parents/caregivers, as compared to other commonly diagnosed developmental communication disorders. Method One hundred forty-one school-based SLPs participated in this study. Participants were randomly assigned to one of two vignettes detailing an evaluation feedback session. Then, participants rated their level of comfort disclosing diagnostic terms to parents/caregivers. Participants provided rationale for their ratings and answered various questions regarding academic and clinical experiences to identify factors that may have influenced ratings. Results SLPs were significantly less likely to feel comfortable using the term “stuttering” compared to other communication disorders. Thematic responses revealed increased experience with a specific speech-language population was related to higher comfort levels with using its diagnostic term. Additionally, knowing a person who stutters predicted greater comfort levels as compared to other clinical and academic experiences. Conclusions SLPs were significantly less comfortable relaying the diagnosis “stuttering” to families compared to other speech-language diagnoses. Given the potential deleterious effects of avoidance of this term for both parents and children who stutter, future research should explore whether increased exposure to persons who stutter of all ages systematically improves comfort level with the use of this term.

School-Based Speech-Language Pathologists' Perceived Self-Efficacy in Conducting Multidimensional Treatment With Children Who Stutter

2020 ◽  
Vol 51 (4) ◽  
pp. 1172-1186
Author(s):  
Carolina Beita-Ell ◽  
Michael P. Boyle
Keyword(s):  
Self Efficacy ◽  
Clinical Training ◽  
Online Survey ◽  
The United States ◽  
Comfort Level ◽  
Social Emotional ◽  
Speech Language Pathologists ◽  
Fluency Disorders ◽  
Cognitive Components ◽  
School Based

Purpose The purposes of this study were to examine the self-efficacy of school-based speech-language pathologists (SLPs) in conducting multidimensional treatment with children who stutter (CWS) and to identify correlates of self-efficacy in treating speech-related, social, emotional, and cognitive domains of stuttering. Method Three hundred twenty randomly selected school-based SLPs across the United States responded to an online survey that contained self-efficacy scales related to speech, social, emotional, and cognitive components of stuttering. These ratings were analyzed in relation to participants' beliefs about stuttering treatment and their comfort level in treating CWS, perceived success in therapy, and empathy levels, in addition to their academic and clinical training in fluency disorders as well as demographic information. Results Overall, SLPs reported moderate levels of self-efficacy on each self-efficacy scale and on a measure of total self-efficacy. Significant positive associations were observed between SLPs' self-efficacy perceptions and their comfort level in treating CWS, self-reported success in treatment, beliefs about the importance of multidimensional treatment, and self-reported empathy. There were some discrepancies between what SLPs believed was important to address in stuttering therapy and how they measured success in therapy. Conclusions Among school-based SLPs, self-efficacy for treating school-age CWS with a multidimensional approach appears stronger than previously reported; however, more progress in training and experience is needed for SLPs to feel highly self-efficacious in these areas. Continuing to improve clinician self-efficacy for stuttering treatment through improved academic training and increased clinical experiences should remain a high priority in order to enhance outcomes for CWS. Supplemental Material https://doi.org/10.23641/asha.12978194

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