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[PMID]:28463436
[Au] Autor:McCord AL
[Ad] Endereço:Indiana University School of Nursing, Indianapolis, IN, USA.
[Ti] Título:Ethical considerations for involving Latina adolescents in mental health research.
[So] Source:J Child Adolesc Psychiatr Nurs;30(1):47-53, 2017 Feb.
[Is] ISSN:1744-6171
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:TOPIC: US Latina adolescents experience significant mental health disparities, such as depressive symptoms and suicidal ideation and, therefore, should be involved in research studies focused on minimizing these health disparities. However, researchers must consider the specific ways this population is vulnerable and provide adequate protections to reduce risks related to these vulnerabilities. PURPOSE: The purpose of this article is to describe the different ways that Latina adolescents with mental health problems can be vulnerable research participants, identify strategies to protect this population during a research study, and describe steps taken to apply these strategies in an ongoing qualitative study examining depression in Latina adolescents. SOURCES USED: Kipnis's (2003) article describes seven ways that children can be vulnerable research participants. These seven vulnerabilities are used to describe the vulnerabilities of Latina adolescents with mental health problems. Specific strategies to protect this population are synthesized to provide a list of strategies that can be used by researchers to reduce the risks associated with the vulnerabilities of this group. CONCLUSIONS: In order to minimize risks for Latina adolescents, researchers must be engaged in Latino/a communities, use culturally and linguistically appropriate consent processes, and implement strategies to protect the confidentiality of Latina adolescent participants.
[Mh] Termos MeSH primário: Pesquisa Biomédica/ética
Assistência à Saúde Culturalmente Competente/ética
Hispano-Americanos/psicologia
Transtornos Mentais/etnologia
Sujeitos da Pesquisa/psicologia
[Mh] Termos MeSH secundário: Adolescente
Feminino
Seres Humanos
Transtornos Mentais/terapia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180307
[Lr] Data última revisão:
180307
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:170503
[St] Status:MEDLINE
[do] DOI:10.1111/jcap.12170


  2 / 571 MEDLINE  
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[PMID]:29195543
[Au] Autor:Linck R; Osman M
[Ad] Endereço:Minnesota School of Nursing, Minneapolis, Minnesota, USA.
[Ti] Título:Reflections From the Other Side: The Refugee Journey to Health and Well-Being.
[So] Source:Creat Nurs;22(4):283-288, 2016 Nov 01.
[Is] ISSN:1078-4535
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The refugee crisis is an urgent global health issue; the number of displaced people has escalated to its worst point in recorded history. To explore the refugee phenomenon as a social determinant of health, this article examines the experience of Somali refugees in Minnesota. Health care barriers unique to refugees are explored through the firstperson perspective of one Somali woman who ultimately became a nurse.
[Mh] Termos MeSH primário: Barreiras de Comunicação
Carência Cultural
Assistência à Saúde Culturalmente Competente/organização & administração
Assistência à Saúde Culturalmente Competente/utilização
Papel do Profissional de Enfermagem
Refugiados/psicologia
Determinantes Sociais da Saúde
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Atitude Frente à Saúde
Feminino
Seres Humanos
Masculino
Meia-Idade
Minnesota
Somália
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180220
[Lr] Data última revisão:
180220
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:171203
[St] Status:MEDLINE
[do] DOI:10.1891/1078-4535.22.4.283


  3 / 571 MEDLINE  
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[PMID]:29195539
[Au] Autor:de Ruiter HP
[Ti] Título:Barriers to Teaching Social Determinants of Health: Nursing Study-Abroad Programs in a Digital Age.
[So] Source:Creat Nurs;22(4):254-258, 2016 Nov 01.
[Is] ISSN:1078-4535
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The social determinants of health are the conditions in which humans are born, grow up, live, work, and age (World Health Organization [WHO], 2012). In nursing programs, this content is typically taught in community health courses. Another strategy for teaching students how to understand the social determinants of health is study-abroad courses. Budding nurses can learn how to assess conditions that influence the health of a community. Conducting this assessment in a culture that differs from the student's own can help highlight what factors impact one's own health. For the past eight years, the author has been teaching the social and cultural determinants of health to nursing students by taking them on 3-week cultural immersion/community health studyabroad programs. Destinations have included Ghana, Austria, the Netherlands, and Thailand. This article presents observations on how the teaching of social determinants of health has changed during the period 2008-2016.
[Mh] Termos MeSH primário: Instrução por Computador
Assistência à Saúde Culturalmente Competente/métodos
Educação a Distância/métodos
Bacharelado em Enfermagem/métodos
Internet
Determinantes Sociais da Saúde
Estudantes de Enfermagem/psicologia
[Mh] Termos MeSH secundário: Adulto
Currículo
Feminino
Seres Humanos
Masculino
Pesquisa em Educação de Enfermagem
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180220
[Lr] Data última revisão:
180220
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:171203
[St] Status:MEDLINE
[do] DOI:10.1891/1078-4535.22.4.254


  4 / 571 MEDLINE  
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[PMID]:28468612
[Au] Autor:Conway J; Tsourtos G; Lawn S
[Ad] Endereço:Flinders University, Adelaide, Australia.
[Ti] Título:The barriers and facilitators that indigenous health workers experience in their workplace and communities in providing self-management support: a multiple case study.
[So] Source:BMC Health Serv Res;17(1):319, 2017 05 03.
[Is] ISSN:1472-6963
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The inequality in health outcomes between Indigenous (Throughout the paper, the term Indigenous will be used to represent both Aboriginal Australians and Torres Strait Islander Australians.) and non-Indigenous Australians continues to be a major public health issue. Chronic conditions are responsible for the majority of the gap in life expectancy for this population. Evidence suggests that chronic condition management models focusing on self-management have led to improved health outcomes in Indigenous populations. The Flinders Closing the Gap Program (FCTGP) is a chronic condition care planning tool which aims to engage Indigenous people in self-managing their chronic conditions. Indigenous health workers (IHWs) can provide culturally appropriate self-management support; however there is paucity in current literature describing specific barriers and facilitators that they may experience when attempting to deliver this support. This study aimed to explore IHWs' perceptions of the effectiveness and appropriateness of the FCTGP, as an evidence-based example of self-management support, and to explore the barriers and facilitators that IHWs experience in their workplace and communities in providing self-management support. METHODS: In-depth interviews were undertaken with five IHWs, drawn from five different states in Australia. Their selection was aided by key informants from the FCTGP training unit. Interviews were recorded and transcribed verbatim, and were analysed using thematic analysis. RESULTS: The following themes were identified. IHWs reported that the FCTGP was appropriate, flexible and acceptable in their communities. Facilitators included factors improving client and worker empowerment, and activities around sharing knowledge. Barriers included competing priorities that clients experience relating to social determinants of health, and negative experiences within mainstream health services. IHW burnout from time pressures, lack of support, and high staff turnover were also considered important barriers. CONCLUSIONS: This study contributes an insight into the experiences of IHWs who are considered important stakeholders in implementation and sustainability of chronic condition management programs, including the FCTGP. Recommendations focus on supporting and supplementing the role of IHWs and identify the FCTGP as a facilitator in providing self-management support to a population with complex needs.
[Mh] Termos MeSH primário: Doença Crônica/etnologia
Assistência à Saúde Culturalmente Competente
Pessoal de Saúde
Acesso aos Serviços de Saúde
Serviços de Saúde do Indígena/organização & administração
Grupo com Ancestrais Oceânicos
Autogestão
[Mh] Termos MeSH secundário: Austrália
Doença Crônica/terapia
Feminino
Seres Humanos
Entrevistas como Assunto
Masculino
Local de Trabalho
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:180117
[Lr] Data última revisão:
180117
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170505
[St] Status:MEDLINE
[do] DOI:10.1186/s12913-017-2265-5


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[PMID]:29229692
[Au] Autor:Rosendale N; Josephson SA
[Ad] Endereço:From the University of California San Francisco.
[Ti] Título:Residency Training: The need for an integrated diversity curriculum for neurology residency.
[So] Source:Neurology;89(24):e284-e287, 2017 Dec 12.
[Is] ISSN:1526-632X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Providing culturally responsive care to an increasingly multicultural population is essential and requires formal cultural humility training for residents. We sought to understand the current prevalence and need for this type of training within neurology programs and to pilot an integrated curriculum locally. NEEDS ASSESSMENT: We surveyed via email all program directors of academic neurology programs nationally regarding the prevalence of and need for formal cultural responsiveness training. Forty-seven program directors (36%) responded to the survey. The majority of respondents did not have a formalized diversity curriculum in their program (65%), but most (85%) believed that training in cultural responsiveness was important. PROGRAM DESCRIPTION: We developed locally an integrated diversity curriculum as a proof of concept. The curriculum covered topics of diversity in language, religion, sexual orientation, gender identity/expression, and socioeconomic status designed to focus on the needs of the local community. Program evaluation included a pre and post survey of the learner attitudes toward cultural diversity. FUTURE DIRECTIONS: There is an unmet need for cultural responsiveness training within neurology residencies, and integrating this curriculum is both feasible and efficacious. When adapted to address cultural issues of the local community, this curriculum can be generalizable to both academic and community organizations.
[Mh] Termos MeSH primário: Diversidade Cultural
Assistência à Saúde Culturalmente Competente
Currículo
Educação de Pós-Graduação em Medicina/métodos
Internato e Residência
Neurologia/educação
[Mh] Termos MeSH secundário: Atitude do Pessoal de Saúde
Seres Humanos
Determinação de Necessidades de Cuidados de Saúde
Projetos Piloto
Desenvolvimento de Programas
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171218
[Lr] Data última revisão:
171218
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171213
[St] Status:MEDLINE
[do] DOI:10.1212/WNL.0000000000004751


  6 / 571 MEDLINE  
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[PMID]:27771824
[Au] Autor:Dixon LE; Ahles E; Marques L
[Ad] Endereço:Department of Psychology, University of California Los Angeles, 1285 Franz Hall, Box 951563, Los Angeles, CA, 90095-1563, USA.
[Ti] Título:Treating Posttraumatic Stress Disorder in Diverse Settings: Recent Advances and Challenges for the Future.
[So] Source:Curr Psychiatry Rep;18(12):108, 2016 Dec.
[Is] ISSN:1535-1645
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Racial and ethnic minorities are at high risk for developing posttraumatic stress disorder (PTSD) after experiencing a traumatic event and are less likely to receive evidence-based treatment for their symptoms. There is a growing body of literature showing that culturally appropriate interventions result in greater uptake, symptom reduction, and sustained treatment gains. This article review explores new findings in the cultural understanding of PTSD among racial and ethnic minorities. We first review recent advances in the understanding of PTSD symptomotology. Next, we provide overview of trials demonstrating efficacy and effectiveness of cognitive processing therapy (CPT), prolonged exposure (PE), and trauma-focused cognitive-behavioral therapy (TF-CBT) in diverse communities. Then, we discuss specific implementation strategies common across intervention trials used to increase feasibility, acceptability, adoption, and sustainability. Last, we discuss areas for future research and dissemination efforts.
[Mh] Termos MeSH primário: Terapia Comportamental/métodos
Terapia Comportamental/tendências
Grupos de Populações Continentais/psicologia
Assistência à Saúde Culturalmente Competente/métodos
Assistência à Saúde Culturalmente Competente/tendências
Grupos Étnicos/psicologia
Transtornos de Estresse Pós-Traumáticos/terapia
[Mh] Termos MeSH secundário: Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1709
[Cu] Atualização por classe:171201
[Lr] Data última revisão:
171201
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161025
[St] Status:MEDLINE


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[PMID]:29173719
[Au] Autor:Potvin MC; Prelock PA; Savard L
[Ad] Endereço:Philadelphia University, 4201 Henry Avenue, Philadelphia, PA 19144-5497, USA.
[Ti] Título:Supporting Children with Autism and Their Families: A Culturally Responsive Family-Driven Interprofessional Process.
[So] Source:Pediatr Clin North Am;65(1):47-57, 2018 Feb.
[Is] ISSN:1557-8240
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:This article describes the Coaching in Context (CinC) process, a family-driven, culturally responsive structure that facilitates family identification and achievement of goals. CinC focuses on modification of the demands of an activity with guidance from a health care professional who coaches the family to increase their participation in everyday activities. An interprofessional team is key in this process. Working as a team and communicating effectively across professions supports the health professional who serves as the coach. Effective interprofessional team collaboration is possible; health professions share values for the delivery of the highest quality of care.
[Mh] Termos MeSH primário: Transtorno Autístico/terapia
Assistência à Saúde Culturalmente Competente/métodos
Relações Interprofissionais
Planejamento de Assistência ao Paciente
Equipe de Assistência ao Paciente
Relações Profissional-Família
[Mh] Termos MeSH secundário: Criança
Assistência à Saúde Culturalmente Competente/organização & administração
Metas
Seres Humanos
Pais
Planejamento de Assistência ao Paciente/organização & administração
Equipe de Assistência ao Paciente/organização & administração
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171129
[Lr] Data última revisão:
171129
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171128
[St] Status:MEDLINE


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[PMID]:29038318
[Au] Autor:Walji M; Flegel K
[Ad] Endereço:See www.cmaj.ca/site/misc/cmaj_staff.xhtml.
[Ti] Título:Healthy interpretation.
[So] Source:CMAJ;189(41):E1273, 2017 10 16.
[Is] ISSN:1488-2329
[Cp] País de publicação:Canada
[La] Idioma:eng
[Mh] Termos MeSH primário: Barreiras de Comunicação
Assistência à Saúde Culturalmente Competente
Acesso aos Serviços de Saúde
Relações Profissional-Paciente
Tradução
[Mh] Termos MeSH secundário: Canadá
Seres Humanos
[Pt] Tipo de publicação:EDITORIAL
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171102
[Lr] Data última revisão:
171102
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171018
[St] Status:MEDLINE
[do] DOI:10.1503/cmaj.171117


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[PMID]:28899241
[Au] Autor:Almontaser E; Baumann SL
[Ad] Endereço:1 Clinical Nurse Educator, Post-Anesthesia Care Unit, Thomas Jefferson University Hospital, Philadelphia, PA, USA.
[Ti] Título:The Syrian Refugee Crisis: What Nurses Need to Know.
[So] Source:Nurs Sci Q;30(2):168-173, 2017 Apr.
[Is] ISSN:1552-7409
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The civil war in Syria that began in 2011 has displaced millions of Syrians of all ages. While the number that have arrived in the United States is small in comparison to many other countries, it is important that nurses and other healthcare workers here understand that many of them have faced considerable trauma and endured stresses. Most of them are Muslims. Muslims in the United States and elsewhere represent a heterogeneous group of people with a long intellectual and cultural history. Islamic cultural patterns do pose unique barriers to a primarily Anglo-Saxon medical system that medical practitioners need to consider in order to avoid misunderstanding and provide culturally sensitive care. The authors discuss the Syrian refugee crisis and the experience of being a Muslim or Arab American patient in U.S. healthcare settings.
[Mh] Termos MeSH primário: Assistência à Saúde Culturalmente Competente/métodos
Islamismo
Refugiados/psicologia
[Mh] Termos MeSH secundário: Seres Humanos
Síria/etnologia
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171031
[Lr] Data última revisão:
171031
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:170914
[St] Status:MEDLINE
[do] DOI:10.1177/0894318417693307


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[PMID]:28828760
[Au] Autor:McCallum GB; Morris PS; Brown N; Chang AB
[Ad] Endereço:Child Health Division, Menzies School of Health Research, Charles Darwin University, Darwin, Northern Territory, Australia, 0810.
[Ti] Título:Culture-specific programs for children and adults from minority groups who have asthma.
[So] Source:Cochrane Database Syst Rev;8:CD006580, 2017 08 22.
[Is] ISSN:1469-493X
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: People with asthma who come from minority groups often have poorer asthma outcomes, including more acute asthma-related doctor visits for flare-ups. Various programmes used to educate and empower people with asthma have previously been shown to improve certain asthma outcomes (e.g. adherence outcomes, asthma knowledge scores in children and parents, and cost-effectiveness). Models of care for chronic diseases in minority groups usually include a focus of the cultural context of the individual, and not just the symptoms of the disease. Therefore, questions about whether tailoring asthma education programmes that are culturally specific for people from minority groups are effective at improving asthma-related outcomes, that are feasible and cost-effective need to be answered. OBJECTIVES: To determine whether culture-specific asthma education programmes, in comparison to generic asthma education programmes or usual care, improve asthma-related outcomes in children and adults with asthma who belong to minority groups. SEARCH METHODS: We searched the Cochrane Register of Controlled Trials (CENTRAL), the Cochrane Airways Group Specialised Register, MEDLINE, Embase, review articles and reference lists of relevant articles. The latest search fully incorporated into the review was performed in June 2016. SELECTION CRITERIA: Randomised controlled trials (RCTs) comparing the use of culture-specific asthma education programmes with generic asthma education programmes, or usual care, in adults or children from minority groups with asthma. DATA COLLECTION AND ANALYSIS: Two review authors independently selected, extracted and assessed the data for inclusion. We contacted study authors for further information if required. MAIN RESULTS: In this review update, an additional three studies and 220 participants were added. A total of seven RCTs (two in adults, four in children, one in both children and adults) with 837 participants (aged from one to 63 years) with asthma from ethnic minority groups were eligible for inclusion in this review. The methodological quality of studies ranged from very low to low. For our primary outcome (asthma exacerbations during follow-up), the quality of evidence was low for all outcomes. In adults, use of a culture-specific programme, compared to generic programmes or usual care did not significantly reduce the number of participants from two studies with 294 participants for: exacerbations with one or more exacerbations during follow-up (odds ratio (OR) 0.80, 95% confidence interval (CI) 0.50 to 1.26), hospitalisations over 12 months (OR 0.83, 95% CI 0.31 to 2.22) and exacerbations requiring oral corticosteroids (OR 0.97, 95% CI 0.55 to 1.73). However, use of a culture-specific programme, improved asthma quality of life scores in 280 adults from two studies (mean difference (MD) 0.26, 95% CI 0.17 to 0.36) (although the MD was less then the minimal important difference for the score). In children, use of a culture-specific programme was superior to generic programmes or usual care in reducing severe asthma exacerbations requiring hospitalisation in two studies with 305 children (rate ratio 0.48, 95% CI 0.24 to 0.95), asthma control in one study with 62 children and QoL in three studies with 213 children, but not for the number of exacerbations during follow-up (OR 1.55, 95% CI 0.66 to 3.66) or the number of exacerbations (MD 0.18, 95% CI -0.25 to 0.62) among 100 children from two studies. AUTHORS' CONCLUSIONS: The available evidence showed that culture-specific education programmes for adults and children from minority groups are likely effective in improving asthma-related outcomes. This review was limited by few studies and evidence of very low to low quality. Not all asthma-related outcomes improved with culture-specific programs for both adults and children. Nevertheless, while modified culture-specific education programs are usually more time intensive, the findings of this review suggest using culture-specific asthma education programmes for children and adults from minority groups. However, more robust RCTs are needed to further strengthen the quality of evidence and determine the cost-effectiveness of culture-specific programs.
[Mh] Termos MeSH primário: Asma/terapia
Assistência à Saúde Culturalmente Competente/organização & administração
Grupos Minoritários
Educação de Pacientes como Assunto/métodos
[Mh] Termos MeSH secundário: Adolescente
Adulto
Asma/etnologia
Criança
Pré-Escolar
Progressão da Doença
Seres Humanos
Lactente
Meia-Idade
Ensaios Clínicos Controlados Aleatórios como Assunto
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; META-ANALYSIS; RESEARCH SUPPORT, NON-U.S. GOV'T; REVIEW
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170919
[Lr] Data última revisão:
170919
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170823
[St] Status:MEDLINE
[do] DOI:10.1002/14651858.CD006580.pub5



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