Nursing Education

This paper will present findings related to discrimination and racism from a study that examined White nurses’ perceptions of increasing diversity in Canadian nursing using grounded theory approach under the tenets of participatory Action Research.
Methodology: This was a qualitative study using a grounded theory approach informed by the tenets of participatory action research. Twenty-one registered nurses who self-identified as White/Caucasian and who represented all levels of health care within five health facilities in a region of Canada were interviewed. The sample recruitment was facilitated by theoretical sampling. Data analysis was done using a constant comparison process. Atlas-ti facilitated data management and storage.
Results: The nurses affirmed the presence of racism and discrimination within the Canadian nursing profession and the larger health care system and the need for change. However, recognizing racism and discrimination in issues of competency and standard-setting can challenge the cultural beliefs of nurses about the superior quality of Canada’s nursing professionals and the ‘equal opportunities’ available to all who meet Canadian standards.
Conclusions and Implications: The successful integration of diverse nurses into the nursing profession will ultimately require change on the part of the nursing profession as a whole as well as individual Caucasian Canadian nurses and diverse nurses to address difference in positive ways. Increasing diversity among Canadian nurses changes Canadian nursing. We all need to adapt to this evolving reality.
Keywords: Racism, Discrimination, Nursing

The International Journal of Health, Wellness and Society, Volume 5, Issue 2, June 2015, pp.45-54. Article: Print (Spiral Bound). Published Online: June 16, 2015 (Article: Electronic (PDF File; 467.885KB)).

The aim of any health care service is to provide optimal quality care to clients and families regardless of their ethnic group. As today's Australian society comprises a multicultural population that encompasses clients with different cultural norms and values, this study examined undergraduate nursing students' self-efficacy in providing transcultural nursing care. A sample of 196 nursing students enrolled in the first and fourth year of a pre-registration nursing program in a Western Australian University were invited to participate in a survey incorporating a transcultural self-efficacy tool (TSET) designed by Jeffery [Unpublished instrument copyrighted by author, 1994]. The findings revealed that fourth year students, exposed to increased theoretical information and clinical experience, had a more positive perception of their self-efficacy in providing transcultural nursing skills than the first year students. In addition, the study found that age, gender, country of birth, languages spoken at home and previous work experience did not influence the nursing students' perception of self-efficacy in performing transcultural care. The study supports the notion that educational preparation and relevant clinical experience is important in providing nursing students with the opportunity to develop self-efficacy in performing effective and efficient transcultural nursing in today's multicultural health care system. It is for this reason that educators need to focus on providing students with relevant theoretical information and ensure sufficient clinical exposure to support student learning in the undergraduate program.

Background: Sexual assault examiners provides comprehensive health care to victims of sexual assault. Communication with the victim is important to collect relevant information from the victims. Ineffective communications can cause re-victimization and hamper the medico-legal evidence collection. Main text: This article aims to orient the novice examiner and nurses to the prerequisites of medico-legal history collection, techniques of building trust, establishing rapport, ensuring privacy and confidentiality, taking consent, communicating effectively with the victims of sexual assault, and components of medico-legal history collection. Conclusions: Novice examiners and nurses need to be trained in collecting medico-legal history and evidence. The examiners who conduct the examination should be dedicated to delivering compassionate and high-quality care to individuals who have disclosed sexual assault.