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This study aimed to (1) gain an understanding of the experiences of IENs in providing cancer and end-of-life care; (2) explore their cultural beliefs and practices and analyse how their experiences, beliefs, and practices shape approaches to nursing care within this care context.
Hermeneutic inquiry.
Purposive and snowball sampling was used to recruit 11 IENs from South, East, and Southeast Asian regions working as registered nurses in Australian healthcare settings. Data were collected between June 2021 and May 2023 through semi-structured interviews that were audio-recorded and transcribed verbatim. Thematic analysis was used to analyse the data and identify patterns and themes.
Three major themes were identified: embodied beliefs and practices, tenets of care approaches, and professional adaptation and upskilling. The findings revealed that the personal and professional beliefs and practices of IENs were shaped by their own cultural heritage. These cultural values and practices were integrated into their care approaches despite the tensions and challenges of doing so.
In culturally diverse workplaces, nurses bring deeply rooted care values into their practice. These perspectives offer an important yet often overlooked opportunity to improve care through more inclusive and culturally responsive models.
This study identified how IENs' cultural beliefs and practices shape their nursing care delivery, revealing tensions that can arise in integrating these cultural values. While cultural differences are expected, the significance lies in how they are acknowledged, integrated, or ignored. The findings suggest that IENs may experience cultural dissonance when their values are not aligned with dominant care models, highlighting the need for more inclusive workplace practices and structural support to promote belonging, cultural humility, and mutual learning within the nursing profession.
The standards for reporting qualitative research guidelines were used.
No patient or public contribution.
To (1) clarify the key components of resilience of adults with cancer; (2) summarise and analyse the resilience measures used in this population; and (3) discuss future evaluation directions.
An umbrella review.
MEDLINE, Embase, CINAHL, PsycINFO, Scopus, Cochrane library and Epistemonikos were searched in December 2023.
The Joanna Briggs Institute (JBI) guidelines were followed for undertaking this umbrella review. Systematic and narrative reviews that defined resilience of adults with cancer and reported resilience measures, published in English, were included. The methodological quality was assessed using the JBI appraisal tool.
Fourteen eligible reviews were included. Four key resilience components from various resilience conceptualisations were identified. Twenty resilience measures were used among cancer patients, with the 25-item Connor-Davidson Resilience Scale providing a relatively comprehensive assessment of individual resilience. Recommended future research with cancer patients includes assessing these resilience components: (1) available individual resources—key psychological factors that enhance individual resilience; (2) access to social resources—close interpersonal relationships, family cohesion and social support; (3) adaptive coping ability—problem-solving skills, emotional management strategies and experiences in managing adversity; (4) ability to regain mental health and well-being—the capacity to recover a relatively stable psychological state and promote positive psychological functioning.
The findings provide evidence for refining future resilience measurement in the adult cancer population. Examining the four key components of resilience with this population across cultures is warranted.
Understanding the key components of resilience of cancer patients can help healthcare professionals identify individuals who may need further support and facilitate early intervention or referral to psychosocial support services. The 25-item Connor-Davidson Resilience Scale is recommended over other tools for use in the cancer population.
Patient or public involvement is not applicable in this study.
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