Universities recruit international students for a number of reasons, including enhancement of global contacts and reputation, to increase enrolment, and to generate revenue from tuition. These students face unique challenges as compared with domestic students, but no published studies or reports exist on this issue. In this article we report our findings from a survey and interviews with international graduate students, university personnel, and service providers assisting students. Students reported difficulties with finding affordable, adequate, and suitable housing; with finances, stemming from their ability to work or find employment, and from currency fluctuations; and with integration into a new university and an unfamiliar society. Administrators described limits to the assistance they could provide. Both groups suggested changes to address international students’ housing and financial issues. This study is part of a larger research project exploring housing and related issues among post-secondary students in a western Canadian city.
BackgroundHigh income nations are currently exhibiting increasing ethno-cultural diversity which may present challenges for nursing practice. We performed an integrative review of literature published in North America and Europe between 1990 and 2007, to map the state of knowledge and to identify nursing assessment tools/models which are have an associated research or empirical perspective in relation to ethno-cultural dimensions of nursing care.MethodsData was retrieved from a wide variety of sources, including key electronic bibliographic databases covering research in biomedical fields, nursing and allied health, and culture, e.g. CINAHL, MEDline, PUBmed, Cochrane library, PsycINFO, Web of Science, and HAPI. We used the Critical Appraisal Skills Programme tools for quality assessment. We applied Torraco's definition and method of an integrative review that aims to create new knowledge and perspectives on a given phenomena. To add methodological rigor with respect to the search strategy and other key review components we also used the principles established by the Centre for Reviews and Dissemination.ResultsThirteen thousand and thirteen articles were retrieved, from which 53 full papers were assessed for inclusion. Eight papers met the inclusion criteria, describing research on a total of eight ethno-cultural assessment tools/models. The tools/models are described and synthesized.ConclusionsWhile many ethno-cultural assessment tools exist to guide nursing practice, few are informed by research perspectives. An increased focus on the efficiency and effectiveness of health services, patient safety, and risk management, means that provision of culturally responsive and competent health services will inevitably become paramount.
BackgroundE-Delphi is an online method widely used in health and social research to strengthen decision-making processes and reach consensus on developing guidelines for health services.ObjectivesThe e-Delphi technique was designed to formulate and appraise a set of criterion-referenced guidelines for women’s health concerns of mineworkers at a selected coal mine in Mpumalanga, South Africa.MethodThe University Learning Management System’s discussion forum was customised to suit the characteristics of e-Delphi as the second phase of a primary study on the formulation of guidelines for women’s health concerns. Six purposively sampled experts with extensive experience in Occupational Health and in Women’s Health participated. Online engagements on the formulation and appraisal of the guidelines for women’s health concerns took 7 weeks, divided into four phases as preparatory, exploratory, consensus and refinement. From the experts’ inputs, guidelines were drafted. Experts were invited to evaluate the guidelines by using a 7-point Likert scale with AGREE II criteria. Consensus was reached in two e-rounds.ResultsEight guidelines were formulated, appraised and adopted as: change management, control of hazardous environments, suitable psychosocial working environment, provision of health care service, uphold human dignity and adherence to human rights, effective measures for safety participation compliance, accessible, available and relevant on-site health care services and hope and resilience. Each guideline has rationale, operational strategies and anticipated outcomes.ConclusionE-Delphi platform used various tools to deliberate on the process of guidelines formulation and appraisal. The platform was convenient for the experts’ participation in the discussion at any time and anywhere.
Aim This study explored and described nurses’ experiences of factors that influenced their professional dignity in private hospitals in South Africa. Background Patients’ dignity is a nursing professional value in high regard. Nurses’ dignity, in particular nurses’ professional dignity, has not been valued equally. Disrespect for nurses' professional dignity impacts on nurses’ motivation to provide nursing care to their full potential. Methods Descriptive phenomenological research was conducted. Eleven professional nurses were interviewed at two private hospitals in the provinces of KwaZulu‐Natal and the Free State of South Africa. Findings The participants were conscious of their ‘professional standing due to own and others’ percipience’. Their professional dignity was influenced by experiences such as perceiving one’s own professional dignity; having contradictory experiences; being proud to be a professional nurse; receiving support, appreciation and respect; providing care in complex situations; performing as a professional nurse; valuing patient well‐being; and being humiliated by others. Conclusion Preserving nurses’ professional dignity is crucial and should be acknowledged and encouraged by managers, health team members and nurses. Implications for nursing/health policy The need for preserving nurses’ professional dignity necessitates the incorporation of professional dignity strategies in healthcare, nursing and education policies.
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