* Professor (I)Rena Papadopoulos, Middlesex University, England
Title: To dream the impossible dream: Transcultural Nursing, Migration, Poverty, Human Rights and the Millennium Development Goals
Abstract and biography coming soon.
* Dr. G. Rumay Alexander, EdD, RN, University of North Carolina, USA
Director –Office of Multicultural Affairs & Clinical Associate Professor
School of Nursing, University of North Carolina at Chapel Hill
Migration Issues: Out in the Open
Migration and movement is a human right but when nurses and other human subjects are used as a commodity, like any intended consequence, there are unintended consequences. With the unprecedented shortage of nurses in developed countries and ever growing global health needs, has come a depletion of qualified nurses in less developed countries. Such activities have brought out in the open ethical issues, work environment issues, accompanying cultural issues, the undermining of the delivery of quality health care to those who often need it the most, infrastructure issues that support the education of nurses, not to mention the mental health of nurses. The 2006 World Health Report has stated that “The growing international nature of the health workforce related to the flows of migrants, relief workers and volunteers calls for cooperative agreements to protect the rights and safety of workers and to enhance the adoption of ethical recruitment practices.” This session will explore the emerging patterns of international nurse migration and the multi-faceted issues often encountered when individuals leave their home countries to either flee from oppression or “make a better life for themselves, and those they leave behind and care about so deeply.” The use of migrating professionals as agents of exchange of skills and culture, the United States’ experience with immigrants of different cultures in the same space and future implications for global policy and managerial actions will be discussed.
Dr. Alexander leads the fourth ranked School of Nursing in the United States in annual research N IH funding in its intentional efforts to resource the proper understanding and judicious application of equity and multicultural concepts for its students, faculty, personnel and the patients served by their graduates. This includes the facilitation of system-wide efforts for giving respect to the many dimensions of human qualities that distinguish students, faculty, and employees.
She draws upon her over twenty years of public policy experience ,her experience as the CEO and President of her own consulting firm, The Roxie Company and her own experiences of being a minority student, nurse, healthcare professional, and corporate executive in a majority culture. She is considered a cultural content expert and is engaged in research as a consultant on multiple grants. She was also one of twenty- seven commissioners on the American Hospital Association’s Workforce Commission, which produced the landmark document “In Our Hands” which has a distribution of over 100,00 copies and has been downloaded over 1 million times. It is frequently cited in the literature for information regarding the nursing and workforce shortage issues in U.S. hospitals and health systems.
* Dr. Mavis Mulaudzi, University of Pretoria, South Africa
Will address the outcome of:- Evaluate the effectiveness of research and education in improving transcultural care
With the world increasingly changing as a result of globalization and migration, countries are inevitably compelled to readjust their approach to health care service delivery to accommodate their populations that have grown complex. Migration, in particular, has resulted in intra’ and inter-cosmopolitan communities . Countries are therefore having to contend with growing socio-economic and cultural implications, i.e. an ever increasing gap between rich and poor where the former become richer while the latter sink deeper into the poverty vortex. This permeates all sectors of societie.
Within the health sector these challenges bring about a number of complex issues and multiple effects, amongst others, with regards to the development of relevant and contextual education curricula and research methodologies.
Apart from living in communities and countries with no borders, we are, at the same time, strongly confronted with the growing notion and reality of international human rights which are taking effect on health care and research. Equally important, is the consideration of appropriate research and innovative methodologies in addressing the resulting challenges of diversity and integration. . This to whether we should adhere to universal approaches to health care where the main thrust is “one -size-fits-all”, or, choose for an exclusively unique approach that is largely premised on the diverse characteristics of our society. In adapting our health care approach to be responsive and relevant to the situation, an approach such as transcultural nursing, which could perhaps hold the key to thisquestion, has as much challenges as successes.
This paper sets out to initiate debate and dialogue in the context of transcultural education and research exploring inputs from the human rights approach, as well as from the dimension of globalisation and the problem of poverty. The paper will emphasise that transcultural education and research will only be sustainable and achievable if we are willing to shift policies and programs to better reflect the needs and wishes of Indigenous peoples. The paper argues that we must move from rhetoric to action by being open for change and be willing to adapt to different perspectives related to issues of science and culture.
* Professor Robert Schweitzer, Queensland University of Technology, Australia
Culture, Authenticity and Trust: Critical Components in Transcultural Research and Practice
The contemporary international context is characterised by extensive disruption, cultural conflict and the world-wide movement of populations. These developments have implications for the well being of groups of people and for practitioners entrusted with the care of often vulnerable people. The experience of displaced people particularly is marked be breaches of trust. It will be argued that while much research has focused upon cultural competence; a critical component underpinning interactions with members of other cultures in health care settings involves the establishment of trust and the perception of authenticity. I will argue that the development of trust and the capacity to evidence authenticity is critical in relationships between individuals, between groups and the individual and larger institutions. Trust informs each component of research within a transcultural context including: the beliefs and values of participants; the dialogue which often forms the basis of research and practice within a relational context; and the "compact" between the researcher and the researched. At a social level, there also needs to be trust between researchers and government. I will draw upon my research experience in working with indigenous healers in Southern Africa and lately with recently arrived refugees in Australia from Africa to raise issues in relation to the nature of authenticity and trust in a transcultural context. This discussion will be followed by an Australian case study which sought to examine the mental heath of refugee children in a detention centre. This study raised key issues in relation to trust and ethics in relation to research with the potential to challenge dominant institutions. The discussion will examine our obligations to the community and our own values in situations of value conflicts in our endeavors to make a contribution to our respective communities.
Robert Schweitzer is an Associate Professor in the School of Psychology and Counselling at the Queensland University of Technology in Brisbane, Australia. He is the Director of Clinical Psychology Program. He has a long standing interest in phenomenology and transcultural mental health, having undertaken field work on indigenous healing in Southern Africa and is currently leading a research team examining the needs and provision of services for refugees from Africa who may have a history of torture and trauma. Robert’s clinical interests are aligned with psychotherapy research and therapeutic change, and also in gaining an understanding of change in larger contexts, such as indigenous forms of healing. He is currently a member of the Australian Psychological Society’s Public Interest working party, which prepares position papers on behalf of the Society in relation to social issues of national and international significance. He is the Founding Editor of the Indo-! Pacific Journal of Phenomenology. His most recent contributions to the literature relates to refugee concerns as expressed in the Australian context. The notion of world-views and meaning-making has continued to underpin his research across each of his areas of concern.
* Dr. Martha Chinouya, London Metropolitan University, UK
Title: Human rights and the disclosure of HIV amongst migrants from Sub-Saharan Africa and the implication for Transcultural nursing
Abstract and biography coming soon.
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