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research-article2015

TCNXXX10.1177/1043659614565250Journal of Transcultural Nursing

Transcultural Nursing Society Journal of Transcultural Nursing 2015, Vol. 26(2) 209­ © The Author(s) 2015 Reprints and permissions: sagepub.com/journalsPermissions.nav tcn.sagepub.com

President’s Message: Reducing Health Disparities: Transcultural Nurses Leading the Way DOI: 10.1177/1043659614565250

Dear Colleagues/親愛的同事們 More than a decade ago, in 2002, the Institute of Medicine released the report Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care. While the report focused on disparate access and inconsistent care and treatment of racial and ethnic minorities in the United States, due to the migration of people across the globe and epidemic diseases that know no geographic boundaries, the findings are relevant to and have significant implications for nurses and people around the world. I therefore extend an invitation to all transcultural nurses to increase awareness about disparities among the general public, health care providers and educators, insurance companies, policy makers, and accrediting/ regulatory agencies and to take the lead in the design, implementation, and evaluation of culturally relevant evidencebased best practices to guide health care providers and health plans to make decisions and take action based on the best available transcultural nursing and health care science. In 2013, the Office of Minority Health revised the National Standards for the Delivery of Culturally and Linguistically Appropriate Services in Health Care. The goal of the standards was to ensure the provision of effective, equitable, understandable, and respectful care and services that are responsive to diverse cultural health beliefs and practices and delivered in the patient’s preferred language taking into account health literacy and communication needs. As transcultural nurses, integrators of care and services for individuals, groups, and communities, we are uniquely positioned as pivotal members of the interprofessional health care team to ensure that the culture care needs of people are met in safe, meaningful, beneficial, and satisfying ways. As transcultural nurses, I appeal to each of you to seize the opportunity to advance the cultural competence of nurses and the interprofessional health care team in the global arena and to develop strategies for advocating for social change and for culturally competent care as a right and not a privilege. Together, we can! Sincerely/您誠摯的 Stephen R. Marrone, EdD, RN-BC, NEA-BC, CTN-A President, Transcultural Nursing Society

Transcultural Nursing Scholars’ Corner: Leadership in Application and Dissemination of Concepts, Models, and Theories DOI: 10.1177/1043659614556354

The Scholars Group of the Transcultural Nursing Society (TCNS) was founded to advance knowledge, to instigate and publicize research, and to apply knowledge in improving health care globally. One of the objectives of the Scholars Group is the leadership in application and dissemination of concepts, models, and theories. Madeleine Leininger, founder of transcultural nursing (TCN) and mentor to so many other nurses, laid the solid foundation of this area in nursing by developing and refining the culture care theory (CCT). Her CCT has inspired other TCN scholars to conduct research and generate new knowledge as well as develop other TCN concepts, models, and theories in caring for diverse population and in fostering individual and organizational cultural competence. With the CCT and other theories, concepts, and models, Dr. Leininger and her followers established a vast body of knowledge in TCN. While the difficult work has taken almost six decades of Dr. Leininger’s life, the momentum for culturally congruent care is continuing and is gathering speed aided by accreditation requirements, government mandates and guidelines, demands of a global society, and strains from the rapidly diversifying population of the United States and worldwide. Diversity and cultural competence call for propagation of TCN theory, models, and concepts amid accreditation requirements and government mandates and guidelines. Nurses are not only the largest group but also the most trusted of health care professionals for over a decade now in the United States. It is up to all of us—not just the small group of TCNS scholars—to lead this quest for application and dissemination of concepts, models, and theories to improve health care outcomes and reduce disparities in health care access and quality. Each of us could begin in our own practice setting to design, plan, implement, and evaluate innovations and strategies drawing from the already burgeoning body of TCN knowledge, accreditation standards, and government mandates and guidelines. In my quest to find a gap to apply the vast TCN knowledge, I am struck by the challenges of disseminating and application in nursing education, practice, and administration. Furthermore, I realized the difficulties nurse educators face in actually

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President's message: Reducing health disparities: transcultural nurses leading the way.

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