[Show abstract][Hide abstract] ABSTRACT: This paper presents the findings from a community based participatory research (CBPR) study that investigated the interface between culture and intimate partner violence (IPV) for women in selected cultural groups in Hawaii: Native Hawaiian, Filipino, Samoan, and Chuukese. The research question was, "What are the cultural perceptions, responses, and needs regarding IPV of selected individuals and groups served through a variety of programs that are affiliated with the three participating Community Health Centers (CHCs)?" This cross sectional, descriptive study collected both qualitative and quantitative data. Individual interviews were conducted with women who had experienced IPV. Focus groups were also conducted with other women from the same culture. Five common themes were identified across the four cultural groups: Living within a Collective; Cultural Protective Factors; Cultural Barriers to Helpseeking; Gender Specific Roles; and Belonging to a Place. The outcome from this study is increased knowledge that will be used to develop culturally appropriate interventions. Specific findings from each cultural group have been published. The purpose of this paper is to present common perceptions and responses to IPV from the four groups and suggest interventions based on the findings. Implications for practice are presented.
[Show abstract][Hide abstract] ABSTRACT: Using a community based participatory approach, individual interviews and focus groups were conducted with Native Hawaiian women to understand their cultural perceptions, responses, and needs regarding intimate partner violence (IPV). Semi-structured interview guides were used for both interviews. The overriding theme derived from content analysis is that IPV "starts in the home," it is learned in the family and in the community. Visible injuries requiring emergency care is commonly perceived as IPV. The response to IPV included a primary theme of "defend the collective." Intimate partner violence is understood to be a "family matter," dealt within the family or by oneself. Native Hawaiian women who participated in this study sought to re-connect or establish relationships with self, others, spirit, natural elements, cultural practices, and community. Responding to IPV requires an understanding of cultural perceptions, responses, and needs of Native Hawaiians, with implications for families and communities. The needs expressed by Native Hawaiian participants reflect what they need to access "health." Implications for health care providers require understanding how best to facilitate an individual's access to "health" vs. access to "health care."
Californian journal of health promotion. 12/2010; 8(1):72-81.
[Show abstract][Hide abstract] ABSTRACT: Interpersonal violence (IPV) is a complex issue effecting women worldwide. Reported rates of IPV vary widely from one cultural group to another (Magnussen et al., 2004 ; Tjaden & Thoennes, 2000 ). This paper presents a community based participatory research (CBPR) study of the perceptions, responses, and needs of Filipina women regarding IPV. Data was collected by using interviews and focus groups. The women believed that it was their responsibility to keep the family intact regardless of IPV and did not realize that IPV has a significant negative impact on the mental health and well-being of both women and their children. Immigrant Filipino women may be particularly at risk of IPV.
Issues in Mental Health Nursing 01/2010; 31(1):54-61.
[Show abstract][Hide abstract] ABSTRACT: The purpose of this study was to examine cultural perceptions, awareness, responses, and actions recommended about IPV by Samoan women served by a Community Health Center (CHC). THEORETICAL FOUNDATION: This investigation is a part of a series of exploratory community based participatory research (CBPR) studies based on critical social theory.
This qualitative study was conducted using focus groups with Samoan women served by a health center. Analysis of qualitative data was accomplished using content analysis. Demographic data were analyzed using descriptive methods.
Eight Samoan women, 18 years and older participated in the focus groups.
The instruments were translated from English to Samoan and back translated into English. The facilitators conducted an initial focus group and a validation group with the same participants. Sessions were taped and transcribed in Samoan and back translated into English.
The women clearly identified IPV and were aware that it occurs in their cultural group. They identified multiple responses of individual women, families, and communities to IPV. In Samoa there was a formalized process for addressing this problem that has been changed in Hawai'i. The CHCs are viewed as an important resource for the families and can be a source of interventions.
Health care providers should be aware of differences between Western notions of independence and the ideals of interdependence held by specific cultural groups. The CHC personnel have raised questions about the appropriateness of using tools that were developed for use with Western women with immigrant women.
Journal of Community Health 07/2008; 33(6):389-94. · 1.28 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: This phenomenological study examined the impact of culture on the lived experience of women who were victims of intimate partner violence (IPV). The analysis of the data, using the method of Colaizzi, yielded three theme clusters: "living in misery", "enduring terror and sadness", and "no happy ending". They revealed the essential structure of living in a violent situation. The women, from diverse cultural backgrounds, had similar individual responses to violence. Although on a societal level, responses to violence are unique, the results revealed that women's responses were very personal and common across cultures, demonstrating their fundamental humanness. This finding underscores the importance of providing caring, individual support when working with victims of IPV, even though various cultures might perceive IPV differently. An ecological model for understanding the responses to IPV includes both individual and group perspectives related to IPV and the factors that influence the behavior of both women and men.
Nursing and Health Sciences 07/2008; 10(2):125-30. · 0.71 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: E-learning technologies in education use adult learning theories that view the educator as a facilitator of learning and an assessor of outcomes. The change to this technology requires a shift in the focus of a course from the educator to the subject. The experience of one faculty member involved in an implementation of an online program is used to demonstrate the application of Fink's principles of significant learning in the virtual environment. Fink urged faculty to create learning-centered courses, as opposed to content-centered courses. The taxonomy of six course components he proposed as necessary to significant learning are foundational knowledge, application, integration, human dimension, caring, and learning how to learn. Fink's taxonomy of significant learning can be used as a framework to focus course planning and assessment of student outcomes as courses are adapted to a Web-based environment.
Journal of Nursing Education 03/2008; 47(2):82-6. · 1.13 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: This qualitative study examined Chuukese women's views about Intimate Partner Violence (IPV).
Focus groups were conducted in Chuukese. Themes emerged from content analysis.
Migration may disrupt protective cultural practices. Cultural norms place the responsibility for family peace on the women who perceive that IPV is closely linked with marital infidelity.
Understanding cultural practices is important in addressing IPV.
[Show abstract][Hide abstract] ABSTRACT: Although research on intimate partner violence (IPV) categorizes populations broadly; there is great diversity within the broad categories of Asian and Pacific Islanders. This paper reviewed the literature published between 1996 and 2005 focused on the intersection of IPV and culture within specific cultures in the State of Hawai'i. The current research literature related to IPV against women and these specific populations is summarized.
[Show abstract][Hide abstract] ABSTRACT: Partnerships between communities and academic institutions have been vital in addressing complex health and psychosocial issues faced by culturally diverse and hard-to-reach populations. Community-based participatory research (CBPR) has been suggested as a strategy to develop trust and build on the strengths of partners from various settings to address significant health issues, particularly those persistent health issues that reveal disparities among minority populations. There have been many challenges to developing these partnerships in the United States. The purpose of this paper is to discuss approaches and solutions used by this research team in response to the challenges they have faced in using CBPR. The team uses CBPR to understand and support the process of disclosure of intimate partner violence (IPV) within the context of the community health centers that provide services for multicultural and multi-lingual populations. While CBPR provides a route to develop trust and build on the strengths of partners from various settings, there are multiple challenges that arise when partnering organizations present with different infrastructures, missions, resources and populations served. Examples of common challenges and solutions from the literature and from the team's experience will be discussed. Implications for partners, partnerships, practice and research will be explored.
Journal of Interprofessional Care 04/2006; 20(2):133-44. · 1.48 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: One of the most effective ways for nurses to demonstrate professionalism is to be involved in public policy, advocating for issues of public interest that contribute to healthcare improvements. Faculty designed a program to provide nursing students an opportunity to develop legislative advocacy skills by serving as legislative interns. The authors describe the process by which the project was implemented.
[Show abstract][Hide abstract] ABSTRACT: The goals of this study were (a) to gather data regarding the documentation of disclosure of battering in primary care settings and (b) to collect demographic data, including ethnicity, of women who disclose intimate partner violence (IPV) in primary care settings in Hawaii.
We conducted a retrospective chart review focusing on documentation of IPV in four community health centers on Oahu. The review included 337 charts. The data were analyzed using descriptive statistics.
Of the 337 records reviewed, IPV was reported in 31 (9.1%). Documentation of reported IPV differed among members of the various ethnic groups seen in the clinics.
Practitioners should develop a common area for documenting reports of IPV. The level and depth of resources available within the setting and the community may affect providers' willingness to screen for IPV.
Journal of the American Academy of Nurse Practitioners 12/2004; 16(11):502-12. · 0.71 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: The purpose of the present qualitative study was to describe and explicate the experience of being a nursing student. A convenience sample of 12 nursing students from a variety of backgrounds at a public university were interviewed using an interview guide with open-ended questions. Their stories provided an insight into the satisfactions, challenges and stresses faced by students. Four major theme clusters emerged from the data: (i) meeting conflicting demands; (ii) feeling overworked; (iii) feeling unprepared and; (iv) seeking respect and support from one's faculty. These identified themes corroborate the findings of other researchers who have studied the student experience. Student's stories provide insights into the current educational environment, which can assist faculties to understand the impact of their pedagogical approaches. This information is particularly important in light of the current worldwide nursing shortage.
Nursing and Health Sciences 01/2004; 5(4):261-7. · 0.71 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: In this phenomenological study, battered women from a multiethnic population in Hawaii provided descriptions of their lived experiences. Colaizzi's method was used to identify three major theme clusters that emerged from the data, reflecting how the women organized their stories: (a) painting the whole picture, (b) describing the violence, and (c) living with the consequences. Each major theme was further broken down into subthemes that described how it felt to live in an abusive situation. In reviewing the impact of culture, there were more similarities than differences among cultures.
Violence Against Women 01/2001; 7(5):563-585. · 1.33 Impact Factor