RNQualitativeJournal of transcultural nursing : official journal of the Transcultural Nursing Society2021

The Role of Culture in Shaping Health Perceptions and Behaviors of Resettled Karen Refugees.

Jessica L Lenderts, Sarah J Hoffman, Jaci Stitch

PMID 32037976

WHAT IT FOUND

Karen refugee women described health as being able to work, keep family stable, and rely on community and prayer.

Poor health meant inability to do and 'thinking too much'. Ask about work, family, and support before assuming biomedical goals match theirs.

Key findings

01Health was tied to being able to work and having physical energy, while poor health was described as thinking too much, stress, worry, and inability to do.

02Individual health was understood as connected to family health, and women often took responsibility for arranging care for children and spouses.

03Community prayer and mutual help were described as important ways to seek and maintain health.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

The sample was small and included only Karen refugee women resettled in Minnesota, so the findings may not fit other refugee groups. An interpreter was used during interviews, which may have affected how participants' meanings were conveyed. The study reports perceptions and meanings, not health outcomes or effects of care. Future studies would benefit from an external audit of coding, and no such audit was reported.

Declared interests

The authors declared no potential conflicts of interest. The supplied text does not state a funding source.

The easy way to misread this

Do not treat these themes as universal Karen beliefs or as evidence that asking about work and prayer improves care. The study reports perceptions from a small group of resettled women, not outcomes.

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