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This perspective article explores how intersectionality and intersectional structural competence can enrich transcultural nursing. While cultural competence has historically improved patient-centered care through better transcultural communication, persistent health inequities demand strategies that address the systemic and institutional determinants of health. We argue for integrating structural competence into established transcultural frameworks to enhance nursing's capacity for equity-oriented care. By embedding intersectional approaches into curricula and engaging nurses in policy advocacy, the nursing profession can evolve beyond its cultural foundations to tackle the root causes of health disparities. This synergistic approach honors the legacy of transcultural nursing while empowering practitioners with the professional agency needed to challenge structural barriers. Ultimately, this integration equips nurses to advance social justice and promote more equitable health care systems.

Resilience is understood as a person’s ability to adapt positively in the face of adversity, overcome difficult situations, and, in many cases, emerge stronger from them. The objective of this study was to conduct a transcultural validation of the Engineering, Ecological and Adaptive Resilience Scale in health sciences students from eight Latin American countries. A total of 18,528 students participated in instrumental cross-sectional design. Internal structure was assessed through confirmatory factor analysis, reliability was estimated using the omega coefficient, factorial invariance by sex and country was examined, sex differences were analyzed, and percentile norms were established. The three-dimensional structure of the EEA Resilience Scale showed adequate fit indices in all countries and in the total sample, although Ecuador, Panama, and Peru exhibited Root Mean Square Error of Approximation values slightly above expected thresholds. Reliability was satisfactory, except in El Salvador. Strict invariance by sex and country was confirmed. Country and sex differences showed trivial effect sizes. Percentile-based norms were proposed at five levels. Overall, the findings indicate that the EEA Resilience Scale is a valid, reliable, and transculturally robust measure for assessing resilience. The scope of the study is discussed.

Digital health interventions (DHIs) have gained momentum in improving access to sexual and reproductive health (SRH) education and services. DHIs are increasingly recognised for reducing healthcare providers' workload, minimizing patients' long waiting times, and decreasing the distance patients must walk to access health care, thereby enhancing the quality of health services. However, the limited cultural adaptation of DHIs has undermined their usability and acceptability for improving SRH education. Evidence in sub-Saharan Africa indicates that DHIs often fall short of achieving the expected outcomes because they lack cultural relevance and are misaligned with local belief systems and sociocultural contexts. Given these gaps, this scoping review aims to systematically map existing SRH education initiatives that utilize DHIs, to assess the extent of cultural adaptation and to identify evidence-based strategies that could enhance transcultural utility in SRH DHIs. This scoping review will be guided by the framework of Arksey and O'Malley. A systematic search will be undertaken across major sources, such as PubMed, Scopus, PsycINFO, Web of Science, and other relevant sources. The review selection process will be reported using the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (Prisma-ScR) flow diagram to ensure transparency, and EndNote will be used to eliminate duplicates during the selection of eligible studies. Eligible studies will be screened against predefined inclusion and exclusion criteria, and data will be charted to capture key characteristics, and by paying particular attention to cultural adaptation strategies of SRH-focused DHIs. Findings will be synthesised to map the current evidence base and highlight gaps for future research and practice. This scoping review protocol was registered with Open Science Framework and can be accessed at https://osf.io/fx75p.

The author of this article presents an introduction to the review of Transcultural Concepts in Nursing Care by Boyle and colleagues (2025), a valuable resource for integrating cultural caring into nursing. The text draws on Leininger's theory of culture and care diversity and universality to provide a comprehensive, holistic view of culture care.

This paper titled 'Transcultural Experience of Growing Up in Soweto: Towards a Positive Autoethnography' explores my lived experiences as a South African raised in Soweto, highlighting how cultural challenges shaped my personal growth, resilience, and professional identity. Growing up in a low-income household led by my single mother after my father's passing, have encountered numerous adversities, including food insecurity, limited family support, and disruptions in schooling. Despite these challenges, I have engaged in volunteer work and skills development opportunities, which widened my intercultural awareness and commitment to community empowerment. An important intercultural experience occurred during my time at a learning centre, where I faced cultural insensitivity and stereotypes related to my unshaved hair, an important practice in my culture. At first, the experience resulted in feelings of shame, exclusion, and self-doubt, but through reflection, I have reframed it as an opportunity for growth. Drawing on the concepts of positive autoethnography, positive psychology, and appreciative inquiry, I have interpreted the event as a catalyst for resilience, cultural awareness, and emotional intelligence. This process enabled me to transform a painful experience into a platform for learning, self-acceptance, and advocacy for inclusive workplace practices. The positive autoethnography highlights the importance of recognising cultural identity as deeply personal and highlights the role of industrial and organisational psychology and organisations in promoting diversity, inclusion, and respect. This positive autoethnography shows how negative encounters can be reframed into positive, strength-based experiences that promote well-being, growth, and social learning. Eventually, it shows how resilience and cultural understanding add to personal transformation and professional development.

Headache disorders are among the most disabling neurological conditions, affecting over 1.5 billion people globally. Despite advances in pharmacological therapies, major inequities persist due to underdiagnosis, undertreatment and limited access to effective care, particularly in low- and middle-income countries. Social determinants of health, including cultural meanings, language and health beliefs, are increasingly recognized as key drivers of disparities in burden, diagnosis and treatment outcomes. Traditional medicine, used by more than 80% of the global population, remains first-line care in many regions and continues to influence therapeutic choices in high-income settings. Major systems such as Ayurveda, Traditional Chinese Medicine, Unani and Tibetan medicine, as well as diverse indigenous traditions, emphasize holistic approaches that integrate mental and physical symptoms into diagnosis and management. Additionally, religious and spiritual practices are commonly used to relieve suffering and pain. These culturally grounded explanatory models not only strongly shape health-seeking behavior, treatment adherence and patient narratives, but also may delay biomedical care when misconceptions or unsafe practices predominate. This paper introduces Transcultural Headache Medicine as an emerging framework that integrates cultural contexts, linguistic diversity and traditional practices into headache research, clinical care and policy. We review global traditions and therapeutic modalities including herbal, physical, mental and spiritual approaches, and propose a research agenda combining ethnography, culturally adapted diagnostic tools, experimental studies and clinical trials to evaluate benefits, risks, and contextual effects. We conclude with a call to action from the International Headache Society, aiming to map and evaluate culturally embedded practices, strengthen rigorous evidence and build a global learning network that supports culturally safe integration of effective, affordable and safe headache care.

[This corrects the article DOI: 10.1177/23779608251375375.].

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Breastfeeding motivations reflect complex internalization processes shaped by cultural values, social expectations, and individual experiences. Grounded in self-determination theory (SDT), this study explored the structure of breastfeeding motivations and their variations across cultural and age-related contexts. A cross-cultural sample of 915 postpartum women from Türkiye (n = 279), Israel (n = 397), and Spain (n = 239) completed the Breastfeeding Motivation Scale (BMS). Following cultural adaptation and validation, an 18-item version (BMS-18) was identified through confirmatory factor analysis. Findings support a three-dimensional structure, i.e., introjected, integrated, and intrinsic motivation, which is consistent across countries, explains 48.6% of the variance and demonstrates cross-national robustness. Motivational patterns vary by cultural context and maternal age. Introjected motivation, which is more prominent in contexts emphasizing social expectations, reflects social pressure and the need for approval. Integrated motivation, which reflects deep internalization of health and experiential values, is high across countries, but its association with maternal age varies culturally, highlighting the dynamic interplay between developmental and cultural factors. In contrast, intrinsic motivation aligns with environments fostering autonomy and competence. Results demonstrate the relevance of SDT for understanding breastfeeding motivations in cultural contexts and underscore the sensitivity of internalization processes to cultural and developmental conditions. The BMS-18 offers a valid, concise, and culturally adaptable instrument for assessing breastfeeding motivations in research and clinical settings.

Because manual ability is a latent and complex variable that is closely linked to an individual's well-being and daily functioning, it is important to assess it through patient-reported outcome measures that capture the patient's own perception of dexterity in everyday life. This study aimed to develop a Spanish version of the ABILHAND-Hs scale that is equivalent to the original but adapted to evaluate the most prevalent hand pathologies in Colombia. A group of bilingual experts translated the ABILHAND scale from English into Spanish using a forward-backward translation method. A patient focus group evaluated the suitability and comprehensibility of each item. The researchers administered the Spanish version of the scale, along with the QuickDASH (Disabilities of the Arm, Shoulder, and Hand), 12-item Short Form Survey (SF-12), and the numerical pain scale (NPS), to 220 adults diagnosed with carpal tunnel syndrome, trigger finger, de Quervain tenosynovitis, distal radius fracture, or hand fracture who attended hand surgery consultations or underwent physical or hand therapy between May and August 2023. The scale's validity, internal consistency, reliability, and fit to the Rasch model were analyzed using WINSTEPS software. The Spanish version of the ABILHAND-Hs covers a measurement range of 6.27 logits and includes 19 bimanual items and two unimanual activities on a 3-level grading scale. The instrument demonstrates validity, reliability, unidimensionality, and local independence and shows no important differential item functioning based on patient characteristics. It correlates fairly with SF-12, moderately with QuickDASH, and poorly with the NPS. It remains stable in the same clinical conditions and shows fair sensitivity to change. ABILHAND-Hs in Spanish achieves conceptual, semantic, operational, and functional equivalence with the original instrument. Diagnostic Ib.

To examine the relationships between cultural competence, compassion, and religion among nursing students. A cross-sectional study was conducted among third and fourth-year nursing students enrolled in a state university in Türkiye during the 2022-2023 academic year. A total of 422 students who met the inclusion criteria and agreed to participate completed the Personal Information Form, Individual Religion Inventory, Compassion Scale, and Cultural Competence Assessment Tool (CCATool). Data were analyzed using descriptive statistics, correlation analyses, and group comparison tests. Gender was found to significantly influence cultural competence, compassion, and religion scores. Additionally, cultural competence was negatively correlated with both compassion and religion among the participating students. The findings highlight a concerning area within nursing education, emphasizing the need to enhance cultural competence alongside fostering compassion and religion. These results indicate the importance of developing nursing curricula that support quality education and contribute to reduced inequalities in healthcare delivery. Examinar as relações entre competência cultural, compaixão e religião entre estudantes de enfermagem. Foi realizado um estudo transversal entre estudantes do terceiro e quarto ano de enfermagem matriculados em uma universidade estadual na Turquia durante o ano letivo de 2022-2023. Um total de 422 alunos que atendiam aos critérios de inclusão e concordaram em participar preencheram o Formulário de Informações Pessoais, o Inventário Religioso Individual, a Escala de Compaixão e a Ferramenta de Avaliação de Competência Cultural (CCATool). Os dados foram analisados utilizando estatísticas descritivas, análises de correlação e testes de comparação de grupos. Verificou-se que o gênero influenciava significativamente as pontuações relativas à competência cultural, compaixão e religião. Além disso, a competência cultural apresentou correlação negativa com a compaixão e a religião entre os alunos participantes. Os resultados destacam uma área preocupante na formação em enfermagem, enfatizando a necessidade de aprimorar a competência cultural, além de promover a compaixão e a religião. Esses resultados indicam a importância de desenvolver currículos de enfermagem que apoiem uma educação de qualidade e contribuam para a redução das desigualdades na prestação de cuidados de saúde.

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Posttraumatic stress disorder PTSD in the pediatric population has clinical features. The Clinician-Administered PTSD Scale for DSM-5,child and adolescent version (CAPS-CA-5) is the gold standard in positive diagnosis. Our study had two primary objectives, first, to translate the CAPS-CA-5 into Tunisian dialectal Arabic, and second, to validate the translated version within the Tunisian sociocultural context. This is a descriptive cross-sectional study conducted in two hospital departments. We recruited children older than seven years who were exposed to a potentially traumatic event at least one month before. We validated the tool through translation, content, construct validity and reliability. &#xa0;The validation was made on 146 records after the exclusion of 4 incompleted assessments. We initially translated the CAPS-CA-5 into Tunisian dialect. We validated the content through pre-test and scientific committee evaluation. Afterwards we validated the construction. We calculated the Bartlett's sphericity test (p<0.001) and the KMO index that was 0.766. Concerning the reliability study, we found a Cronbach's alpha coefficient equal to 0.92. We studied the inter-rater reliability via the intra-class coefficient which was between 0.8 and 1.&#xa0; Conclusion: &#xa0;We validated the CAPS CA5 in our cultural context with satisfactory psychometric qualities. This tool will facilitate the early detection and diagnosis of PTSD in pediatric population.

Translation and validation of the risk assessment and prediction tool (RAPT) into Spanish to assess the discharge needs of patients after total hip arthroplasty. The original RAPT instrument was translated into Spanish following the guidelines of Sousa and Rojjanasrirat, 2011. To carry out the cross-cultural adaptation of the instrument to Spanish, the translation method of Guillermin et al., 1993 was used. One hundred and thirty-four patients were included. The mean age was 71.6 years. Of the patients analyzed in the study, the tool detected that 57.8% required home rehabilitation, 28.9% would be discharged home and 13.3% would require an assessment from the social worker to go to a social health center. The content validity index (CVI) for the entire scale was 0.91. Cronbach's alpha was 0.84. The RAPT tool has been shown to be highly effective in assessing patients' needs upon discharge. According to the results of the study, 94.2% of the needs identified by the tool coincided with the real needs of the patients. This suggests that the tool may be an efective tool for planning post-discharge care.

Transcultural nursing is an essential aspect of healthcare today. The ever-increasing multicultural population in the United States poses a significant challenge to nurses providing individualized and holistic care to their patients. This requires nurses to recognize and appreciate cultural differences in healthcare values, beliefs, and customs. Nurses must acquire the necessary knowledge and skills in cultural competency. Culturally competent nursing care helps ensure patient satisfaction and positive outcomes. This article discusses changes that are important to transcultural nursing. It identifies factors that define transcultural nursing and analyzes methods to promote culturally competent nursing care. The need for transcultural nursing will continue to be an important aspect in healthcare. Additional nursing research is needed to promote transcultural nursing.