Cultural Expressions of Intergenerational Trauma and Mental Health Nursing Implications for U.S. Health Care Delivery Following Refugee Resettlement: An Integrative Review of the Literature

Purpose: The purpose of this integrative review of the literature is to examine cultural expressions of intergenerational trauma among refugees following resettlement, and to determine culturally sensitive mental health care practice implications for health care practitioners working in U.S. health...

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Bibliographic Details
Published in:Journal of Transcultural Nursing 2016-05, Vol.27 (3), p.286-301
Main Authors: Hudson, Christina Camille, Adams, Susie, Lauderdale, Jana
Format: Article
Language:English
Subjects:
Delivery of Health Care - ethnology
Health care delivery
Humans
Mental Disorders - ethnology
Mental Disorders - therapy
Mental health care
Nursing
Psychiatric Nursing
Psychiatric-mental health nursing
Refugees
Refugees - psychology
Transcultural nursing
Trauma
United States
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Summary:Purpose: The purpose of this integrative review of the literature is to examine cultural expressions of intergenerational trauma among refugees following resettlement, and to determine culturally sensitive mental health care practice implications for health care practitioners working in U.S. health care delivery. Methodology: Data were collected utilizing a comprehensive computer-assisted search in CINAHL and PsychARTICLES/ProQuest from 2003 to 2013 of full text, peer-reviewed, scholarly journal articles, published in English. Eight articles met selection criteria and were analyzed using Gadamer’s philosophical interpretation of play, symbolism, and festival in The Relevance of the Beautiful. Results: Six recurrent themes were identified important to refugee health care delivery: silence, communication, adaptation, relationship, remembering, and national redress. Implications for Practice: Practitioners need to consider cultural influences of intergenerational trauma in processing grief related to loss and how artistic modes of expression are experienced, both individually and communally, in refugee health care delivery.
ISSN:1043-6596
1552-7832
DOI:10.1177/1043659615587591