Kao Tsui-Sui Annie, Huang Betsy
University of Michigan School of Nursing, Ann Arbor, MI, USA
University of Michigan School of Nursing, Ann Arbor, MI, USA.
J Holist Nurs. 2015 Sep;33(3):269-81. doi: 10.1177/0898010114564465. Epub 2015 Jan 6.
Increasing population diversity in the United States creates challenges for providing culturally responsive health care to immigrant adolescents. Nursing providers have few effective concepts to guide their understanding of how culturally diverse adolescents handle different cultural influences (between family and society) and how straddling two cultures may influence adolescents' decision making about health.
Bicultural straddling is defined as an ongoing process of adaptation resulting from living within two different cultural influences. A concept analysis of bicultural straddling is important to nursing professionals in caring for culturally diverse adolescents.
Walker and Avant's methodology was used to guide our understanding about how immigrant adolescents straddle cultural influences between their homes and society.
Straddling two different cultures influences adolescents' health-related beliefs, attitudes, perceptions, and behaviors as they navigate everyday struggles to make informed health decisions. Adolescents' ability to achieve active straddling will allow them to experience positive social functioning, psychological development, and health outcomes.
By understanding the ongoing process of "bicultural straddling" as a balancing act, nurse professionals can develop effective interventions to alleviate stress derived from acculturation among immigrant families and ultimately help adolescents achieve biculturalism.
美国人口多样性的增加给为移民青少年提供具有文化适应性的医疗保健带来了挑战。护理人员几乎没有有效的概念来指导他们理解文化背景各异的青少年如何应对不同的文化影响（家庭和社会之间），以及跨越两种文化如何影响青少年的健康决策。
双文化跨越被定义为生活在两种不同文化影响下所产生的持续适应过程。对双文化跨越进行概念分析对护理专业人员照顾文化背景各异的青少年很重要。
采用沃克和阿万特的方法来指导我们理解移民青少年如何在家庭和社会之间跨越文化影响。
在应对日常做出明智健康决策的困难时，跨越两种不同文化会影响青少年与健康相关的信念、态度、认知和行为。青少年实现积极跨越的能力将使他们体验到良好的社会功能、心理发展和健康结果。
通过将“双文化跨越”这一持续过程理解为一种平衡行为，护理专业人员可以制定有效的干预措施，以减轻移民家庭文化适应带来的压力，并最终帮助青少年实现双文化。
