The integration of primary care and mental health care is a requirement of the Patient Protection and Affordable Care Act of 2010 and has challenged primary care providers to address gaps in the quality of care provided for patients with mental health issues. Vulnerable populations, such as the American Indian people experience gaps in quality health care, especially communication gaps and language barriers. This quality improvement project used a survey design to explore the potential for primary care providers to adopt a culturally sensitive electronic mental health, screening tool to bridge communication gaps and language barriers. Primary care providers recruited from the Northern Arizona University (NAU) Campus Health Services clinic evaluated the concept of a touch screen iPad technology to implement the Patient Health Questionnaire-9 (PHQ-9), which screens for depression using audio options in English and in the Navajo language to accommodate American Indian patients. A PowerPoint overview of the iPad technology was sent via email to the NAU providers and included; the PHQ-9 screening results, which are to be immediately accessible in the patient's electronic health record along with a screening report. The screening report included the PHQ-9 depression score, interpretation of the score, best treatment choices, and a graph for monitoring patient progress. This survey results concluded providers perceive the iPad technology for mental health screening to be useful in their integrated primary care clinic. A modified Technology Acceptance Model (Davis, 1989) was used to evaluate the providers' perception of the iPad Technology, and the University of Arizona's Qualtrics survey system provided data analysis of the survey results.

The study explored the cultural care beliefs, values and attitudes among Shangaans relating to hypertension. The study aimed to describe the cultural values, beliefs and practices such as taboos, rituals and religion within the world view of the Shangaan. The study was undertaken in the Mopani region of the Greater Giyani area, with the purpose of making recommendations on patient care. Data collection was done by conducting focus group and individual interviews. The five themes that emerged were: + Hypertension + The traditional healer: the instrumental role + Traditional medicine versus Western medicine + Magico-religious healings + Experiences of hypertensive patients with regard to traditional healers and hypertension / Health Studies / M. A. (Health Studies)

The study explored the cultural care beliefs, values and attitudes among Shangaans relating to hypertension. The study aimed to describe the cultural values, beliefs and practices such as taboos, rituals and religion within the world view of the Shangaan. The study was undertaken in the Mopani region of the Greater Giyani area, with the purpose of making recommendations on patient care. Data collection was done by conducting focus group and individual interviews. The five themes that emerged were: + Hypertension + The traditional healer: the instrumental role + Traditional medicine versus Western medicine + Magico-religious healings + Experiences of hypertensive patients with regard to traditional healers and hypertension / Health Studies / M. A. (Health Studies)

Social services and violence in close relationship in a sami context A qualitative study of the social services opportunities to provide support to women exposed to violence in a sami culture in Sweden  Background: There is a lack of studies in Sweden that includes and describes violence against Sami women and how important the social worker's ambition is to create and maintain basic knowledge and efforts to support Sami women who’s exposed to domestic violence.  Aim: The aim of this study is to clarify how the social services in Sweden work for the Sami women to be able to get the help they need.  Methods: The study is based on four individual qualitative interviews with social workers from Norrbottens och Västerbottens län. For analysis intersectionality and postcolonial theory has been used.  Results: The results have shown us that there are both similarities and differences for social workers who’s involved with Sami women as clients. What all social services had in common was that they all had to seek cultural knowledge by themselves. What differd was the view of cultural relevance. Some of the social workers thought there should be more of importance to have cultural knowledge when working with Sami women who’s exposed to domestic violence, others had the opinion that the aim is to treat every client based on the guidelines that have been determined at the social service office and is directed to all abused women. / Socialtjänsten och våld i nära relation i en samisk kontext En kvalitativ studie om socialtjänstens möjligheter att ge stöd till våldsutsatta kvinnor inom samisk kultur i Sverige  Bakgrund: Det saknas studier i Sverige som inkluderar och beskriver våld mot samiska kvinnor och hur viktig socialsekreterarens ambition är för att skapa och upprätthålla grundläggande kunskaper och insatser för att stödja samiska kvinnor som är utsatta för våld i hemmet.  Syfte: Syftet med denna studie är att skapa en förståelse hur socialarbetare i Sverige arbetar för att de samiska kvinnorna ska kunna få den hjälp de behöver.  Metod: Studien bygger på fyra individuella kvalitativa intervjuer med socialsekreterare från Norrbottens och Västerbottens län. För analys så har intersektionalitet och postkolonial teori använts.  Resultat: Resultaten har visat oss att det finns både likheter och skillnader för socialarbetare som är engagerade i samiska kvinnor som klienter. Gemensamt för alla socialtjänster var att de alla var tvungna att söka efter kulturell kunskap själva. Det som skilde sig var synen på relevans av kulturell kunskap i arbetet. En del av socialsekreterarna tyckte att det borde vara viktigare att ha kulturell kunskap när de arbetar med samiska kvinnor som är utsatta för våld i hemmet, andra menade att syftet är att behandla varje klient utifrån de riktlinjer som har fastställts på socialtjänsten och som riktas till alla våldsutsatta kvinnor.

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Internet and websites are today one of the most important communication channels of almost all companies. They offer a simple, fast and effective way of communication, which is also available worldwide in a few seconds. With the globalization of market, more and more companies try to expand their business beyond the territory of the home state. In the current time of start-ups is the Internet also often a medium that allows formation of new spheres of business for which the website is absolutely essential channel. This type of business is internet based and has very often international ambitions from the very beginning. Given that each country (or region) can be seen as distinctive culture, it is advisable to locate websites for the needs of the foreign country. This is exactly the theme of this thesis. The concrete objective of this thesis is to offer a methodology for website localization in terms of webdesign. The basic building block is the delimitation of a multidisciplinary theoretical framework that examines the concept of culture and extensive literature review allowing current insight into the linking of website and culture, i.e. cultural website localization. Suitable method for gripping such a complex concept as a culture emerge from a theoretical framework as well. As the most appropriate method were determined Hofstedes cultural dimensions, which are then used for the analysis of cultural determination of web elements. Data collection for the purpose of analysis of web elements cultural determination is performed using a content analysis of websites from nine different countries. The results of the analysis are compared and synthesized with the findings stemming from a literature review. The final artifact of this thesis, a methodology for website localization from the perspective of web design, is based on this ground. Validation of the proposed methodology is done on the basis of assessment of the methodology for a domain of web design. This assessment is based on interviews with experts from different countries as well as presentation of concrete example of methodology use within a midsize website.