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Updated: Aug 12, 2025

Using the Race Model Inequality to Quantify Behavioral Multisensory Integration Effects
Published on: May 10, 2019
Racial Identity and Transcultural Adoption
Jessica Castner1, Karen J Foli2
1Dr. Castner is the Editor-in-Chief of the Journal of Emergency Nursing and President and Principal of Castner Incorporated, a research institute designed to provide a nursing lens on advanced data analytics, scientific dissemination, and organizational change and development. Dr. Castner's primary research interest focus is environmental determinants of health and emergency outcomes and care.
Abstract:
Transracial/transcultural adoption is defined as a child of one race or ethnic group placed with parent(s) of a different race or ethnic group. An estimated 2 million children in the United States were identified as adopted in the 2010 census, and approximately one-fourth of these were transracial adoptions. Both a history of adoption and a strong ethnic or racial identity are specifically associated with health-related risk and protective factors for psychosocial, academic, and health behavior outcomes. A patient with a history of transracial adoption presents unique and important considerations for culturally responsive nursing care. This article begins with nursing practice considerations for transracially adoptive patients and provides an overview of epidemiology; relevant trauma informed nursing care;. laws and racial identity formation, and a mental model of health disparities to guide future directions. We synthesize information relevant to nursing care of individuals who are transracially adopted and racial/ethnic identity formation, including socialization and a merging model to conceptualize identities. The article also discusses principles of trauma informed care and health disparities and future improvements in the context of this population.
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