title: 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.
abstract: OBJECTIVE
  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.
  
  
  METHODS
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Vanderbilt University, Nashville, TN, USA ccamillehudson@gmail.com.
authors.forename: Christina Camille
authors.initials: CC
authors.lastname: Hudson
authors.affiliation: Vanderbilt University, Nashville, TN, USA.
authors.forename: Susie
authors.initials: S
authors.lastname: Adams
authors.affiliation: Vanderbilt University, Nashville, TN, USA.
authors.forename: Jana
authors.initials: J
authors.lastname: Lauderdale
mesh_terms: D003695:Delivery of Health Care / Q000208:ethnology*; D006801:Humans; D001523:Mental Disorders / Q000208:ethnology* / Q000628:therapy*; D011568:Psychiatric Nursing; D012036:Refugees / Q000523:psychology*; D014481:United States
keywords: psychiatric/mental health; refugees and asylum seekers; transcultural health; trauma