Abstract
Introduction: People from diverse cultures with more than one medical condition, such as cardiac disease and diabetes tend to have poorer health outcomes, and higher readmission rates compared to patients with one condition. After reflection, when developing a cardiac-diabetes self-management program incorporating the use of Information Technology (IT) and economics, there are needs for a different approach to support this vulnerable group. Concerns about integration of caring and technology for persons may be lost when focusing only on interactions between persons and their mastery of technology. Therefore it is critical to consider and maintain the balance of transcultural caring dynamics within a technological environment. Objectives: To reflect on the meaning of technological caring using Ray's "Transcultural caring dynamics in nursing and health-care model" (caring, ethics, context, spirituality) when developing a self-management program. Methods: Interpretation of the transcultural context within the model was used to better understand nursing IT practice of caring for patients with comorbidities. Reflections: Increased awareness, understanding and careful consideration of patients' needs in the dynamics of nursing and the health care environment is valuable, such as in transcultural contexts of family, health professionals, society, cultures, technology-use and the health care system. Further investigation is needed on the essence of techno-economic-ethical caring within a transcultural person-centred context affect new virtual intervention programs specifically designed for patients with both cardiac and diabetes conditions.