Transcultural Nursing Theory and Models: Application in Nursing Education, Practice, and Administration. As a result, the conceptual framework allows representational analysis of culture care diversities and universality in an attempt to seek holistic nursing knowledge that meets the needs of a multicultural society (Butts & Rich, 2010). Environment I question whether Leininger did this, for I could not find any discussion regarding the potential for power difference (Leininger, 1995 & Leininger, 2010 *******ADD MORE REFERENCES HERE). Leiningers Culture Care Theory attempts to provide culturally congruent nursing care through cognitively based assistive, supportive, facilitative, or enabling acts or decisions that are mostly tailor-made to fit with individual, groups, or institutions cultural values, beliefs, and lifeways. The intent of the care is to fit with or have beneficial meaning and health outcomes for people of different or similar culture backgrounds. As described by Andrews and Boyle (2007), numerous authors have identified transcultural nursing as the blending of anthropology and nursing in both theory and practice. Dewey (1938) stated that all genuine education comes through experience. Through this manner an appreciation for the similarities and differences of the culturally varied approaches to health can occur. Madeleine Leininger : cultural care diversity and universality theory by Cheryl L Reynolds ( Book ) 4 editions published in 1993 in English and held by 398 WorldCat member libraries worldwide. Leininger came to consider that belief systems from other cultures needed to be described and understood in order for the predominately Anglo-American nurses to America to make predictions about the health beliefs, and so anticipate the care needs, of groups from cultures, other than their own (Leininger, 1978). Running Head: NURSE THEORIS, MADELEINE LEININGER Institutional Affiliation Student's Affiliation Date 1 NURSE Madeleine Leininger who lived from 13 July 1925 to 10 August 2012 was an author, scholar, professor, administrator, consultant, and a nursing theorist and anthropologist (Jeffreys, 2008). Culture Care Diversity refers to the differences in meanings, values, or acceptable forms of care in or between groups of people. %PDF-1.6
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Culturally congruent care is possible when the following occurs in the nurse-patient relationship: Together the nurse and the client creatively design a new or different care lifestyle for the health or well-being of the client. From its beginning, transcultural nursing has existed within a framework of race and ethnicity, with the fundamental promise that the term culture refers primarily, if not exclusively to ethnicity. Practically, culture care practices open up a clear path for communication between nurses and patients. The Transcultural Nursing Theory pursues discovering, documenting, knowing, and explaining the interdependence of care and culture phenomena with differences and similarities between and among cultures (Kasper & Zoucha, 2019, p. 3). There is a growing need for suitable knowledge base that encompasses the requirements of education, research and practice and this paper seeks to offer nurses an examination and critique of Leiningers transcultural nursing theory that underpins transcultural nursing. Furthermore, it contributed to the project on increasing the medical personnel knowledge about cultures the health industry usually faces. In the third edition of Transcultural Nursing, published in 2002, the theory-based research and the application of the Transcultural theory are explained. Evaluation of Madeleine Leiningers Culture Care Theory. Jeffreys (2008) describes transcultural nursing as an approach to treatment that focuses on investigation of the patients cultural background prior to the development of a nursing plan. Metaparadigm. As her knowledge is derived from two different disciplines it can be considered as being unique. It is a theoretical and logical contraindication to use the same term to explain or predict the same phenomenon. (Leininger et al, 2006, p. 7). StudyCorgi. The absence of care and culture in the metaparadigm demonstrated to Leininger, the nurses limited interest in these concepts or value in studying the aspect of care as a nursing concept. Today, Canadas population represents citizens who originate from more than 150 different countries, who speak over 100 languages and practice over several religions. Through her observations while working as a nurse, she identified a lack of cultural and care knowledge as the missing component to a nurses understanding of the many variations required in patient care to support compliance, healing, and wellness. In transcultural nursing, nurses practice according to the patients cultural considerations. Web. 1. After conducting adequate research, she gathered enough knowledge that helped her integrate nursing and anthropology. The nurse is the one responsible for providing care and engaging with a patient for the majority of his or her time receiving care. The modes have greatly influenced the nurses ability to provide culturally congruent nursing care, as well as fostering culturally-competent nurses. These metaparadigm concepts are defined below: Care. It seeks the understanding of nursing practitioners to treat patients without interfering with their cultural values. Leiningers goal was to investigate her belief that a patients ethnic background profoundly influenced their understanding of health and illness, which is turn determined the type of nursing care required by individuals. Disclaimer: Services provided by StudyCorgi are to be used for research purposes only. "Transcultural Nursing Theory by Madeleine Leininger." This again questions the reliability of the results similar to the outdated anthropological approach to ethno-science in nursing. Within hectic nursing everyday work, many situations might pose cultural challenges to the nurse. Evaluation of the concepts of nursing metaparadigm reinforces and highlights each . Do you have a 2:1 degree or higher in nursing or healthcare? This can be achieved when both the nurse and the patient creatively invent a new care lifestyle for the well-being and health of the patient. The concept comprises two aspects: paradigm shift and paradigmatic thinking. Finally, using cultural knowledge to treat a patient also helps a nurse to be open minded to treatments that can be considered non-traditional, such as spiritually based therapies like meditation and anointing. Rosemarie Rizzo Parse 13. $ 4.99 - $ 5.59. Published: 11th Feb 2020, Canada is not a melting pot in which the individuality of each element is destroyed in order to produce a new and totally different element. The TNT is effective in transforming the caregivers practice that was previously less concentrated on patient diversity. Care is the essence of nursing and a distinct, dominant, and unifying focus. Leininger originally worked as a childrens nurse in a psychiatric setting and noted that of children who came from diverse cultural backgrounds such as Afro-American, Spanish-Americantheir overt behaviors clearly differed (Leininger, 1978, p.21). Furthermore, McFarland & Wehbe-Alamah (2015) state that it was used to tease out largely unknown data about culture care (p. 19). Leininger (1995) also discusses the use of her ethnonursing method enabled her (1995) to obtain the peoples ideas, values, beliefs, and practices of care and contrast them later with nurses knowledge (p. 99), and thereby enrich the cultural knowledge of nursing and nurses. Nursing theories hold that individuals with diverse cultural origins may have varied needs for health. This power imbalance is discussed in depth within critical theory (Campesino, 2008). So how accurate can the lived experience of individuals be clearly understood by a researcher and then extrapolated to represent the lived experience of an entire cultural group? Read more in this paragraph please. Care, which assists others with real or anticipated needs in an effort to improve a human condition of concern, or to face death. Though this can prove effective in contributing knowledge by comparisons of subjective experiences it could also run into the risk of being biased and possibly not accurate to apply it generally to transcultural nursing knowledge as it is just one persons, the theorists subjective experiences. Out of Stock. John Diefenbaker, prime minister of Canada (1957-1963). These theories offered nurses a new approach to knowledge and provided a means to systematically order, analyze and interpret information and buy, doing so, develop nursing knowledge through which nurses might evaluate their thinking and reflect on their actions during patient care ( Pearson, 2007; Nancy Edgecombe) Culture Care diversity and Universality was written in the style of an American mid-range theory of the time and Leininger employed the concepts of person, environment, nursing and health which were popular with American theorists. All these theorists have developed different concepts throughout the years subjected to individual interpretations, but I belief that the four metaparadigms have been the core concept of these theories. White (2004) discusses that the study of epistemology is to figure out what can be recognized as true and not necessarily to present facts I tried to delve into how Leiningers assumptions about truth by looking into how she obtained and interpreted her knowledge. Kasper, C., & Zoucha, R. (2019). In fact, these cultural valuation techniques pose the risk of time shortcomings where patient cases demand urgency. In 1992, Leininger claimed that more than 3000 international studies have been conducted, with over 300 ethnic groups having been researched and chronicled (Leininger, 1978). Copyright 2023 Alice Petiprin, Nursing-Theory.org. . Compared to other fellow theorists of the 1950s and 1960s, Leiningers theory and methodology are focused on the qualitative paradigm. New York, NY: Springer Publishing Company, LLC. Explains that the concept of person needs to be explored to go into further depth with the remaining concepts of the metaparadigm of nursing. Leininger also believed in the concept of cultural care universality, which refers to the idea that there are certain basic human needs that are universal to all cultures. Finally, she defines health as a condition of an individual or groups wellbeing that characterises culturally defined values and practices that necessitate everyday activities in socially expressive, valuable, and premeditated ways of life. For this reason, Madeleine Leiningers theory of culture care remains a central concept in nursing. I serve as a clinical staff nurse in the Respiratory Care Unit (RCU) at Jackson Health System where we deal with patients who suffer from tuberculosis. The Role Of Theory And Practice Facilitated By Reflection Nursing Essay. As defined by a theorist herself, nursing is a learned humanistic and scientific profession which is focused on human care phenomena and activities (McFarland & Wehbe-Alamah, 2015, p. 20). Leininger had some concern with the use of person which is one of the four metaparadigms from a transcultural knowledge perspective. The theory also assumes that cultural values, beliefs, and practices remain the same for a particular culture. The goal of transcultural nursing is to provide culturally congruent, sensitive and competent nursing care (Leininger, 1995, p.4). Contributor: Jacqueline Fawcett September 3, 2018 Author - Madeleine M. Leininger, RN: PhD, CTN, FRCAN; FAAN; LL (Living Legend) Year First Published - 1991 Major Concepts CARE CARING CULTURE Technological factors Religious and philosophical factors Kinship and social factors Cultural values, beliefs, and lifeways Political and legal factors Economic factors Educational factors LANGUAGE . In addition, I think that Leiningers theory may also be perceived as liberal, humanist perspective (Campesino, 2008). The integration of anthropological concepts in nursing contexts shifted the nursing standpoint in the past half a century. April 16, 2022. https://studycorgi.com/evaluation-of-madeleine-leiningers-culture-care-theory/. There can be no curing without caring. Margaret Newman 16. The environment has to be viewed from a holistic perspective that goes beyond the traditional focus of nurses on the biophysical and emotional environment (Leininger et al, 2006). As a nurse, it is important to take an inventory of ourselves . Study for free with our range of nursing lectures! These concepts do not exist independent of each other, and it is essential to evaluate individual patient's needs considering these four elements. According to Leininger, human care is a collective practice that is existent among universally diverse communities. . In her early clinical practices, . No plagiarism, guaranteed! Copyright 2003 - 2023 - NursingAnswers.net is a trading name of Business Bliss Consultants FZE, a company registered in United Arab Emirates. Jeffreys, M. (2008). NursingBird. Thus, each concept must be specifically defined by the theorist. Culture care is the broadest holistic means by which a nurse can know, explain, interpret, and predict nursing care phenomena to guide nursing care practices. Explain how the nursing theory incorporates the four metaparadigm concepts. It also helps strengthen a nurses commitment to nursing based on nurse-patient relationships and emphasizing the whole person rather than viewing the patient as simply a set of symptoms or an illness. Features of Our Website NursingBird. Some of Madeleine Leiningers works include: Madeleine Leiningers theory of Transcultural Nursing, also known as Culture Care Theory, falls under both the category of a specialty, as well as a general practice area. Lydia Hall . As Daly and Jackson (2003) write, the theory was to discover what in universal(commonalities) and what is diverse about human care values, beliefs and practices (pxiii). Alligood, M. (2018). In 1966, she graduated from the University of Washington, Seattle, with a PhD in Cultural and Social Anthropology. Health is a state of being to maintain and the ability to help individuals or groups to perform their daily role activities in culturally expressed beneficial care and patterned ways (Leininger et al, 2006, p.10). Theory can be utilized in all facets of nursing and promotes the advancement of education, knowledge and care in the profession. Therefore, there is a need to embolden the study, description, and prediction of nursing phenomenon by the use of congruent cultural nursing care practices. Yet this progression in knowledge seems largely to be unacknowledged within transcultural nursing theory, which has continued to rely on the anthropological constructs originally penned by Leininger. These elements can, therefore, guide nurses to apply the theory by the four meta-paradigms of nursing. "Transcultural Nursing Theory by Madeleine Leininger." Ethno science provided a means to obtain local or indigenous peoples viewpoints, beliefs and practices about nursing care or the modes of caring behaviors and processes of the designated cultural group for use in providing nursing care (specifically ethno-nursing) to that particular group (Leininger, 1978, p.15). These modes can stimulate nurses to design nursing actions and decisions using new knowledge and culturally based ways to provide meaningful and satisfying wholistic care to individuals, groups or institutions., Leiningers model has developed into a movement in nursing care called transcultural nursing. https://studycorgi.com/evaluation-of-madeleine-leiningers-culture-care-theory/. Developed the Transcultural Nursing Model. It requires transcultural nursing knowledge and appropriate research methods to explicate the phenomena. All Rights Reserved, Nursing Theories and a Philosophy of Nursing, A Statistical Look at Patient-Centered Care, Nemours Brings Nursing Opportunities to Central Florida, How Have the Sequester Cuts Affected Nursing and Health Care. Early in her career, Madeleine Leininger recognized the importance of the element of caring in the profession of nursing. A conceptual map for generating nursing knowledge about teaching culture care using the CCT can be applied to nurse educators in various contexts. If you use an assignment from StudyCorgi website, it should be referenced accordingly. Kindle. Free resources to assist you with your nursing studies! What is worrying about this emic knowledge is that this knowledge of the indigenous person is obtained through the researchers reinterpretation of narrative and written into the text by the author. 121k followers. In contrast, etic care knowledge was derived from outsider views of non-local or non-indigenous care values and beliefs (2010, p. 10). Nursing is associated with the physical, technical and social behavior: nurses need to know what to do with clients, how to do it and know how to be while they are doing it (Stein-Parbey, 2008, p.3) To accomplish optimistic outcomes when working with patients from diverse variety of cultural backgrounds, nurses must cultivate their understanding of that multifaceted cultural diversity and integrate it within their practice (Greenwood, 1996 FIND NON-AUSSIE). They should be thoroughly examined, assessed, and implemented in the dynamic nurse-client interrelation. Leiningers culture care diversity and universality: A worldwide nursing theory (3rd ed.). The fourth meta-paradigm is nursing. The concepts of Dr. Leininger's Theory In response to the question: How does your theory rely upon the four nursing paradigms of person, environment, health, and nursing, Dr Leininger replied: "The four nursing paradigms are too restrictive for open discovery about culture and care".