As nurses immerse themselves in cultural education and adopt care that addresses patients cultural expectations, they implement a culturally congruent nursing process. Undoubtedly, these cultural factors change with time due to modernity and influence. A conceptual map for generating nursing knowledge about teaching culture care using the CCT can be applied to nurse educators in various contexts. Any opinions, findings, conclusions, or recommendations expressed in this essay are those of the author and do not necessarily reflect the views of NursingAnswers.net. Read more in this paragraph please. In addition, the theory has helped nurses develop a multidimensional cultural competence that reinforces their roles and confidence of handling patients who suffer from different health conditions (Butts & Rich, 2010). The concept of Leinginger's Transcultural theory considers not only the global application and definition of nursing, but considers the particular component of transculturalism wherein the concept, scope and purpose of the theory lies in the more details incorporation of culture for nursing care. Within hectic nursing everyday work, many situations might pose cultural challenges to the nurse. A humanist perspective emphasizes notions of equality and individual freedom, and operates on an assumption of human commonality among people (Campesino, 2008, p. 299). This mode requires the use of both generic and professional knowledge and ways to fit such diverse ideas into nursing care actions and goals. "Evaluation of Madeleine Leiningers Culture Care Theory." .^\__b? Leininger stands firm and believes it is care and caring knowledge and actions that can explain and head to the health or wellbeing of people in different or similar cultures (Leininger et al, 2006, p. 11). To become culturally competent nurses must require preparation and must undertake a course of theoretical study which gives them the ability to carry out etho-science research, culture based assessment and develop the cultural sensitivity required to design and implement culturally relevant nursing interventions (Leininger, 1978, 1981, 1984, 1988, 1995, 1998, 2002). hb```f``g`a``g`@ r49m% This is true of Leiningers work, for she conveys the importance of culturally appropriate caring in order to meet the needs of other cultures (Leininger, 1995). Pfeffer (1998) explains this positivist approach to ethnicity in which facts are observed and boxes are ticked off (p.1382). Hair and Donoghue (2009) support this when they state, root causes for behaviors, thoughts, and feelings can be discovered, generalized, and predicted. In transcultural nursing, nurses practice according to the patients cultural considerations. 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. Sagar (2012) attests that the culture theory holds that diverse cultures perceive, understand, and exercise care in different ways. Worldview is the way people tend to look at the world or universe in creating a personal view of what life is about. (2022) 'Evaluation of Madeleine Leiningers Culture Care Theory'. In contemporary nursing contexts, nurses have used the culture care theory to describe, explain, predict, and document day-to-day experiences of their patients. The Transcultural Nursing Theory (TNT) or Culture Care Theory (CCT) is a concept of cultural values and beliefs within a nursing field founded by Madeleine Leininger. Explains dugas, esson, and ronaldson's nursing . Furthermore, Schultz & Meleis (1988) suggest that a person who uses conceptual knowledge uses knowledge from disciplines other than nursing. Moreover, the truth is determined according to knowledge that has been sanctioned by Euro-Western standards and claimed by experts (p. 73). According to Ayiera (2016), the CCT is based upon the clinical experience considering that the aspect of culture was a missing link in the nursing care practice. April 16, 2022. https://studycorgi.com/evaluation-of-madeleine-leiningers-culture-care-theory/. The fourth meta-paradigm is nursing. Use discount. Explain how the nursing theory incorporates the four metaparadigm concepts. The integration of anthropological concepts in nursing contexts shifted the nursing standpoint in the past half a century. If you are the original creator of this paper and no longer wish to have it published on StudyCorgi, request the removal. Transcultural nursing entails the performance of a comparative study and cultural analysis in relation to nursing and preservation of values, norms, attitudes, beliefs, and practices of the individual or group of patients. The nurses assessment of the patient should include a self-assessment that addresses how the nurse is affected by his or her own cultural background, especially in regards to working with patients from culturally diverse backgrounds. At the same year, the University of Cincinnati absorbed her to work as an Associate Professor and Director of the Graduate Programme in Psychiatric Mental Health Nursing and Psychology (Jeffreys, 2008). The theory develops on the behavioural patterns and commonality of patients. As Omeri (2003) explains: The model demonstrates the different domains of the theory and is designed to guide the discovery of new transcultural knowledge through the identification and examination of the culturally universal. Evaluation of the concepts of nursing metaparadigm reinforces and highlights each . Theories should predict and lead to discovery of unknown or vaguely known truths or interrelated phenomena, whereas models are mainly pictorial diagrams of some idea and are not theories as they usually fail to show predictive relationships. Well write a 100%plagiarism-free paper this fast! In the 1950s, nurses in the United States of America began to develop and use structured theory. In nonwestern cultures, using the term person or individual may be culturally taboo as it does not agree with the collectivism concept of the culture and are too egocentric whereas in western cultures, person and individualism are the dominating concepts. *You can also browse our support articles here >. The theory addresses the need to integrate nursing techniques and anthropological concepts to nurse diseases from a cultural outlook of a patient. Metaparadigm Concepts CARING (not Nursing) essence of nursing universal concept within all cultures assisting, supporting, or enabling behaviors to improve a person's condition essential for survival, development, ability to deal with life's events greater level of wellness is achieved when caring is in line with patient's cultural Question This occurrence of traditional nursing interventions in a modern and complex society necessitated the need for the development of holistic nursing techniques to address the needs and behaviours of diverse cultures. In addition, the nurses care plan should involve aspects of the patients cultural background when needed. The concepts addressed in the model are: Care, which assists others with real or anticipated needs in an effort to improve a human condition of concern, or to face death. 2022. Transcultural Nursing Theory and Models: Application in Nursing Education, Practice, and Administration. Leiningers transcultural care theory uses inductive reasoning to elucidate congruent culture care norms and values. They tend to be embedded in such things as worldview, language, spirituality, kinship, politics and economics, education, technology, and environment. These concepts do not exist independent of each other, and it is essential to evaluate individual patient's needs considering these four elements. We're here to answer any questions you have about our services. 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. 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. The theory also assumes that cultural values, beliefs, and practices remain the same for a particular culture. Nursing theorists and their work (9th ed.). A metaparadigm is a set of theories or ideas that provide structure for how a discipline should function. f Leininger's professional career is recognized as an educator and academic administrator from 1956 to 1995, a writer. Labelling by ethnicity is a position fundamental to Leiningers work (Leininger, 1988). The previous ideal of the melting pot culture, where immigrants settling in America were expected to forgo their values and traditions and assimilate into the American way of life, was coming under inquiry (Gleason, 2002). The use of transcultural theory surpasses the wide-ranging human culture due to its universality that has facilitated the development of rounded health practices. The Transcultural Nursing Theory addresses both general practice and specialty and aims at providing culturally coherent nursing care. Leininger used this inductive technique to study the beliefs, values, language, attitudes, and norms of different cultures in a nursing context. Welcome to Our Website Dr. Madeleine Leininger was the foundress of the worldwide Transcultural Nursing movement. (Purnell & Paulanka, 2003; Geiger & Davidhizar, 2002; Papadopoulos, Tilki & Ayling, 2008; Andrews & Boyle, 2002; Spector, 2000; Camphina-Bacote, 1999). Provide support and rationale for each. Leininger suggests that the use of person in the metaparadigm is questionable as it could lead to cultural clashes, biases and cultural imposition practices or to serious ethical-moral conflicts (Leininger et al, 2006, p.9). Dynamics of Diversity: Becoming Better Nurses through Diversity Awareness. 11. No plagiarism, guaranteed! Nursing is an evolving discipline in the development of science i.e. In which she frequently referred to people of different ethnic origins (p.107), people of color and ethnic groups of color (Leininger, 1978, p.451). Culture Care is the multiple aspects of culture that influence and help a person or group to improve their human condition or deal with illness or death. Leiningers model makes the following assumptions: The Culture Care Theory defines nursing as a learned scientific and humanistic profession that focuses on human care phenomena and caring activities in order to help, support, facilitate, or enable patients to maintain or regain health in culturally meaningful ways, or to help them face handicaps or death. The theory acknowledges that patients belong to different cultures with different social beliefs and practices. Before her demise in 2012, Madeleine Leininger had served numerous leadership positions as a nursing theorist consultant and professor of nursing and anthropology in a variety of universities in the United States. Leininger describes them as, emic knowledge was the natural, local, indigenous root care values. $lC&Fa - endstream endobj startxref 0 %%EOF 157 0 obj <>stream Madeleine states of the impacts of the interaction of physical and social factors on the health and well-being of the people receiving care. The nurse anthropologist perceives people as beings who have intrinsic capabilities of showing concern about the needs, wellbeing, and sustained being of others (Jeffreys, 2008). Culture Care Diversity and Universality is illustrated in this model and it provides a framework for mapping and understanding a culture or subculture. Leiningers theory finds its application in a number of nursing occupations in areas such as education, informatics, administration, and/or general nursing practice. Madeleine Leininger was born on July 13th, 1925 in the small town of Sutton Nebraska. Copyright 2003 - 2023 - NursingAnswers.net is a trading name of Business Bliss Consultants FZE, a company registered in United Arab Emirates. 1228 Words. Madeleine Leininger Views on the 4 Metaparadigms Leininger was the first nurse to formally explore the relationship between patients and their different ethnic backgrounds. The nursing conceptual models deal with extensive metaparadigm concepts of human beings, health, nursing, and environment. Jeffreys (2008) reveals that the theory has sometimes led to the formulation of imprecise clinical decisions, especially where nurses fail to draw clear inferences about cultural congruence. In the third edition of Transcultural Nursing, published in 2002, the theory-based research and the application of the Transcultural theory are explained. Leininger's Transcultural Nursing: Concepts, Theories, Research & Practice, Fourth Edition $78.00 Only 6 left in stock - order soon. StudyCorgi. Running Head: NURSE THEORIS, MADELEINE LEININGER Institutional Affiliation Student's Affiliation Date 1 NURSE Madeleine Leininger Transcultural Nursing Theory. NursingBird. Today, she is recognised as the first professional nurse to seek knowledge about cultural and social anthropology. 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. That is, if one fails to examine the power differences within the social categories or cultures then it is possible to potentate these differences. Culture is a set of beliefs held by a certain group of people, handed down from generation to generation. Second, the terms theories and models are often used in the same way but are different. Rajan (1995) explains that existentialism gives an account of how an individual consciousness apprehends existence (p. 452). I do agree with Leininger that these concepts have an essential role in nursing in providing culturally appropriate state of wellbeing and satisfaction. Blais and Hayes explain that central to Leininger's theory is the belief that cultures have differences in their ways of perceiving, knowing, and practicing care but that there are also commonalities about care among cultures . I believe this particular philosophy is reflective of Leiningers perspective, especially in the 1960s and 1970s. Moreover, within the existential -phenomenological philosophy, human beings are viewed as subjects rather than objects (Rajan, 1995, pg. A nursing theorist defines each of these metaparadigm concepts in accordance with their worldview of nursing. The evaluation of individuals in the process of cultural analysis forces the nurse to seek inherent cultural knowledge and values that exist within the client. Leininger (1995) also discusses not only differences between cultures but the need to discover the similarities as well. 132 0 obj <> endobj 145 0 obj <>/Filter/FlateDecode/ID[<671B5631295C054CE5C19D2AAF63FFB5>]/Index[132 26]/Info 131 0 R/Length 76/Prev 305860/Root 133 0 R/Size 158/Type/XRef/W[1 2 1]>>stream 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). (2022, July 16). (2022, April 16). These needs include the need for security, comfort, and a sense of belonging, and Leininger argued that it was the role of nurses to provide care that meets these universal needs in a culturally sensitive manner. This should motivate a need for nurses to develop cultivate and advance a deeper understanding of cultural diversity, due to its potential effect on the delivery of nursing care specifically and the consequences for healthcare (no ref). It is investable to deal with culturally diverse patients in a multicultural society. Our nursing niche receives worldwide patients from culturally diverse regions such as Florida, Haiti, Thai, and South America among other regions. Therefore, it is essential to consider the fundamental role of communication and accommodation to gain insight from the patient on his cultural background. 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. However the field of anthropology has undergone a radical transformation of idea and has changes its position significantly over the last 20 yeas regarding patient representation (Marcus and Fischer, 1989). 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. Madeleine Leiningers (1978) theory of transcultural nursing embodies the basis of this work: If human beings are to survive and live in a healthy, peaceful and The metaparadigm consists of four concepts: persons, environment, health, and nursing. Leininger was the first nurse to formally explore the relationship between patients and their different ethnic backgrounds. Leininger has defined health as a state of wellbeing that is culturally defined and constituted. This rapidly changing social environment and increased awareness of human rights and freedoms was the environment in which Leininger was originally writing. 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. This paper describes, evaluates, and discusses the application of Madeleine Leiningers nursing mid-range theory of culture care whilst providing the learner with an opportunity to connect theory and research to nursing phenomena. 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. Madeleine Leininger's Cultural Theory as Applied to a Certified Registered Nurse Anesthesiologist Everyday the world becomes smaller and smaller. 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. Thus all care modalities require coparticipation of the nurse and clients (consumers) working together to identify, plan, implement, and evaluate each caring mode for culturally congruent nursing care. The delivery of nursing care is a significantly social activity. Thus a metaparadigm can be thought of as an overarching principle or umbrella covering our outlook that defines our practice. The liberal humanistic perspective is also perceived as potentially creating problems (Campesino, 2008). Leiningers point of views and theory resulted from both a nursing and an anthropological background (Leininger, 1995). The CCT maintained a systematic approach for the implementation of culturally congruent care with the use of social structure dimensions and modes of care action and decision that is demonstrated in the Sunrise Enabler. 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. Later, in 1954, she received a Master of Science Degree in Nursing at the Catholic University of America. Someone and someone describe the gradual move toward a cross-cultural approach to nursing practice in Canada as a deep form of change and this paper will demonstrate the current position of nursing in Canada towards providing adequate and appropriate cultural care and explores the future of cross cultural nursing care. The modes have greatly influenced the nurses ability to provide culturally congruent nursing care, as well as fostering culturally-competent nurses. View -Order__802267.docx from BUSINESS S BBA/041J/2 at Technical University of Mombasa. 3 between culture and care. Leininger describes herself as an anthropologist and a nurse. Given this crisis, which changed the approaches taken to both methodology and method in anthropology, the original ethnographical approach utilized by Leininger and still employed for the methodology of ethno-science and data collection in transcultural nursing, may not be relevant or as able to claim truths as it was once believed. 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 culture care theory has numerous underlying assumptions that have developed criticism amongst the postulates and opponents of the theory. Provide three evidence?based examples that demonstrate how the nursing theory supports nursing practice. The danger with this approach, she maintains, is that it suggests that everyone designated to a particular group will be believed to experience and understand the world in the same way and it doesnt take into regard the persons individuality, only the community/culture the person belongs too. She believes that this particular blending of knowledge is not only unique to transcultural nursing but vital to study transcultural nursing (Leininger, 2010). Lastly, cultural congruence is a formalist concept that builds on cultural dynamism. The Transcultural Nursing theory first appeared in Leiningers Culture Care Diversity and Universality, published in 1991, but it was developed in the 1950s. Much of the theoretical work in nursing focused on articulating relationships among four major concepts: person, environment, health, and nursing. since 2003, Your NursingAnswers.net purchase is secure and we're rated StudyCorgi. The Native people also wanted to be represented in the new human rights movement and assert equality with the mainstream Americans (Gabbacia, 2002; Price and Cordell, 1994; Naylor, 1997). Instead, care has the greatest epistemic and ontologic explanatory power to explain nursing. July 16, 2022. https://nursingbird.com/transcultural-nursing-theory-by-madeleine-leininger/. Environment 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. Leininger used the concept to explain why human beings exist in a multiplicity of cultures by their universality nature that prompts them to provide care for each other within diverse cultural settings that have varied needs (Butts & Rich, 2010). 4.4 4.4 out of 5 stars (24) Paperback. person and individualism are the dominating concepts. These observations lead Leininger to develop an interest in anthropology. Caring is a crucial concept to the delivery of holistic nursing services to tuberculosis patients. $ 4.69. The presentation of the model correlates with the anthropological concepts that help nurses elucidate knowledge about multicultural beliefs, values, norms, and practices. Web. This term does not refer to health, specifically, as the construct health is used in many . Firstly, care is assumed to be the essence of nursing, which is also dominant and distinct with a fusing focus. Values, attitudes, and norms of different cultures demand appreciation since these factors have accentuated the need for all-inclusive and culturally competent nurses. The theory was further developed in her book Transcultural Nursing, which was published in 1995. It addresses nursing care from a multicultural and worldview perspective. Entirely, patients in the RCU rely on nurses. Lydia Hall . Rosemarie Rizzo Parse 13. While transcultural concepts seek the knowledge about the cultural background, ethnonursing concepts enable the nurse analyse the specific cultural factors by relating them to the patients health (Butts & Rich, 2010). Leininger (1978) considered that nurses tended to rely on uni-cultural professional values which are largely defined from our dominant Anglo-American caring values and therefore unsuited for use in the nursing of people from other cultures (p.11). They are: cultural preservation or maintenance, cultural care accomodation or negotiation, and cultural care repatterning or restructuring. (2022) 'Transcultural Nursing Theory by Madeleine Leininger'. * Hyperlink the URL after pasting it to your document, Health Care Delivery for Victims of Motor Vehicle Collision, Research Critique of Cardiac Index Based on Measurements Obtained in a Bedside Chair and in Bed, Child Obesity Problem in the United States, Improving Disease Surveillance in Developing Countries, Hypertension: Treatment in Children and Adolescents. For a nursing discipline, these theories consist of four basic concepts that address the patient as a whole, the patient's health and well-being, the patient's environment and the nursing responsibilities. First of all, it helps nurses to be aware of ways in which the patients culture and faith system provide resources for their experiences with illness, suffering, and even death. FIND INFO. Burlington, MA: Jones & Bartlett Publishers. With that said, by providing culturally congruent care that is respectful towards various cultural beliefs, values, and practices, one might obtain the moral and ethical responsibility in terms of professional care. Study for free with our range of nursing lectures! In addition, Leininger stresses the importance of rounded assessment of individuals, families, groups, and/or institutions in an attempt to deliver culturally congruent care. The interest of Leiningers in nursing psychology developed during early years of her career. Furthermore, the theory assumes the importance of knowledge about curing and healing. However, Leininger realized that there was more to consider, as Crowell supports by acknowledging that although existentialism does not disregard the medical model, it recognizes that it does not completely account for all human existence (2010). Furthermore, it contributed to the project on increasing the medical personnel knowledge about cultures the health industry usually faces. Leiningers theory developed into a nursing discipline as a fundamental approach to nursing practice and a better understanding of health care delivery. Leiningers theory has not only advanced her own philosophy but has founded the development of transcultural nursing and a number of later models that have contributed to transcultural nursing today. It requires transcultural nursing knowledge and appropriate research methods to explicate the phenomena. After her high school education at Sutton High School, the author reveals that Madeleine Leininger pursued a nursing diploma at St. Anthonys Hospital School of Nursing before she furthered her education at Mount St. Scholastica College (currently known as the Benedictine College) and Creighton University where she earned relevant nursing undergraduate degrees. 2022, studycorgi.com/evaluation-of-madeleine-leiningers-culture-care-theory/. Free resources to assist you with your nursing studies! Nola Pender: The individual, who is the primary focus of the model (p. 216). Emic refers to the beliefs, values, practices, and knowledge that belong to patients, while etic refers to the same factors but concerning . She explained this concept as a fundamental nursing component based on her experience and positive feedback from patients. Leininger (2010) articulates that her knowledge was based on both similarities and differences of one culture to another culture and is supported in her statement, the most important feature of the theory was to conceptualize culture care by searching for diversities and universalities (p. 10). The nursing society facilitates various issues such as nursing consultation, learning, direct care, ethnonursing research, and policymaking via an online platform to develop universally accepted holistic methods that find their use in health care (Jeffreys, 2008). About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features Press Copyright Contact us Creators . It explains the key concepts, characteristics, components, and assumptions in nursing theories developed by Leininger and Henderson. Additionally, the study of the values, norms, language, attitudes, and practices of diverse cultures in a nursing perspective require nurses to base their judgement on professional nursing care whilst upholding all-encompassing cultural congruence. Theory can be utilized in all facets of nursing and promotes the advancement of education, knowledge and care in the profession. Nursing is a vocation that engages at its most basic level with individuals, their families and communities (Allman, 1992). 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). St. Louis, MO: Elsevier. The capacity to provide appropriate cross-cultural care must be an essential attribute of contemporary nursing practice. Although Leininger claims to not be of the positivism perspective with regard to her theory (Leininger, 1995), I believe that her assumptions of truth could be viewed from a positivism perspective.

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