Consequently, one nursing theory does not fit every individual’s need. However, while nursing theories encompass many different beliefs, policies, and procedures, nurses can choose from many theories and can utilize some, all, or none of the concepts of each theory. Furthermore, nursing theory provides nurses with principles and helps generate further nursing knowledge (Alligood, 2014). To gain a better understanding of MS in practice, theory, challenges, and trends, three transcultural nursing theories that relate to disabled male veterans with MS will be evaluated, Florence Nightingale’s grand theory, Merle Mishel’s uncertainty in illness theory, and Madeleine Leininger’s culture care theory. “Apprehension, uncertainty, waiting, …show more content…
Subsequently, the rationale for application in practice is for health care professionals to provide education and treatment options to individuals and their families suffering from MS in an effort to lessen the uncertainty experienced (Smith & Liehr, 2013). Furthermore, the health care professional can lessen an individual’s or support person’s uncertainty by providing education about MS, showing confidence in treatment options, and delivering concise information and culturally competent care. The nurse that properly addresses uncertainty in health, illness, and disability can use an individualized approach to form positive coping mechanisms leading to adaptation to the illness and therefore improving outcomes of care (Murray, Saunders, & Holland, 2013). In conclusion, appraising health care needs, assessing the attitudes toward health care and evaluating member’s uncertainty in illness, requires nurse case managers to be mindful of the veterans’ time. Therefore, the case manager’s work hours to conduct an assessment may need to occur at a time other than the standard business hours of 8 a.m. to 5 p.m. central time. Madeleine Leininger, similar to Florence Nightingale, was way ahead of her time (Sagar, 2011). For example, Madeleine Leininger’s culture care theory has been developed as a nursing theory relevant in a changing world as the nurse works to
Leininger (1988) defined nursing as a transcultural phenomenon requiring knowledge of different cultures to provide care that is congruent with the clients’ life ways, social structure, and environmental context. This definition from the founder of transcultural care would support applying a cultural sensitive nursing care in the clinical setting, and highly linked to her definition of transcultural nursing as a legitimate and formal area of study focused on culturally based care beliefs, values, and practices to help cultures or subcultures maintain or regain their health (wellbeing) and face disabilities or death in culturally congruent and beneficial caring ways (Leininger, 1970, 1978, 1995). Moreover Leininger summarized the process of applying transcultural care as providing care that fits with cultural beliefs and life ways. From a professional perspective, it refers to the use of emic (local cultural knowledge and life ways) in meaningful and tailored ways that fit with etic (largely professional outsiders’ knowledge), in other words care should be individualized according to patient’s culture to promote holistic and effective nursing care.
Just as we continually strive to provide up to date evidence based healthcare, we must strive to provide culturally competent healthcare. Specifically my first consideration in practice involves the four nursing metaparadigms: concept of person, environment, health and nursing being the foundation to provide culturally competent health care. When planning education and consideration to be taken in account for recommendation regarding the treatment plan, gathering information of these metaparadigms provides the first step to what factors influence my patients in their daily life. Moving on, Leininger (1985) realized the importance of caring and its role in the nurse/patient relationship and ultimately upon health care outcomes. This aspect influenced the nursing theory that best describes my nursing philosophy: Boykin and Schoenhofer (2013) Nursing as Caring. Leininger (1985) Culture Care provides relevant tools that guide my interaction with diabetic patients. Culture Care values the beliefs that assist, support or enable another person or group to maintain well-being, improve personal condition, or face death or
intentional beneficial implications and health results for individuals of different cultural backgrounds. The model theory developed into some nursing practices referred to as the transcultural nursing, which is a study and practice emphasizing on the comparative cultural care concepts and values, practices, beliefs of groups and individuals sharing a common culture. The goal is to avail culturally specific and universal care practices within the nursing profession to promote the health and well being of the patients. The theory model therefore assesses the cultural set up of a given patient’s background to avail a comprehensive and holistic overview of the client’s environment (Petiprin, 2015). A theory that is most relevant in addressing
In clinical practice, health care services are being delivered to patients with multiple sclerosis by reducing disease activity, managing symptoms, and maintaining quality of life (Halper & Harris, 2012). However, the domains of MS nursing and health insurance case management includes more than clinical practice. Equally important to clinical nursing practice domain in MS are the advocacy, education, and research domains (Halper & Harris, 2012).
A woman named Madeleine Leininger distinguished differences in culture between the nurse and patient (Andrews & Boyle,
Women have 300% the incidence of MS as do men, usually diagnoses between the ages of 15 and 40. Often, because of fatigue and lack of functionality, the mothers’ physical conditions could degenerate further. What had not occurred to me was that the mothers also became emotionally inaccessible. Homemaking duties and personal care that they used to do are now done by the daughters, especially in single parent households. Even when sons were also present, the mothers usually preferred the services of a daughter because of gender expectations and experience, for the intimacy of the personal care, more perceived capacity for compassion/empathy, emotional closeness, and shared values.
Florence Nightingale's Environmental Theory led to way to holistic patient care. The Dreyfus Model of Skill Acquisition provides a tool for understanding the difference between an experienced nurse and a novice. Finally, Madeleine Leininger's Transcultural Theory of Nursing provides insights into optimal nursing care in a diverse multicultural world.
Objectives: this research aims to provide a better understanding in the effects of a challenging journey on the way how patients with MS experience their body, how others look at these patients and how their live is changed after the journey.
Healthcare professionals are necessary to personal problems such as reducing impairments, disabilities, and handicaps. Other problems are fatigue, weakness, spasticity, mobility, balance, pain, mood, relationships, bladder, sexual function, speech, employment, and activities like eating, bathing, different chores. Rehabilitation team can help the patient by improving and maintaining good relationships, feeling productive, and create great quality with MS patients and their families. Rehabilitation is more than an “extra” service it is part of the patients management to help with their set of problems that happen throughout the course of the disease. A rehabilitation team may have many people helping, including physicians, nurses, physical therapists, occupational therapists, speech and language pathologists, psychotherapists, social workers, recreational therapists, vocational rehabilitation therapists, patients, families, and other
Working as a clinical social worker in the Washington, DC area with patients with life-limiting illness such as Huntington’s disease, Parkinson’s, Multiple Sclerosis and Lou Gehrig ’s disease (ALS), has taught me to be eternally dedicated to a person-focused approaches to therapy supports with these patients and their family. I had considered this concept as broad theory in the past that held me to standard of consideration of the patient’s ideas. Now I am even more convinced than ever that the patient is my most salient guide in their own treatment. My work with patients has taught me to listen and learn from each patient, and let them determine their treatment goals as a practice.
Leininger’s view or nursing is a holistic view which considered the patient cultural beliefs at it relates to wellness, illness and dealing with disabilities and dying. She believed that caring is “the essence and central domain of nursing” (Alligood, 2014,
Madeleine M. Leininger “found that care is deeply embedded in peoples’ worldviews, social structures, and values, thus, making it an elusive phenomenon that is challenging to study”(McFarland et al, 2012); but nursing profession needs to be culturally competent in order to provide holistic care which are extremely important in nursing education and practice for successful patient outcomes. This lead her to discover the transcultural nursing theory which “derived from the disciplines of anthropology and nursing,” where the focus of the theory is to “comparative study and analysis of diverse culture and subcultures in the world with respect to their caring values, expressions, health-illness beliefs, and patterns of behavior” (Alligood, 2014,
In nursing there are theories that determine how the profession is going to be handled. Scholars and other practitioners of medicines have proved these theories. In our case we will be looking how these theories are applicable in the entire world of nursing medicine. What are nursing theories? Nursing theories are theories that describe, develop, and provides on how nursing profession should be carried out. These theories provide information on how or on the ground on how the terms of nursing terms can be defined and even touches on how principles of nursing and how the basis of
Nursing theories are not a new concept in the field of nursing or health care in general. An extremely well known nursing theorist is Florence Nightingale, but there are other theorists who have also contributed to the field of nursing. A theory is defined as “an integrated set of defined concepts and statements that present a view of a phenomenon and can be used to describe, explain, predict, and control that phenomenon” (Burns & Grove, 2011, p. 228). A theory can be applied to any field, especially the field of nursing. Many theories are specific in one concept of nursing. The theory may be concentrated on the steps of the nursing process or on specific aspects of the nursing process, such as, the patient’s hygiene, activities of
Contemporary nursing has certainly become more multi-disciplinary in the last few decades. Even nursing theory tends to now take into account the changing dynamics of the market, and needed responses from healthcare. One seminal theory, for instance, that asks the modern nurse to explain their approach to patient care, advocacy, and more modern issues of alternative therapies is Madeline Leninger's Multicultural Nursing Paradigm, Synergizing the concept of care and the challenges of both financial management and the changing demographic nature of nursing, Leininger's model presupposed that the basic practical knowledge of theoretical nursing is already part of the skill set, but that through a gradual improvement and ease of the technical matters, experience will lend itself to a relaxed, caring focus. This may, in contemporary culture, mean being more ethno-sensitive, learning to explore ways of communication in languages other than English, understanding different cultural phobias and mores, and looking at alternative therapies that may benefit the patient. Leininger certainly avows a diverse and multicultural approach to the healthcare paradigm, and has room for alternative therapies and an openness that many other Western theories lack. Leininger specifically acknowledges the manner in which cultural care in diverse situations is essential for the growth and well-being of humans. Her theory also asserts that care is a universal phenomenon with