There are various cultures in the world. Cultural diversity has brought cross cultural interactions beyond geographical boundaries. Every culture has values and beliefs which reflects cultural and social influences, relationships, and personal needs in an individual. Health cultural values “shape human behaviors and determine what individuals will do to maintain their health status, how they will care for themselves, and others who become ill, and where and from whom they will seek health care” (Edelman & Mandle, 2010). Transcultural nursing is a practice to transform health care and help people of diverse cultures. An analysis of Leninger's vision for the work of transcultural nursing indicates that there are many barriers and …show more content…
It is important for the health care professionals to understand the importance of values and beliefs of the people that come for health care needs to an institution. Heritage Assessment tool is a checklist used by health care professionals to understand the client’s diverse traditions, values and beliefs in all aspects of maintaining, protecting, and restoring of health (Blais & Hayes, 2011). The first discussion is on the Asian East Indian heritage. The majority of Indians continue to practice and maintain customs, traditions, and values acquired in India prior to immigrating to the US. Indians are very family oriented and have strong ties with relatives and extended families. The elderly are taken care of by the son in the family. This is not only a responsibility but also demonstrates respect for the older. Indians believe that the actual wealth lies in the individual’s optimal health, and there is a very close relationship between body, mind, and soul. Indians are religious and practice their religion with honor. Indians tend to respect the authority of health care providers and feel their own role is passive. They have high tolerance to pain. Clients and families expect the provider to be confident in proposing treatment plan. If variety of choices of treatment is offered, the provider may be considered to be incompetent. Indian clients prefer to have same sex health care providers to take
“Health is influenced by culture and beliefs” (NRS-429V, 2011, p. 1). In order for the nurse to properly care for the patient, she must know and understand the patient’s culture. “Cultural care is a comprehensive model that includes the assessment of a client’s cultural needs, beliefs, and health care practices” (NRS-429V, 2011, p. 1). It is not enough to just know where the patient lives or where he came from. The nurse must embrace the concept of cultural competence and cultural awareness. This requires not only the awareness of the cultural beliefs and values of their patients, but also
In evaluating the Heritage Assessment Tool (HAT) two things became immediately obvious. First, the questions provided a fair outline and structure for identifying factors of culture, religion, tradition and environment and how they may influence the subject family’s approach to health maintenance and health restoration. And second, that the medical professional using the HAT must be aware of and sensitive to the scrutinizing nature of the questions and what defensive and evasive responses they may invoke. While conducting these family interviews, I noticed even when asking the questions of my own family that they were not immune to this scrutiny affect. As such, when interviewing the other two families, I was very attentive to them and
Theories of transcultural nursing with established clinical approaches to clients were founded in the mid-1960s and are an essential aspect of healthcare today. The ever-increasing multicultural population in the United States poses a significant challenge to nurses providing individualized and holistic care to their patients. Accurate assessments identify factors that define transcultural nursing and analyze methods to promote culturally competent nursing care.” (Maier-Lorentz, 2008)
The nursing profession has a long history of assessing and placing patient needs first when giving care. The tenets of nursing practice include meeting those needs using individualized care by collaborating with the patient, family, and health care team members. (American Nurses Association, 2010). The concept of transcultural nursing aligns with these tenets because it calls on nurses to provide patient-centered care by taking into account the patient’s background, beliefs, culture and values. In this paper, I will identify the factors that made it necessary to develop the transcultural nursing theory, describe the meaning of diversity and its relationship to the field of nursing, and explain three ways that I provide culturally sensitive care to my patients.
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.
The practice of nursing in today’s multicultural societies calls for nurses to identify and meet the cultural needs of diverse groups of people; to understand the social and cultural reality of the client, family, and community; to develop expertise in the implementation of culturally acceptable strategies for the provision of nursing care, and to identify and use appropriate resources for health teaching that is acceptable to the client. Undeniably, this cultural diversity necessitates that the care provided be compatible with the needs of the culturally diverse population. Madeleine Leininger is recognized worldwide as the founder of transcultural nursing,
The Heritage Assessment Tool can be adopted as a dependable tool to gauge, health maintenance, restoration and safeguard of personal, cultural beliefs. The adoption of health assessment tool helps meet the prerequisites of diverse patient populations to offer quality all-inclusive care. The following paper reviews the assessment of three culturally dissimilar families, and demonstrate how a nurse would continue with health promotion centred on the variances in health traditions between the three cultures. The three cultures include Hispanic culture, Native American Indian culture and White American culture. The objectives of this essay are
Cultural competence can be defined as using the ability of one’s awareness, attitude, knowledge and skill to effectively interact with a patient’s many cultural differences. Madeline Leininger, a pioneer on transcultural nursing describes it this way; “a formal area of study and practice focused on comparative human-care differences and similarities of the beliefs, values and patterned lifeways of cultures to provide culturally congruent, meaningful, and beneficial health care to people” (Barker, 2009, p. 498). The importance of cultural diversity in healthcare allows for the delivery of appropriate cultural autonomy. Showing respect for others will lead to trust between nurse and
What is a heritage assessment? A heritage assessment is a subpart to the overall nursing assessment. Assessing a patient’s heritage allows the nurse to obtain more information about a patient’s culture, including beliefs about health and values, this is important to providing cultural health care. One’s heritage includes information about their cultural beliefs and practices of the family and ethno religious community (Jarvis, C., 2012). Through a heritage assessment the nurse can
Therefore, cultural heritage is the main factor in economic, social, and health promotion of people. Every culture has their own beliefs, values, and perceptions on health and illness. Then, it is imperative for health care providers to assess a cultural heritage on each patient in order to deliver meaningful care for that patient. By using the heritage assessment tool, the three interviewed families revealed some similarities and differences among their health traditions.
When clinically assessing patients in care settings, it is paramount for health professionals to elicit pertinent information that could be crucial for delivery of care. This is particularly important in the United States because the increasing diversity in racial and ethnic composition of the population has presented cultural challenges that care givers must navigate to provide culturally competent service. Cultural competence during delivery of care requires sensitivity to the cultural, social, and linguistic needs of patients (Betancourt, Green, Carrillo, 2002). As a consequence, care providers need cultural assessment tools that will enable them
Culture is a pattern of behavior and values shared by an ethnic group. Cultural heritage is a set of traditions within the culture that is hand down from the older generation to the younger generation within the family. These traditions influence the family’s decisions in relation to their diet, education, daily living activities, religious beliefs and practices and also health and illness beliefs. In this paper, the author will focus on the usefulness of applying a heritage assessment in evaluating the needs of a person as a whole. Three different cultures including authors will be discussed about the health maintenance, health promotion, and health restoration. The author will also evaluate health traditions which
The development of the Giger and Davidhizar Transcultural Assessment Model (GDTAM) came about because of nursing students’ need to provide culturally diverse care for patients. The model acknowledges that each culture is individually unique and assesses them according to six phenomena: communication, space, social organization, time, environmental control, and biological variations. In this model “nurses must use transcultural nursing knowledge as a skill and an art to provide care to diverse populations in a culturally appropriate and competent manner” (Sagar, 2012, p. 57). It goes on to discuss how the model sees cultural competence as “a dynamic process implemented by an individual or health care agency by using significant interventions based on the client’s ‘cultural
The purpose of this paper is to discuss the eight reasons why transcultural nursing (TCN) is a necessary specialty, according to Dr. Madeleine Leininger. Dr. Madeleine Leininger was a pioneer in this field of nursing. I will define the meaning of cultural diversity and relate it to nursing practice. I will explain three ways that I provide culturally sensitive care to my patients. I work in an outpatient obstetrics and gynecology office, where we see many different cultures.
The Transcultural Assessment Model, developed by Giger and Davidhizar (2006), focuses on assessment and intervention from a transcultural nursing perspective. In this model, the person is seen as a unique cultural being influenced by culture, ethnicity, and