The purpose of this study is to provide cultural diversity knowledge to RNs caring for patients and to emphasize that the lack of understanding culture diversity, delivery of culturally competent care may result in poor patients’ outcomes. The theoretical framework for this project is noted in the theory of Transcultural Nursing founded by Leininger, which explains cultural diversity and cultural competence. Sagar (2012) reported that Leininger acknowledged the benefits of understanding a patient’s culture and caring knowledge in the improvement of the quality of care. The application of this choice of theory centers on understanding patients’ culture and then incorporating the patient’s cultural content into their plan of care (Easterby & et al 2012). Nurses, along with being an observant of patients, must be knowledgeable about a person’s culture and diverse factors influencing the whole person. Knowing the whole person strengthens the commitment bond between nurse-patient relationship (Green & et al, 2015). The three action modes in Transcultural Nursing Theory for providing culturally, holistic health during a patient’s well-being, illness and dying phase, according to Leininger (2006a, p. 8) are “preservation/maintenance;accommodation/negotiation; and repattering/ restructuring”. The rationale for providing cultural diversity education to nurses is to empower them with knowledge so that they can better serve, provide quality care and help patients
“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
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.
Health in all cultures is an important aspect of life. A person’s cultural background, religion and/or beliefs, greatly influences a person’s health and their response to medical care (Spector, 2004). These diverse cultures guide decisions made in daily life; what food eaten, living arrangements made, medications taken and medical advice listened to. A nurse must be knowledgeable and respectful of these diverse cultures and understand their importance when providing care. This understanding helps to build a strong nurse/patient relationship, increasing patient compliance, which ensures positive outcomes are met. Patients who are satisfied
The term culture is defined as “the thoughts, communications, actions, customs, beliefs, values, and institutions of racial, ethnic, religious, or social groups” (Potter & Perry, 2013). With the increase of culturally diverse populations in the United States, it is important for nurses to practice cultural competence. Cultural competence is the ability to acquire specific behaviors, skills, attitudes, and policies in a system that permits “effective work in a cross-cultural setting” (OMH, 2013). Being culturally competent is essential because nurses who acknowledges and respects a patient’s health beliefs and practices are more likely to have positive health outcomes (OMH, 2012). Every culture has certain views and attitudes concerning
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
In order to deliver nursing care to different cultures, nurses are expected to understand and provide culturally competent health care to diverse individuals. Culturally competent care is tailored to the specific needs of each client, while incorporating the individual’s beliefs and values (Stanhope & Lancaster, 2006, p. 90). By being culturally competent, nurses are able to help improve health outcomes by using cultural knowledge and specific skills in selecting interventions that are specific to each client (Stanhope & Lancaster). Therefore, nurses “should perform a cultural assessment on every client with whom they interact with” (Stanhope &
Dr. Leinger successfully explains transcultural knowledge in the video, “The Power of Transcultural Nursing”. I am pursuing nursing as my major, and this video gives me sufficient customs that will help me grow as a nurse and as a current certified nursing assistant. Some concrete customs shown the video are learning to respect others practices, listening to the patients, and acknowledging their thoughts. A few other customs are compromising with the patient by meeting in terms, and redesigning the care plan depending on each unique individual. Dr. Leinger says it will be difficult to understand every culture, but always go into situations with an educated open mind. This video gives me insight in my future career as a nurse on how to approach
With the large increase multicultural population in the United States, nurses encounter patients with differences in healthcare beliefs, values and customs. To provide adequate nursing care, nurses must be aware of these differences. They must respect and acknowledge the patient’s culture. To do this, nurses need education on cultural competence to ensure patient satisfaction and better patient outcomes.
I consider myself to be a fairly traditional American white woman, with non-denominational Christian beliefs. My ethnicity is sort of a mixture of Irish, German, Native American and a few others, but my main cultural background is traditional American. I do not put a lot of emphasis on my ethnicity, because in my opinion and the opinion of many others as well, Caucasian American can be race and ethnicity. I celebrate traditional American holidays such as Christmas, Independence Day and Thanksgiving. I do eat traditional American foods, but I also love ethnic foods of all kinds. According to McKinney, James, Murray, Nelson and Ashwill (2013), “Belief in Jesus Christ as the son of God and the Messiah comprises the central core of Christianity” and “Study of biblical scripture; practicing faith, good works, and sacramental rites (e.g., baptism, communion, and others); and prayer are common among most Christian faiths” (p.44). I am non-denominational; however, I do believe this statement sums up the main core of my beliefs. I pray, I have been baptized, I believe in good deeds, and attending church. The only difference is that I do not believe that you must attend church or partake in communion to have a relationship with God; I believe that relationship is rather personal. Now in terms of American culture in the healthcare setting, Euromed Info Online indicates that Western industrialized societies such as the United States, which
Culture competence is a quality that any nurse should have. The article that I decided to research refers to the impact that language and different cultures have on a patient’s health. It is the duty of health care professionals to attempt to learn about different cultures and to be sensitive to the way patient’s feel about their beliefs. Once the nurse understands a patient’s
Transcultural nursing seeks to provide care that acknowledges an individual’s culture, values beliefs and practices. Nurses need to deliver culturally appropriate, and culturally sensitive care, a standard that is sometimes difficult due to the cultural and ethnic diversity within our society. Australia is a multicultural society. The 2011 Census revealed that almost a quarter of the population were born overseas, and 43.1 per cent of people have at least one overseas-born parent. The ever-increasing multicultural population in Australia poses a significant challenge to nurses providing individualised and holistic care to their patients. This requires nurses to recognise and appreciate cultural differences in healthcare values, beliefs, and customs. Nurses must acquire the necessary knowledge and skills in cultural competency. Culturally competent nursing care helps to ensure patient satisfaction and positive outcomes. This essay will outline and define the term transcultural nursing, discuss its history and relevance in modern nursing practice. focusing the attention for its use in a Australian context.
The theory chosen for analysis in this paper is Madeleine Leininger’s Cultural Care Diversity Theory. Leinenger’s theory looks at individual patients’ with relation to their cultural heritage. The pieces of her theory include culture, culture care, and culture-care similarities and differences pertaining to transcultural human care (CCN, 2014). This middle range theory has the potential to influence nurses to provide culturally competent care to patients such as Hispanics. The writer of this paper has unintentionally used Leinenger’s theory in practice while caring for patients. There
The United States is made up of a very large, and diverse group of people. Every day more and more individuals come to the United States to begin a new life. As nurses, it is imperative to be aware, as well as respect other individual’s cultures, values, and beliefs, in order to provide the best care possible to our diverse patient population. In this paper, I will discuss the necessity of the transcultural nursing specialty, cultural diversity, and give examples of how to provide culturally sensitive care.