Is Accounting For Ethnological And Structural Factors

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)

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

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

Culture is a system of beliefs that are shared and communicated within a certain group of people, along with behavioral expectations and values that provide a framework to live by. No two people practice culture the exact same way. In the healthcare setting, especially in the United States, nurses and other healthcare workers are exposed to many different cultures. Being a culturally competent nurse ensures that individuals, families, and different groups of society get customized care that is well planned and implemented (Taylor, Lillis, & Lynn, 2015).

The purpose of Transcultural theory is to discover human care diversities in areas related to worldview or social structure and then find ways to give culturally competent care to individuals of diverse cultures and to help them regain their well-being in a culturally appropriate way

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

Transcultural nursing refers to “being aware of the patients cultural health beliefs and values and incorporating these into the agreed care plan with the patients.” (Nurse dictionary). As part of the Australian Nursing and Midwifery Council code of conduct, all nurses need to be culturally respected of all patients especially those of non speaking English backgrounds or culturally linguistic diverse backgrounds. “This code of professional

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

However, with the many different cultural backgrounds you must be culturally sensitive and change your plan of care to meet your patients needs. This book stressed the importance of educating nurses early in the classroom setting. The Transcultural nursing society, established in 1974, began implementing ethnic, culture and diversity patient care teaching in academic curriculum for nursing students. Today the education of nursing students in this field has allowed nurses to have a deeper appreciation and understanding of patients. They are able to understand and value the importance of cultural sensitivity and appropriate individualized clinical approaches.(pp 2)

The main aspects of culture are language, religion, food, clothing, education, social class, race, nationality, ethnicity, morality and many others. Every nurse should be able to demonstrate that they have a fundamental knowledge of the legal, ethical and professional aspects and must maintain dignity and promote health and well-being to their clients. (Nursing and Midwifery Council (NMC), 2008). Doctor Madeleine Leininger was a developer of concept of transcultural nursing. Leininger defined transcultural nursing as “a substantive area of study and practice focused on comparative cultural care values, beliefs, and practices of individuals with the goal of providing culture-specific nursing care practices in promoting health or well-being, illness, death in cultural meaningful ways” (Leininger, 2002).

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

Universality refers to the commonalities amongst people of the same cultural and diversity refers to the differences amongst similar and different cultures. Leininger describes a competent transcultural nurse as one whose goal is to provide support, and facilitate the cultural values, beliefs and practices of the individual, group, family or community. In Leiningers theory of transcultural care the nurse should be able to provide congruent competent cultural based care. In this case the nurse should have both emic and etic insight on the patient’s cultural background and how it relates to their concept of caring and nursing.

Nursing theory is foundational to nursing practice; however, there exists a reciprocal relationship between practice and theory. Through examining nursing theory, the nurse can make better-informed decisions about the patient’s care. In addition, the theory will influence the care for future patients as well. One theorist that changed the landscape of nursing is Madeleine Leininger. Her culture care theory changed the dialogue of healthcare regarding care. This paper will discuss the importance of theory in nursing theory. Next, a summary of Leininger’s theory will precede a discussion about how the theory will be applied in a nursing context. Finally, the correlation between Leininger’s theory and the practice of a nurse practitioner will ensue. Her culture care theory will inform the practice of a nurse practitioner and how culturally competent care will be given.

Introduction According to Iyer (2010), every person that is alive is made up of cells. These cells are basically the practical component of all organisms that are known to live. Similarly, concepts are the essential components and the construction blocks of theory growth (George, 2010). As the cells begin to develop, divide, and grow into a life form that is complex, concepts (whichever experiential or abstract) when they have been examined tested and authorized with examination progresses into a body of awareness, control, or science (George, 2010). The objective for this essay is to be able to analyze and compare the essential concept descriptions of Hildegard E. Peplau's Interpersonal Relations in nursing theory and and also including that of Ida J. Orlando's theory of Nursing Process Discipline. This essay will also bring out the concept statement, philosophies, metaparadigms, and conceptual model of Madeleine M. Leininger's theory of Culture Care Diversity and Universality (also understand: Universality and Transcultural Nursing Theory and Theory of Culture Care Diversity were both being expended back and forth). This essay also talks about how and where the philosophy of Transcultural Nursing could be pertained to the nursing area. Comparison and Examination of the central ideas of Orlando's and Peplau's philosophies Peplau's concept of Interpersonal Associations in nursing and Orlando's Nursing Process

Nursing science had broadened its ideas in terms of global perspective in 1978. Madeleine Leininger formulated the transcultural theory of nursing. She viewed that human care varies and depends in terms of