Cultural Care Theory

“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

Nurses must consider the cultural health practices when assessing patients. The Culture Care Theory is essential and must be incorporated into other nursing theories as understanding cultures and cultural practices will enable nurses to think critically and function at full capacity when interacting and creating treatment plans for patients in a diverse environment.

Madeliene Leininger was one of the first people to recognize that cultural differences influence an individual’s response to health care activities and that these cultural differences also affect experiences of well-being, health, illness, disability and death. During her career, Leininger noticed eight factors occurring in the world around her that directly impacted people of different cultures. She used these factors to frame the theory of transcultural nursing, and today, they are still relevant. She observed a sharp increase in population migration between countries across the globe. She experienced people who

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

Cultural competence in nursing is imperative for effective patient care. A nurse must know his or her own values and beliefs as well as knowing about a patient cultural practices in relation to healthcare. Cultural competence is defined by some as: “the learned, shared and transmitted values, beliefs, norms and lifeways of a particular group that guides their thinking, decisions and actions.” Also it is noted that an important change to this definition is “the recognition of the dynamic,

Both articles express how important it is to be culturally self-aware and in touch with your personal beliefs, views, and morals. If you aren’t aware of what your cultural beliefs are you won’t be able to provide you patients with the cultural care and respect that they require in their recovery to become healthy again. In addition, the two articles (Newson 2009, Byrson 2012) both talk about how important it is to be open minded with people who may have a different opinions and views on certain things. If you aren’t open to treating you patients in the cultural way that they want to be treated, your patient will feel disrespected and unimportant. Therefore, their health will suffer because of your incompetence to accommodate their cultural needs. A nurse needs to be culturally self-aware, they need to know what their own personal views are first so they can understand that not everyone’s views will be the same. This means they need to be capable of being open and accepting to other people’s cultural wants and needs. By being these two things you will be able to provide people of all cultures with the respect and treatment they

The main ideas that Lisa Bourque Bearskin is stating in this article is that nurses need to be more sensitive to cultural care. They need to be aware of the issues in healthcare and strive to remove any barriers for certain groups, such as the first nations, and they need to disrupt any unequal relations in the social, political and historical aspect of healthcare. The way this can be done is by shifting their thoughts from cultural competence to cultural safety by way of relational ethics. Cultural competence is explained as the knowledge, skills, and attitudes that nurses need to use to care for cultural differences. Another framework described cultural competence as going through the stages of cultural awareness, cultural knowledge, cultural skill, cultural encounter, and cultural desire. Cultural competency works very well when making policies in an agency but this view fosters a view of culture that does not encourage nurses to ask questions. (Bearskin, 2011) Cultural Competence causes different cultures to be put in a box, which cannot be done because cultures are constantly changing and every person’s culture is different. Culture is individual. Lisa Bourque Bearskin goes on to say that cultural safety is what nurses should use for ethical practice. In cultural safety, a nurse must strive to improve health care and its access for all people, while recognizing that there are many different cultures that have a right to be recognized. Bourque

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 &

In understanding the importance of cultural continuance is it necessary to understand its connection and direct relationship to Canada’s long history of colonialization. Although western art places Indigenous history within in a complete pre-contact lens, Indigenous art and histories are connected and shaped by both pre-contact and post-contact worldviews which have influence and shaped various works and understandings. Yet, one significant separation between settler and Aboriginal world views that is important to notes in the role of cultural continuation is the difference to the linear event based view of history that western society is predicated on. As opposed to many Indigenous nations view of history as always within motion, not static

Cultural aspects of holistic assessment is relevant in the provision of nursing care as it provides the care team with an overview of cultural needs of the patient as well as providing information in which the patients’ health problems have arisen. Culture is defined as values, beliefs, artifacts, behaviors, attitudes and customs influencing and regulating interactions between members of a social group (Stein-Parbury 2010: 91; Johnstone 2006: 67). It is the nurses responsibility to adhere to the ANMC, competency 2.3, ‘accepts individuals/groups to whom care is provided regardless of race, culture, religion, age, gender, sexual preference, physical or mental state’ (ANMC 2006, p. 4). Kozier & Erb (2012: 360) discuss that cultural sensitivity, appropriateness, competency and safety are all factors that are required to be taken into consideration so that the patient can be provided with the best possible health care. Kozier & Erb (2012: 360) also explain that conflicts in health care have been apparent due to cultural misunderstandings. An example of a cultural misunderstanding is the level of pain. In some cultures, it is normal to dramatically express ones level of pain whereas in other cultures people do

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

In the profession of nursing, an essential aspect is the ability for a nurse to provide culturally competent care to each one of his/her patients. This requires the nurse to understand how a person’s culture can affect the way they care for them. The focus of this paper will be on a model put together to assist nurses in providing care to culturally diverse patients, specifically caring for patients a part of the Chinese culture in the children and family transition of life. The summary and application of the six phenomena in the relation to the Chinese culture followed by the nursing implications of those cultural variances are described below.

Health is defined a state of wellbeing which is equally viewed by many different cultures. However, the definition of wellbeing is seen differently among cultures, in relationship to their beliefs and values. (DeNisco & Barker, 2015). Cultural care in nursing is a very important part of nursing care, whether the nurse is a bedside RN or a practicing primary care NP. There are many theories in nursing related to cultural care. Most encompass the need for nurses to take into consideration the cultural caring behaviors and values of individuals and families to provide culturally competent nursing care.

The process of envisioning an idea that proves beneficial in explaining and predicting nursing care is known as a nursing theory (Perry 2013). A nursing theory is used as a platform to make decisions and interpret data in order to effectively care for patients. “Nurses need a theoretical base to demonstrate knowledge about the science and art of the profession when they promote health and wellness for their patients” (Perry, 2013, p. 40). Madeline Leininger’s nursing theory focuses on transcultural care and the idea that nurses should tailor to a patient’s cultural needs. Leininger’s theory emphasizes the idea that the culture of a patient influences every aspect of their life so it is equally as important to incorporate it in their care plan (Perry, 2013). The purpose of this paper is to outline the components of the transcultural theory as well as its importance in the nursing profession.