Madeliene Leininger

Care and culture are the key constructs that make up the Culture Care Theory. This theory differed from other nurses’ work or mindset because nurse leaders relied heavily up on the four metaparadigm concepts of person, environment, health, and nursing to explain nursing (McFarland and Wehbe-Alamah, 2015). Leininger realized that those four metaparadigm concepts were to limited in its scope regarding nursing and culture and care ideologies. Interestingly, care and culture were excluded from the metaparadigm. “It is not logical to use nursing to explain nursing” (McFarland and Wehbe-Alamah, 2015). That is definitely a contradiction in terms and represents scholarly research

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.

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,

Nursing is a continually evolving discipline. Nursing theories and conceptual frameworks serve as basis for research, education, and standards of practice. Theory plays a vital role in every nurse’s practice as it aims to define, explain, and predict the phenomenon of nursing. It helps the nursing profession expand its practice, develop research studies, and enhance patient care. This paper will discusses two of the major nursing theorists and their respective works. The paper will focus on Dorothea Orem’s self-care theory and Madeleine Leininger’s theory of culture care diversity and universality. These famous nursing scholars have contributed immensely to the study of nursing and its practice.

Unlike other nursing theorists, Leininger did not put emphasis on basic concepts of person, environment, health, and nursing, which are usual nursing metaparadigms that most nursing theorists utilize. Leiningers theory instead, emphasized different metaparadigms. First, she considers nursing as both a discipline and a profession. The term ‘nursing’ according to her, cannot explain the phenomenon of nursing. Instead, ‘care’ has the greatest explanatory power to explain nursing. Leininger (1995) views ‘caring’ as the verb counterpart to the noun care and refers it to a feeling of compassion, interest and concern for people. When Leininger’s definition of care is compared to other transcultural scholars’ definitions, it appears that her view of care is wider than, for example, that of Orque et al. (1983), who depicted care as goal-oriented nursing activities, in which nurses recognize the patients’ ethnic and cultural features and integrate them into the nursing process as cited in (Giger, Davidhizar, Purnell, Harden, Phillips, & Strickland, 2007). Second, the nursing profession uses the term ‘person’ in a way that is limiting and binding, as the concept of

the undeniably assorted, multicultural population in the United States is putting forth new difficulties in the arrangement of cultural care by nurses in general. An immediate relationship exists between a patients way of life and their well being; of the numerous factors known to impact health beliefs and practices, culture is a standout amongst the most compelling. In the event that the arrangement of the most ideal care to all patients is the objective, nurses must have aptitude and ability in the conveyance of culturally proper and cultivation equipped nursing care. Each nurse must play a dynamic part in getting a data base whereupon to build up a social competency. The capacity to convey nursing care that will permit powerful communications

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

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 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.

Madeleine Leininger’s cultural care theory is one of the most influential modern day theories in nursing. Leininger describes her theory as one that is cultural sensitive that is tailored to address patients of different cultures, backgrounds, or origins. Leininger develops the cultural care theory due to the fact that she believes that nurses are caring for their patients as a one hat fits all, and not taking into consideration the patient 's background or their culture.

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.

The Theory of Culture Care Diversity and Universality is founded on the principle the compassion is the crux of nursing (Black, 2014, p.277). In order to provide care effectively, one must demonstrate empathy toward his or her patient. Additionally, Leininger’s theory calls for transcultural nursing, which is centered on culture as the basis for care delivery; essentially, it is the provision of culturally competent care (Narayanasamy, 1999). To allow the nurse to assess a patient culturally, Leininger devised the sunrise model, which encompasses multiple traits specific to an individual’s cultural background.

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

Transcultural nursing care knowledge is essential to provide culturally congruent nursing care to patients from diverse cultural and ethnic backgrounds (Hood, 2014). An important element of holistic nursing care is the incorporation of sensitive cultural practices that meet the patients’ and their families’ needs alike. For this assignment, I have chosen to research Japanese cultural health practices and their relevance to nursing care.