The Importance Of Transcultural Nursing

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

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

Giger and Davidhizar’s Transcultural Assessment Model is a valuable and functional assessment tool that evaluates the different cultural variables and how those variables effect health, illness and behaviors (Giger, 2013). This philosophy considers the uniqueness of each individual, understanding that the individual is unique, a product of their culture, religion, environment socioeconomic status and diversity. Giger and Dividhizar propose that, as health care providers, we need an acute awareness of the ethnicity and culture of each individual, having the knowledge and understanding to care for them as

When culturally competent nurses interact with other cultures, they observe how members of the culture communicate, watching for verbal and non-verbal cues. Eye contact is important to identify. For some cultures direct eye contact is not polite. Touch for some cultures is prohibited. If needed, nurses should explain the reason for touching the patient before proceeding. In some cultures males cannot be caregivers of females. Silence doesn’t always mean miscommunication or patient apathy. For some cultures is a positive non-verbal cue or a sign of respect or agreement. Space and distance is very important when providing care. Patients can place themselves close or far from the nurse based on their culture. Healthcare beliefs also vary from cultures. Some cultures are compliant with cares while others may not be very cooperative. Based on these observations, nurses can plan their plan of care based on the patient’s needs (Maier-Lorentz, 2008 Journal Of Cultural Diversity). Nurses also need to observe pain non-verbal cues, food preferences, family arrangements and general norms and interactions.

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 United States is a diverse accumulation of cultural backgrounds which can often set the stage for feelings of confusion, anger, mistrust, and a host of other emotions when dissimilar cultures disagree. Cultural competence in nursing can help eliminate these barriers and provide a platform for nursing to follow in the quest to understand a patient's culture and background. When a nurse takes the time to learn about a given culture prior to providing care, it conveys she respects the patient's right to their beliefs, customs, and culture. It does not necessarily mean the nurse agrees with their practices but

Cultural differences can cause emotional distress among patients and healthcare providers. Effective communication is important in treating patients and promoting their fast recovery. I learned that when two people of different cultures communicate, sometimes a lot of misunderstandings can occur because of the difference in experiences and expectations. As a nurse, I will learn to develop approaches that allow me to recognize and respect the culture of patients from different

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.

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.

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

The premise of Madeleine Leininger ‘s Theory of Culture Care Diversity and Universality is that one must regard his or her patient both holistically and with respect to the patient’s given cultural background. Leininger aims to establish a nurse-patient relationship in which communication and collaboration are culturally congruent. Via such interactions, a nurse can hypothetically deliver individualized, culturally competent care. However, while Leininger’s theory has many benefits and clear applicability in a multicultural society, its execution may fall short due to the predominating social norms and values held by larger society.