The Models Have Different Approaches Towards The Concept Of Nursing Essay

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.

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.

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 standards of practice describe a competent level of nursing care as exhibited by the critical thinking model known as the nursing process. This practice includes the areas of assessment, diagnosis, outcome identification, planning, implementation, and evaluation. The nursing process includes significant actions taken by registered nurses (RN) and forms the foundation of the nurse’s decision-making (“American Nurses Association,” 2010).

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.

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I realized I wanted to be a nurse after I had my 2nd ACL surgery, my senior year of high school. I had to stay in the hospital 3 days in order to recover, and I was very lucky to have such a wonderful and caring nurse. She made me feel as if I was her only patient. I will never forget how well I was taken care of and how comfortable she made me feel. I was young and scared, but she was reassuring, because she made me feel as if I had my own mother taking care of me. She was the reason I wanted to become a nurse, because I wanted to make others feel the way she made me feel. My personal definition of nursing is encompassed within that one nurse. A nurse should be loving, compassionate, dependable, competent, empathic, responsible,

This author’s personal philosophy in practice is to provide holistic care to my patients and their families. This author feels that encompassing the whole family or the patients support framework in the plan of care is the best approach to returning the patient to their optimum state of health. It is important to this author to evaluate the all of the aspects of the patient’s lives that they will share. It is important to evaluate the patient’s learning style,

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

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

Nursing theories are the support of nursing practice today. They are significant to nursing practice, education and scientific research because they help to determine, what is already known, and what additional knowledge and skills are needed. Nurses are usually first exposed to nursing theories during nursing education and further exposure comes from hands on training. The gained knowledge, about nursing theories, through education and training enhances better outcomes for patients and caregivers, allows application of professional boundaries, and assists in decision making. In this paper I will attempt to analyze, in general, the importance of nursing theory to the nursing profession; discuss middle-range theory, furthermore Benner’s

Nursing is universal in the sense that nurses can be found almost in all countries around the world (Henderson, 1978). They are in the hospitals, in school clinics, in the community centres, residential homes and even play major roles in some of the popular soap operas in television. There are even television shows that mainly revolve around nurses and which chronicles what they do at work - both the positive and the negative. It is one of the most visible and easily identifiable occupations as compared for example to other occupations such as engineers, managers or even pharmacists, medical technologists and other health related occupations. This is partly because of what nurses do and most especially how nurses look - with some still

In order to critically examine the concepts central to the discipline of nursing it is important to clarify my understanding of what constitutes a discipline. Nursing literature has led me to understand that a discipline can be, in simple terms, thought of as a field of study with a unique perspective which gives rise to the nature and scope of inquiry of that field and therefore leads to a specialized body of knowledge (Parker, M & Smith, M, 2010). In attempt to cement nursing’s place in the professional world and in an effort to distinguish it from other disciplines it seems imperative that nursing itself agree on the discipline’s most significant concepts. Through early course readings it

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.