Caring is a crucial concept to the delivery of holistic nursing services to tuberculosis patients. There are many reasons its beneficial for nurses to use cultural knowledge of patients to treat them. Caring is an action or activity directed towards providing care. These observations lead Leininger to develop an interest in anthropology. The CCTs goal is to provide culturally congruent care that contributes to the health and well-being of people or to help them address disabilities, dying, or death with the aid of three modes of culture care decisions and actions. No plagiarism, guaranteed! Leiningers theory has not only advanced her own philosophy but has founded the development of transcultural nursing and a number of later models that have contributed to transcultural nursing today. Madeleine Leininger's theory of care and nursing is a prime example of how knowledge taken from one field can synergistically benefit another (Leininger, 1988). Culture refers to learned, shared, and transmitted values, beliefs, norms, and lifeways to a specific individual or group that guide their thinking, decisions, actions, and patterned ways of living. All work is written to order. Leininger used this inductive technique to study the beliefs, values, language, attitudes, and norms of different cultures in a nursing context. Leiningers model makes the following assumptions: The Culture Care Theory defines nursing as a learned scientific and humanistic profession that focuses on human care phenomena and caring activities in order to help, support, facilitate, or enable patients to maintain or regain health in culturally meaningful ways, or to help them face handicaps or death. These include religion, economics, education, technology, politics, kinship, ethnohistory, environment, language, and generic care and professional care factors that impact the culture care meanings, expressions, and patterns in different cultures. StudyCorgi, 16 Apr. NursingBird. Leininger originally worked as a childrens nurse in a psychiatric setting and noted that of children who came from diverse cultural backgrounds such as Afro-American, Spanish-Americantheir overt behaviors clearly differed (Leininger, 1978, p.21). Culturally congruent care occurs when there is a meaningful and satisfactory match between the culture care beliefs, values and practices of the patient and the behavior of the nurse. During the 1960s and 1970s, immigrants from less traditional countries such as the Hispanic and Asian communities were settling down in the USA in larger numbers (Gabbacia, 2002). Culture Care Theory and the traditional nursing metaparadigm Care and culture are the key constructs that make up the Culture Care Theory. There is a growing need for suitable knowledge base that encompasses the requirements of education, research and practice and this paper seeks to offer nurses an examination and critique of Leiningers transcultural nursing theory that underpins transcultural nursing. It allows for examining generic (folk) as well as professional care (the nurse)implementing the theory stimulates nurses, as carers and researchers to reflect upon their own cultural values and beliefs and how they might influence the provision of care. Research and writing became more reflexive and researchers sought new methods. (2022, April 16). 132 0 obj <> endobj 145 0 obj <>/Filter/FlateDecode/ID[<671B5631295C054CE5C19D2AAF63FFB5>]/Index[132 26]/Info 131 0 R/Length 76/Prev 305860/Root 133 0 R/Size 158/Type/XRef/W[1 2 1]>>stream -Fundadora de la enfermera transcultural y lder en la teora de los cuidados a las personas. April 16, 2022. https://studycorgi.com/evaluation-of-madeleine-leiningers-culture-care-theory/. Therefore, the theory development is based upon the four metaparadigm concepts of person, environment, health, and nursing in order to explain nursing. Every individual has a different belief on what nursing is. About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features Press Copyright Contact us Creators . The second assumption is that caring is necessary for . Anne Boykin & Savina Schoenhofer 15. (2010). Denzin and Lincoln (2008) explain how critical reflections on race, gender, class, power relations and claims to truth inspired these new forms of representation and led to a re-examination of the way in which anthropologists described their own and other peoples experiences. Later, in 1954, she received a Master of Science Degree in Nursing at the Catholic University of America. For the past 40 years Dr. Leininger has been instrumental in developing concepts, definitions, and a theoretical and research base for the development of transcultural nursing with a human care focus. Nevertheless, the greatest significance of the theory is to shift nurses from traditional ethnocentric perceptions to enriching multicultural nursing practices to improve the efficiency of administering special care to patients (Butts & Rich, 2010). In addition, Leiningers nursing theory fails to provide a lucid insight into disease symptoms and the processes of administering cure. With regards to this metaparadigm of nursing, Leininger finds them to be limited and inadequate as it has neglected two importance concepts, care and culture, to explain nursing despite the linguistic use of care in the daily language of nurses. Leininger (1995) also communicates the importance of being aware of not providing care from an ethnocentric perspective, which is also supported by this philosophy (Rajan, 1995). I serve as a clinical staff nurse in the Respiratory Care Unit (RCU) at Jackson Health System where we deal with patients who suffer from tuberculosis. In addition, the theory has helped nurses develop a multidimensional cultural competence that reinforces their roles and confidence of handling patients who suffer from different health conditions (Butts & Rich, 2010). Firstly, care is assumed to be the essence of nursing, which is also dominant and distinct with a fusing focus. Transcultural Nursing Theory by Madeleine Leininger. The goal of transcultural nursing is to provide culturally congruent, sensitive and competent nursing care (Leininger, 1995, p.4). Nurses need to appreciate the knowledge about culture care for the best nursing customs. Although Leininger claims to not be of the positivism perspective with regard to her theory (Leininger, 1995), I believe that her assumptions of truth could be viewed from a positivism perspective. "Transcultural Nursing Theory by Madeleine Leininger." First of all, it helps nurses to be aware of ways in which the patients culture and faith system provide resources for their experiences with illness, suffering, and even death. The assessment addresses the following: Leininger proposes that there are three modes for guiding nurses judgments, decisions, or actions in order to provide appropriate, beneficial, and meaningful care: preservation and/or maintenance; accommodation and/or negotiation; and re-patterning and/or restructuring. In addition, the nurses care plan should involve aspects of the patients cultural background when needed. A conceptual map for generating nursing knowledge about teaching culture care using the CCT can be applied to nurse educators in various contexts. With that said, by providing culturally congruent care that is respectful towards various cultural beliefs, values, and practices, one might obtain the moral and ethical responsibility in terms of professional care. StudyCorgi. Features of Our Website Transcultural Nursing (A Wiley medical publication) Lastly, cultural congruence is a formalist concept that builds on cultural dynamism. Cultural Care Re-Patterning or Restructuring refers to therapeutic actions taken by culturally competent nurses. Values, attitudes, and norms of different cultures demand appreciation since these factors have accentuated the need for all-inclusive and culturally competent nurses. In Madeleine Leininger s cultural care theory, she believed that cultural competency improved nursing practice. For more detailed information: Leiningers Culture Care Theory, Copyright 2023 Alice Petiprin, Nursing-Theory.org. Caring is an action or activity directed towards providing care. (Fawcett,2002). Ayiera, F. (2016). The TNT is effective in transforming the caregivers practice that was previously less concentrated on patient diversity. Leininger uncovered a core concept of care during her early education; this concept later became her motivation to specialize in transcultural nursing specifically . This applies to Leiningers theory as there are unknown truths about cultures to be discovered. The concepts addressed in the model are: The theorys culturalogical assessment provides a holistic, comprehensive overview of the clients background. However the field of anthropology has undergone a radical transformation of idea and has changes its position significantly over the last 20 yeas regarding patient representation (Marcus and Fischer, 1989). Nursing is the action taken by the nurse [ 2 ]. The chosen theory for this paper is Madeleine Leininger's Culture Care Diversity and Universality care theory. Leininger (2010) articulates that her knowledge was based on both similarities and differences of one culture to another culture and is supported in her statement, the most important feature of the theory was to conceptualize culture care by searching for diversities and universalities (p. 10). At one time, Leininger revealed that her aunt who ailed a congenital heart disease worn her heart to the field of nursing (Sagar, 2012). The environmental context also includes the ecological, spiritual, sociopolitical, kinship, environmental symbols, and technological dimensions and gives clues about its influences on culture, care expressions, ways of life, health, wellbeing and patterns of living for individuals, families and communities. Denzin and Lincoln (2008) challenge ethnographers to reconceptualize their approach using new strategies and hew methods of analysis that are cognizant of the contemporary concerns around race, gender, ethnicity and class. This black community arose to assert its voice as American citizens born in America and entitled to all the rights and benefits as promised by the American Constitution for the citizens of America (Ward, 2003). Leininger's Transcultural Nursing: Concepts, Theories, Research & Practice, Fourth Edition $78.00 Only 6 left in stock - order soon. Josephine Paterson & Loreta Zderad 17. Leiningers Review onFour Nursing Metaparadigm(1997) Concept of Nursing First, Leininger considers nursing a discipline and a profession, and the term nursing thus cannot explain the phenomenon of nursing. That is, as Leininger (1995) discusses the importance of understanding the others perspective Rajan (1995) contends that, Leininger demonstrates a phenomenological approach (p.452). She earned several degrees, including a Doctor of Philosophy, a Doctor of Human Sciences, a Doctor of Science. Compared to other fellow theorists of the 1950s and 1960s, Leiningers theory and methodology are focused on the qualitative paradigm. Multiculturalism requires that each culture is considered equal to the other and cultural diversity is tolerated (Francis, 1999, Brannigan, 2000) FIND STATS. Hair and Donoghue (2009) support this when they state, root causes for behaviors, thoughts, and feelings can be discovered, generalized, and predicted. All these theorists have developed different concepts throughout the years subjected to individual interpretations, but I belief that the four metaparadigms have been the core concept of these theories. Health refers to a state of well-being that is culturally defined and valued by a designated culture. The theory addresses the need to integrate nursing techniques and anthropological concepts to nurse diseases from a cultural outlook of a patient. Campesino, 2009, contends that privilege, even regarding skin colour, white privilege, can significantly alter relationships. During her work at a child-guidance home, she experienced . The concept of health has great importance in Leiningers Culture Care theory but has been viewed by Leininger in a different perspective than traditionally implied. StudyCorgi. It involves the understanding of different cultures when . Metaparadigm. Second, the terms theories and models are often used in the same way but are different. The Sunshine Model is Leiningers visual aid to the Culture Care Theory. foods and meal preparation and related lifeways. Canada is recognized as a multicultural nation. Cut 15% OFF your first order. Someone and someone describe the gradual move toward a cross-cultural approach to nursing practice in Canada as a deep form of change and this paper will demonstrate the current position of nursing in Canada towards providing adequate and appropriate cultural care and explores the future of cross cultural nursing care. Madeleine Leininger (Transcultural Theory) Theoretical Foundations in Nursing - Interpersonal Relationship Theories and Theorists University University of Perpetual Help System DALTA Course Bachelor of Science in Nursing (BSN) Academic year2020/2021 Helpful? Culture care is the broadest holistic means by which a nurse can know, explain, interpret, and predict nursing care phenomena to guide nursing care practices. The theory was further developed in her book Transcultural Nursing, which was published in 1995. The nurse must preserve, maintain or change nursing care behaviors with the goal of satisfying the needs of clients (Leininger, 1998, 2002) Leininger further defined such nursing action as: culture care preservation and maintenance, culture care accommodation or negotiation and culture care restructuring or re-patterning (Leininger, 1978, 1981, 1984, 1988). Finally, she defines health as a condition of an individual or groups wellbeing that characterises culturally defined values and practices that necessitate everyday activities in socially expressive, valuable, and premeditated ways of life. Madeleine Leininger's Culture Care Theory 2. The background to her work was derived in an essential way from, and in embedded in, anthropology and the concept of care is drawn from nursing. Madeleine Leininger Transcultural Nursing Theory. The transcultural concept serves as a rationale for gathering valuable information about the correlation between their health and cultural perceptions. In contemporary nursing contexts, nurses have used the culture care theory to describe, explain, predict, and document day-to-day experiences of their patients. Madeleine Leininger: Cultural Care Diversity and Universality Theory (Notes on Nursing Theories) by Cheryl Reynolds and Madeleine Leininger | Oct 15, 1993.
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