...Transcultural Nursing Model Transcultural Nursing Theory Transcultural Nursing Theory was developed by Madeleine Leininger. The theory first appeared in Leininger’s publication in 1991 but the theory itself was developed in the 1950s. Early in her nursing practice, Madeleine Leininger through observation, recognized that there was an important component of patient care that was missing. She noticed the lack of recognition and integration of patient’s cultural background into their plan of care. She recognized that patient’s cultural background influences their responses to health and illness and more importantly she believed that part of viewing the patient as a whole is taking into account their culture and cultural background in developing a plan of care. Her theory attempts to provide culturally competent nursing care through “cognitively based assistive, supportive, facilitative, or enabling acts or decisions that are mostly tailor-made to fit with individual, groups, or institution’s cultural values, beliefs, and lifeways.” The goal is to improve health outcome for people who are of different cultural backgrounds. Transcultural Nursing Theory has 3 components to it, the assessment, nursing care plan and evaluation. Leininger believed that a culturally friendly care for the patient begins with a culturalogical assessment which take into consideration the cultural background of an individual patient in relation to his or her health experience. This assessment also require...
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...Emerging Standards of Care Paper In nursing, we care for patients from a variety of cultures and backgrounds. This diversity is dependent on location, population, and nursing specialty and may change at any point. In order to properly provide culturally competent care, we must be educated about the individual culture needs and limitations. It's also important to be mentally open to looking beyond our personal norms to care for patients with unique cultural backgrounds and beliefs. As a dialysis nurse, we are seeing the effects of chronic kidney disease affecting a larger, more diverse population of patients. Patients are going into renal failure earlier, family dynamics are uniquely affected, and patients from all walks of life are affected. The paper will look at dialysis at Fresenius Medical Care in St Louis Missouri located in The Hill neighborhood. It will define cultural competency, identify the different cultures served, discuss how the standards of culture competency are being met and what areas are not, and discuss nursing care delivery and possible solutions for areas lacking in cultural competency. Culturally Competent Care at Fresenius Dialysis Centers It is imperative as health care providers that we not only care for a verity of people with different health conditions, but also from different backgrounds. We are given the task of caring for the physical and mental wellbeing of patients. Acknowledging and working with culture differences can help a patient...
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...Cultural Diversity in Nursing Care Rhonda Dilks Grand Canyon University Family Health Promotion NRS 429V November 01, 2010 Cultural Diversity in 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 with their care are more likely to continue their treatment especially when their cultural beliefs are considered (Flowers, 2005). This paper will discuss the importance of a heritage assessment, compare the differences of three different families’ cultural beliefs and address their health maintenance, protection and restoration. Heritage Assessments In 2008, 34 percent of America’s population claimed a minority or ethnic heritage (Minckler, 2008). The Census Bureau reports the U.S. population is becoming increasingly diverse with Hispanics and Asians the fastest growing minorities (Minckler, 2008). Heritage assessments are used to create cultural awareness. Understanding...
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...The Importance of Diversity Elements in the Nursing Profession This paper consists of various elements of diversity and how they affect the nursing profession. Interpreting the underrepresentation of minority groups in the workplace. The purpose of this paper is to discuss how the nursing profession can benefit in numerous ways from being culturally competent and recognizing minority groups exist in the workplace. Importance of Diversity in the Workplace Nursing has a long history of being uniform from the nursing attire, all the way down to the education and practice (Bednorz, Schim, & Doorenbos 2010, p. 254). According to "Culturally Competent Nursing Care and Promoting Diversity in Our Nursing Workplace," (2015) "Diversity awareness refers to an active, ongoing conscious process in which we recognize similarities and differences within and between various cultural groups" (p. 10). There are several reasons why nurses should examine the impact of diversity in the nursing profession. For the nurse to provide safe, adequate healthcare delivery it requires cultural awareness, knowledge, and skills. "Culturally Competent Nursing Care and Promoting Diversity in Our Nursing Workplace," (2015) reports the importance of diversity awareness is imperative due to federal regulations on discrimination, competitive healthcare, population diversity and increasing health disparities (p. 7). "Culturally Competent Nursing Care and Promoting Diversity in Our Nursing Workplace," (2015)...
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...Cultural Diversity: Clients, Context, and Caring Health Promotion and Caring for Communities and Families ------------------------------------------------- Week 4: Friday October 11, 2013 Prologue Care is the essence of nursing. Care involves recognizing and transcending the barriers and challenges established by cultural differences. The nurse considers the common threads that are held by all, as well as the unique elements maintained by the client What is Culture? * Culture is a learned, patterned behavioural response acquired over time that includes implicit versus explicit beliefs, attitudes, values, customs, norms, taboos, arts, and life ways accepted by a community of individuals. Culture is primarily learned and transmitted in the family and other social organizations, is shared by the majority of the group, includes an individualized worldview, guides decision making, and facilitates self worth and self-esteem * “The learned, shared, and transmitted values, beliefs, norms and lifeways of a particular culture that guides thinking, decisions and actions in patterned ways and often intergenerationally” (Leininger, 2006 as cited in Stamler& Yiu, 2012, p. 125) * Culture is more than beliefs, practices, and values (Aboriginal Nurses Association of Canada, 2009) * Culture is learned, shared, and changes. It also encompasses all aspects of our lives. What we have learned to value represents our assumptions about how to perceive, think, and...
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...RUNNING HEAD: LEININGER’S THEORY OF CULTURE CARE Critique Paper Theory of Culture Care Diversity and Universality University of Virginia Theoretical Foundation of Nursing Abstract The Cultural Care Diversity and Universality Theory provides a conceptual framework to discover and explain diversities and similarities of care practices, within a cultures context. The theory is highly complex, and has many levels of scope, in relation to human cultures and nursing worldwide. Culture care is applicable to any culture and many diverse settings. The theory is accessible as a guide to research and can lead to empirical precision. The Sunrise Enabler provides a “visual map” that depicts the multi-factoring influences of culture described in the Culture Care Theory. The United States has become a very pluralistic society and continues to grow in international and ethnic diversity daily. In 2006, Louis Kincannon, Census Bureau Director, stated that “about one in three U.S. residents is a minority.” In 2006, of the United States population, 66% were white or European, 15% Hispanic America, 13% African America, 5% Asian American, and 0.4% Native American (United States Census Bureau, 2006). By 2020 they project that only 53% of the U.S. population is going to be white of European descent. In addition, by 2020 the Hispanic Americans and Asian Americans will triple, while the number of African Americans is expected to double (U.S. Census Bureau, 2006). Considering these...
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...of Care: Cultural Competence in a Long Term Care / Skilled Nursing Facility Susan Mateo NUR/531 Tracey Lane Emerging Standards of Care: Cultural Competence in a Long Term Care / Skilled Nursing Facility Of the many challenges facing the nursing profession, cultural competence is an area of great need across all settings from educators, to students, bedside nurses, nurse managers, and nursing leadership. Cultural competence for a given entity, be it an educational institution or healthcare facility, is best measured by an appraisal of that entity, with respect to the cultural diversity of its staff and customers, along with its policies, procedures and actual practices. The focus of this paper is the evaluation of the cultural competence of a local long term care / skilled nursing facility (LTC/SNF) located in Harker Heights, Texas. The inability to access numerical or percentage totals of the demographics of either the staff or residents directly resulted in observational assessments by this writer as the basis for this evaluation. The observations took place during the clinical experiences of students from the local public school district’s CNA course. Based on the various readings associated with the nursing 531 course, a definition of cultural competence includes several components. One of the most easily understood and incorporated is Campinha-Bacote's model of cultural competence. This model consists of five concepts, namely: cultural desire, cultural awareness...
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...Diversity in the Workplace The United States is facing the need to provide nursing care to an increasing diverse patient population with a nursing workforce that, in itself, is impacted by generational, ethnic and gender differences. The purpose of this paper is to present the importance of diversity in the workplace and delivering culturally competent nursing care, the impact of gender diversity, and the misrepresentation of minorities in the nursing profession. Importance of diversity in the workplace America is a kaleidoscope of cultures, religions, races, and nationalities. The USA Quick Facts from the US Census Bureau shows the following 2011 population statistics: White 63.4%, Hispanic/Latino 16.7%, Black/Afro-American 13.1%, Asian 5.0%, American Indian & Alaska Native 1.2%, and Native Hawaiian/Pacific Islanders. 0.2%. In 2012 minority population increased to 37% and is projected that minorities will be the majority by 2043. Mason, Leavitt & Chaffee (2012) pointed out that as our population “continues to grow and increase its diversity, it is important that the nursing workforce reflect these changes to effectively meet patient care needs and ensure cultural competency” (p. 378). Cultural assessments must be part of the nurse’s health assessment. To be culturally competent nurses need to be aware of their own culture, and the diverse culture of their colleagues and patient populations (Maier-Lorentz, 2008). Culturally competent nursing care is important...
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...TANSCULTURAL NURSING SUBMITTED BY: HARUNA ABDULLAHI IBRAHIM, MSC. NURSING (1ST YEAR), GARDEN CITY COLLEGE OF NURSING. SUBMITTED ON: 13TH AUGUST, 2012 I. INTRODUCTION: In the health care delivery system, as in the society, nurses interact with people of similar as well as diverse backgrounds having different frames of references and varied preferences regarding their health and health needs. In the provision of care, nurses must acknowledge, respect and adapt the cultural needs of those patients and their significant others through identifying the differences between cultural groups that require health care providers to identify culture specific health and illness practices and caring behaviours that transcend cultural groups and appear to be universal care practices to enable the provision of care that is holistic, effective and culturally competent. The field of transcultural nursing which was pioneered by Madelein Leininger in 1975 represent a shift from the biophysiological and psychological models that dominated nursing in the 1950s as it advocates the recognition of each individual as a social being and must be handled as unique entity having cultural beliefs, norms, values and customs that influence his or her life in all ramifications including health, illness and treatment. Leininger, who was considered the leader and initiator in the field of transcultural nursing, postulated the theory of “diversity and universality of...
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...Diversity in the Workplace The aim of this paper is to review literature on the issues of diversity in the workplace. We can ask ourselves why is diversity in the workplace so important? Some arguments suggest that it may benefit to an organization and company success. This topic has been researched and discussed for many years before us and is still current in health care and in general. As I was preparing for this week learning adventure, I can say that, besides our chapters in textbooks, I read so many different articles, but for this paper I have chosen the article written by Maier- Lorentz Transcultural nursing: Its importance in nursing practice. I found this article easy to understand and fallow through and I agree with many things listed and discussed by the author. We can define diversity in many different ways many years ago diversity was defined mainly by gender, race, or color. In today’s world, we can also add on sexual orientation, military experience, education, work experience, marital status and many more. With a diverse workforce health care can compete with the higher achieving global organization. This article is discussing important of diversity in the nursing profession. As we can see from the article increasing culturally diverse workforce creates positive outcome for the hospital or organization, and also helps in delivering better care for patients and families (Maier-Lorentz, 2008). That is why this issue has been incorporated through nursing...
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...Journal of Transcultural Nursing http://tcn.sagepub.com/ Standards of Practice for Culturally Competent Nursing Care : 2011 Update Marilyn K. Douglas, Joan Uhl Pierce, Marlene Rosenkoetter, Dula Pacquiao, Lynn Clark Callister, Marianne Hattar-Pollara, Jana Lauderdale, Jeri Milstead, Deena Nardi and Larry Purnell J Transcult Nurs 2011 22: 317 DOI: 10.1177/1043659611412965 The online version of this article can be found at: http://tcn.sagepub.com/content/22/4/317 Published by: http://www.sagepublications.com On behalf of: Transcultural Nursing Society Additional services and information for Journal of Transcultural Nursing can be found at: Email Alerts: http://tcn.sagepub.com/cgi/alerts Subscriptions: http://tcn.sagepub.com/subscriptions Reprints: http://www.sagepub.com/journalsReprints.nav Permissions: http://www.sagepub.com/journalsPermissions.nav Citations: http://tcn.sagepub.com/content/22/4/317.refs.html >> Version of Record - Sep 26, 2011 What is This? Downloaded from tcn.sagepub.com by Marty Douglas on September 27, 2011 412965 ouglas et al.Journal of Transcultural Nursing TCN22410.1177/1043659611412965D Commentary Journal of ranscultural Nursing T 22(4) 317–333 © The Author(s) 2011 Reprints and permission: sagepub.com/journalsPermissions.nav DOI: 10.1177/1043659611412965 http://tcn.sagepub.com Standards of Practice for Culturally Competent Nursing Care: 2011 Update Marilyn K. Douglas, DNSc, RN, FAAN1, Joan...
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...Running head: Transcultural Nursing Assessment Transcultural Nursing Assessment Deborah Hill St. Francis University Abstract 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 their culture, religion, values and belief system necessitates (Giger & Davidhizar, 2002). This model of nursing assessment focuses on six factors, or phenomena, that address important areas of cultural influence which impact our ability to provide diverse clients with the most effective and efficient care. The six phenomena are communication; space; social organization; time; environmental control; and biological variations. This assignment involves the use of the Transcultural Nursing Assessment model in the care of Ms. B, an 82 year old, African American female. Introduction America has been called the melting pot of the world. The term indicates that America is a county made up of immigrant cultures, religions and various ethnic...
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...excellent nursing care (Srivastava, 2007). However, health care provider’s roles and responsibilities in meeting health care needs of the clients in consideration to cultural perspective and diversity are getting more challenging and complicated due to increased number of people from a group of multi-ethnic and multi-cultural society, which, in turn requires health care providers to acknowledge and understand variations of cultural healthcare beliefs, values and practices. Transcultural nursing is essential in the process of nursing care because of the different factors, which includes increasing diversity and multicultural identities, emergent use of health care equipment that occasionally dispute the cultural ethics and beliefs of the clients and a rise in feminism and gender issues (Andrews &ump; Boyle, 2008). Maier-Lorentz (2008) states that the fundamental aspect of healthcare is transcultural nursing since culturally competent nursing care help guarantee patient satisfactions and health beneficial outcome. According to the Royal College of Nursing (2009), providing care with respect to health and illness based on the expectations of the people’s values, beliefs and practices corresponding with culture is the focal point of transcultural care. Influenced by the principles and theories of transcultural nursing, the author defines transcultural nursing as a discipline of culturally care for individuals, families, groups and communities representing different cultural lifestyle...
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...Heritage Assessment Grand Canyon University 7/5/2014 Introduction Many times the United States is referred to as a melting pot of people, but this description of the diverse cultures and heritages that make up our nation fails to recognize the extreme individuality of the people here. Perhaps a better description would be a salad bowl, with each part and piece amazingly unique from the rest. Culture is a learned way of thinking and acting. “The behavioral, intellectual, and emotional forms of life expression represent a cultural heritage that is passed on from generation to generation” (Smith, 2009). Culture and heritage greatly influence all aspects of a person’s health. One’s heritage may determine a persons beliefs relating to the physical and /or spiritual approaches that people use to maintain, protect and restore health. The Heritage Assessment tool A heritage assessment tool is a set of 29 questions that address a person’s heritage. It looks at family connections, use of original language, religion, attendance of cultural functions and dietary habits and how closely an individual follows these practices from their cultural roots. Within this paper the author will examine the results of three families from India, Holland and Korea who took the assessment. It will look at how the heritage assessment ties in to help evaluate how closely an individual may follow common health traditions and practices such as health protection, maintenance and restoration from...
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...Promotion In Nursing Care Health and heritage Ever individual has a cultural heritage. Each culture views the world differently. Culture is an inherited characteristic and includes knowledge, beliefs, custom, skills, likes and dislikes. The fundamental role of cultural heritage is imitating, respecting the diversities and brings people together to face the future by informing perceiving and give importance to the understanding of the past. Heritage assessment tool was introduced for collecting information about different cultures nationalities and build cultural competences among health care professionals. It is used to investigate a given population or ethnic group. The tool helps to perform a heritage assessment depending on how deeply the person identify and answer the question and is helpful in setting the stage for understanding the health traditions of the person. The greater the number of the positive responses shows the persons greater identification with traditional heritage. Traditionally cultural knowledge makes people aware about the health maintenance, protection and restoration and is the three aspects of health promotion. It is derived from health beliefs and practices. Physical mental and spiritual well being of the individual is given importance and is viewed differently in each culture. Health is considered as a true balance with in the body, spirit and mind and family, community and the natural force of the world. People with different cultural heritage tend...
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