...Madeleine Leininger was one of the most influential nursing theorists for laying groundwork on caring clients of various cultures. Her work is known as “The Transcultural Nursing theory”. With the world being such a melting pot of culture, nurses must be very cognizant of how they come across to clients. One expression of caring may mean something completely different in other cultures and allow a communication barriers to be put up. Culture is defined as a way of thinking, behaving, or working that exists in a place or organization (Merriam-Webster, 2013). These beliefs may have been handed down from many generations of relatives. Leininger says in her theory that nurses must take in consideration the patient’s culture and background in order to provide them with the best care possible (Nursing Theory, 2013). Leininger identified three nursing decisions and actions that achieve culturally friendly care for the patient. They are: cultural preservation or maintenance, cultural care accommodation or negotiation, and cultural care repatterning or restructuring (Nursing Theory, 2013). An example would be, in the Indian culture, a family who seeks fertility treatments through donor sperm or egg donation, cannot pick an unknown donor. They must choose a family member. If the physician and medical staff know this, they show caring by going out of their way to accommodate the patient and their families. Another example would be if a patient has dietary restrictions while...
Words: 515 - Pages: 3
...Madeleine Leininger’s Trancultural nursing theory overview and clinical application Introduction and background “ A lack of cultural and care knowledge is the missing link to nursing’s understanding of the many variations required in patient care.” (Sitzman, Eichelberger, 2011, p. 93). Madeleine Leininger first developed the transcultural nursing theory in the 1950’s. She had an epiphany during some time spent in a child guidance home. She deduced that the reoccurring behavior patterns in the children had an underlying cultural basis (Sitzman, Eichelberger, 2011). She formed a theory of Culture Care to improve the way people of multiple cultures are being cared for in hospitals and other care centers. Leininger preferred to address patient care as a holistic project and incorporated her theory to caring about the patient’s mental and emotional wellbeing as it relates to a patient’s cultural comfort level with any particular medical procedure or nursing care protocol. She addressed the need to change nursing from a merely physical and physiological care of a patient into a more encompassing role of addressing cares as they relate to culture and religious beliefs of patients (Leininger, 1992, p. 1). This paper will define the theory and discuss cliical applications of this theory. Culture, caring, diversity and values are keywords one observes in this Theory’s basic tenets. Basic assumptions one sees from reading a summarized listing of the theory’s tenets are that...
Words: 459 - Pages: 2
...Culture Care Diversity and Universality Biography of Madeleine Leininger Madeleine Leininger’s theory of Culture Care Diversity and Universality was developed in the 1960’s. The idea for this self-developed theory was constructed after Leininger recognized that nursing’s metaparadigm was missing two major components: care and culture (Leininger & McFarland, 2006). While working on a med-surg unit in the 1940’s, Leininger recognized many patients often reported that nursing care practices helped them get well, stay well, or adjust to another state of well-being ( Leininger & McFarland, 2006). In the 1950’s while working as a child psychiatric mental health nurse, Leininger realized the importance of culture in the care of children of different backgrounds (Leininger, 2001). From these experiences, Leininger reported thoughts of helplessness and culture shock due to her lack of knowledge of cultural factors that influenced nursing care. This led her to pursue doctorial studies in anthropology in the 1960’s. During this time, the theory of Culture Care Diversity and Universality was developed. Brief Examination of Theory The general premise of this theory suggests that people of different cultures can define ways they experience and perceive nursing care and can also relate their experiences to their general health beliefs and practices (George, 2007). Leininger believed that people of different cultures can inform and direct professionals in such a manner to receive...
Words: 1016 - Pages: 5
...Leininger's Culture Care Theory jennifer davis PURDUE Leininger's Culture Care Theory Madeleine Leininger’s Theory of Culture Care Madeleine Leininger viewed by many as the founder of transcultural nursing. Leininger’s theory addressed the similarities and differences across human culture. She believed that transcultural nursing care could provide meaningful, therapeutic health and healing outcomes (Parker & Smith, 2010, 318). In her theory she hoped for the nurse to provide care within cultural measures, beliefs, and values of the patient. In the 1960’ s she devised the phased “culturally congruent care”. Leininger’s vision to provide “culturally congruent care” manifested thru the intertwinement of the nurse-patient relationship. The relationship had to identify, plan, implement, and evaluate each caring mode for holistic healthcare. In summary, nurses who understand and value the practice of culturally competent care are able to effect positive changes in healthcare practices for clients of designated cultures (Sitzman & Eichelberger, 2011, 46). In providing an example relative to everyday practice, I am reminded of the varying cultures and backgrounds we service at my current employer. We are surrounded in a melting pot community of different races and ethnicities. To the southeast we service primarily African American’s. To the west we primarily service White’s and Asian’s, and to the north primarily Hispanic’s. We also are directly across the street from...
Words: 707 - Pages: 3
...Nursing Theory Assignment Clifton Reed Mississippi University for Women NU 459 Dr. Linda Mills January 25, 2016 Nursing Theorist Shape Modern Nursing Every industry that has been able to survive and build upon its earlier growth has been able to do so because of research, theory, or evidenced-based practice. This statement cannot be more true about the wonderful world of nursing. The world of healthcare continues to change. The airline industry and nuclear power industry have prided themselves on finding ways to standardize processes and decrease accidents and improve employee and public safety. The automotive industry was charged with producing more energy-efficient vehicles. In nursing the goal is to utilize theory and evidenced-based practice to improve the quality of life of communities and people that entrust their care to nurses. Nursing has been forever indebted to many theorists of the modern nursing era. Two notorious individuals that linger in one’s mind are Sister Callista Roy and Madeleine Leininger. These two ladies have helped to transform nursing because of their contributions to evidenced-based practice, nursing research, and nursing theory. Nurses today have a tremendous amount of theory and history to reflect upon. This paper will focus on Sister Callista Roy’s Adaptation Model of Nursing and Madeleine Leininger’s Transcultural Nursing Theory. Sister Callista Roy’s Adaptation Model of Nursing states that one is at...
Words: 838 - Pages: 4
...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...
Words: 859 - Pages: 4
...new hires take a cultural awareness class during orientation. The article addresses the importance of nurses being culturally competent. Madeleine Leininger’s Transcultural Nursing Theory is applied in many settings; including the critical care units. Critical care nurses work in high stress areas and must be culturally competent. According to the Critical Care Nursing (CCN) Journal, it is important for critical care nurses to establish a strong rapport with patients and their family members. Nurses need to have an understanding of patient’s cultural values, beliefs, and practices in order to follow the nursing process and provide a plan of care to meet the patient’s needs. According to the CCN journal “cultural competence is defined as developing an awareness of one’s own existence, sensations, thoughts, and environment without letting it have an undue influence on those from other backgrounds; demonstrating knowledge and understanding of the client’s culture; accepting and respecting cultural differences; adapting care to be congruent with the client’s culture” (Flowers, 2004, para 6). Metaparadigm “The nursing metaparadigm embodies the knowledge base, theory, philosophy, research, practice, and educational experience and literature identified with the profession” (Nursing Theories, 2013, para 2). Critical care nurses follow Leininger’s metaparadigm; person, health, nursing, and environment. * Person: people sincerely care about the wellbeing of others ...
Words: 483 - Pages: 2
...paper is to explain the historical development of nursing science by presenting different theorists and their theories with explicit events and years in the history of nursing, and inform on the affinity between the profession and nursing science. This paper also includes the importance of nursing science of other disciplines such as psychology, anthropology, education, philosophy, religion and the social science. The history of professional nursing starts with Florence Nightingale, who is considered the mother of nursing science. Nightingale placed emphasis on good nutrition and hygiene, efficiency of this practice had a positive impact when this method reduced the spread of infections and made a huge difference in the survival rate of soldiers in the Crimean war in the mid -1850s. In 1859, she published her famous nursing notes “What is and what is not” Although Nightingale wrote this book with the intention to give clues to those taking care of the health of others; ("Florence Nightingale and the Crimean War," 2008) it turned out to be a great educational and role model method which is clinically used to present. And it is a great example of evidence- based practice. In 1860 in London the school of Nightingale was opened, and the American Red Cross was founded by Clara Barton in 1881 ("Nursing Theory Definition”) Abraham Maslow proposed the theory of the “Hierarchy of Needs” in the 1940s, which implies that people are motivated to fulfill basic needs before...
Words: 1402 - Pages: 6
...ADVANCED NURSING The use of theory in qualitative approaches to research: application in end-of-life studies Hung-Lan Wu & Deborah L. Volker Accepted for publication 24 July 2009 Correspondence to D.L. Volker: e-mail: dvolker@mail.nur.utexas.edu Hung-Lan Wu PhD RN Nursing Instructor Meiho Institute of Technology, Pingtung, Taiwan Deborah L. Volker PhD RN AOCN Associate Professor The University of Texas at Austin School of Nursing, Austin, Texas, USA W U H . L . & V O L K E R D . L . ( 2 0 0 9 ) The use of theory in qualitative approaches to research: application in end-of-life studies. Journal of Advanced Nursing 65(12), 2719–2732. doi: 10.1111/j.1365-2648.2009.05157.x Abstract Title. The use of theory in qualitative approaches to research: application in end-of-life studies. Aim. This paper is a report of an analysis of the use of theory in qualitative approaches to research as exemplified in qualitative end-of-life studies. Background. Nurses researchers turn to theory to conceptualize research problems and guide investigations. However, researchers using qualitative approaches do not consistently articulate how theory has been applied, and no clear consensus exists regarding the appropriate application of theory in qualitative studies. A review of qualitative, end-of-life studies is used to illustrate application of theory to study design and findings. Data sources. A review of theoretical literature was carried out, focusing on definitions and use of theory in qualitative end-of-life...
Words: 9578 - Pages: 39
...Nursing theories provide guidance to researchers and educate nurses (Keefe, 2011) to look at different approaches in caring for their patients. This paper will show how one theorist most influenced the development of nursing research. The 1990's was the decade for research and expanded nursing theory. This period elevated the use of evidence-based and best practices in nursing (George, 2011). Transcultural Nursing was introduced in 1992 by Madeline Leininger. Leininger’s theory says that the goal of nursing care is to” provide care congruent with cultural values, beliefs, and practices’ (Alligood & Tomey, 2010). The cultural and sociocultural factors of each person affects how they take on factors, meanings, and expressions of health and caring systems. This theory has wide applicability in different settings. The interest is focused on nurses becoming culturally competent so they can provide appropriate nursing care to a growing culturally/ethnically diverse patient population. Nursing paradigms show a clear relationship among the existing theoretical works in nursing. Leininger is the proponent of Transcultural Nursing and Human Care Theory. According to Cohen (1991), Leininger’s definition of caring states “caring is the central and unifying domain for the body of knowledge and practices in nursing”. The key to Leininger’s belief is that human caring is universal, but the expressions, processes, and patterns vary among cultures. According to the Nursing Theories...
Words: 536 - Pages: 3
...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...
Words: 3258 - Pages: 14
...Concept Comparison and Analysis across Theories Paper NUR 513 August 6, 2012 Comparison and Analysis Theories Paper The heart of nursing has always been caring. Since the start of professional nursing with Florence Nightingale, theorists have been writing about caring. This paper highlights three caring theories Madeleine Leininger, Jean Watson, and the combine theory of Patricia Benner and Judith Wrubel these theorists each has developed a theory of caring. This paper will examine each by comparing and contrasting on how each looks at caring. Leininger Madeline Leininger developed her first theories in the mid-1950s. Her main theory is transcultural nursing and caring theory. This theory was formed by an inadequate knowledge of cultural factors that represented a missing link to providing quality nursing care. Leininger believed that caring is universally present in all cultures (Nelson, 2006). Leininger’s definition of caring for nursing is “the central and unifying domain for the body of knowledge and practices in nursing’ It is critical to human growth, development and survival and has helped human beings through cultural evolution” (Cohen, 1991). Leininger’s transcultural theory of nursing her assumption human caring is a universal expression. However, patterns vary among different cultures. Caring has multiple dimensions of biophysical, psychological, cultural...
Words: 1722 - Pages: 7
...Dr. Madeleine Leininger Model Bowie State Univerity NURS-430V Sandra White October 03, 2015 Dr. Madeleine Leininger BRIEF OVERVIEW According to Creasia&Friberg, 2011, Nursing theories are composed of Concepts and propositions that characterize the central occurrences of interest to nursing discipline to include: person, environment, health /illness, and nursing. Dr. Madeline Leininger has drawn from a background in cultural and social anthropology and applied it to her model which is now known as Leininger’s Cultural Care Theory. The theory was initiated from clinical experiences recognizing that culture and a holistic concept was the missing link in nursing knowledge and practice (Leininger, 1988). This presentation will take a look at how person, environment, health/illness, and nursing are greatly affected by different cultures and subcultures. Nurses are responsible for taking care of not only our own communities, but an ever-growing world around us. The ultimate goal of this theory is to provide culturally appropriate nursing care (Leininger, 1988). BACKGROUND OF THEORIST MODEL Dr. MadeleineLeiningeris called “a living legend”. She was born in Sutton, Nebraska in July 13, 1925. As a Nurse, anthropologist, teacher, mentor and visionary she became the founder of the Transcultural Nursing Movement. She was the one who proclaimed that “the world was fast becoming a global community and nurses needed to be able to recognize it and deliver culturally competent...
Words: 1673 - Pages: 7
...Transcultural Nursing Theory Applied Vulnerable Populations I "Nowhere are the divisions of race, ethnicity and culture more sharply drawn that in the health of the people in the United States. Despite recent progress in overall national health, there are continuing disparities in the incidence of illness and death among African Americans, Latino/Hispanic Americans, Native Americans, Asian Americans, Alaskan Natives and Pacific Islanders as compared with the US population as a whole." --National Center for Cultural Competence Population addressed Population addressed In 1950, U.S.-born whites made up about 90 percent of the U.S. population. By 2000, this number declined to about 75 percent, and by 2050 non-Hispanic whites will be in the numerical minority (U.S. Census Bureau 2001, 2002). This rapid diversification requires healthcare organizations to pay closer attention to cross-cultural issues if they are to meet the healthcare needs of the nation and continue to maintain a high standard of care. Looking at the Country as a whole the current area of discussion for this paper is the area of Western North Carolina and the population of Asheville, which is a melting pot of cultures which the combination they create is unique to no other. According to the 2006 U.S. Census Bureau statistics for Asheville, N.C. the current demographics break down as follows: Asheville [City] Population (current estimate), 70,400. Buncombe County Population (2006), 222,174, county in...
Words: 7006 - Pages: 29
...nurse to build a trusting non-judgmental relationship with the patient and their families to show compassion. When caring for patients I listen to their concerns, decrease the stress levels and improve communication and recovery. As a nurse I must take in consideration the culture and religion in which they come from, and care for them appropriately to avoid upset and miscommunication. My goal and focus is to use holistic care to provide the patient with a successful recovery. My personal framework paper will be expressing my own personal journey as a bedside nurse and using my own personal beliefs, values, and philosophies related to caring for culturally diverse patients. Madeleine Leininger’s Cultural Care Diversity and Universality Theory, and the nursing metaparadigm will be discussed, and shown how it is incorporated into my daily nursing practice. Philosophy In McEwen and Wills (2011), Empiricism is defined as “focusing on understanding the parts of the whole in an attempt to understand the whole” and was “founded on the belief that what is experienced is what exists.” This philosophy focus is that a one must go through an experience, or observation to gain knowledge that can be used in future education. Nursing is a profession in which you must observe and then perform skills...
Words: 3237 - Pages: 13
