...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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...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...
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...Transcultural nursing care/Culture Care Diversity and Universality Theory. Quynh Doan SCF- RN-BSN progrgram •Born in Sutton, Nebraska on July 13, 1925 •received her diploma in nursing from St. Anthony’s School of Nursing in Denver, Colorado in 1948 In 1950 •She earned her BS from St. Scholastica (Benedictine College) in Atchison, Kansas •She earned an M.S. in psychiatric and mental health nursing from the Catholic University of America in Washington, D.C., in 1954. •She received her Ph.D. in Cultural and Social Anthropology from the University of Washington in 1965 Referrence •Parker, M. E. (2005). Nursing Theories and Nursing Practice. Philadelphia: F.A. Madeleine M. Leininger Loading... •Madeliene Leininger recognized that the congruent of care and culture was the missing link in nursing. What lead her to recognized this phenomenon? •References •Parker, M. E. (2005). Nursing Theories and Nursing Practice. Philadelphia: F.A. Factors that shape the theorist •The main focus of cultural care frameworks is to assist nurses to avoid ethnocentric assessments, so that they can provide care that is responsive to the recipient’s cultural perspective. (Baker 1997.) Madeliene Leininger Loading... •It is the only theory explicitly focused on the close interrelationships of culture and care on well-being, health, illness, and death. •It is most holistic and multidimensional. •The theory focused on comparative culture...
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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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...congruent care are the key factors for effective and 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...
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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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...The Significance of Diversity in Nursing Diversity in the world of nursing is crucial in order to provide sufficient care to all individuals. Nurses have to be able to provide medical needs to all types of people, regardless of personal beliefs and customs. The purpose of this paper is to discuss the relevance of diversity and nursing including the significance it can have on patients receiving nursing care, problems with the low minority population in nursing, and a summary of the generational aspect of diversity in nursing. Importance of Diversity in the Workplace Across the nation, as the diversity of the population persistently expands, it is paramount the nursing workforce mirrors this evolvement to “effectively meet patient care needs and ensure cultural competency” (Mason, Leavitt, & Chaffee, 2014, p. 378). One important reason for nurses to study the effect of diversity is to improve the community and help promote the need for social change. There is a connection between the absence of variation in the workplace and health inconsistencies. If more nurses were to work with the indigent and minority populations, this “improves access among underrepresented groups” and would help with the discrepancy in health care (Huston, 2014, p. 137). Competent transcultural nursing care impacts the quality of care a patient receives by understanding the client’s needs holistically. Clark (2014) states that humility or the ability to learn from others and having an open mind is needed...
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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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... University of Phoenix Emerging Standards of Care: Cultural Competence The current U.S. population exhibits unparalleled sociocultural and ethnic diversity, yet the nursing workforce fails to reflect the current state of the nation’s diversity. According to Clark, Calvillo, Fongwa, Kools, Dela Cruz, Lowe, and Mastel-Smith (2011) non-Hispanic Whites constitute 83.2% of the nursing workforce, although Hispanics, African Americans, American Indians, Asians, and other ethnic groups remain underrepresented. Nursing faces the challenge to meet the health care needs of such a culturally diverse population while promoting diversity in the workforce through educating nurses on cultural sensitivity and competence. Cultural competence in nursing is evolving as the standard of care. Nursing and other health care providers must employ knowledge of various social and cultural influences in the care setting to promote patient-centered care (Mitchell, Fioravanti, Founds, Hoffmann, & Libman, 2010). It is crucial to recognize and appreciate the relevance of diversity in the acute care setting to set standards of culturally competent nursing care, and improve care delivery through meeting and improving these standards. Cultural Competence When examining definitions and concepts of cultural competence, it is evident that it not only pertains to race, sex, age, and ethnicity, but also encompasses “other...
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...There are various cultures in the world. Cultural diversity has brought cross cultural interactions beyond geographical boundaries. Every culture has values and beliefs which reflects cultural and social influences, relationships, and personal needs in an individual. Health cultural values “shape human behaviors and determine what individuals will do to maintain their health status, how they will care for themselves, and others who become ill, and where and from whom they will seek health care” (Edelman & Mandle, 2010). Transcultural nursing is a practice to transform health care and help people of diverse cultures. An analysis of Leninger's vision for the work of transcultural nursing indicates that there are many barriers and issues in health care, particularly for persons from diverse cultures. For instance, health care for poor Americans and ethnic minorities is less than optimal because they are unable to pay for services because of lack of insurance (Edelman & Mandle, 2010). Ethnicity is a reference to a collective identity, a sense of uniqueness within the larger society, and a distinction from nonmembers. Ethnicity denotes a sharing of customs, food, dress, music, religion, and of symbols, such as language, among those who see themselves as fellow members of the group (Edelman & Mandle, 2010). An ethnic group may have “common geographic origins, family patterns, language, religion, values, traditions, symbols, music, dietary preferences, and employment...
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...Historical Development of Nursing Timeline Lou Pardo NUR/513 July 18, 2014 Jeanine Maine Historical Development of Nursing Timeline History can be defined as a study of events that link the past to the present. It also examines how those events have continued to impact and influence events throughout time. The nursing profession is intricately tied to historical influences throughout the ages. Exploring and understanding the history of nursing allows one to achieve an appreciation the role nursing has played in the advancement of the healthcare system. Ninetieth Century Florence Nightingale, conceivably the most famous nurse in history; was well known for making nursing a reputable profession for women, and bringing it to the forefront of the professional world. Wars were increasing during the ninetieth century, and as a result, the demand for nurses had grown exponentially (Nursing Theory, 2013). In 1854, the Crimean War erupted. Nightingale had learned the British troops had no nurses to care for their injured troops while the French had nursing nuns caring for their injured. Nightingale, with a group of nurses, served in the Crimean War by organizing hospitals to help improve the general conditions of the facilities. “In fact, most British soldiers were dying from disease rather than from injuries incurred on the battlefield” (Egenes, n.d.). Nightingale set out on a crusade to methodically scrub the soldiers’ barracks and hospital ward, and allow fresh air in. The...
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...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 schools in their curriculums as well as boards and examinations, also organizations implemented and developed policies and procedures to help with cultural diversity. As of 2004, there were 2.4% working RN’s in the United States. 94.2% were women, with 5.8% being men 89.3% were Caucasian and 4.2% African...
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...Culturally Competent Care Standards Lori Houde Nur/531 Gregory Friesz December 17, 2012 As more people immigrate to this country, the need for culturally competent nursing care becomes more important. Hospitals, clinics, and doctors offices are now emphasizing the need for nurses to be aware of the diverse needs of many differing cultures. Learning and understanding Leininger’s transcultural nursing theory can assist the nurse in incorprating culturally competent care into their practice. Nursing standards regarding cultural commpetence are changing as more immigrants are entering this country and the health care system. Statistics According the the US Census Bureau in 2000 30% of the US population was an ethnicity other than non-hispanic whites. The projection is that it will reach 50% by the year 2050, while currently 90% of all nurses are caucasian (Maier-Lorentz, 2008). Brought into working terms that means that if a nurse has a six patient assignment, approximately two of the six will be from another culture and have different needs and beliefs. Nursing care revolves around giving holistic care to each patient. In order to provide holistic care to patients the nurse must be aware of the individual needs of that patients. The patients cultural background will determine what those needs are. If a nurse is unaware of the cultural needs, there is no way to provide a plan of care to meet the individual needs. Leininger’s Cultural Care Theory Leininger’s culture care...
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...Emerging Standards of Care: Cultural Competence Nur 531 July 29, 2013 Instructor Greg Friensz Emerging Standards of Care: Cultural Competence The current U.S. population exhibits unparalleled sociocultural and ethnic diversity, yet the nursing workforce fails to reflect the current state of the nation’s diversity. According to Clark, Calvillo, Fongwa, Kools, Dela Cruz, Lowe, and Mastel-Smith (2011) non-Hispanic Whites constitute 83.2% of the nursing workforce, although Hispanics, African Americans, American Indians, Asians, and other ethnic groups remain underrepresented. Nursing faces the challenge to meet the health care needs of such a culturally diverse population while promoting diversity in the workforce through educating nurses on cultural sensitivity and competence. Cultural competence in nursing is evolving as the standard of care. Nursing and other health care providers must employ knowledge of various social and cultural influences in the care setting to promote patient-centered care (Mitchell, Fioravanti, Founds, Hoffmann, & Libman, 2010). It is crucial to recognize and appreciate the relevance of diversity in the acute care setting to set standards of culturally competent nursing care, and improve care delivery through meeting and improving these standards. When examining definitions and concepts of cultural competence, it is evident that it not only pertains to race, sex, age, and ethnicity, but encompasses “other inseparable factors of culture...
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...Running head: HEALTH AND HERITAGE Health and heritage Health 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...
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