Leiningers transcultural care theory uses inductive reasoning to elucidate congruent culture care norms and values. Caring is essential for well-being, health, healing, growth, and to face death. 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. The Downtown Review, 2(1), 1-7. Madeleine Leininger's theory of Transcultural Nursing, also known as Culture Care Theory, falls under both the category of a specialty, as well as a general practice area. Madeleine Leininger gained prominence all over the world in the field of cultural care. This is also analogous with the swift social change that the nursing world is facing today, on a worldwide scale. Ethnonursing is a conceptual framework that facilitates the study of nursing care factors in transcultural nursing (Sagar, 2012). These theories offered nurses a new approach to knowledge and provided a means to systematically order, analyze and interpret information and buy, doing so, develop nursing knowledge through which nurses might evaluate their thinking and reflect on their actions during patient care ( Pearson, 2007; Nancy Edgecombe) Culture Care diversity and Universality was written in the style of an American mid-range theory of the time and Leininger employed the concepts of person, environment, nursing and health which were popular with American theorists. "Evaluation of Madeleine Leiningers Culture Care Theory." "Transcultural Nursing Theory by Madeleine Leininger." The Transcultural Nursing Theory (TNT) or Culture Care Theory (CCT) is a concept of cultural values and beliefs within a nursing field founded by Madeleine Leininger. Leininger suggests that the use of 'person' in the metaparadigm is questionable as it could lead to "cultural clashes, biases and cultural imposition practices or to serious ethical-moral . Leininger describes them as, emic knowledge was the natural, local, indigenous root care values. I believe, Leiningers theory was developed in a particular cultural context. Care knowledge and skill are often repatterned for the best interest of the clients. StudyCorgi. The nurse is the one responsible for providing care and engaging with a patient for the majority of his or her time receiving care. They are: cultural preservation or maintenance, cultural care accomodation or negotiation, and cultural care repatterning or restructuring. Thus a metaparadigm can be thought of as an overarching principle or umbrella covering our outlook that defines our practice. Clients who experience nursing care that fails to be reasonably congruent with their beliefs, values, and caring lifeways will show signs of cultural conflicts, noncompliance, stresses and ethical or moral concerns. That is, as Leininger (1995) discusses the importance of understanding the others perspective Rajan (1995) contends that, Leininger demonstrates a phenomenological approach (p.452). Madeleine Leininger's Cultural Theory as Applied to a Certified Registered Nurse Anesthesiologist Everyday the world becomes smaller and smaller. Retrieved from https://studycorgi.com/evaluation-of-madeleine-leiningers-culture-care-theory/, StudyCorgi. Nurses need to appreciate the knowledge about culture care for the best nursing customs. Therefore, there is always an unending need for our nurses to understand the knowledge about cultural diversity to facilitate the recovery of clients by virtue of universality. 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. That is, if one fails to examine the power differences within the social categories or cultures then it is possible to potentate these differences. If you are the original writer of this essay and no longer wish to have your work published on the NursingAnswers.net website then please: Our academic writing and marking services can help you! Nursing is a vocation that engages at its most basic level with individuals, their families and communities (Allman, 1992). However, Leininger does not incorporate environment in her culture care theory. Transcultural Nursing (A Wiley medical publication) Nursing is an evolving discipline in the development of science i.e. A conceptual map for generating nursing knowledge about teaching culture care using the CCT can be applied to nurse educators in various contexts. Though this can prove effective in contributing knowledge by comparisons of subjective experiences it could also run into the risk of being biased and possibly not accurate to apply it generally to transcultural nursing knowledge as it is just one persons, the theorists subjective experiences. since 2003, Your NursingAnswers.net purchase is secure and we're rated The CCT maintained a systematic approach for the implementation of culturally congruent care with the use of social structure dimensions and modes of care action and decision that is demonstrated in the Sunrise Enabler. Nonetheless, the wholeness of the theory demands an in depth research to reveal the underlying assumptions that have left many questions for practitioners. nursing" and is recognized worldwide as the founder of transcultural nursing. Leininger came to consider that belief systems from other cultures needed to be described and understood in order for the predominately Anglo-American nurses to America to make predictions about the health beliefs, and so anticipate the care needs, of groups from cultures, other than their own (Leininger, 1978). During her career, Leininger has written 27 books, published over 200 articles and authored 45 book chapters (Marriner-Tomey & Alligood, 2006). For a nursing discipline, these theories consist of four basic concepts that address the patient as a whole, the patient's health and well-being, the patient's environment and the nursing responsibilities. NursingBird. Biography of Madeleine Leininger. This metaparadigm concept relates to the Leininger theory of culture care as it is focused on the modification of environmental factors to achieve better health. 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. Nurses are in constant and close interaction with others and all aspects of nursing needs a high degree of interpersonal communication (Pallen, 2000). This situation leads to outcome imperceptions pertaining to the valuation of patients. Ultimately, the combination of the CCT and the JHNEBP, together with a didactic module, connected several elements that contributed to the development of a pilot program for cultural assessment and staff education, as the core of the cultural competence. Use discount. The fourth meta-paradigm is nursing. This mode requires the use of both generic and professional knowledge and ways to fit such diverse ideas into nursing care actions and goals. Leininger identified three nursing decisions and actions that achieve culturally friendly care for the patient. Madeleine Leininger: Human being, family, group, community, or institution (p. 182). Madeleine Leininger (July 13, 1925 - August 10, 2012) was an internationally known educator, author, theorist, administrator, researcher, consultant, public speaker, and the developer of the concept of transcultural nursing that has a great impact on how to deal with patients of different culture and cultural . Ethnonursing is a qualitative anthropological research method that is used for description, documentation, and explanation of nursing care concepts across disciplines (Sagar, 2012). She went show more content. Caring is a crucial concept to the delivery of holistic nursing services to tuberculosis patients. 132 0 obj
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Objectives Leininger's Background View of the four nursing metaparadigms Concepts specific for transcultural nursing theory Propositions of the theory Analysis and Critique of the theory Implications for nursing, practice, education, and research This essay should not be treated as an authoritative source of information when forming medical opinions as information may be inaccurate or out-of-date. It requires transcultural nursing knowledge and appropriate research methods to explicate the phenomena. Values, attitudes, and norms of different cultures demand appreciation since these factors have accentuated the need for all-inclusive and culturally competent nurses. Kasper, C., & Zoucha, R. (2019). Leininger like Watson also viewed caring as the essence of nursing and unique to the profession. Developed the Transcultural Nursing Model. "Evaluation of Madeleine Leiningers Culture Care Theory." She grew up on a farm near the city with her two brothers and two sisters. https://studycorgi.com/evaluation-of-madeleine-leiningers-culture-care-theory/. (2022, July 16). Entirely, patients in the RCU rely on nurses. According to Leininger, human care is a collective practice that is existent among universally diverse communities. After conducting adequate research, she gathered enough knowledge that helped her integrate nursing and anthropology. It addresses nursing care from a multicultural and worldview perspective. Lastly, cultural congruence is a formalist concept that builds on cultural dynamism. The USA has a modern history of settlement by immigrants from Europe, Britain and Ireland (Ward, 2003). In addition, Leiningers nursing theory fails to provide a lucid insight into disease symptoms and the processes of administering cure. Culture care values, beliefs, and practices are influenced in the context of a particular culture. Nursing as a concept of the metaparadigm is not agreeable to Leininger as it it is not logical to use nursing to explain nursing. Nurseslabs. The nurses diagnosis of the patient should include any problems that may come up that involve the healthcare environment and the patients cultural background. The way in which people perceive different cultures may be considered true to them and not true to someone else. Health is a state of being to maintain and the ability to help individuals or groups to perform their daily role activities in culturally expressed beneficial care and patterned ways (Leininger et al, 2006, p.10). Caring is an action or activity directed towards providing care. These four are collectively referred to as metaparadigm for nursing. (Clarke, 2009) The following page outlines the major concepts and definitions that make up this theory. It begins with a culturalogical assessment, which takes the patients cultural background into consideration in assessing the patient and his or her health. Madeleine Leininger Views on the 4 Metaparadigms Leininger was the first nurse to formally explore the relationship between patients and their different ethnic backgrounds. Contrast Of Roy And Orems Nursing Theory Nursing Essay. Health refers to a state of well-being that is culturally defined and valued by a designated culture. Madeleine Leininger is broadly recognized as the founder of cultural theory in nursing. Furthermore, the theory assumes the importance of knowledge about curing and healing. The Transcultural Nursing theory first appeared in Leiningers Culture Care Diversity and Universality, published in 1991, but it was developed in the 1950s. She earned several degrees, including a Doctor of Philosophy, a Doctor of Human Sciences, a Doctor of Science. Madeleine Leininger's Culture Care Theory . Therefore, there is a need to embolden the study, description, and prediction of nursing phenomenon by the use of congruent cultural nursing care practices. Culture Care Universality refers to common care or similar meanings that are evident among many cultures. McFarland, M., & Wehbe-Alamah, H. (2015). Many scholars and nursing theorists recognise her as the as the founder of transcultural nursing. The nurse from the etic or outside group can then understand the perpective of the emic group, combine it with the nursing philosophy of caring and use that to modify or vary nursing care and making it more appropriate. Leininger had some concern with the use of person which is one of the four metaparadigms from a transcultural knowledge perspective. The liberal humanistic perspective is also perceived as potentially creating problems (Campesino, 2008). It explains the key concepts, characteristics, components, and assumptions in nursing theories developed by Leininger and Henderson. 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. hbbd``b`$zc[$
d !~$b5 ! Transcultural Nursing Theory by Madeleine Leininger. An analysis of Leiningers culture care theory reveals that the major concepts, namely transcultural nursing, ethnonursing, professional nursing care, and cultural congruence, function complimentarily to explicate comprehensive and relevant nursing decisions that enable nurses develop comprehensive treatment methods for patients of dissimilar cultures. White (2004) states, what is count as the truth is constantly contested, but what is not usually contested is that there is truth to be found (p.10). In contemporary nursing contexts, nurses have used the culture care theory to describe, explain, predict, and document day-to-day experiences of their patients. Nursing is a transcultural, humanistic, and scientific care discipline and profession with the central purpose to serve human beings worldwide. Leininger was the first nurse to formally explore the relationship between patients and their different ethnic backgrounds. 5+w cJ%VnnY>r ZE?-!Sq'bZ> 1CsMom$bSghGG
-. 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. The theory addresses the need to integrate nursing techniques and anthropological concepts to nurse diseases from a cultural outlook of a patient. Therefore, it guides nurses to establish the best criteria for administering treatment by developing all-inclusive nursing decisions for patients. This occurrence of traditional nursing interventions in a modern and complex society necessitated the need for the development of holistic nursing techniques to address the needs and behaviours of diverse cultures. Transcultural Nursing Theory and Models: Application in Nursing Education, Practice, and Administration. As Andrews (2008) proposes, Transcultural nurses have taken action and are transforming nursing and healthcare in many places in the world (p.13). 16 April. To incorporate the theory into practice, Leininger established the Transcultural Nursing Society to harmonise the thoughts of nurses globally. The previous ideal of the melting pot culture, where immigrants settling in America were expected to forgo their values and traditions and assimilate into the American way of life, was coming under inquiry (Gleason, 2002). Madeleine Leininger: Cultural Care Diversity and Universality Theory (Notes on Nursing Theories) by Cheryl Reynolds and Madeleine Leininger | Oct 15, 1993. Leiningers theory was used as a framework for designing teaching modules that enable a transcultural education to healthcare providers, as well as staff personnel. Inopportunely, the fact that care is the central focus of nursing does not necessarily guarantee cure and healing. Additionally, the study of the values, norms, language, attitudes, and practices of diverse cultures in a nursing perspective require nurses to base their judgement on professional nursing care whilst upholding all-encompassing cultural congruence. The theory has now developed into a discipline in nursing. To export a reference to this article please select a referencing stye below: The objective for the development of a theory is to illustrate, define, or systematize knowledge in a professional field of study. Leiningers point of views and theory resulted from both a nursing and an anthropological background (Leininger, 1995). The nurse anthropologist perceives people as beings who have intrinsic capabilities of showing concern about the needs, wellbeing, and sustained being of others (Jeffreys, 2008). Campesino, 2009, contends that privilege, even regarding skin colour, white privilege, can significantly alter relationships. Annual review of nursing research, Volume 37: Transcultural and social research. The ethno-science reach method involves the nurse researcher undertaking ethnographic study using direct observation and the interviewing of selected culture bearing individuals from within a specific ethnic group, to gain data sets from the emic or insider perspective (Leininger, 1978).
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