$lC&Fa - endstream endobj startxref 0 %%EOF 157 0 obj <>stream The capacity to provide appropriate cross-cultural care must be an essential attribute of contemporary nursing practice. Culture is a set of beliefs held by a certain group of people, handed down from generation to generation. Leininger describes herself as an anthropologist and a nurse. However, it is the manner in which the information is obtained that brings forth the question of whether or not it is actually true. It has become apparent in recent years that the growing cultural diversity has challenged much of these long-established assumptions about health, illness and health care provision. 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. In fact, these cultural valuation techniques pose the risk of time shortcomings where patient cases demand urgency. Values, attitudes, and norms of different cultures demand appreciation since these factors have accentuated the need for all-inclusive and culturally competent nurses. 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. There are many reasons its beneficial for nurses to use cultural knowledge of patients to treat them. The qualitative paradigm provides new ways of knowing and different ways to discover the epistemic and ontological dimensions of human care. Leininger developed new terms for the basic concepts of her theory. In the Culture Care theory health is predicted as an outcome of using and knowing culturally based care, rather than biophysical or medical procedures and treatments (Leininger et al, 2006, p.10). 5+w cJ%VnnY>r ZE?-!Sq'bZ> 1CsMom$bSghGG -. It is investable to deal with culturally diverse patients in a multicultural society. 16 April. Theories should predict and lead to discovery of unknown or vaguely known truths or interrelated phenomena, whereas models are mainly pictorial diagrams of some idea and are not theories as they usually fail to show predictive relationships. In 1966, she graduated from the University of Washington, Seattle, with a PhD in Cultural and Social Anthropology. 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 . In todays healthcare field, it is required for nurses to be sensitive to their patients cultural backgrounds when creating a nursing plan. person and individualism are the dominating concepts. Today, Canadas population represents citizens who originate from more than 150 different countries, who speak over 100 languages and practice over several religions. Running Head: NURSE THEORIS, MADELEINE LEININGER Institutional Affiliation Student's Affiliation Date 1 NURSE Leininger's theory outlines several basic concepts, which include the provision of culturally congruent nursing care, recognizing cultural differences and universalities, as well as emic and etic views. I think that her assumptions of truth could be viewed from a positivism perspective due to her need for scientific proof to underpin her thinking as she was concerned with the cataloging of the beliefs and practices of various minority ethnic groups as per her research, her articles and her books. defined as a learned subfield or branch of nursing which focuses upon the comparative study and analysis of cultures with respect to nursing and health-illness caring practices, beliefs, and values with the goal to provide meaningful and efficacious nursing care services to people according to their cultural values and . Evaluation of Madeleine Leiningers Culture Care Theory. As a nurse, it is important to take an inventory of ourselves . $ 4.99 - $ 5.59. It is rather a garden into which have been transplanted the hardiest and brightest flowers from many lands, each retaining in its new environment the best of the qualities for which it was loved and prized in its native land.. In transcultural nursing, nurses practice according to the patients cultural considerations. 1. Copyright 2023 Alice Petiprin, Nursing-Theory.org. Students also viewed These minority groups were to become substantial and ever increasing groups, thus contributing to the social heterogeneity of America (Gabbacia, 2002). (2022, April 16). Therefore, it guides nurses to establish the best criteria for administering treatment by developing all-inclusive nursing decisions for patients. The development of the transcultural treatment theories dates back to the 1950s when Leininger started a psychiatric treatment facility and a learning curriculum at Creighton University in Omaha. 16 July. 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. 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. 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). StudyCorgi. 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 had some concern with the use of person which is one of the four metaparadigms from a transcultural knowledge perspective. All cultures have their ways of maintaining health which have similarities and differences to other cultures and understanding these components of health such as the particular cultures rules for wellness, how cultures know, transmit and practice healthcare, intergenerational practices and so on have to be discovered, understood and respected in order to provide health and well-being to that particular culture. 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. She recognized that a patient's ethnicity had the potential to impact on health and illness. -Fue la primera enfermera profesional con preparacin universitaria que obtuvo un Ph.D en antropologa cultural y social. As such, the CCT highlights care and culture as they were the missing phenomena in the metaparadigm concept. 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. For more detailed information: Leiningers Culture Care Theory, Copyright 2023 Alice Petiprin, Nursing-Theory.org. Moreover, within the existential -phenomenological philosophy, human beings are viewed as subjects rather than objects (Rajan, 1995, pg. April 16, 2022. https://studycorgi.com/evaluation-of-madeleine-leiningers-culture-care-theory/. Many nurse theorists have focused only on health as an outcome without knowledge of culture care influences and have also failed to understand the importance, power or major influences of care to explain health or wellbeing. The Role Of Theory And Practice Facilitated By Reflection Nursing Essay. Busher Betancourt, D. (2016). Sagar (2012) attests that the culture theory holds that diverse cultures perceive, understand, and exercise care in different ways. Info: 5614 words (22 pages) Nursing Essay 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. As described by Andrews and Boyle (2007), numerous authors have identified transcultural nursing as the blending of anthropology and nursing in both theory and practice. Madeleine Leininger's Culture Care Theory 2. Transcultural Nursing : Concepts, Theories, Research and Practice. Finally, the nurses evaluation should include a self-evaluation of attitudes toward caring for patients from differing cultural backgrounds. This theory focuses on the fact that different cultures have different caring behavior and different health or illness values, belief, and pattern of behavior (Rubyks, 2008). Instead, the nurse anthropologist talks about worldviews, social constructions, and societal contexts (Butts & Rich, 2010). Culture care concepts, meanings, expressions, patterns, processes, and structural forms of care are different and similar among all cultures of the world. Care is the essence of nursing and a distinct, dominant, and unifying focus. Culturally congruent nursing care can only happen when the patient, family, or community values, expressions, or patterns are known and used appropriately, and in meaningful ways by the nurse with the people. Lydia Hall . These elements can, therefore, guide nurses to apply the theory by the four meta-paradigms of nursing. Within the rapid growth of modern society, the health care industry keeps serving as the critical element of its members and system in general. 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. Leiningers point of views and theory resulted from both a nursing and an anthropological background (Leininger, 1995). Leiningers goal was to investigate her belief that a patients ethnic background profoundly influenced their understanding of health and illness, which is turn determined the type of nursing care required by individuals. It requires a very extensive geophysical and social knowledge. Conceptual knowledge is abstracted and generalized beyond personal experiences; it explicates the patterns revealed in multiple experiences in multiple situations and articulates them as models or theories. (Schultz & Meleis, 1988, p. 220). Apparently, nurses also come from diverse world cultures. Evaluation of Madeleine Leiningers Culture Care Theory. Nursing is a learned profession with a disciplined focus on care phenomena. By conceptualizing the theory, one might define a basic theoretical tenet, which is described by Alligood (2018) as care diversities and universalities that co-exist among cultures (p. 347). With regards to the type of Leiningers knowledge I assume it to be conceptual knowledge (Schultz & Meleis, 1988). Statistical findings indicate that the application of transcultural concepts in nursing contexts has improved the health status of many patients who suffer from diverse health conditions (Sagar, 2012). Culturally congruent care is possible when the following occurs in the nurse-patient relationship: Together the nurse and the client creatively design a new or different care lifestyle for the health or well-being of the client. In Madeleine Leininger s cultural care theory, she believed that cultural competency improved nursing practice. She advocated that nursing is a humanistic and scientific mode of helping a client through specific cultural caring processes (cultural values, beliefs and practices) to improve or maintain a health condition. After her high school education at Sutton High School, the author reveals that Madeleine Leininger pursued a nursing diploma at St. Anthonys Hospital School of Nursing before she furthered her education at Mount St. Scholastica College (currently known as the Benedictine College) and Creighton University where she earned relevant nursing undergraduate degrees. Leininger also believed in the concept of cultural care universality, which refers to the idea that there are certain basic human needs that are universal to all cultures. A metaparadigm is the most general statement of discipline and functions as a framework in which the more restricted structures of conceptual models develop. As Daly and Jackson (2003) write, the theory was to discover what in universal(commonalities) and what is diverse about human care values, beliefs and practices (pxiii). The theory develops on the behavioural patterns and commonality of patients. As a result, two significant concepts of care and culture were included as the essence and the central dominant of nursing. Pfeffer (1998) explains this positivist approach to ethnicity in which facts are observed and boxes are ticked off (p.1382). Person metaparadigm concept (definitions from Masters, 2015): Florence Nightingale: Recipient of nursing care (p. 28). Moreover, early psychiatric interventions seemed too outdated for her to realise the needs of a culturally diverse society. What is worrying about this emic knowledge is that this knowledge of the indigenous person is obtained through the researchers reinterpretation of narrative and written into the text by the author. Madeleine Leininger was born on July 13th, 1925 in the small town of Sutton Nebraska. Professional nursing care is a concept that deploys professional care systems to elucidate inductive reasoning by prompting cognitive thoughts to develop formally assistive, supportive, facilitative, and enabling nursing techniques with a view of improving the patients health condition. Some of Madeleine Leiningers works include: Madeleine Leiningers 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. Do you have a 2:1 degree or higher in nursing or healthcare? Eventually, a nurse will be able to appreciate diverse cultures and apply past experiences to future patient care. Yet this progression in knowledge seems largely to be unacknowledged within transcultural nursing theory, which has continued to rely on the anthropological constructs originally penned by Leininger. She attend Sutton High School and graduated upon completion. The concepts addressed in the model are: The theorys culturalogical assessment provides a holistic, comprehensive overview of the clients background. Leininger proposed that nurses might be more effective in their role if they developed a deeper understanding of the relationship between ethnicity and health. 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. Ethical and Moral Dimensions of Care (Human Care and Health Series) Madeleine Leininger. It is very clear that Leiningers Culture Care Theory has shed light on the weaknesses of this metaparadigm of nursing. It was the first theory directed toward discovering and applying culturally based research care knowledge in nursing that was gathered through cultural informants. 1 Running head: TRANSCULTURAL NURSING 23 TRANSCULTURAL NURSING Transcultural Nursing Culture of Care by Madeleine Leininger Gabrel Crabb, Koleen Dumindin, Deborah Edokpayi, Javier Enriquez, Simone Gordon, & Heather Hammaker South University NSG5002- Advanced Theoretical Perspectives for Nursing Week 4, Assignment 2 Dr. Upon graduation from Sutton High School Madeleine decided that she was going to attend college but she was unsure on which course to choose. She recognized that a patients ethnicity had the potential to impact on health and illness. Free resources to assist you with your nursing studies! Cultural and Social Structure Dimensions include factors related to spirituality, social structure, political concerns, economics, educational patterns, technology, cultural values, and ethnohistory that influence cultural responses of people within a cultural context. A metaparadigm is a set of theories or ideas that provide structure for how a discipline should function. $ 4.69. Madeleine Leininger's Culture Care Theory . madeleine leininger introduced her cultural care diversity and universality theory. 4.4/5 on reviews.co.uk. This applies to Leiningers theory as there are unknown truths about cultures to be discovered. 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. The way in which people perceive different cultures may be considered true to them and not true to someone else. 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 2. Thus, each concept must be specifically defined by the theorist. FIND INFO. The chosen theory for this paper is Madeleine Leininger's Culture Care Diversity and Universality care theory. Retrieved from https://nursingbird.com/transcultural-nursing-theory-by-madeleine-leininger/, NursingBird. The USA has a modern history of settlement by immigrants from Europe, Britain and Ireland (Ward, 2003). Environment theory and research and in professional practice. Explain how the nursing theory incorporates the four metaparadigm concepts. . 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 is broadly recognized as the founder of cultural theory in nursing. In the third edition of Transcultural Nursing, published in 2002, the theory-based research and the application of the Transcultural theory are explained. Therefore, there is a need to embolden the study, description, and prediction of nursing phenomenon by the use of congruent cultural nursing care practices. It addresses nursing care from a multicultural and worldview perspective. Cultural Care Accommodation or Negotiation refers to creative nursing actions that help people of a particular culture adapt or negotiate with others in the healthcare community in an effort to attain the shared goal of an optimal health outcome for patients of a designated culture. 11. 12. While transcultural concepts seek the knowledge about the cultural background, ethnonursing concepts enable the nurse analyse the specific cultural factors by relating them to the patients health (Butts & Rich, 2010). Leininger found the four concepts of person, health, environment and nursing which are the definitive metaparadigm of nursing questionable, limited, inappropriate, and inadequate to explain or fully discover nursing especially ideas bearing on transcultural nursing (Leininger & MacFarland, 2006, p.6). (Clarke, 2009) The following page outlines the major concepts and definitions that make up this theory. Caring Imperative in Education (41-2308) Madeleine Leininger. It explains the key concepts, characteristics, components, and assumptions in nursing theories developed by Leininger and Henderson. I learnt that culture was a significant influence on behaviorsand I began to understand the important links between nursing and anthropology (p.23). . Advances in technology help us communicate with the other side of the world in less than a blink of an eye. Instead, care has the greatest epistemic and ontologic explanatory power to explain nursing. Social segregation of the African-American community had just ended in 1954 and the black communities of previous African slaves that were taken from Africa to America 200 years earlier were becoming increasingly expressive about their human rights and were no longer pleased to hold a submissive social position in American society (Ward, 2003). it consists of being open-minded and having non-judgmental views. 00. . .^\__b? Health refers to a state of well-being that is culturally defined and valued by a designated culture. 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 contrast, etic care knowledge was derived from outsider views of non-local or non-indigenous care values and beliefs (2010, p. 10). Out of Stock. This is true of Leiningers work, for she conveys the importance of culturally appropriate caring in order to meet the needs of other cultures (Leininger, 1995). She explained this concept as a fundamental nursing component based on her experience and positive feedback from patients. Before her demise in 2012, Madeleine Leininger had served numerous leadership positions as a nursing theorist consultant and professor of nursing and anthropology in a variety of universities in the United States. Open Document. 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). Explains that the concept of person needs to be explored to go into further depth with the remaining concepts of the metaparadigm of nursing. Leininger used her anthropological knowledge to develop the cultural knowledge of nurses. If nurses are to be effective in meeting the needs of their patients, nursing practices must be better informed and modified to address a wider cultural range of patients. Evaluation of the concepts of nursing metaparadigm reinforces and highlights each . 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. Explains dugas, esson, and ronaldson's nursing . In her early work, Leininger (1970) adopted an all-embracing definition of culture, in the tradition of anthropology, which comprised of the total complex of material objects, tools, ideas, organizations, and material and non-material aspects related to mans existence (p.11). At one time, Leininger revealed that her aunt who ailed a congenital heart disease worn her heart to the field of nursing (Sagar, 2012). 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. If you need assistance with writing your nursing essay, our professional nursing essay writing service is here to help! However, she emphasized the aspects of care within a cultural context. Madeleine Leininger was born on July 13, 1925 in Sutton, Nebraska. Therefore, Leininger seems to express that one truth or reality may be revealed when examining cultures (Hair & Donoghue, 2009 and Leininger, 1995). As a rule, the education of the nursing students barely addresses the importance of perceiving and understanding different cultures, although they inevitably engage with patients from all backgrounds in everyday nursing practice. f Leininger's professional career is recognized as an educator and academic administrator from 1956 to 1995, a writer. 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). In addition, I think that Leiningers theory may also be perceived as liberal, humanist perspective (Campesino, 2008). The integration of anthropological concepts in nursing contexts shifted the nursing standpoint in the past half a century. Beginning with an overview of the theory and its origins, this book presents the assumptions underlying the theory; the major concepts of the meta-paradigm of nursing, including the nursing. The concept of Leinginger's Transcultural theory considers not only the global application and definition of nursing, but considers the particular component of transculturalism wherein the concept, scope and purpose of the theory lies in the more details incorporation of culture for nursing care. 121k followers. and is a Registered Nurse. These needs include the need for security, comfort, and a sense of belonging, and Leininger argued that it was the role of nurses to provide care that meets these universal needs in a culturally sensitive manner. In addition, Leiningers nursing theory fails to provide a lucid insight into disease symptoms and the processes of administering cure. Such an approach examines a nursing practice within the notions of health, well-being, disabilities, and dying. A humanist perspective emphasizes notions of equality and individual freedom, and operates on an assumption of human commonality among people (Campesino, 2008, p. 299). 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. Emic refers to the beliefs, values, practices, and knowledge that belong to patients, while etic refers to the same factors but concerning . No plagiarism, guaranteed! (2022) 'Transcultural Nursing Theory by Madeleine Leininger'. It involves the understanding of different cultures when . Annual review of nursing research, Volume 37: Transcultural and social research. 1. 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).