Madeleine Leininger's Culture Care Theory . Transcultural Nursing Theory and Models: Application in Nursing Education, Practice, and Administration. Nursing is associated with the physical, technical and social behavior: nurses need to know what to do with clients, how to do it and know how to be while they are doing it (Stein-Parbey, 2008, p.3) To accomplish optimistic outcomes when working with patients from diverse variety of cultural backgrounds, nurses must cultivate their understanding of that multifaceted cultural diversity and integrate it within their practice (Greenwood, 1996 FIND NON-AUSSIE). Published: 11th Feb 2020, Canada is not a melting pot in which the individuality of each element is destroyed in order to produce a new and totally different element. The absence of care and culture in the metaparadigm demonstrated to Leininger, the nurses limited interest in these concepts or value in studying the aspect of care as a nursing concept. Leininger's Transcultural Nursing: Concepts, Theories, Research & Practice, Fourth Edition $78.00 Only 6 left in stock - order soon. by Madeleine Leininger and Marilyn McFarland | Mar 4, 2002. 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. Leininger stands firm and believes it is care and caring knowledge and actions that can explain and head to the health or wellbeing of people in different or similar cultures (Leininger et al, 2006, p. 11). The theory develops on the behavioural patterns and commonality of patients. As a result, Anglo-Celtic customs, beliefs, and values came to underpin the American social structure and control its social institutions, as well as healthcare (Ward, 2003). It explains the key concepts, characteristics, components, and assumptions in nursing theories developed by Leininger and Henderson. 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 addition, the theory has helped nurses develop a multidimensional cultural competence that reinforces their roles and confidence of handling patients who suffer from different health conditions (Butts & Rich, 2010). Madeleine Leininger was born on July 13, 1925 in Sutton, Nebraska. 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. 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. Care is the essence of nursing and a distinct, dominant, and unifying focus. Madeleine Leininger is broadly recognized as the founder of cultural theory in nursing. The major concepts of the theory include transcultural nursing, ethnonursing (aforementioned), professional nursing care, and cultural congruence. Entirely, patients in the RCU rely on nurses. 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. 452). It requires a very extensive geophysical and social knowledge. madeleine leininger introduced her cultural care diversity and universality theory. Nursing theories hold that individuals with diverse cultural origins may have varied needs for health. If you are the original creator of this paper and no longer wish to have it published on StudyCorgi, request the removal. These elements can, therefore, guide nurses to apply the theory by the four meta-paradigms of nursing. Developed the Transcultural Nursing Model. In transcultural nursing, nurses practice according to the patients cultural considerations. This is a cognitive map to support and guide nursing practice. *You can also browse our support articles here >. Disclaimer: This essay has been written by a student and not our expert nursing writers. Transcultural nursing entails the performance of a comparative study and cultural analysis in relation to nursing and preservation of values, norms, attitudes, beliefs, and practices of the individual or group of patients. In todays healthcare field, it is required for nurses to be sensitive to their patients cultural backgrounds when creating a nursing plan. Historically, nursing care in Canada was provided by nurses of Anglo-Saxon origin and today nurses work in a healthcare system developed during the era of British Colonization which was has an enduring tradition in western values and ideology (no ref). (2022) 'Transcultural Nursing Theory by Madeleine Leininger'. Leininger used her anthropological knowledge to develop the cultural knowledge of nurses. The nurse is the one responsible for providing care and engaging with a patient for the majority of his or her time receiving care. 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 . Rosemarie Rizzo Parse 13. Leininger's theory describes nursing as a powerful practice that focuses on the cultural attributes and perspectives of targeted clients. Leininger used the concept to explain why human beings exist in a multiplicity of cultures by their universality nature that prompts them to provide care for each other within diverse cultural settings that have varied needs (Butts & Rich, 2010). Nursing is a transcultural, humanistic, and scientific care discipline and profession with the central purpose to serve human beings worldwide. Through her observations while working as a nurse, she identified a lack of cultural and care knowledge as the missing component to a nurses understanding of the many variations required in patient care to support compliance, healing, and wellness. Thus a metaparadigm can be thought of as an overarching principle or umbrella covering our outlook that defines our practice. In addition, I think that Leiningers theory may also be perceived as liberal, humanist perspective (Campesino, 2008). These minority groups were to become substantial and ever increasing groups, thus contributing to the social heterogeneity of America (Gabbacia, 2002). Person metaparadigm concept (definitions from Masters, 2015): Florence Nightingale: Recipient of nursing care (p. 28). Practically, culture care practices open up a clear path for communication between nurses and patients. Kindle. Sagar (2012) attests that the culture theory holds that diverse cultures perceive, understand, and exercise care in different ways. foods and meal preparation and related lifeways. Today, Canadas population represents citizens who originate from more than 150 different countries, who speak over 100 languages and practice over several religions. July 16, 2022. https://nursingbird.com/transcultural-nursing-theory-by-madeleine-leininger/. Leininger explicitly defined the conceptual framework for her culture care theory. Explain how the nursing theory incorporates the four metaparadigm concepts. New York, NY: Springer Publishing Company. At the same year, the University of Cincinnati absorbed her to work as an Associate Professor and Director of the Graduate Programme in Psychiatric Mental Health Nursing and Psychology (Jeffreys, 2008). (2010). Leininger (1970) acknowledged the influence of anthropology on her work when she wrote, nursing and anthropology are inified in a single specific and unitary whole (p.2). Madeleine Leininger and the transcultural theory of nursing. 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. The second assumption is that caring is necessary for . The USA has a modern history of settlement by immigrants from Europe, Britain and Ireland (Ward, 2003). Leiningers Culture Care Theory attempts to provide culturally congruent nursing care through cognitively based assistive, supportive, facilitative, or enabling acts or decisions that are mostly tailor-made to fit with individual, groups, or institutions cultural values, beliefs, and lifeways. The intent of the care is to fit with or have beneficial meaning and health outcomes for people of different or similar culture backgrounds. 2022. Therefore, there is a need to embolden the study, description, and prediction of nursing phenomenon by the use of congruent cultural nursing care practices. transcultural nursing from 1966 . There is a growing need for suitable knowledge base that encompasses the requirements of education, research and practice and this paper seeks to offer nurses an examination and critique of Leiningers transcultural nursing theory that underpins transcultural nursing. It requires transcultural nursing knowledge and appropriate research methods to explicate the phenomena. Leininger started writing in the 1960s and her theory of transcultural nursing, also known as Culture Care Diversity and Universality, has turned out to be groundbreaking work in the nursing arena and been extensively implemented in western countries (Andrews & Boyle, 1995; Papadopoulos, 2004; Price & Cortis, 2000; Fawcett, 2002; Lister, 1999; Chinn, 1991; Cohen, 2000; Cooney, 1994; Narayanaswamy & White, 2005; Rajan, 1995; Chevannes, 2002; Coup, 1996; Culley, 1996). Sagar, P. (2012). $ 4.69. 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-. Leininger's culture care theory describes three of the four metaparadigms of nursing, namely people, nursing, and health. Rajan (1995) explains that existentialism gives an account of how an individual consciousness apprehends existence (p. 452). Culturally congruent care occurs when there is a meaningful and satisfactory match between the culture care beliefs, values and practices of the patient and the behavior of the nurse. Busher Betancourt, D. (2016). The purpose of the transcultural theory is to develop a harmonious civilisation care training using evocative research results. Metaparadigm Concepts as Defined in Leininger's Theory Metaparadigm Concept Description Person Human being, family, group, community or institution Nursing Activities directed toward assisting, supporting, or enabling with needs in ways that are congruent with the cultural values, beliefs, and lifeways of the recipient of care. The conceptualisation of these concepts in nursing situations has enabled nurses realise the importance of integrating anthropological concepts in nursing contexts in an attempt to derive the best nursing practices for culturally diverse patients. (2022, April 16). As her knowledge is derived from two different disciplines it can be considered as being unique. Nurses need to know how to effectively relate to and communicate with those patients in their care (Pallen, 2000). 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. 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. Such an approach examines a nursing practice within the notions of health, well-being, disabilities, and dying. StudyCorgi. Leininger developed new terms for the basic concepts of her theory. StudyCorgi, 16 Apr. Madeleine Leininger (July 13, 1925 - August 10, 2012) Developed the Transcultural Nursing Theory Metaparadigm Person - Caring beings capable of being concerned about, holding interest in, or having personal regard for other people's needs, well-being, and survival. It continues to be challenging for nurses in Canada and other Anglocentric counties, to find ways to accommodate the divergent and often unfamiliar social beliefs, values and life practices that have no become a part of the new social fabric of their communities. Philosophies And Theories For Advanced Nursing Practice. . These include religion, economics, education, technology, politics, kinship, ethnohistory, environment, language, and generic care and professional care factors that impact the culture care meanings, expressions, and patterns in different cultures. By analyzing the transcultural theory by Madeleine Leininger, a nurse practitioner will attain culturally-specific knowledge, which will result in improved patient treatment with a sense of open-mindedness. Within the rapid growth of modern society, the health care industry keeps serving as the critical element of its members and system in general. The difficulty with truth from a positivism approach is that what is determined to be true is done so from anothers standpoint (Hair & Donoghue, 2009). Dynamics of Diversity: Becoming Better Nurses through Diversity Awareness. 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). 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. These concepts do not exist independent of each other, and it is essential to evaluate individual patient's needs considering these four elements. 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. . 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. 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. Transcultural theory of nursing practices was first introduced and developed in the 1950s by Madeleine Leininger.