McFarland, M., & Wehbe-Alamah, H. (2015). In fact, these cultural valuation techniques pose the risk of time shortcomings where patient cases demand urgency. *You can also browse our support articles here >. 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. The culture care theory has numerous underlying assumptions that have developed criticism amongst the postulates and opponents of the theory. Caring is an action or activity directed towards providing care. Leininger used this inductive technique to study the beliefs, values, language, attitudes, and norms of different cultures in a nursing context. It explains the key concepts, characteristics, components, and assumptions in nursing theories developed by Leininger and Henderson. Madeleine Leininger. Explain how the nursing theory incorporates the four metaparadigm concepts. The theory has now developed into a discipline in nursing. 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 11. During her career, Leininger has written 27 books, published over 200 articles and authored 45 book chapters (Marriner-Tomey & Alligood, 2006). Rosemarie Rizzo Parse 13. NursingBird. Features of Our Website Leiningers Culture Care Theory finds its applicability in my nursing occupation. Joyce Fitzpatrick 14. The American Civil rights movement was just starting to find its footing when Leininger began her work in the 1950s. Leininger proposed that nurses might be more effective in their role if they developed a deeper understanding of the relationship between ethnicity and health. If you are the original creator of this paper and no longer wish to have it published on StudyCorgi, request the removal. 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. "Evaluation of Madeleine Leiningers Culture Care Theory." Nola Pender: The individual, who is the primary focus of the model (p. 216). 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. Madeleine Leininger 12. All work is written to order. Leininger started writing in the 1960's 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; It requires a very extensive geophysical and social knowledge. 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). However, Leininger realized that there was more to consider, as Crowell supports by acknowledging that although existentialism does not disregard the medical model, it recognizes that it does not completely account for all human existence (2010). However, such an approach is vital in the nurses scope of care. 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. Within hectic nursing everyday work, many situations might pose cultural challenges to the nurse. It is investable to deal with culturally diverse patients in a multicultural society. Caring is essential to curing and healing. 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.. 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 conflicts (Leininger et al, 2006, p.9). 1228 Words. The theory's primary intention was to improve the universal patient satisfaction in a care delivery setup. 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). Evaluation of the concepts of nursing metaparadigm reinforces and highlights each . 41 Comments Please sign inor registerto post comments. The theory acknowledges that patients belong to different cultures with different social beliefs and practices. Alligood, M. (2018). Therefore, there is a need to embolden the study, description, and prediction of nursing phenomenon by the use of congruent cultural nursing care practices. The Native people also wanted to be represented in the new human rights movement and assert equality with the mainstream Americans (Gabbacia, 2002; Price and Cordell, 1994; Naylor, 1997). NursingBird, 16 July 2022, nursingbird.com/transcultural-nursing-theory-by-madeleine-leininger/. This should motivate a need for nurses to develop cultivate and advance a deeper understanding of cultural diversity, due to its potential effect on the delivery of nursing care specifically and the consequences for healthcare (no ref). FIND INFO. Madeleine Leininger: Transcultural Nursing theory. According to Ayiera (2016), the CCT is based upon the clinical experience considering that the aspect of culture was a missing link in the nursing care practice. (Purnell & Paulanka, 2003; Geiger & Davidhizar, 2002; Papadopoulos, Tilki & Ayling, 2008; Andrews & Boyle, 2002; Spector, 2000; Camphina-Bacote, 1999). The Downtown Review, 2(1), 1-7. Through this manner an appreciation for the similarities and differences of the culturally varied approaches to health can occur. Ethnonursing is a conceptual framework that facilitates the study of nursing care factors in transcultural nursing (Sagar, 2012). "Transcultural Nursing Theory by Madeleine Leininger." Do you have a 2:1 degree or higher in nursing or healthcare? 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). The delivery of nursing care is a significantly social activity. Subsequently, the theory of Culture Care Diversity and Universality emerged. The implementation of the theory through the establishment of the transcultural nursing society makes it more explicit since it proves the functionality of the theory by the application of expertise knowledge (Sagar, 2012). Leininger originally worked as a childrens nurse in a psychiatric setting and noted that of children who came from diverse cultural backgrounds such as Afro-American, Spanish-Americantheir overt behaviors clearly differed (Leininger, 1978, p.21). The goal of transcultural nursing is to provide culturally congruent, sensitive and competent nursing care (Leininger, 1995, p.4). Multiculturalism requires that each culture is considered equal to the other and cultural diversity is tolerated (Francis, 1999, Brannigan, 2000) FIND STATS. These concepts do not exist independent of each other, and it is essential to evaluate individual patient's needs considering these four elements. Even with regard to Leiningers visit to the Gadsup peoples I did not perceive any discussion regarding the possibility of Leiningers own influence of the visit. In the 1950s, nurses in the United States of America began to develop and use structured theory. The efficiency of Leiningers theory lies in its purpose to better define the expectations of the nurse-patient relationship (Busher Betancourt, 2016, p. 2). The qualitative paradigm provides new ways of knowing and different ways to discover the epistemic and ontological dimensions of human care. If you use an assignment from StudyCorgi website, it should be referenced accordingly. For more detailed information: Leiningers Culture Care Theory, Copyright 2023 Alice Petiprin, Nursing-Theory.org. The core principle of the theory implies understanding and acceptance of everybodys background since it might be a determining factor in ones health status. Thus a metaparadigm can be thought of as an overarching principle or umbrella covering our outlook that defines our practice. Today, Canadas population represents citizens who originate from more than 150 different countries, who speak over 100 languages and practice over several religions. The nurse must preserve, maintain or change nursing care behaviors with the goal of satisfying the needs of clients (Leininger, 1998, 2002) Leininger further defined such nursing action as: culture care preservation and maintenance, culture care accommodation or negotiation and culture care restructuring or re-patterning (Leininger, 1978, 1981, 1984, 1988). 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). As a nurse, it is important to take an inventory of ourselves . Our nursing niche receives worldwide patients from culturally diverse regions such as Florida, Haiti, Thai, and South America among other regions. A nursing theorist defines each of these metaparadigm concepts in accordance with their worldview of nursing. Values, attitudes, and norms of different cultures demand appreciation since these factors have accentuated the need for all-inclusive and culturally competent nurses. And her theory has given rise and weight to these neglected concepts of nursing; care and culture (Leininger et al, 2006). With regards to this metaparadigm of nursing, Leininger finds them to be limited and inadequate as it has neglected two importance concepts, care and culture, to explain nursing despite the linguistic use of care in the daily language of nurses. Copyright 2003 - 2023 - NursingAnswers.net is a trading name of Business Bliss Consultants FZE, a company registered in United Arab Emirates. 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. 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. Compared to other fellow theorists of the 1950s and 1960s, Leiningers theory and methodology are focused on the qualitative paradigm. 5 Pages. This is a cognitive map to support and guide nursing practice. Leininger identified three nursing decisions and actions that achieve culturally friendly care for the patient. 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. Metaparadigm Concepts CARING (not Nursing) essence of nursing universal concept within all cultures assisting, supporting, or enabling behaviors to improve a person's condition essential for survival, development, ability to deal with life's events greater level of wellness is achieved when caring is in line with patient's cultural This paper describes, evaluates, and discusses the application of Madeleine Leiningers nursing mid-range theory of culture care whilst providing the learner with an opportunity to connect theory and research to nursing phenomena. Leininger used her anthropological knowledge to develop the cultural knowledge of nurses. 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. 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. Critical theory recognizes that, nursing science and practice involves examining ways in which categories of social difference are constructed and operate in structural systems of privilege and power (Campesino, 2009, p. 300). and is a Registered Nurse. This led to what is known as the transcultural nursing approach which Leininger considers ethno-nursing and the design of a research methodology deemed ethno-science was developed to collect cultural data. The Transcultural Nursing Theory, or CCT, aims at obtaining a comprehensive knowledge of the care issue that concerns the cultural expectations of the patients. The concepts addressed in the model are: Care, which assists others with real or anticipated needs in an effort to improve a human condition of concern, or to face death. After all, the values and beliefs passed down to that patient from generation to generation can have as much of an effect on that patients health and reaction to treatment as the patients environment and social life. 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. 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). Transcultural Nursing. Second, the terms theories and models are often used in the same way but are different. 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. However, she emphasized the aspects of care within a cultural context. 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). Leiningers point of views and theory resulted from both a nursing and an anthropological background (Leininger, 1995). Madeleine Leiningers theory of culture care focuses on contemporary culturally diverse care factors that have profound impacts on the health of individuals or groups (Butts & Rich, 2010). Generality The transcultural nursing theory is a qualitative oriented theory. 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. I believe this particular philosophy is reflective of Leiningers perspective, especially in the 1960s and 1970s. Welcome to Our Website Dr. Madeleine Leininger was the foundress of the worldwide Transcultural Nursing movement. It is a theoretical and logical contraindication to use the same term to explain or predict the same phenomenon. (Leininger et al, 2006, p. 7). According to Ayiera (2016), the CCT is based upon the clinical experience considering that the aspect of culture was a missing link in the nursing care practice. This is especially important since so many peoples culture is so integral in who they are as individuals, and it is that culture that can greatly affect their health, as well as their reactions to treatments and care. it consists of being open-minded and having non-judgmental views. NursingBird. Regardless of their relationship with culture care, cure and healing are inherent processes that occur within the patient (Jeffreys, 2008). In contrast, etic care knowledge was derived from outsider views of non-local or non-indigenous care values and beliefs (2010, p. 10). To incorporate the theory into practice, Leininger established the Transcultural Nursing Society to harmonise the thoughts of nurses globally. The development of Leiningers concept uses an inductive research technique known as ethnonursing. The Transcultural Nursing Theory addresses both general practice and specialty and aims at providing culturally coherent nursing care. In which she frequently referred to people of different ethnic origins (p.107), people of color and ethnic groups of color (Leininger, 1978, p.451). 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. (Leininger, M. M., 1997) 9 Metaparadigm Concepts CARING (not Nursing) essence of nursing universal concept within all cultures assisting, supporting, or enabling behaviors to improve a person's condition essential for survival, development, ability to deal with life's events greater level of wellness is achieved when caring 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. 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. Culture Care Diversity refers to the differences in meanings, values, or acceptable forms of care in or between groups of people. 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). The nurse is the one responsible for providing care and engaging with a patient for the majority of his or her time receiving care. Any opinions, findings, conclusions, or recommendations expressed in this essay are those of the author and do not necessarily reflect the views of NursingAnswers.net.
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