Madeleine Leininger's Cultural Theory as Applied to a Certified Registered Nurse Anesthesiologist Everyday the world becomes smaller and smaller. (2022, April 16). Caring is essential to curing and healing. "Transcultural Nursing Theory by Madeleine Leininger." Burlington, MA: Jones & Bartlett Publishers. The purpose of the transcultural theory is to develop a harmonious civilisation care training using evocative research results. As defined by a theorist herself, nursing is a learned humanistic and scientific profession which is focused on human care phenomena and activities (McFarland & Wehbe-Alamah, 2015, p. 20). theory and research and in professional practice. 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. The most comprehensive guide to transcultural nursing in global settings, covering pain management, mental health therapies, child-rearing practices, certification, and much more. Research and writing became more reflexive and researchers sought new methods. View professional sample essays here. Our nursing niche receives worldwide patients from culturally diverse regions such as Florida, Haiti, Thai, and South America among other regions. hb```f``g`a``g`@ r49m% 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. * Hyperlink the URL after pasting it to your document, Health Care Delivery for Victims of Motor Vehicle Collision, Research Critique of Cardiac Index Based on Measurements Obtained in a Bedside Chair and in Bed, Child Obesity Problem in the United States, Improving Disease Surveillance in Developing Countries, Hypertension: Treatment in Children and Adolescents. As nurses immerse themselves in cultural education and adopt care that addresses patients cultural expectations, they implement a culturally congruent nursing process. This rapidly changing social environment and increased awareness of human rights and freedoms was the environment in which Leininger was originally writing. All Rights Reserved, Nursing Theories and a Philosophy of Nursing, A Statistical Look at Patient-Centered Care, Nemours Brings Nursing Opportunities to Central Florida, How Have the Sequester Cuts Affected Nursing and Health Care, Transcultural Nursing : Concepts, Theories, Research and Practice, Culture Care Diversity & Universality: A Worldwide Nursing Theory (Cultural Care Diversity (Leininger)), Culture Care Diversity and Universality: A Theory of Nursing, Madeleine Leininger: Cultural Care Diversity and Universality Theory (Notes on Nursing Theories), Care, Discovery and Uses in Clinical and Community Nursing (Human Care & Health Series), Transcultural Nursing: Concepts, Theories, & Practices, Care: The Essence of Nursing and Health (Human Care : Essentials for Nursing, Well-Being and Survival), Reference Sources for Transcultural Health and Nursing. Today, Canadas population represents citizens who originate from more than 150 different countries, who speak over 100 languages and practice over several religions. 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. Leininger (1995) also discusses not only differences between cultures but the need to discover the similarities as well. Caring is an action or activity directed towards providing care. 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. At one time, Leininger revealed that her aunt who ailed a congenital heart disease worn her heart to the field of nursing (Sagar, 2012). Out of Stock. Campesino, 2009, contends that privilege, even regarding skin colour, white privilege, can significantly alter relationships. This black community arose to assert its voice as American citizens born in America and entitled to all the rights and benefits as promised by the American Constitution for the citizens of America (Ward, 2003). 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. Crystal Fuller, DNP February 28, 2017 PowerPoint Outline I. Dr. Madeleine . The second theoretical tenet implies worldviews and social structure factors. Culture care concepts, meanings, expressions, patterns, processes, and structural forms of care are different and similar among all cultures of the world. Environment I serve as a clinical staff nurse in the Respiratory Care Unit (RCU) at Jackson Health System where we deal with patients who suffer from tuberculosis. The following analysis of the theory, its conceptual model, incorporation with the four metaparadigm concepts, and the evidence-based examples facilitate a better understanding of the CCT and, hence, its successful implementation in the nursing practice. Later, in 1954, she received a Master of Science Degree in Nursing at the Catholic University of America. 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. A humanist perspective emphasizes notions of equality and individual freedom, and operates on an assumption of human commonality among people (Campesino, 2008, p. 299). Madeleine Leininger: Transcultural Nursing theory. This paper focuses on the two nursing theories comparison. 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). As mentioned above, the basic nursing conceptual model is incomplete for defining nursing. 1. Explains dugas, esson, and ronaldson's nursing . As such, I wonder to what extent Leininger compensated or thought about this influence. 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). Essential features of the transcultural nursing theory by Madeleine Leininger. It was the first theory directed toward discovering and applying culturally based research care knowledge in nursing that was gathered through cultural informants. In fact, these cultural valuation techniques pose the risk of time shortcomings where patient cases demand urgency. McFarland, M., & Wehbe-Alamah, H. (2015). The growing interest in the nursing discipline is what led her to pursue a doctoral programme in Cultural and Social Anthropology. These four are collectively referred to as metaparadigm for nursing. Person metaparadigm concept (definitions from Masters, 2015): Florence Nightingale: Recipient of nursing care (p. 28). Copyright 2003 - 2023 - NursingAnswers.net is a trading name of Business Bliss Consultants FZE, a company registered in United Arab Emirates. This theory differed from other nurses' work or mindset because nurse leaders relied heavily up on the four metaparadigm concepts of person, environment, health, and . 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 . Developed the Transcultural Nursing Model. Ethical and Moral Dimensions of Care (Human Care and Health Series) Madeleine Leininger. However, it is the manner in which the information is obtained that brings forth the question of whether or not it is actually true. and is a Registered Nurse. While it is important to look at a patient as a whole person from a physiological, psychological, spiritual, and social perspective, it is also important to take a patients culture and cultural background into consideration when deciding how to care for that patient. However, Leininger failed to explain the application of the theory where cultures exhibit common behaviours owing to the shared values, norms, attitudes, practices, knowledge, and/or language among other cultural characteristics. Theory can be utilized in all facets of nursing and promotes the advancement of education, knowledge and care in the profession. 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. 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 background. 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. Subsequently, the theory of Culture Care Diversity and Universality emerged. As Leininger explains in her theory, nursing is a culture care paradigm that she used to emphasise the importance of cultural congruence. A metaparadigm is the most general statement of discipline and functions as a framework in which the more restricted structures of conceptual models develop. In transcultural nursing, nurses practice according to the patients cultural considerations. 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). Leiningers culture care theory describes three of the four metaparadigms of nursing, namely people, nursing, and health. https://nursingbird.com/transcultural-nursing-theory-by-madeleine-leininger/. Blais and Hayes explain that central to Leininger's theory is the belief that cultures have differences in their ways of perceiving, knowing, and practicing care but that there are also commonalities about care among cultures . FIND INFO. Running Head: NURSE THEORIS, MADELEINE LEININGER Institutional Affiliation Student's Affiliation Date 1 NURSE White (2004) discusses that the study of epistemology is to figure out what can be recognized as true and not necessarily to present facts I tried to delve into how Leiningers assumptions about truth by looking into how she obtained and interpreted her knowledge. Josephine Paterson & Loreta Zderad 17. In her early clinical practices, . Kasper, C., & Zoucha, R. (2019). In 1992, Leininger claimed that more than 3000 international studies have been conducted, with over 300 ethnic groups having been researched and chronicled (Leininger, 1978). With that said, by providing culturally congruent care that is respectful towards various cultural beliefs, values, and practices, one might obtain the moral and ethical responsibility in terms of professional care. The evaluation of individuals in the process of cultural analysis forces the nurse to seek inherent cultural knowledge and values that exist within the client. 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). hbbd``b`$zc[$ d !~$b5 ! Finally, using cultural knowledge to treat a patient also helps a nurse to be open minded to treatments that can be considered non-traditional, such as spiritually based therapies like meditation and anointing. (Purnell & Paulanka, 2003; Geiger & Davidhizar, 2002; Papadopoulos, Tilki & Ayling, 2008; Andrews & Boyle, 2002; Spector, 2000; Camphina-Bacote, 1999). 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). Jeffreys (2008) reveals that the nurse anthropologist clearly stated the propositions for nursing by providing relevant inferences about the relationship between the health of individuals and their cultural identity. 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. Jeffreys (2008) reveals that the theory has sometimes led to the formulation of imprecise clinical decisions, especially where nurses fail to draw clear inferences about cultural congruence. Furthermore, it contributed to the project on increasing the medical personnel knowledge about cultures the health industry usually faces. April 16, 2022. https://studycorgi.com/evaluation-of-madeleine-leiningers-culture-care-theory/. Furthermore, Leininger discusses emic and etic knowledge (Leininger, 2010). 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. 00. . 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. Explains that the concept of person needs to be explored to go into further depth with the remaining concepts of the metaparadigm of nursing. I believe this particular philosophy is reflective of Leiningers perspective, especially in the 1960s and 1970s. Contributor: Jacqueline Fawcett September 3, 2018 Author - Madeleine M. Leininger, RN: PhD, CTN, FRCAN; FAAN; LL (Living Legend) Year First Published - 1991 Major Concepts CARE CARING CULTURE Technological factors Religious and philosophical factors Kinship and social factors Cultural values, beliefs, and lifeways Political and legal factors Economic factors Educational factors LANGUAGE . Nurses need to appreciate the knowledge about culture care for the best nursing customs. 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). 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. Leininger later developed the Sunrise Model; (1991). Madeleine Leininger's Transcultural Nursing: Nursing, Diversity And Universality Theory. Nursing as a concept of the metaparadigm is not agreeable to Leininger as it it is not logical to use nursing to explain nursing. The TNT is effective in transforming the caregivers practice that was previously less concentrated on patient diversity. In contrast, etic care knowledge was derived from outsider views of non-local or non-indigenous care values and beliefs (2010, p. 10). Health refers to a state of well-being that is culturally defined and valued by a designated culture. 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). xY6}WL+.yk>uQAvZVr$9~P?CD(Zg}o_)%qJ#N%o8 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. Alligood, M. (2018). Transcultural Nursing Theory by Madeleine Leininger. View -Order__802267.docx from BUSINESS S BBA/041J/2 at Technical University of Mombasa. In addition, the existential perspective acknowledges that culture is derived from values and meanings that contribute to the total being (Rajan, 1995). However, Leininger does not incorporate environment in her culture care theory. July 13, 1925 Dr. Madeleine M. Leininger was born in Sutton, Nebraska. abstract. In addition, Leiningers nursing theory fails to provide a lucid insight into disease symptoms and the processes of administering cure. In Madeleine Leininger s cultural care theory, she believed that cultural competency improved nursing practice. Leininger had some concern with the use of person which is one of the four metaparadigms from a transcultural knowledge perspective. 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. 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. Instead, care has the greatest epistemic and ontologic explanatory power to explain nursing. Caring is essential for well-being, health, healing, growth, and to face death. You are free to use it to write your own assignment, however you must reference it properly. Beneficial, healthy, and satisfying culturally-based nursing care contributes to the well-being of individuals, families, and communities within their environmental context. Nonetheless, the wholeness of the theory demands an in depth research to reveal the underlying assumptions that have left many questions for practitioners. Within hectic nursing everyday work, many situations might pose cultural challenges to the nurse. First of all, it helps nurses to be aware of ways in which the patients culture and faith system provide resources for their experiences with illness, suffering, and even death. Leininger describes them as, emic knowledge was the natural, local, indigenous root care values. Apparently, nurses also come from diverse world cultures. Leininger (1995) also discusses the use of her ethnonursing method enabled her (1995) to obtain the peoples ideas, values, beliefs, and practices of care and contrast them later with nurses knowledge (p. 99), and thereby enrich the cultural knowledge of nursing and nurses. Leiningers transcultural care theory uses inductive reasoning to elucidate congruent culture care norms and values. NursingBird, 16 July 2022, nursingbird.com/transcultural-nursing-theory-by-madeleine-leininger/. 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. Nola Pender: The individual, who is the primary focus of the model (p. 216). In 1995, Leininger defined transcultural nursing as a substantive area of study and practice focused on comparative cultural care (caring) values, beliefs, and practices of individuals or groups of similar or different cultures with the goal of providing culture-specific and universal nursing care practices in promoting health or well-being or to help people to face unfavorable human conditions, illness, or death in culturally meaningful ways.. "Evaluation of Madeleine Leiningers Culture Care Theory." The theory develops on the behavioural patterns and commonality of patients. With regards to the type of Leiningers knowledge I assume it to be conceptual knowledge (Schultz & Meleis, 1988). The model is holistic and addresses worldview, cultural values, beliefs and lifeways, cultural and social structural factors, it focuses on individuals, groups and institutions. As Omeri (2003) explains: The model demonstrates the different domains of the theory and is designed to guide the discovery of new transcultural knowledge through the identification and examination of the culturally universal. The theory also assumes that cultural values, beliefs, and practices remain the same for a particular culture. 2022. Leininger used her anthropological knowledge to develop the cultural knowledge of nurses. Madeleine Leininger (Transcultural Theory) Theoretical Foundations in Nursing - Interpersonal Relationship Theories and Theorists University University of Perpetual Help System DALTA Course Bachelor of Science in Nursing (BSN) Academic year2020/2021 Helpful? The world of the ethnographer today, they claim is a politically charged space (p.21) and as a consequence the act of researcher can no longer be viewed from a neutral or ostensibly objective perspective. Retrieved from https://studycorgi.com/evaluation-of-madeleine-leiningers-culture-care-theory/, StudyCorgi. Disclaimer: Services provided by StudyCorgi are to be used for research purposes only. Provide three evidence?based examples that demonstrate how the nursing theory supports nursing practice. Transcultural Nursing. 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. Leininger uncovered a core concept of care during her early education; this concept later became her motivation to specialize in transcultural nursing specifically . !hHVT=..uO#MD 6 ! Me(DzQtJ^^r%"$hj;Rx !&8!cxBqx{_Hv#T=@ kT endstream endobj 136 0 obj <>stream These elements can, therefore, guide nurses to apply the theory by the four meta-paradigms of nursing. StudyCorgi. Leiningers theory developed into a nursing discipline as a fundamental approach to nursing practice and a better understanding of health care delivery. "Transcultural Nursing Theory by Madeleine Leininger." Dewey (1938) stated that all genuine education comes through experience. The modes have greatly influenced the nurses ability to provide culturally congruent nursing care, as well as fostering culturally-competent nurses. 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.
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