`F[4Y {8eRQ endstream endobj 133 0 obj <>/OCGs[146 0 R]>>/PageLabels 123 0 R/Pages 125 0 R/Type/Catalog>> endobj 134 0 obj <> endobj 135 0 obj <>stream Margaret Newman 16. The interrelatedness between these concepts conceives sound nursing decisions for the treatment of patients. For this reason, Madeleine Leiningers theory of culture care remains a central concept in nursing. !hHVT=..uO#MD 6 ! Me(DzQtJ^^r%"$hj;Rx !&8!cxBqx{_Hv#T=@ kT endstream endobj 136 0 obj <>stream The capacity to provide appropriate cross-cultural care must be an essential attribute of contemporary nursing practice. 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. 452). 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). 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. This again questions the reliability of the results similar to the outdated anthropological approach to ethno-science in nursing. Upon graduation from Sutton High School Madeleine decided that she was going to attend college but she was unsure on which course to choose. 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be treated as an authoritative source of information when forming medical opinions as information may be inaccurate or out-of-date. As a clinical stuff nurse, I use Leiningers transcultural nursing premise to discover the perceptions of patients towards tuberculosis. New York, NY: Springer Publishing Company. The nurses assessment of the patient should include a self-assessment that addresses how the nurse is affected by his or her own cultural background, especially in regards to working with patients from culturally diverse backgrounds. A nursing theorist defines each of these metaparadigm concepts in accordance with their worldview of nursing. (Fawcett,2002). The qualitative paradigm provides new ways of knowing and different ways to discover the epistemic and ontological dimensions of human care. Much of the theoretical work in nursing focused on articulating relationships among four major concepts: person, environment, health, and nursing. hUmo@+qSU]"UHC]BIRv6Pdcc 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). The Nursing Metaparadigm There are four major concepts that are frequently interrelated and fundamental to nursing theory: person, environment, health, and nursing. Do you have a 2:1 degree or higher in nursing or healthcare? Ethnonursing is a qualitative anthropological research method that is used for description, documentation, and explanation of nursing care concepts across disciplines (Sagar, 2012). A metaparadigm is the most general statement of discipline and functions as a framework in which the more restricted structures of conceptual models develop. Leiningers culture care diversity and universality: A worldwide nursing theory (3rd ed.). 11. The second assumption is that caring is necessary for . The model is holistic and addresses worldview, cultural values, beliefs and lifeways, cultural and social structural factors, it focuses on individuals, groups and institutions. Leiniger 1. Nola Pender: The individual, who is the primary focus of the model (p. 216). 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. Madeleine Leininger's Cultural Theory as Applied to a Certified Registered Nurse Anesthesiologist Everyday the world becomes smaller and smaller. New York, NY: Springer Publishing Company, LLC. The American Civil rights movement was just starting to find its footing when Leininger began her work in the 1950s. The efficiency of Leiningers theory lies in its purpose to better define the expectations of the nurse-patient relationship (Busher Betancourt, 2016, p. 2). There are many reasons its beneficial for nurses to use cultural knowledge of patients to treat them. In fact, these cultural valuation techniques pose the risk of time shortcomings where patient cases demand urgency. Entirely, patients in the RCU rely on nurses. 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). With that said, Madeleine Leiningers theory appears to be a useful contribution to nursing education and has provided new insight into the clinical setting. Madeleine Leininger's theory of care and nursing is a prime example of how knowledge taken from one field can synergistically benefit another (Leininger, 1988). To become culturally competent nurses must require preparation and must undertake a course of theoretical study which gives them the ability to carry out etho-science research, culture based assessment and develop the cultural sensitivity required to design and implement culturally relevant nursing interventions (Leininger, 1978, 1981, 1984, 1988, 1995, 1998, 2002). The theory acknowledges that patients belong to different cultures with different social beliefs and practices. In the third edition of Transcultural Nursing, published in 2002, the theory-based research and the application of the Transcultural theory are explained. Madeleine Leininger. She is a Certified Transcultural Nurse, a Fellow of the Royal College of Nursing in Australia, and a Fellow of the American Academy of Nursing. At one time, Leininger revealed that her aunt who ailed a congenital heart disease worn her heart to the field of nursing (Sagar, 2012). theory and research and in professional practice. 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. "Transcultural Nursing Theory by Madeleine Leininger." Leininger like Watson also viewed caring as the essence of nursing and unique to the profession. 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). In addition, I think that Leiningers theory may also be perceived as liberal, humanist perspective (Campesino, 2008). Given this crisis, which changed the approaches taken to both methodology and method in anthropology, the original ethnographical approach utilized by Leininger and still employed for the methodology of ethno-science and data collection in transcultural nursing, may not be relevant or as able to claim truths as it was once believed. Explain how the nursing theory incorporates the four metaparadigm concepts. We believe that this overview of the context lived by Leininger and her influences for the construction of a theory internationally accepted can be useful to whoever desires to apply it for the. Madeleine . FIND INFO. 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). This term does not refer to health, specifically, as the construct health is used in many . 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). 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). 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. 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. It requires a very extensive geophysical and social knowledge. This is also analogous with the swift social change that the nursing world is facing today, on a worldwide scale. 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. MADELEINE LEININGER -Naci el 13 Julio de 1925 en Sutton, Nebraska- Muri el 10 de agosto de 2012. 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. Leininger acknowledges that the reason she met opposition regarding her theory was as a result of nursing adhering to the medical model which only valued the biophysical and the psychological aspects of humans (Leininger, 1995). Beginning with an overview of the theory and its origins, this book presents the assumptions underlying the theory; the major concepts of the meta . Sagar (2012) attests that the culture theory holds that diverse cultures perceive, understand, and exercise care in different ways. Use discount. 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. Culture Care Universality refers to common care or similar meanings that are evident among many cultures. There can be no curing without caring. Get to know Madeleine Leininger's biography, theory application and its major concepts in this nursing theory study guide. Moreover, within the existential -phenomenological philosophy, human beings are viewed as subjects rather than objects (Rajan, 1995, pg. 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. Alligood, M. (2018). The Transcultural Nursing Theory addresses both general practice and specialty and aims at providing culturally coherent nursing care. 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).
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