https://nursingbird.com/transcultural-nursing-theory-by-madeleine-leininger/. Transcultural Nursing Theory and Models: Application in Nursing Education, Practice, and Administration. 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. Metaparadigm. (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 She suggests the use of the term human being as it is more accepted transculturally and carries respect and dignity for people and I agree with her (Leininger et al, 2006). Caring is a crucial concept to the delivery of holistic nursing services to tuberculosis patients. 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). Hence, its innovative approaches to public health should be focused on recognizing and embracing cultural diversity as if of utmost importance to all healthcare providers today (Busher Betancourt, 2016, p.1). 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). Leininger has defined health as a state of wellbeing that is culturally defined and constituted. 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). For more detailed information: Leiningers Culture Care Theory, Copyright 2023 Alice Petiprin, Nursing-Theory.org. Leiniger 1. 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. The environment has to be viewed from a holistic perspective that goes beyond the traditional focus of nurses on the biophysical and emotional environment (Leininger et al, 2006). (Clarke, 2009) The following page outlines the major concepts and definitions that make up this theory. A metaparadigm is a set of theories or ideas that provide structure for how a discipline should function. The nurses diagnosis of the patient should include any problems that may come up that involve the healthcare environment and the patients cultural background. 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). from 1961 to 1995, a lecturer from 1965 to 1995, a consultant from 1971 to 1992, and a leader in the field of. The theory has now developed into a discipline in nursing. abstract. With regard to the critical concerns about the metaparadigm concept, Leiningers approach is based on the modified perception of the nursing discipline that is primarily focused on care and culture. A conceptual map for generating nursing knowledge about teaching culture care using the CCT can be applied to nurse educators in various contexts. 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. Culture Care is the multiple aspects of culture that influence and help a person or group to improve their human condition or deal with illness or death. McFarland, M., & Wehbe-Alamah, H. (2015). xY6}WL+.yk>uQAvZVr$9~P?CD(Zg}o_)%qJ#N%o8 NursingBird. The CCTs goal is to provide culturally congruent care that contributes to the health and well-being of people or to help them address disabilities, dying, or death with the aid of three modes of culture care decisions and actions. As a result, two significant concepts of care and culture were included as the essence and the central dominant of nursing. Question The Role Of Theory And Practice Facilitated By Reflection Nursing Essay. 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). 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. The Nursing Metaparadigm There are four major concepts that are frequently interrelated and fundamental to nursing theory: person, environment, health, and nursing. theory and research and in professional practice. Leininger became an Associate . A metaparadigm is the most general statement of discipline and functions as a framework in which the more restricted structures of conceptual models develop. 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. Our nursing and healthcare experts are ready and waiting to assist with any writing project you may have, from simple essay plans, through to full nursing dissertations. 2022. 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. She holds a PhD in Cultural Anthropology and wrote her theory while studying in that field. This is a cognitive map to support and guide nursing practice. It begins with a culturalogical assessment, which takes the patients cultural background into consideration in assessing the patient and his or her health. April 16, 2022. https://studycorgi.com/evaluation-of-madeleine-leiningers-culture-care-theory/. 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. As a clinical stuff nurse, I use Leiningers transcultural nursing premise to discover the perceptions of patients towards tuberculosis. The modes have greatly influenced the nurses ability to provide culturally congruent nursing care, as well as fostering culturally-competent nurses. Entirely, patients in the RCU rely on nurses. The Transcultural Nursing theory first appeared in Leiningers Culture Care Diversity and Universality, published in 1991, but it was developed in the 1950s. Pfeffer (1998) explains this positivist approach to ethnicity in which facts are observed and boxes are ticked off (p.1382). 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 . During her work at a child-guidance home, she experienced . Once the assessment is complete, the nurse should use the culturalogical assessment to create a nursing care plan that also takes the patients cultural background into consideration. Madeleine Leiningers (1978) theory of transcultural nursing embodies the basis of this work: If human beings are to survive and live in a healthy, peaceful and The metaparadigm consists of four concepts: persons, environment, health, and nursing. Leininger describes them as, emic knowledge was the natural, local, indigenous root care values. 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. Madeleine Leininger : cultural care diversity and universality theory by Cheryl L Reynolds ( Book ) 4 editions published in 1993 in English and held by 398 WorldCat member libraries worldwide. Leininger describes herself as an anthropologist and a nurse. 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. 2022, studycorgi.com/evaluation-of-madeleine-leiningers-culture-care-theory/. The goal of transcultural nursing is to provide culturally congruent, sensitive and competent nursing care (Leininger, 1995, p.4). Leiningers transcultural care theory uses inductive reasoning to elucidate congruent culture care norms and values. In fact, these cultural valuation techniques pose the risk of time shortcomings where patient cases demand urgency. Transcultural Nursing : Concepts, Theories, Research and Practice. A body of knowledge is built up and maintained over time which contains the different cultural nuances, values and beliefs embedded in different ethnic groups and this is then used by nurses and can be relied upon to guide their practice. StudyCorgi. 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. In addition, I think that Leiningers theory may also be perceived as liberal, humanist perspective (Campesino, 2008). It requires transcultural nursing knowledge and appropriate research methods to explicate the phenomena. $lC&Fa - endstream endobj startxref 0 %%EOF 157 0 obj <>stream 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). Practically, culture care practices open up a clear path for communication between nurses and patients. Use discount. 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. (Fawcett,2002). Therefore, the theory development is based upon the four metaparadigm concepts of person, environment, health, and nursing in order to explain nursing. The Sunshine Model is Leiningers visual aid to the Culture Care Theory. She grew up on a farm near the city with her two brothers and two sisters. However, such an approach is vital in the nurses scope of care. That is, if one fails to examine the power differences within the social categories or cultures then it is possible to potentate these differences. Madeleine Leininger gained prominence all over the world in the field of cultural care. The nurse is the one responsible for providing care and engaging with a patient for the majority of his or her time receiving care. Open Document. 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). They tend to be embedded in such things as worldview, language, spirituality, kinship, politics and economics, education, technology, and environment. 41 Comments Please sign inor registerto post comments. In the Transcultural Nursing theory, nurses have a responsibility to understand the role of culture in the health of the patient. (2022, July 16). These elements can, therefore, guide nurses to apply the theory by the four meta-paradigms of nursing. 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. 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. Explain how the nursing theory incorporates the four metaparadigm concepts. Furthermore, the theory assumes the importance of knowledge about curing and healing. Rosemarie Rizzo Parse 13. 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. 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 core principle of the theory implies understanding and acceptance of everybodys background since it might be a determining factor in ones health status. Evaluation of Madeleine Leiningers Culture Care Theory. This situation leads to outcome imperceptions pertaining to the valuation of patients. 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. 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). Moreover, the John Hopkins Nursing Evidence-Based Practice Model (JHNEBP) is the practical model for applying evidence-based research into clinical practice (McFarland, & Wehbe-Alamah, 2015). In nonwestern cultures, using the term person or individual may be culturally taboo as it does not agree with the collectivism concept of the culture and are too egocentric whereas in western cultures, person and individualism are the dominating concepts. Culture Care Theory and the traditional nursing metaparadigm Care and culture are the key constructs that make up the Culture Care Theory. 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; 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. She earned several degrees, including a Doctor of Philosophy, a Doctor of Human Sciences, a Doctor of Science. Madeleine . Publication types Interview MeSH terms Holistic Nursing* Humans StudyCorgi. Ethnonursing is a conceptual framework that facilitates the study of nursing care factors in transcultural nursing (Sagar, 2012). 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. Nursing means to assist, support, or enable individuals or groups to maintain or regain their well-being in culturally meaningful and beneficial ways or to help people face handicaps or death (McFarland & Wehbe-Alamah, 2015, p. 20). Leininger developed new terms for the basic concepts of her theory. Madeleine Leininger was born on July 13, 1925 in Sutton, Nebraska. Transcultural Nursing Theory by Madeleine Leininger. 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 her early clinical practices, . 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). Until her death in 2012, she remained as one of nursing's most prolific writers and the foremost authorities throughout the world in the field of cultural care. 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. The conceptual models determine the perspective and produce evidence on the phenomenon on the specific issue. Madeleine Leininger. In Madeleine Leininger s cultural care theory, she believed that cultural competency improved nursing practice. 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. Leininger (1978) considered that nurses tended to rely on uni-cultural professional values which are largely defined from our dominant Anglo-American caring values and therefore unsuited for use in the nursing of people from other cultures (p.11). The idea of culture stems from an anthropological setting while the concept of care springs from a nursing context. These modes can stimulate nurses to design nursing actions and decisions using new knowledge and culturally based ways to provide meaningful and satisfying wholistic care to individuals, groups or institutions., Leiningers model has developed into a movement in nursing care called transcultural nursing. 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. To incorporate the theory into practice, Leininger established the Transcultural Nursing Society to harmonise the thoughts of nurses globally. . Therefore, there is a need to embolden the study, description, and prediction of nursing phenomenon by the use of congruent cultural nursing care practices. 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. As Leininger explains in her theory, nursing is a culture care paradigm that she used to emphasise the importance of cultural congruence. 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. The second theoretical tenet implies worldviews and social structure factors. The CCT has a worldwide implementation and value since it influenced the development of other modified disciplines. This applies to Leiningers theory as there are unknown truths about cultures to be discovered. Leininger's theory describes nursing as a powerful practice that focuses on the cultural attributes and perspectives of targeted clients. Leiningers theory was used as a framework for designing teaching modules that enable a transcultural education to healthcare providers, as well as staff personnel. Nurses are in constant and close interaction with others and all aspects of nursing needs a high degree of interpersonal communication (Pallen, 2000). We'll deliver a custom Nursing paper tailored to your requirements with a good discount. Culture is a set of beliefs held by a certain group of people, handed down from generation to generation. Thus all care modalities require coparticipation of the nurse and clients (consumers) working together to identify, plan, implement, and evaluate each caring mode for culturally congruent nursing care. Nurseslabs. Leininger (1995) also discusses not only differences between cultures but the need to discover the similarities as well. The nursing society facilitates various issues such as nursing consultation, learning, direct care, ethnonursing research, and policymaking via an online platform to develop universally accepted holistic methods that find their use in health care (Jeffreys, 2008). I believe, Leiningers theory was developed in a particular cultural context. .^\__b? *You can also browse our support articles here >. 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. Therefore, a theory is based on findings from the social structure, generic care, professional practices, and other aspects that promote culturally based care for patients. Generality The transcultural nursing theory is a qualitative oriented theory. Transcultural Nursing (A Wiley medical publication) Furthermore, it contributed to the project on increasing the medical personnel knowledge about cultures the health industry usually faces. 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). She explained this concept as a fundamental nursing component based on her experience and positive feedback from patients. 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. 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). We're here to answer any questions you have about our services. The theory's primary intention was to improve the universal patient satisfaction in a care delivery setup. hbbd``b`$zc[$ d !~$b5 ! Through this manner an appreciation for the similarities and differences of the culturally varied approaches to health can occur. Leininger was the first nurse to formally explore the relationship between patients and their different ethnic backgrounds. The theory has now developed into a discipline in nursing. We believe that this overview of the context lived by Leininger and her influences for the construction of a theory internationally accepted can be useful to whoever desires to apply it for the. N,\GXX>$&`Yj*7s E,F*`o= $sm@"mB@R StudyCorgi. It is investable to deal with culturally diverse patients in a multicultural society. madeleine leininger introduced her cultural care diversity and universality theory. 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. 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. However, it is the manner in which the information is obtained that brings forth the question of whether or not it is actually true. 00. . Registered office: Creative Tower, Fujairah, PO Box 4422, UAE. In contrast, etic care knowledge was derived from outsider views of non-local or non-indigenous care values and beliefs (2010, p. 10). This metaparadigm concept relates to the Leininger theory of culture care as it is focused on the modification of environmental factors to achieve better health. Read more in this paragraph please. 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. Essential features of the transcultural nursing theory by Madeleine Leininger. Leiningers point of views and theory resulted from both a nursing and an anthropological background (Leininger, 1995). And her theory has given rise and weight to these neglected concepts of nursing; care and culture (Leininger et al, 2006). f Leininger's professional career is recognized as an educator and academic administrator from 1956 to 1995, a writer. hUmo@+qSU]"UHC]BIRv6Pdcc Madeleine states of the impacts of the interaction of physical and social factors on the health and well-being of the people receiving care. This can be achieved when both the nurse and the patient creatively invent a new care lifestyle for the well-being and health of the patient. Compared to other fellow theorists of the 1950s and 1960s, Leiningers theory and methodology are focused on the qualitative paradigm. Students also viewed Subsequently, the theory of Culture Care Diversity and Universality emerged. Leiningers culture care diversity and universality: A worldwide nursing theory (3rd ed.). 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. 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 was further developed in her book Transcultural Nursing, which was published in 1995. July 16, 2022. https://nursingbird.com/transcultural-nursing-theory-by-madeleine-leininger/. It requires a very extensive geophysical and social knowledge. Such an approach examines a nursing practice within the notions of health, well-being, disabilities, and dying. It also helps strengthen a nurses commitment to nursing based on nurse-patient relationships and emphasizing the whole person rather than viewing the patient as simply a set of symptoms or an illness. Moreover, within the existential -phenomenological philosophy, human beings are viewed as subjects rather than objects (Rajan, 1995, pg. The theory acknowledges that patients belong to different cultures with different social beliefs and practices. In the contemporary world, the knowledge about cultural diversity has become increasingly important for 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). She does not believe that nursing should be a metaparadigm of nursing and I concur for the simple fact it seems illogical to me as well. "Evaluation of Madeleine Leiningers Culture Care Theory." This paper was written and submitted to our database by a student to assist your with your own studies. Well write a 100%plagiarism-free paper this fast! Leiningers Culture Care Theory finds its applicability in my nursing occupation. 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 differences and similarities between the nurse and patient exist in any human culture worldwide. The theory addresses the need to integrate nursing techniques and anthropological concepts to nurse diseases from a cultural outlook of a patient.