The metaparadigm is a conceptual framework or an idea-map about how something works. Therefore, the theory development is based upon the four metaparadigm concepts of person, environment, health, and nursing in order to explain nursing. Canada is recognized as a multicultural nation. 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. 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. The theory's primary intention was to improve the universal patient satisfaction in a care delivery setup. Evaluation of Madeleine Leiningers Culture Care Theory. The concepts of Dr. Leininger's Theory In response to the question: How does your theory rely upon the four nursing paradigms of person, environment, health, and nursing, Dr Leininger replied: "The four nursing paradigms are too restrictive for open discovery about culture and care". Leininger used this inductive technique to study the beliefs, values, language, attitudes, and norms of different cultures in a nursing context. If nurses are to be effective in meeting the needs of their patients, nursing practices must be better informed and modified to address a wider cultural range of patients. 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. 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. 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. Nursing is an evolving discipline in the development of science i.e. 16 July. The delivery of nursing care is a significantly social activity. 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. 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.. 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. 452). John Diefenbaker, prime minister of Canada (1957-1963). July 16, 2022. https://nursingbird.com/transcultural-nursing-theory-by-madeleine-leininger/. Kindle. 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. Leininger describes herself as an anthropologist and a nurse. Kasper, C., & Zoucha, R. (2019). The social environment within which nursing takes place in Canada is multicultural (no ref). The model is holistic and addresses worldview, cultural values, beliefs and lifeways, cultural and social structural factors, it focuses on individuals, groups and institutions. It is useful and applicable to both groups and individuals with the goal of rendering . Culture care concepts, meanings, expressions, patterns, processes, and structural forms of care are different and similar among all cultures of the world. 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. For this reason, Madeleine Leiningers theory of culture care remains a central concept in nursing. Madeleine Leininger: Cultural Care Diversity and Universality Theory (Notes on Nursing Theories) by Cheryl Reynolds and Madeleine Leininger | Oct 15, 1993. Health refers to a state of well-being that is culturally defined and valued by a designated culture. Our nursing niche receives worldwide patients from culturally diverse regions such as Florida, Haiti, Thai, and South America among other regions. StudyCorgi, 16 Apr. They tend to be embedded in such things as worldview, language, spirituality, kinship, politics and economics, education, technology, and environment. 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; Environment Madeleine Leininger's Cultural Theory as Applied to a Certified Registered Nurse Anesthesiologist Everyday the world becomes smaller and smaller. According to Nancy Edgecombe, thinking and writing take places in a certain social location that echoes the culture and context of the theorist and this context will inspire the style of ideas development. 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. MADELEINE LEININGER -Naci el 13 Julio de 1925 en Sutton, Nebraska- Muri el 10 de agosto de 2012. Use discount. St. Louis, MO: Elsevier. This is a cognitive map to support and guide nursing practice. Leininger became an Associate . Nursing theories hold that individuals with diverse cultural origins may have varied needs for health. It involves the understanding of different cultures when . In 1969 Leininger established the first course in transcultural nursing in the United States and in 1977 initiated the first masters and doctoral programs specific to that field. f Leininger's professional career is recognized as an educator and academic administrator from 1956 to 1995, a writer. 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. (2022, April 16). The chosen theory for this paper is Madeleine Leininger's Culture Care Diversity and Universality care theory. Ethical and Moral Dimensions of Care (Human Care and Health Series) Madeleine Leininger. 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. Finally, she defines health as a condition of an individual or groups wellbeing that characterises culturally defined values and practices that necessitate everyday activities in socially expressive, valuable, and premeditated ways of life. Rajan (1995) explains that existentialism gives an account of how an individual consciousness apprehends existence (p. 452). 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. 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. Furthermore, Leininger discusses emic and etic knowledge (Leininger, 2010). xY6}WL+.yk>uQAvZVr$9~P?CD(Zg}o_)%qJ#N%o8 The concept of Leinginger's Transcultural theory considers not only the global application and definition of nursing, but considers the particular component of transculturalism wherein the concept, scope and purpose of the theory lies in the more details incorporation of culture for nursing care. It explains the key concepts, characteristics, components, and assumptions in nursing theories developed by Leininger and Henderson. A metaparadigm is a set of theories or ideas that provide structure for how a discipline should function. 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. Advances in technology help us communicate with the other side of the world in less than a blink of an eye. Instead, care has the greatest epistemic and ontologic explanatory power to explain nursing. 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. No plagiarism, guaranteed! 4.4/5 on reviews.co.uk. * 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. Leininger's culture care theory describes three of the four metaparadigms of nursing, namely people, nursing, and health. These theories offered nurses a new approach to knowledge and provided a means to systematically order, analyze and interpret information and buy, doing so, develop nursing knowledge through which nurses might evaluate their thinking and reflect on their actions during patient care ( Pearson, 2007; Nancy Edgecombe) Culture Care diversity and Universality was written in the style of an American mid-range theory of the time and Leininger employed the concepts of person, environment, nursing and health which were popular with American theorists. 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. 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. 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 nurses diagnosis of the patient should include any problems that may come up that involve the healthcare environment and the patients cultural background. 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). Therefore, there is always an unending need for our nurses to understand the knowledge about cultural diversity to facilitate the recovery of clients by virtue of universality. It addresses nursing care from a multicultural and worldview perspective. The CCT has a worldwide implementation and value since it influenced the development of other modified disciplines. 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). Through this manner an appreciation for the similarities and differences of the culturally varied approaches to health can occur. Madeleine Leininger is broadly recognized as the founder of cultural theory in nursing. She recognized that a patient's ethnicity had the potential to impact on health and illness. The four metaparadigm concepts were negatively viewed by nursing theorist while developing the transcultural theory. NursingBird, 16 July 2022, nursingbird.com/transcultural-nursing-theory-by-madeleine-leininger/. In the contemporary world, the knowledge about cultural diversity has become increasingly important for nurses. Transcultural Nursing Theory by Madeleine Leininger, Website Evaluation: Kids Health as an Internet Resource for Learning About Nursing, Technology and Healthcare: Shortage of Healthcare Providers and the Aging Demographics, Quality Management and Nurse Administrators Role, Professionalism and Professional Conduct of Nursing Practice, The Effects of Workplace Conflict on Nurses Work and Patients, The American Association of Nurse Practitioners as one of the Major Certification Bodies, The Significance of National Certification, Pupil Nurses Transition to the Workforce, Regulations Change in Community Health Nursing, Madeleine Leininger and the transcultural theory of nursing. 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). Running Head: NURSE THEORIS, MADELEINE LEININGER Institutional Affiliation Student's Affiliation Date 1 NURSE Margaret Newman 16. This is also analogous with the swift social change that the nursing world is facing today, on a worldwide scale. Leininger identified three nursing decisions and actions that achieve culturally friendly care for the patient. 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. Leininger was the first nurse to formally explore the relationship between patients and their different ethnic backgrounds. 132 0 obj
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Practically, culture care practices open up a clear path for communication between nurses and patients. From its beginning, transcultural nursing has existed within a framework of race and ethnicity, with the fundamental promise that the term culture refers primarily, if not exclusively to ethnicity. Leininger developed new terms for the basic concepts of her theory. 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. *You can also browse our support articles here >. 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, 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. Leiningers theory developed into a nursing discipline as a fundamental approach to nursing practice and a better understanding of health care delivery. transcultural nursing from 1966 . Contrast Of Roy And Orems Nursing Theory Nursing Essay. Busher Betancourt, D. (2016). As a result, two significant concepts of care and culture were included as the essence and the central dominant of nursing. Madeleine Leininger. N,\GXX>$&`Yj*7s E,F*`o= $sm@"mB@R Dewey (1938) stated that all genuine education comes through experience. The transcultural concept serves as a rationale for gathering valuable information about the correlation between their health and cultural perceptions. 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. The major concepts of the theory include transcultural nursing, ethnonursing (aforementioned), professional nursing care, and cultural congruence. 11. 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. A humanist perspective emphasizes notions of equality and individual freedom, and operates on an assumption of human commonality among people (Campesino, 2008, p. 299). It seems to me that she is comparing the other culture to her own. These concepts do not exist independent of each other, and it is essential to evaluate individual patient's needs considering these four elements. 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 . foods and meal preparation and related lifeways. Madeleine Leininger who lived from 13 July 1925 to 10 August 2012 was an author, scholar, professor, administrator, consultant, and a nursing theorist and anthropologist (Jeffreys, 2008). 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. These observations lead Leininger to develop an interest in anthropology. Leininger explicitly defined the conceptual framework for her culture care theory. The second assumption is that caring is necessary for . (2022, July 16). Nonetheless, the wholeness of the theory demands an in depth research to reveal the underlying assumptions that have left many questions for practitioners. NursingBird. Within hectic nursing everyday work, many situations might pose cultural challenges to the nurse.