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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). 5+w cJ%VnnY>r ZE?-!Sq'bZ> 1CsMom$bSghGG -. Much of the theoretical work in nursing focused on articulating relationships among four major concepts: person, environment, health, and nursing. Leininger felt that the anthropologys most important contribution to nursing was to provide a foundation for the claim that health and illness states are primarily determined by the cultural background of the individual (Leininger, 1970, 1978) Her theory is in accord with the anthropological models that dominated in the 1960s when Leininger first undertook fieldwork in Papua Guinea, a study which she still continues to reference some 40 years later (Leininger & McFarland, 2003). The nurses diagnosis of the patient should include any problems that may come up that involve the healthcare environment and the patients cultural background. However, such an approach is vital in the nurses scope of care. 3 between culture and care. There is a growing need for suitable knowledge base that encompasses the requirements of education, research and practice and this paper seeks to offer nurses an examination and critique of Leiningers transcultural nursing theory that underpins transcultural nursing. This situation leads to outcome imperceptions pertaining to the valuation of patients. The results from the concept help me draw central conclusions that relate the recovery of the patients to their cultural backgrounds (Jeffreys, 2008). `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 In addition, the theory has helped nurses develop a multidimensional cultural competence that reinforces their roles and confidence of handling patients who suffer from different health conditions (Butts & Rich, 2010). Transcultural Nursing Theory and Models: Application in Nursing Education, Practice, and Administration. She recognized that a patients ethnicity had the potential to impact on health and illness. Undoubtedly, these cultural factors change with time due to modernity and influence. 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). Culture Care Theory and the traditional nursing metaparadigm Care and culture are the key constructs that make up the Culture Care Theory. 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). The qualitative paradigm provides new ways of knowing and different ways to discover the epistemic and ontological dimensions of human care. 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. These actions help a patient to modify personal health behaviors towards beneficial outcomes while respecting the patients cultural values. The theory has now developed into a discipline in nursing. f Leininger's professional career is recognized as an educator and academic administrator from 1956 to 1995, a writer. It begins with a culturalogical assessment, which takes the patients cultural background into consideration in assessing the patient and his or her health. With that said, Madeleine Leiningers theory appears to be a useful contribution to nursing education and has provided new insight into the clinical setting. Leiningers culture care theory describes three of the four metaparadigms of nursing, namely people, nursing, and health. Leininger like Watson also viewed caring as the essence of nursing and unique to the profession. This rapidly changing social environment and increased awareness of human rights and freedoms was the environment in which Leininger was originally writing. 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. I learnt that culture was a significant influence on behaviorsand I began to understand the important links between nursing and anthropology (p.23). She recognized that a patient's ethnicity had the potential to impact on health and illness. 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). They tend to be embedded in such things as worldview, language, spirituality, kinship, politics and economics, education, technology, and environment. 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. Within hectic nursing everyday work, many situations might pose cultural challenges to the nurse. This again questions the reliability of the results similar to the outdated anthropological approach to ethno-science in nursing. Sagar, P. (2012). N,\GXX>$&`Yj*7s E,F*`o= $sm@"mB@R However the field of anthropology has undergone a radical transformation of idea and has changes its position significantly over the last 20 yeas regarding patient representation (Marcus and Fischer, 1989). Provide support and rationale for each. 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). 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. The four metaparadigm concepts were negatively viewed by nursing theorist while developing the transcultural theory. Ethnonursing is a qualitative anthropological research method that is used for description, documentation, and explanation of nursing care concepts across disciplines (Sagar, 2012). 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. Norderstedt, Germany: GRIN Verlag. This term does not refer to health, specifically, as the construct health is used in many . View professional sample essays here. Open Document. Culture Care Diversity and Universality is illustrated in this model and it provides a framework for mapping and understanding a culture or subculture. 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. 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). 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). In this manner, the theory enhances eccentricity of each party, thereby deriving a solution-oriented methodology for administering the treatment of patients. Madeleine Leininger was born on July 13, 1925 in Sutton, Nebraska. madeleine leininger introduced her cultural care diversity and universality theory. In contemporary nursing contexts, nurses have used the culture care theory to describe, explain, predict, and document day-to-day experiences of their patients. Retrieved from https://studycorgi.com/evaluation-of-madeleine-leiningers-culture-care-theory/, StudyCorgi. Thanks to Madeleine Leiningers Transcultural Nursing theory, nurses can look at how a patients cultural background is involved in his or her health, and use that knowledge to create a nursing plan that will help the patient get healthy quickly while still being sensitive to his or her cultural background. (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 The use inductive reasoning makes the theory derive qualitative comparisons and inferences rather than quantitative inferences that nurses derived from traditional hypotheses. A nursing theorist defines each of these metaparadigm concepts in accordance with their worldview of nursing. 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. 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. The nurse from the etic or outside group can then understand the perpective of the emic group, combine it with the nursing philosophy of caring and use that to modify or vary nursing care and making it more appropriate. (2022, July 16). The goal of transcultural nursing is to provide culturally congruent, sensitive and competent nursing care (Leininger, 1995, p.4). Although Leininger claims to not be of the positivism perspective with regard to her theory (Leininger, 1995), I believe that her assumptions of truth could be viewed from a positivism perspective. The absence of care and culture in the metaparadigm demonstrated to Leininger, the nurses limited interest in these concepts or value in studying the aspect of care as a nursing concept. 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. Nursing is a learned profession with a disciplined focus on care phenomena. (2022) 'Evaluation of Madeleine Leiningers Culture Care Theory'. Thus a metaparadigm can be thought of as an overarching principle or umbrella covering our outlook that defines our practice. In 1966, she graduated from the University of Washington, Seattle, with a PhD in Cultural and Social Anthropology. hb```f``g`a``g`@ r49m% They should be thoroughly examined, assessed, and implemented in the dynamic nurse-client interrelation. 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. For more detailed information: Leiningers Culture Care Theory, Copyright 2023 Alice Petiprin, Nursing-Theory.org. 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). Beginning with an overview of the theory and its origins, this book presents the assumptions underlying the theory; the major concepts of the meta . 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. April 16, 2022. https://studycorgi.com/evaluation-of-madeleine-leiningers-culture-care-theory/. Through her observations while working as a nurse, she identified a lack of cultural and care knowledge as the missing component to a nurses understanding of the many variations required in patient care to support compliance, healing, and wellness. xY6}WL+.yk>uQAvZVr$9~P?CD(Zg}o_)%qJ#N%o8 There are many reasons its beneficial for nurses to use cultural knowledge of patients to treat them. As a clinical stuff nurse, I use Leiningers transcultural nursing premise to discover the perceptions of patients towards tuberculosis. Culture care differences and similarities between the nurse and patient exist in any human culture worldwide. 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). In addition, Leininger stresses the importance of rounded assessment of individuals, families, groups, and/or institutions in an attempt to deliver culturally congruent care. 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. Free resources to assist you with your nursing studies! 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. As Andrews (2008) proposes, Transcultural nurses have taken action and are transforming nursing and healthcare in many places in the world (p.13). 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. The efficiency of Leiningers theory lies in its purpose to better define the expectations of the nurse-patient relationship (Busher Betancourt, 2016, p. 2). Madeleine Leininger is broadly recognized as the founder of cultural theory in nursing. 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 . 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 . Apparently, nurses also come from diverse world cultures. Furthermore, Schultz & Meleis (1988) suggest that a person who uses conceptual knowledge uses knowledge from disciplines other than nursing. . Cut 15% OFF your first order. 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). NursingBird. It can be used for purposes such as teaching (to explain things), research (to understand them), and decision making (what to do next). 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). Leininger (1993) modified this original definition of culture to become more inclusive or the values and beliefs and she also began to refer to the learned, shared and transmitted values, beliefs, norms and life ways of a particular group that guide their thinking, decisions and actions in patterned ways and the ways of life of the members of a society, or of groups within a society(p.9). Professional nursing care is a concept that deploys professional care systems to elucidate inductive reasoning by prompting cognitive thoughts to develop formally assistive, supportive, facilitative, and enabling nursing techniques with a view of improving the patients health condition. Explains that the concept of person needs to be explored to go into further depth with the remaining concepts of the metaparadigm of nursing. Cultural Care Accommodation or Negotiation refers to creative nursing actions that help people of a particular culture adapt or negotiate with others in the healthcare community in an effort to attain the shared goal of an optimal health outcome for patients of a designated culture. The idea of culture stems from an anthropological setting while the concept of care springs from a nursing context. Culturally congruent care occurs when there is a meaningful and satisfactory match between the culture care beliefs, values and practices of the patient and the behavior of the nurse. Leiningers transcultural care theory uses inductive reasoning to elucidate congruent culture care norms and values. No plagiarism, guaranteed! As her knowledge is derived from two different disciplines it can be considered as being unique. If you need assistance with writing your nursing essay, our professional nursing essay writing service is here to help! In contrast, etic care knowledge was derived from outsider views of non-local or non-indigenous care values and beliefs (2010, p. 10). Nursing is the action taken by the nurse [ 2 ]. Dynamics of Diversity: Becoming Better Nurses through Diversity Awareness. 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. Jeffreys (2008) describes transcultural nursing as an approach to treatment that focuses on investigation of the patients cultural background prior to the development of a nursing plan. . 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. April 16, 2022. https://studycorgi.com/evaluation-of-madeleine-leiningers-culture-care-theory/. 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. person and individualism are the dominating concepts. Leiningers theory was used as a framework for designing teaching modules that enable a transcultural education to healthcare providers, as well as staff personnel. Alligood, M. (2018). Madeleine Leininger Transcultural Nursing Theory. The use of transcultural theory surpasses the wide-ranging human culture due to its universality that has facilitated the development of rounded health practices. 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. The theory holds that the assimilation of religious and cultural rites into the care plan can profoundly determine the recovery of the patient. Instead, care has the greatest epistemic and ontologic explanatory power to explain nursing. abstract. 5 Pages. 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? Metaparadigm. New York, NY: Springer Publishing Company, LLC. (Purnell & Paulanka, 2003; Geiger & Davidhizar, 2002; Papadopoulos, Tilki & Ayling, 2008; Andrews & Boyle, 2002; Spector, 2000; Camphina-Bacote, 1999). 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. Transcultural Nursing Theory by Madeleine Leininger. (2022, April 16). and is a Registered Nurse. 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). Philosophies And Theories For Advanced Nursing Practice. (2022, April 16). (2022, July 16). Leininger's culture care theory describes three of the four metaparadigms of nursing, namely people, nursing, and health. Subsequently, the theory of Culture Care Diversity and Universality emerged. 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. 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). Inopportunely, the fact that care is the central focus of nursing does not necessarily guarantee cure and healing. Lastly, cultural congruence is a formalist concept that builds on cultural dynamism. 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. theory and research and in professional practice. Madeleine Leininger's Cultural Theory as Applied to a Certified Registered Nurse Anesthesiologist Everyday the world becomes smaller and smaller. The conceptual models determine the perspective and produce evidence on the phenomenon on the specific issue. 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. In addition, the existential perspective acknowledges that culture is derived from values and meanings that contribute to the total being (Rajan, 1995). Madeleine Leininger Views on the 4 Metaparadigms Leininger was the first nurse to formally explore the relationship between patients and their different ethnic backgrounds. Environment 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. "Evaluation of Madeleine Leiningers Culture Care Theory." StudyCorgi. If you are the original creator of this paper and no longer wish to have it published on StudyCorgi, request the removal. 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). The modes have greatly influenced the nurses ability to provide culturally congruent nursing care, as well as fostering culturally-competent nurses. Our nursing niche receives worldwide patients from culturally diverse regions such as Florida, Haiti, Thai, and South America among other regions. She attend Sutton High School and graduated upon completion. I question whether Leininger did this, for I could not find any discussion regarding the potential for power difference (Leininger, 1995 & Leininger, 2010 *******ADD MORE REFERENCES HERE). 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.