Madeleine Leininger: Human being, family, group, community, or institution (p. 182). The Transcultural Nursing Theory pursues discovering, documenting, knowing, and explaining the interdependence of care and culture phenomena with differences and similarities between and among cultures (Kasper & Zoucha, 2019, p. 3). That is, if one fails to examine the power differences within the social categories or cultures then it is possible to potentate these differences. That is, as Leininger (1995) discusses the importance of understanding the others perspective Rajan (1995) contends that, Leininger demonstrates a phenomenological approach (p.452). 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). Ethnonursing is a qualitative anthropological research method that is used for description, documentation, and explanation of nursing care concepts across disciplines (Sagar, 2012). 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). The concept of environment is complex and is a multifaceted dimension in all cultures. Leininger (1995) also communicates the importance of being aware of not providing care from an ethnocentric perspective, which is also supported by this philosophy (Rajan, 1995). In addition, the existential perspective acknowledges that culture is derived from values and meanings that contribute to the total being (Rajan, 1995). During the 1980s, anthropology underwent what has been deemed a crisis of representation (Clifford & Marcus, 1986; Geertz, 1988; Marcus and Fischer, 1986). Madeleine Leininger is broadly recognized as the founder of cultural theory in nursing. The theory also assumes that cultural values, beliefs, and practices remain the same for a particular culture. Anne Boykin & Savina Schoenhofer 15. For more detailed information: Leiningers Culture Care Theory, Copyright 2023 Alice Petiprin, Nursing-Theory.org. The fourth meta-paradigm is nursing. 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be treated as an authoritative source of information when forming medical opinions as information may be inaccurate or out-of-date. Kasper, C., & Zoucha, R. (2019). Question 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 . 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 presentation of the model correlates with the anthropological concepts that help nurses elucidate knowledge about multicultural beliefs, values, norms, and practices. Leiningers theory finds its application in a number of nursing occupations in areas such as education, informatics, administration, and/or general nursing practice. 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. 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). Therefore, the theory development is based upon the four metaparadigm concepts of person, environment, health, and nursing in order to explain nursing. 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. Alligood, M. (2018). Leininger was the first nurse to formally explore the relationship between patients and their different ethnic backgrounds. 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). Josephine Paterson & Loreta Zderad 17. As Leininger explains in her theory, nursing is a culture care paradigm that she used to emphasise the importance of cultural congruence. StudyCorgi. 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. (2022) 'Evaluation of Madeleine Leiningers Culture Care Theory'. Kindle. It is very clear that Leiningers Culture Care Theory has shed light on the weaknesses of this metaparadigm of nursing. Ethno science provided a means to obtain local or indigenous peoples viewpoints, beliefs and practices about nursing care or the modes of caring behaviors and processes of the designated cultural group for use in providing nursing care (specifically ethno-nursing) to that particular group (Leininger, 1978, p.15). Explains dugas, esson, and ronaldson's nursing . Theory can be utilized in all facets of nursing and promotes the advancement of education, knowledge and care in the profession. "Transcultural Nursing Theory by Madeleine Leininger." 2057 Words9 Pages. Canada is a country that is differentiated by a tradition of continued and changing settlement. With that said, Madeleine Leiningers theory appears to be a useful contribution to nursing education and has provided new insight into the clinical setting. The theory has now developed into a discipline in nursing. 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. Care, which assists others with real or anticipated needs in an effort to improve a human condition of concern, or to face death. These metaparadigm concepts are defined below: Care. It is a theoretical and logical contraindication to use the same term to explain or predict the same phenomenon. (Leininger et al, 2006, p. 7). f Leininger's professional career is recognized as an educator and academic administrator from 1956 to 1995, a writer. 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. As nurses immerse themselves in cultural education and adopt care that addresses patients cultural expectations, they implement a culturally congruent nursing process. Leininger's theory describes nursing as a powerful practice that focuses on the cultural attributes and perspectives of targeted clients. The second assumption is that caring is necessary for . 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. It is useful and applicable to both groups and individuals with the goal of rendering . Leininger uncovered a core concept of care during her early education; this concept later became her motivation to specialize in transcultural nursing specifically . Caring is an action or activity directed towards providing care. This situation leads to outcome imperceptions pertaining to the valuation of patients. In this manner, the theory enhances eccentricity of each party, thereby deriving a solution-oriented methodology for administering the treatment of patients. Apart from the defined concepts, Leininger's theory is based on several assumptions that are related to the defined concepts. The theory addresses the need to integrate nursing techniques and anthropological concepts to nurse diseases from a cultural outlook of a patient. Leininger explicitly defined the conceptual framework for her culture care theory. The concept of health has great importance in Leiningers Culture Care theory but has been viewed by Leininger in a different perspective than traditionally implied. 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. 2022. Madeleine Leininger's Cultural Theory as Applied to a Certified Registered Nurse Anesthesiologist Everyday the world becomes smaller and smaller. 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. 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). Objectives Leininger's Background View of the four nursing metaparadigms Concepts specific for transcultural nursing theory Propositions of the theory Analysis and Critique of the theory Implications for nursing, practice, education, and research The CCT has a worldwide implementation and value since it influenced the development of other modified disciplines. Thus a metaparadigm can be thought of as an overarching principle or umbrella covering our outlook that defines our practice. 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. Person metaparadigm concept (definitions from Masters, 2015): Florence Nightingale: Recipient of nursing care (p. 28). "Evaluation of Madeleine Leiningers Culture Care Theory." hbbd``b`$zc[$ d !~$b5 ! She holds a PhD in Cultural Anthropology and wrote her theory while studying in that field. As Andrews (2008) proposes, Transcultural nurses have taken action and are transforming nursing and healthcare in many places in the world (p.13). Get to know Madeleine Leininger's biography, theory application and its major concepts in this nursing theory study guide. White (2004) states, what is count as the truth is constantly contested, but what is not usually contested is that there is truth to be found (p.10). 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. Disclaimer: This essay has been written by a student and not our expert nursing writers. https://nursingbird.com/transcultural-nursing-theory-by-madeleine-leininger/. Every human culture has lay care knowledge and practices and usually some professional care knowledge and practices which vary transculturally. Culture Care Diversity and Universality is illustrated in this model and it provides a framework for mapping and understanding a culture or subculture. NursingBird. Compared to other fellow theorists of the 1950s and 1960s, Leiningers theory and methodology are focused on the qualitative paradigm. 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. Instead, the nurse anthropologist talks about worldviews, social constructions, and societal contexts (Butts & Rich, 2010). Furthermore, McFarland & Wehbe-Alamah (2015) state that it was used to tease out largely unknown data about culture care (p. 19). 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). The major concepts of the theory include transcultural nursing, ethnonursing (aforementioned), professional nursing care, and cultural congruence. Retrieved from https://studycorgi.com/evaluation-of-madeleine-leiningers-culture-care-theory/, StudyCorgi. In fact, these cultural valuation techniques pose the risk of time shortcomings where patient cases demand urgency. Culture Care Diversity refers to the differences in meanings, values, or acceptable forms of care in or between groups of people. Leininger has defined health as a state of wellbeing that is culturally defined and constituted. "Transcultural Nursing Theory by Madeleine Leininger." 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. View professional sample essays here. NursingBird, 16 July 2022, nursingbird.com/transcultural-nursing-theory-by-madeleine-leininger/. I believe, Leiningers theory was developed in a particular cultural context. Culture care concepts, meanings, expressions, patterns, processes, and structural forms of care are different and similar among all cultures of the world. They are: cultural preservation or maintenance, cultural care accomodation or negotiation, and cultural care repatterning or restructuring. Madeleine Leininger: Transcultural Nursing theory. (2022, April 16). 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. and is a Registered Nurse. She had four brothers and sisters, they lived on a farm. An historical overview of Leininger's Theory of Culture Care Diversity and Universality also known as the Culture Care Theory (CCT) and evolution of the Sunrise Enabler are presented along with descriptions of the theory purpose, goal, tenets, basic assumptions, major core constructs, and orientatio "Evaluation of Madeleine Leiningers Culture Care Theory." hUmo@+qSU]"UHC]BIRv6Pdcc 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. Do you have a 2:1 degree or higher in nursing or healthcare? Leiningers theory developed into a nursing discipline as a fundamental approach to nursing practice and a better understanding of health care delivery. Running Head: NURSE THEORIS, MADELEINE LEININGER Institutional Affiliation Student's Affiliation Date 1 NURSE However, Leininger does not incorporate environment in her culture care theory. 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 theory has now developed into a discipline in nursing. 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. Nursing as a concept of the metaparadigm is not agreeable to Leininger as it it is not logical to use nursing to explain nursing. Philosophy of nursing is what an individual believes that nursing is. Butts, J.B. & Rich, K.L. Furthermore, the theory assumes the importance of knowledge about curing and healing. These minority groups were to become substantial and ever increasing groups, thus contributing to the social heterogeneity of America (Gabbacia, 2002). It explains the interaction between the provider of culture care and the patient (Jeffreys, 2008). Numerous concepts have been developed in the light of the culture care theory. Caring Imperative in Education (41-2308) Madeleine Leininger. Metaparadigm Concepts as Defined in Leininger's Theory Metaparadigm Concept Description Person Human being, family, group, community or institution Nursing Activities directed toward assisting, supporting, or enabling with needs in ways that are congruent with the cultural values, beliefs, and lifeways of the recipient of care. Therefore, it guides nurses to establish the best criteria for administering treatment by developing all-inclusive nursing decisions for patients. 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. 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. Sudbury. hb```f``g`a``g`@ r49m% About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features Press Copyright Contact us Creators . A nursing theorist defines each of these metaparadigm concepts in accordance with their worldview of nursing. While transcultural concepts seek the knowledge about the cultural background, ethnonursing concepts enable the nurse analyse the specific cultural factors by relating them to the patients health (Butts & Rich, 2010). Nursing scholars and clinicians around the Western world identify and articulate a need to develop greater understanding about cultural care capacity, but they remain unsure about how to increase their knowledge of and ability to work with ethnically and socially diverse patient groups (Murphy & MacLeod, 1993; Bond, Kardong-Edgren & Jones, 2001; Grant & Letzring, 2003; Sergent, Sedlak & Martsolf, 2005; Allen, 2006). 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. Crystal Fuller, DNP February 28, 2017 PowerPoint Outline I. Dr. Madeleine . 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. Taruis Disease Due To Phosphofructokinase 1 Deficiency, E-Learning and Its Advantages in Nursing Education. Cultural Care Preservation or Maintenance refers to nursing care activities that help people from particular cultures to retain and use core cultural care values related to healthcare concerns or conditions. The Transcultural Nursing Theory addresses both general practice and specialty and aims at providing culturally coherent nursing care. 2. Explains that the concept of person needs to be explored to go into further depth with the remaining concepts of the metaparadigm of 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. All cultures have their ways of maintaining health which have similarities and differences to other cultures and understanding these components of health such as the particular cultures rules for wellness, how cultures know, transmit and practice healthcare, intergenerational practices and so on have to be discovered, understood and respected in order to provide health and well-being to that particular culture. With regards to the type of Leiningers knowledge I assume it to be conceptual knowledge (Schultz & Meleis, 1988). As mentioned above, the basic nursing conceptual model is incomplete for defining nursing. Leininger had some concern with the use of person which is one of the four metaparadigms from a transcultural knowledge perspective. Open Document. Moreover, the truth is determined according to knowledge that has been sanctioned by Euro-Western standards and claimed by experts (p. 73). Madeleine Leininger: Cultural Care Diversity and Universality Theory (Notes on Nursing Theories) by Cheryl Reynolds and Madeleine Leininger | Oct 15, 1993. 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. 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. (2022, July 16). By conceptualizing the theory, one might define a basic theoretical tenet, which is described by Alligood (2018) as care diversities and universalities that co-exist among cultures (p. 347). 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.. Before her demise in 2012, Madeleine Leininger had served numerous leadership positions as a nursing theorist consultant and professor of nursing and anthropology in a variety of universities in the United States. This again questions the reliability of the results similar to the outdated anthropological approach to ethno-science in nursing. (2010). The Downtown Review, 2(1), 1-7. The core principle of the theory implies understanding and acceptance of everybodys background since it might be a determining factor in ones health status. If you need assistance with writing your nursing essay, our professional nursing essay writing service is here to help! If you are the original creator of this paper and no longer wish to have it published on StudyCorgi, request the removal. 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). Transcultural Nursing : Concepts, Theories, Research and Practice. Campesino, 2009, contends that privilege, even regarding skin colour, white privilege, can significantly alter relationships. 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. 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. In the third edition of Transcultural Nursing, published in 2002, the theory-based research and the application of the Transcultural theory are explained. N,\GXX>$&`Yj*7s E,F*`o= $sm@"mB@R April 16, 2022. https://studycorgi.com/evaluation-of-madeleine-leiningers-culture-care-theory/. In the contemporary world, the knowledge about cultural diversity has become increasingly important for nurses. 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. Leiningers culture care diversity and universality: A worldwide nursing theory (3rd ed.). Nurses need to know how to effectively relate to and communicate with those patients in their care (Pallen, 2000). 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. 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). Joining them were the Native American peoples, formally socially dislocated and disempowered during those eras of colonization and immigration. Nurseslabs. 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. xY6}WL+.yk>uQAvZVr$9~P?CD(Zg}o_)%qJ#N%o8 Disclaimer: Services provided by StudyCorgi are to be used for research purposes only. 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. She recognized that a patients ethnicity had the potential to impact on health and illness. A humanist perspective emphasizes notions of equality and individual freedom, and operates on an assumption of human commonality among people (Campesino, 2008, p. 299). 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. This term does not refer to health, specifically, as the construct health is used in many . Furthermore, Leininger discusses emic and etic knowledge (Leininger, 2010). Classifications of ethnicity employ mechanisms such as skin color, religion, name, nationality, anything which allows a marker to be developed and people assigned to it in the interests of determining who they are and how we must respond to them and their needs. From her studies in anthropology, Leiningers theory of cultural care was published in 1967 and over a 40 year plan it has been further developed and refined. Beginning with an overview of the theory and its origins, this book presents the assumptions underlying the theory; the major concepts of the meta . madeleine leininger introduced her cultural care diversity and universality theory. Dynamics of Diversity: Becoming Better Nurses through Diversity Awareness. 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. Therefore, it is essential to consider the fundamental role of communication and accommodation to gain insight from the patient on his cultural background. 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 . The Transcultural Nursing theory first appeared in Leiningers Culture Care Diversity and Universality, published in 1991, but it was developed in the 1950s. In addition, Leininger stresses the importance of rounded assessment of individuals, families, groups, and/or institutions in an attempt to deliver culturally congruent care. This is also analogous with the swift social change that the nursing world is facing today, on a worldwide scale. 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).
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