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Essays on cultural competence in nursing care
Middle range theory in nursing
Middle range theory in nursing
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Application of Middle range theory to problem
Summary of Problem
Language Barrier continues to be a challenge for nurses in the nursing profession. Language Barrier in nursing creates moments of miscommunication, mistrust and sometimes incompetence in nursing. When language is impaired misconception and distrust may occur. Valuable information may be lost as a result of language barrier. When valuable information is lost very often the patient is placed in the path of life threatening situation. In the school health setting, language barrier makes it very difficult to develop a therapeutic relationship with parents who don’t speak the same language or is of different cultural heritage. Most often, children go untreated for simple medical issues
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Allangan in article on cultural care states that the theory was developed during World War II when immigrants and refugees from diverse culture began to move within the United States.
Discussion on Cultural care theory has been applied
Cultural Care Diversity and Universality theory have been applied in many health care setting worldwide. The theory has been applied to education, practice and research. In the nursing practice we see an influx of nurses from diverse culture migrating to the U.S as well as immigrant from different population and places of the world. The degree to which individuals have the capacity to obtain process and understand basic health information and services to make appropriate health (IOM, 2004,p,32).
In education, the curriculum has been change to teach on culture care in nursing. Nursing schools emphasis the need for nurses to become more aware of cultural diversity in the health care and ways in which they are able to better manage the issues when the needs
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According to Willis and et al, 2011, p 233, the goal for applying Leininger’s theory is to provide a culturally congruent nursing care to persons of diverse cultures. The theory was also applied to allow the nurse to recognize and understand the cultural similarities and differences that she may face on a regular basis. This will allow the nurse herself to become more acceptable of her own culture and at the same time being more respectful to patient as it pertains to culture especially as it pertains to the difference in
Leininger’s theory of nursing: Cultural care diversity and universality (1998). Nursing Science Quarterly. 1(152) DOI: 10.1177/089431848800100408
McClimens, A., Brewster, J., & Lewis, R. (2014). Recognising and respecting patients ' cultural diversity. Nursing Standard (2014+), 28(28), 45.
In order to understand middle range theories, a practical knowledge of the definition should be achieved before attempting to applying to concepts or classifications to the models. Middle range theories are defined as, theories that are fundamentally individual while incorporating a controlled amount of assumptions furthermore, having a limited characteristic of reality. These concepts are defined and may be tested (McEwen & Wills, 2011 p. 35).
The goal of this lesson is to explore how we can improve communication to eliminate language barriers between healthcare providers and patients in our organization and to establish culturally and linguistically appropriate goals, that provide safe, equal, and quality care to all our clients regardless of race, ethnic, or socioeconomic status. At the end of this lesson we should be
pp. 197-205 Singleton, K., & Krause, E. (2009). Understanding cultural and linguistic barriers to health literacy. Online Journal of Issues in Nursing, 14(3). United Nations.
The diverse population that I wish to talk about is the Latino/Hispanics .Leininger’s theory of culture care diversity and universality was aimed at providing culturally competent nursing care by understand similarities and differences of various cultures.(Nies & McEwen,2011,p-219).She came up with transcultural nursing which community health nurses are expected to understand and use when interacting with the community(Hispanic population).According to Leininger’s, cultural specific is behaviors, values or way of life that is unique to a particular population or culture. On the other hand, “Culture universal” refers to behaviors, values, way of life, beliefs that are shared and similar among different population or cultures (Nies & McEwen, 2011, p-219).Cultural specifics for the Hispanic population include: the use of folk healers in time of sickness, the belief in the “hot” and “cold” theory of diseases. Culture universal for the Hispanic population include; believing in religion (most are Roman Catholics)
The self-assessment has demonstrated that I am able to deliver culturally congruent nursing care due to my critical reflection, knowledge of cultures and cross-cultural communication abilities. I am able to avoid prejudices, stereotypes and biases that may hinder the delivery of culturally competent care due to my understanding and respect for different cultures. In addition, I am able to form trustful relationships with clients and understand their personal perceptions towards the available treatment alternatives (Cowen & Moorhead,
Theory’s responsibility is to provide nurses with standards that reinforce practice, as well as, for future nursing understanding and delivery. Basically, it provides nursing professionals with a tested way of thought on how to handle certain situations with proven results. The importance of nursing theories to nursing research is the knowledge offered gives nurses the foundation for communicating with others and best practice. Middle range theory according to McEwen & Wills (2011, p 35) are theories that have concrete concepts, that are specific, incorporate a measured number of concepts and characteristics of the real world and are tested for accuracy.
& Willis, E. M. explains the middle-range theories were first introduced in sociology in 1960’s then were offered in nursing in 1974 focusing on emerging disciplines because they were available to introduce through research in compare to grand theories. Middle-range nursing theory was established fifteen years later, and is reinforced by repeated criticism of the summary of grand theories and their difficulties in use to research and practice. The reason of middle-range theory is to define, clarify, and predict occurrences that easer to apply in practical situations, and potentially to direct nursing interventions, change circumstances of situations to improve the care and potentially best outcome. Focus on middle-range theory is supported by theoretical framework for research studies, tested by research and use in practice, and scientific end product expressing nursing knowledge. (McEwen, M. & Willis, E. M.,
Because these theory are known to have direct linkages to research and practice Most of these theory are developed from research, observation and experiences I do believe that Most nurses will agree with me if I say that the evidence based practice is a main engine for health well-being .Middle range theory signifies a growth of knowledge development in Nursing. Middle range theories offer valuable organizing frameworks for phenomena being researched by interdisciplinary terms. These theories are useful to nurses and persons from other discipline in framing phenomena of shared concern. (Archive, 2015).Middle-range theories are useful in addressing the problems of nursing, especially among vulnerable populations. Although middle-range theories address specific phenomena within nursing practice, the theories are broad enough to be applied to a variety of patient populations, and across many practice settings (Mareno, 2015). The language of middle –range theories is that used in nursing practice to deal with patient care phenomena such as pain ,unpleasant symptoms, empathy, uncertainty, comfort, change, lifestyle health promotion, relationships ,and deliberative planning for
By understanding the way a culture factor influences nursing care, we are able to improve our teachings, improve understanding and provide overall better care for a healthier outcome for our patients. An example of this could be having a staff member that is bilingual or teaching materials written in a different language. According to Andrews & Boyle (2016), the first step is for the nurse to do a self-assessment of themselves in order to identify their beliefs toward people with different backgrounds, which will provide clarification of possible unknown behaviors. The second step is to set goals for the patient and those involved with the patient’s care.
Miller, Leininger, Leuning, Pacquiao, Andrews, and Ludwig-Beyer, (2008) support that the skill of cultural competency in nursing is the ability to gather relevant cultural data on the presenting problem of the patient. This cultural assessment is defined as a "...
As a nurse strive to provide culturally sensitive care, they must recognize how their client's and their perceptions are similiar as well as different. Nurse enhance their ability to provide client-centered care by reflecting on how their beliefs and values impact the nurse-patient relationship. To provide appropriate patient care, the nurse must understand her/his culture and that of the nurse profession. Cultural biases can be particularly difficult to identify when the nurse and client are of a similar cultural backgroup. When we recognize and know a culture, we will know what is right for our patient, and thus may impose our own values on the client by assuming our values are their values. Recognizing differences a present an opportunity not only to know the other, but also to help gain a greater sense of self. In this paper, I will explain more about diversity and cultural competence in case study.
Madeleine Leininger is a nurse who realized that cultural care was an important concept in nursing. In the 1950s she found that behavioral issues in children stemmed from a cultural basis due to nursing having a lack of knowledge in a variety of cultural awareness (Buschur-Betancourt, 2015). The purpose of this paper is to identify the eight reasons Madeleine Leininger states transcultural nursing is necessary. I will describe the cultural diversity and how it relates to my field of nursing. I will also provide three ways that I have incorporated culturally sensitive care toward my patients.
trust of the patient, if language is a barrier the nurse should pay attention to the means of