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Essays about what is transcultural nursing
Essays about what is transcultural nursing
Essays on transcultural nursing
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According to the American Diabetes Association there is an individual who is diagnosed with Type 2 Diabetes every twenty-three seconds (American Diabetes Association, 2014). The highest prevalence of Type 2 Diabetes is among the Hispanic population, accounting to 16.9 percent, compared to 10.2 percent among non-Hispanics (American Diabetes Association, 2014). This rise of Type 2 Diabetes among the Hispanic culture can be due to many factors that include lack of education, language barrier, socioeconomic, and having a sedentary lifestyle. Within this paper, we will discuss the problem of Type 2 Diabetes among the Hispanic population, description of Madeleine Leininger Middle-Range theory of transcultural health model, Middle-Range theory’s …show more content…
In particular, Leiningers transcultural model is to produce learning identified with the nursing consideration of individuals who esteem their social legacy and lifeways (McEwen & Wills, 2014, p. 233). Significant ideas of the model are culture, culture care, and culture mind contrasts and likenesses relating to transcultural human care (McEwen & Wills, 2014, p. 233). Other significant ideas are care, emic see (dialect expressions, discernments, convictions, and routine of people or gatherings of a specific culture as to specific wonders), etic see (all-inclusive dialect expression convictions and practices with respect to specific marvels that relate to a few societies or gatherings), lay arrangement of human services, proficient arrangement of medical services, and socially consistent nursing care (McEwen & Wills, 2014, p. …show more content…
This can be accomplished by including a Spanish Diabetic handbook of different types of meals that a patient can do to be part of their diet in losing weight and controlling their blood sugar levels. Secondly, would be to have healthcare providers to receive training in the Hispanic culture to better understand their patients. Thirdly, is to have bilingual health care providers to educate their patients on how to manage and prevent Type 2 Diabetes. Nonetheless, by including Leininger Transcultural theory, nurses will be aware of the Hispanic culture, and be able develop a professional relationship with their patients increasing compliance to their treatment and plan of
Castro, F., Shaibi, G. Q., & Boehm-Smith, E. (2009). Ecodevelopmental contexts for preventing type 2 diabetes in Latino and other racial/ethnic minority populations. Journal of Behavioral Medicine, 32(1), 89-105.
Leininger’s theory involving transcultural nursing focuses on several core concepts including generic folk care, nursing care, and holistic health, according to the Leininger Sunrise Model (Black, 2014). All of these notions, branch into further detailed thoughts.
The prevalence of diabetes according to the CDC is 26 million Americans currently diagnosed with diabetes, 79 million with pre-diabetes, and 7 million unaware they have diabetes.1 Diabetes is currently more prevalent in the western countries due to physical inactivity and obesity, but as more Eastern countries develop the western lifestyle it becomes an increasing worldwide epidemic.1 The risk for developing type 2 diabetes increases with age (especially after age 40), but is increasing most rapidly in the adolescent and young generation.1 It is therefore critical that education as well as drug therapies are implemented to decrease the rising prevalence of this illness.
The United States’ population is currently rising exponentially and with growth comes demographic shifts. Some of the demographics shifts include the population growth of Hispanics, increase in senior citizens especially minority elderly, increase in number of residents who do not speak English, increase in foreign-born residents, population trends of people from different sexual orientation, and trends of people with disabilities (Perez & Luquis, 2009). As a public health practitioner, the only way to effectively eliminate health disparities among Americans, one must explore and embrace the demographic shifts of the United States population because differences exist among ethnic groups (Perez, 2009). We must be cognizant of the adverse health conditions for each population and the types of socioeconomic factors that affect them. Culture helps shape an individual’s health related beliefs, values, and behaviors. It is more than ethnicity and race; culture involves economic, political, religious, psychological, and biological aspects (Kleinman & Benson, 2006). All of these conditions take on an emotional tone and moral meaning for participants (Kleinman & Benson, 2006). As a health professional, it is one’s duty to have adequate knowledge and awareness of various cultures to effectively promote health behavior change. Cultural and linguistic competencies through cultural humility are two important aspects of working in the field of public health. Cultural competency is having a sense of understanding and respect for different cultural groups, while linguistic competency is the complete awareness of the language barriers that impact the health of individuals. These concepts are used to then work effectively work with various pop...
Type 2: Is the most common form of diabetes affecting 90-95% of the 21 million people with diabetes and is more common in African Americans, Latinos, Native Americans, and Asian Americans. Those people who are at higher risk of getting this type of diab...
In this study, past literature and current statistics will provide an explanation for the diabetes health disparity epidemic among the Latino community. There will be another aspect of this disparity in terms of the role of acculturation on Latinos and how this impact the rate one acquires diabetes. Acculturation is the beginning stages of assimilation, rather the way one integrates into the dominant culture. In the case of Latinos, it is adjusting to the American culture. Further, the role of acculturation and cultural lifestyle will be analyzed to validate its role in the high prevalence among the Latino community. After triggers and accu...
In conclusion, cultural competence is especially relevant in the treatment of diabetes. Disease and symptom control in diabetes is interdependent on effective lifestyle management, which can only be realized when the health care provider understands, acknowledges, and responds to each individuals cultural and diversity needs.
In today’s society diabetes mellitus has become a prevalent issue, especially because it is affecting our youth in increasing numbers. Diabetes is defined as “a complex disorder of carbohydrate, fat, and protein metabolism that is primarily a result of a deficiency or complete lack of insulin secretion by the beta cells of the pancreas or resistance to insulin ("DM," 2013, p. 522). The number of adults diagnosed with diabetes has significantly increased from the 1980s to today, as well as the number of children being diagnosed. Risk factors such as family history, obesity, and ethnicity are all crucial to the prevalence of diabetes and its devastating effects on the future health of those affected. Asian-American ethnicity is associated within the high risk factors along with several other ethnicities such as African Americans, Hispanic Americans, and Native Americans (Smeltzer, Bare, Hinkle, & Cheever, 2010, p. 1197). The following will establish how diabetes in adolescents has become a critical topic for their generation and the effects it is having on their personal care and in collaboration with their healthcare providers and nurses.
Various factors are said to increase the chances of developing type II diabetes. These factors fall under two categories-genetics and medical/lifestyle risk factors, which include impaired glucose tolerance, gestational diabetes, hyperinsulinemia and insulin resistance, obesity and physical activity (6). Although studies have shied away from making direct correlations between obesity/physical activity and the susceptibility of developing type II diabetes, researchers suspect, however, that a lack of exercise and obesity, as well as other unidentifiable factors, may be contributing to the high diabetes rates in African American and Hispanic American communities. The NHANES III survey indicated that "50 percent of African American men/65 percent of Mexican American men, and 67 percent of African American women/74 percent of Mexican American women participated in little or no exercise" (7).
Since Type 2 Diabetes Mellitus is one of the most common health challenges world-wide, I am going to further incorporate the topic in my paper. Through academic research and resources, in my first paragraph I will be providing the health promotion definition along with expressing the importance for patients with Type 2 Diabetes Mellitus. My second paragraph will display the pathophysiology to help comprehend how this health challenge is present in the body. Health promotion interventions will also be incorporated with ideas and specific information to aid individuals in promoting health and preventing development of Type 2 Diabetes Mellitus.
Leininger’s theory of cultural care diversity and universality is about caring, which is the essence of nursing and is recognized in the theory of basic human needs. Her theory incorporates anthropology, which focuses towards caring, culture values, and pattern rather than medical symptoms and treatments. Concepts of Leininger’s theory revolves around caring, which is essential for growth, development and survival. Leininger’s transcultural nursing is our “‘cultural knowledge that is used in our actions to promote positive health behavior among patients and foster culturally sensitive and congruent care’ (Campesino, 2008)” (Posner p.151). Providing client centered care not only enables trust, but also fulfills the patient’s potential health needs and nursing roles with the best outcome. I believe it is important to understand that America has more demands for cultural diversity; therefore, we must be able to meet these demands with the appropriate interventions. Cultural misunderstandings and applying inappropriate interventions become a cultural stress for the nurse-patient relationship; distrust could lead to nurses being unable to collect the necessary information to effectively provide the right care. To understand and respect different religious cultures are also important in the nursing process. This can help nurses to understand and improve quality of
Diabetes has recently become a focal point of health care systems around the world due to its high prevalence and the severity of secondary complications caused by the disease. Over the course of my project on diabetes, I have had the opportunity to speak with a group of diabetics to understand from a patient’s perspective how diabetes is managed in a rural community. While I found that while some patients ignored treatment and refused to make any dietary changes, the majority of the patients I interviewed were well-informed and actively managing diabetes in their everyday life.
Diabetes mellitus is a group of metabolic disorders characterized by inadequate insulin secretion by the pancreas or cellular destruction leading to an insulin deficiency. Depending on the cause of the insulin shortage, diabetes can be subcategorized into type I and type II. Type I diabetes (T1DM) is usually mediated by the destruction of b-cells in the pancreas resulting in decreased insulin production and secretion. Type II diabetes (T2DM) is the failure of these b-cells to secrete adequate amounts of insulin to compensate for insulin resistance and increased gluconeogenesis combined with an overall resistance to the insulin action (8., 1997). T2DM accounts for 90 to 95 percent of all diabetes cases.
Leininger was the first nursing theorist to focus on the fact that different cultures have different caring behaviors and thus require different treatment and coined the term “culturally congruent care.” Leininger’s was a true visionary and her work developed into a movement called Transcultural Nursing. Her revolutionary work embodies the essence of holistic caring in the nursing profession and she changed the paradigm of nursing at a time when society did not celebrate cultural differences to include care that is individualized to the patient. This has influenced my personal philosophy and assisted me to be authentically present, more able to be empathetic, and considerate of my patients in order to create a healing environment, and better outcomes for the
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.