Madeleine Leininger is the creator of the transcultural nursing theory (Alligood, 2014). She is the front-runner in transcultural nursing and humane care theory (Alligood, 2014). In 1948 Madeleine Leininger began her nursing career journey by receiving her diploma in nursing from St. Anthony’s School of Nursing in Denver, Colorado. She joined the U.S. Army Nurse Corps and went on to pursue further education by obtaining her B.S. from St. Scholastica in Atchison, Kansas in 1950 and in 1954 earned an M.S. in child psychiatric and mental health nursing from Catholic University of America in Washington, D.C. In 1965, Madeleine Leininger was the first nurse awarded a Ph.D. in cultural and social anthropology from the University of Washington, Seattle (Sitzman & Wright Eichelberge, 2016, Chapter 15). Madeleine Leininger worked as an instructor, staff nurse, head nurse, and a director of nursing services at St. Joseph’s Hospital in Omaha (Alligood, 2014). She commenced the first psychiatric graduate nursing program at the University of …show more content…
Culture Care: Diversity and Universality is a middle-range theory based off of holistic and cultural care (Alligood, 2014). Leininger understood the importance of the cultural factors affecting behaviors and psychiatric treatments, and therapy outcomes (Alligood, 2014). The theory involves nurse and client/patient collaborating to identify, plan, implement, and evaluate each caring mode for a culturally congruent nursing care (Sitzman & Wright Eichelberge, 2016). The objective of Leininger’s theory focuses “on discovering human care diversities, universalities in relation to worldview, social structures and learn ways to provide culturally congruent care to people of similar of different cultures in order to maintain well-being and health and faced death” (Alligood, 2014, p.
These differences in origin accounts for diversity in socio-cultural backgrounds and nurses must develop the knowledge and the skills to engage patients from different cultures and to understand the beliefs and the values of those cultures (Jarvis, 2012). If healthcare professionals focus only on a narrowly defined biomedical approach to the treatment of disease, they will often misunderstand their patients, miss valuable diagnostic cues, and experience higher rates of patient noncompliance with therapies. Thus, it is important for a nurse to know what sociocultural background a patient is coming from in order to deliver safe an effective
...the formal and explicit cognitive practice learned through educational institutions. This type of practice is focused on the professional knowledge and care that nurses are taught in a educational establishment. Nurses provide (McFarland and Wehbe-Alamah 2015, p.14).assistive and supportive care for patients, along with the proper training to improve a patient 's health, prevent illnesses, and/or help with the dying. Taking the Culture Care Theory and ethnonursing research methods helps a nurse in the transcultural field provide culturally congruent care. This gives the nurses the ability to expand their knowledges and apply or teach their discoveries when interacting with a variety of diverse cultures. The form to obtain these new discoveries is presented in the most naturalistic and open way possible to keep a comforting relationship between the nurse and patient.
Leininger’s theory of nursing: Cultural care diversity and universality (1998). Nursing Science Quarterly. 1(152) DOI: 10.1177/089431848800100408
Stuart, G. W. (2009). Principles and Practice of Psychiatric Nursing (9th ed. pp 561). St. Louis, MO: Elsevier Mosby.
Issues of culture are often controversial. LaBorde (2010) has noted that culture is always a factor in conflict. Ironically, conflict can provide nurses with an excellent opportunity for developing compassion that will lead nurses unto a place of meeting in which there is a deep respect for differences and equally intentional openness to the possibility of connection. Healthcare practitioners are confronted in a daily basis with the practical manifestation of these issues. In particular, nurses are more confronted by cultural issues than the other healthcare providers because nurses spend majority of their time with patients. However, some nurses are reluctant to confront and discuss the cultural issues because of lack of knowledge in dealing with patients of diverse cultures (Tjale & Villiers, 2004).
As a nurse, I am obligated to care for all cultures, and try to understand their values, beliefs, spirituality, gender roles, and language. Cultures can range from different families, environments, disabilities, or even genders. It is a very broad topic, and I hope to recognize these cultures in my nursing career. Some barriers may exist that can make it challenging to work with people of a different culture, but it is possible to overcome these with the resources within the health care system. The Health Policy Institute identifies that “[t]he goal of culturally competent health care services is to provide the highest quality of care to every patient, regardless of race, ethnicity, cultural background, English proficiency or literacy” (“Cultural Competence”, 2004). Additionally, cultural competence is an ongoing process that involves both the client, and health care professional to work together that best suits the client’s
Providing culturally competent care is a vital responsibility of a nurse’s role in healthcare. “Culturally competent care means conveying acceptance of the patient’s health beliefs while sharing information, encouraging self-efficiency, and strengthening the patients coping resources” (Giddens, 2013). Competence is achieved through and ongoing process of understanding another culture and learning to accept and respect the differences.
Transcultural nursing requires us to care for our patients by providing culturally sensitive care to a broad spectrum of patients. The purpose of this post is to describe cultural baggage, ethnocentrism, cultural imposition, prejudice, discrimination, and cultural congruence. I will also give an example of each term to help you understand the terminology related to nursing care. I will define cultural self-assessment and explain why it is valuable for nurses to understand what their own self-assessment means. Finally, I will describe the five steps to delivering culturally congruent nursing care and how I have applied these concepts to my nursing practice.
Culture can be defined as behaviors exhibited by certain racial, religious, social or ethnic groups. Some factors in which culture may vary include: family structure, education, and socioeconomic status (Kodjo, 2009). Some may think cultural competence is something that has an end point, however, when the big picture is seen, it is a learning process and journey. From the writer’s perspective, the client-therapist relationship can be challenging. Culturally competent therapists must realize that behaviors are shaped by an individual’s culture. Many changes are taking place within the United States cultural makeup. Therapists and healthcare professionals are being challenged to provide effective and sensitive care for patients and their families. This type of culturally sensitive care requires the professional to be open and seek understanding in the patients diverse belief systems (Kodjo, 2009).
Her educational background includes a diploma as a Registered Nurse from People’s Hospital School of Nursing in Ohio (1947), Bachelor of Science in Nursing, Major in Mental Health/Public Health, Minor in Psychology, from University of California-Los Angeles (UCLA) (1957), and Master of Science in Mental Health from UCLA (1966). She became engaged in a graduate work for UCLA in the Mental Health/Public Health Consultation where she gained interest in community mental health as an emerging avenue for nursing practice. She was eventually appointed as the chair for UCLA’s Mental Health/Public Health Program and began teaching and developing a course to help graduate students focus on specific nursing problem areas. The outcomes of her labor led to the development of Neuman Systems Model (NSM) which focused on the client-environment interaction. Furthermore, Neuman’s mental health consultant role was not specified as nursing role, thus, influenced NSM’s applicability to various health professions and other
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.
Leininger M. & McFarland M.R. (2002). Transcultural nursing: concepts, theories, research, and practice (3rd ed.). New York, New York: McGraw-Hill Companies Inc.
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.
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 it was shown in the film Lone Star Nurse, nurses are there to not only treat the illness, but to treat the whole person. In Saint Fabiola’s time, matrons would go house to house treating the sick (Cherry and Jacob, pg. 6). Now we have a much more developed healthcare system with primary care physicians, mental health facilities, and all other types of specialties to treat the whole person. Nurses like Nicole Schroeder working in the Nurse-Family Partnership not only help these first-time mothers with their newborns’ health, but also act as a positive role model and friend (Lone Star Nurse). Nurses today can also go into specialized fields for which they are passionate about. These specialized fields may require extra training like seen in the video Nursing and the Older