Madeleine Leininger’s theory of cultural care diversity and universality has become a meaningful theory to nursing practice, research, and education (McFarland & Wehbe-Alamah, 2014). This theory has impacted the health care service delivery for diverse populations, including patients adapting to multiple sclerosis (Ghafari, Fallahi-Khoshknab, Nourozi, & Mohammadi, 2015). Consequently, using a transcultural nursing theory has found patient-reported quality of life in multiple sclerosis differs between cultures and countries (Pluta-Fuerst et al., 2011).
The assessment and measurement of one’s quality of life while using a transcultural nursing theory, focuses attention on the person as a whole and their overall status (Amato et al., 2001).
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Furthermore, using the transcultural nursing theory in rural areas will be important to improving the quality of MS patient care for all ethnic groups while health care professionals provide knowledgeable, competent, and safe care to people with chronic health conditions of diverse cultures to themselves and others (Purnell, …show more content…
J., Stuifbergen, A., Chakravorty, B. J., Wang, S., Zhu, L., & Kim, M. (2006). Urban/rural differences in access and barriers to health care . Journal of Health and Human Services Administration, 29(3), 360-375. Retrieved from http://www.jstor.org
Dayer-Berenson, L. (2013). Cultural competencies for nurses (2nd ed.). [Proquest Ebook Central]. Retrieved from http://ebookcentral.proquest.com
Ghafari, S., Fallahi-Khoshknab, M., Nourozi, K., & Mohammadi, E. (2015). Patients’ experiences of adapting to multiple sclerosis: A qualitative study. Contemporary Nurse, 50(1), 36-49. http://dx.doi.org/10.1080/10376178.2015.1010252
Harper, J., Costello, K., & Harris, C. (2006). Nursing practice in multiple sclerosis. [Proquest Ebook Central]. Retrieved from http://ebookcentral.proquest.com
McFarland, M. R., & Wehbe-Alamah, H. B. (2014). Leininger’s culture care diversity and universality (3rd ed.). [Proquest E-book Central]. Retrieved from http://ebookcentral.proquest.com
Pluta-Fuerst, A., Petrovic, K., Berger, T., Fryze, W., Fuchs, S., Gold, R., ... Fazekas, F. (2011). Patient-reported quality of life in multiple sclerosis differs between cultures and countries: A cross-sectional Austrian-German-Polish study. Multiple Sclerosis Journal, 17(4), 478-486.
Noonan CW, Williamson DM, Henry JP, Indian R, Lynch SG, Neuberger JS, Schiffer R, Trottier J, Wagner L, Marrie RA. The prevalence of multiple sclerosis in 3 US communities. Prev Chronic Dis. 2010;7(1):A12.
...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
McClimens, A., Brewster, J., & Lewis, R. (2014). Recognising and respecting patients ' cultural diversity. Nursing Standard (2014+), 28(28), 45.
According to National Multiple Sclerosis Society, Multiple Sclerosis (MS) is an unpredictable, often disabling disease of the central nervous system (CNS) that disrupts the flow of information within the brain, and between the brain and body. The central nervous system (CNS) comprises of the brain and the spinal cord. CNS is coated and protected by myelin sheath that is made of fatty tissues (Slomski, 2005). The inflammation and damage of the myelin sheath causing it to form a scar (sclerosis). This results in a number of physical and mental symptoms, including weakness, loss of coordination, and loss of speech and vision. The way the disease affect people is always different; some people experience only a single attack and recover quickly, while others condition degenerate over time (Wexler, 2013). Hence, the diagnosis of MS is mostly done by eliminating the symptoms of other diseases. Multiple sclerosis (MS) affects both men and women, but generally, it is more common in women more than men. The disease is most usually diagnosed between ages 20 and 40, however, it can occur at any age. Someone with a family history of the disease is more likely to suffer from it. Although MS is not
In this essay, the disease Multiple Sclerosis (MS) will be reviewed. This piece of work will lay emphasis on the pathophysiological, psychosocial, economic and cognitive effects it has on the individual, family and society. It will also make mention of how a professional nurse would support the individual, the family/carer, the nursing process and the professional role of the nurse according to the Nursing and Midwifery Council (NMC) code of conduct which sets a standard for all nurses and midwives (NMC, 2008) . It has been chosen because this chronic disorder is quite prevalent in the UK.
Patients are presented with Multiple Sclerosis in various different forms and experience symptoms to different degrees – mild, moderate or severe. While some patients’ predominately experience emotional or cognitive dysfunction, others may be presented with loss of muscle control, and/or visual, balance and sensation symptoms. Other symptoms include fatigue, bladder and bowel problems.
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.
Leninger (1988) recognized health, human beings, society and environment, nursing, culture, culture care diversity, culture care universality, professional nursing care, cultural and social structure dimensions, environmental context and worldview as the central concepts that form culture care theory. In addition to nursing metaparadigms, this theory tapped from anthropological concepts which help find the link between care and culture. Ray (2013) noted that transcultural nursing theory impacted new nursing perspectives, undoubtedly transformed nursing care, and unlocked new knowledge about the impact of culture on individuals’ health behaviors, and response to health-illness concept. With this in mind, this paper will explore the influences and application of Culture care theory in nursing practice, especially in a mental health
Cultural competence can be defined as using the ability of one’s awareness, attitude, knowledge and skill to effectively interact with a patient’s many cultural differences. Madeline Leininger, a pioneer on transcultural nursing describes it this way; “a formal area of study and practice focused on comparative human-care differences and similarities of the beliefs, values and patterned lifeways of cultures to provide culturally congruent, meaningful, and beneficial health care to people” (Barker, 2009, p. 498). The importance of cultural diversity in healthcare allows for the delivery of appropriate cultural autonomy. Showing respect for others will lead to trust between nurse and patient which in turn improves healing and health.
Leininger M. & McFarland M.R. (2002). Transcultural nursing: concepts, theories, research, and practice (3rd ed.). New York, New York: McGraw-Hill Companies Inc.
There are eight reasons that transcultural nursing has become a necessary framework for the care we
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 "...
Madeleine Leininger was born in Sutton, Nebraska. She received a diploma in nursing from St. Anthony’s School of Nursing, Denver, Colorado in 1948. She gained her Bachelor’s degree in 1950 from St. Scholastica (Benedictine College) in Atchison, Kansas. In 1954, she earned her Master’s degree in psychiatric and mental health nursing from the Catholic University of America in Washington, D.C. She was awarded with a Doctorate degree in cultural and social anthropology from the University of Washington, Seattle in 1965. Madeleine Leininger was the founder and a central leader of transcultural nursing who paid much attention on the systemic study of human caring within a transcultural theoretical and practice aspect (Sitzman & Eichelberger, 2010). Moreover, she initiated the Transcultural Nursing Society, a global organization whose objective was to advance the study and practice of transcultural nursing care. The thought of transcultural nursing, the theory of culture care, and care preservation as the core of nursing developed between the 1950s and 1960s was influenced by her early clinical work. Specifically, Madeleine worked as a clinical mental health specialist in a child guidance center which had mildly disturbed children of diverse cultural backgrounds. The central purpose of the theory of culture care diversity and universality was to unmask, document, interpret and elaborate the aspect of culture care as a synthesized construct (Fawcett, 2002). The main thesis of this theory is that different cultures have different perspectives on practice care, yet there are some commonalities about care among all world cultures (Fawcett, 2002).