Finally, the nurses evaluation should include a self-evaluation of attitudes toward caring for patients from differing cultural backgrounds. Therefore, there is always an unending need for our nurses to understand the knowledge about cultural diversity to facilitate the recovery of clients by virtue of universality. Features of Our Website (2022, July 16). Nursing theorists and their work (9th ed.). Jeffreys (2008) reveals that the theory has sometimes led to the formulation of imprecise clinical decisions, especially where nurses fail to draw clear inferences about cultural congruence. Philosophies And Theories For Advanced Nursing Practice. (2022, April 16). Explains dugas, esson, and ronaldson's nursing . Explain how the nursing theory incorporates the four metaparadigm concepts. Lydia Hall . It is very clear that Leiningers Culture Care Theory has shed light on the weaknesses of this metaparadigm of nursing. Given this crisis, which changed the approaches taken to both methodology and method in anthropology, the original ethnographical approach utilized by Leininger and still employed for the methodology of ethno-science and data collection in transcultural nursing, may not be relevant or as able to claim truths as it was once believed. In nonwestern cultures, using the term person or individual may be culturally taboo as it does not agree with the collectivism concept of the culture and are too egocentric whereas in western cultures, person and individualism are the dominating concepts. And therefore Leiningers Culture Care theory focused on the missing phenomena of culture and care as these concepts needed to be discovered in order to comprehend the full nature of nursing (Leininger et al, 2006). Leininger (1995) also discusses the use of her ethnonursing method enabled her (1995) to obtain the peoples ideas, values, beliefs, and practices of care and contrast them later with nurses knowledge (p. 99), and thereby enrich the cultural knowledge of nursing and nurses. Ayiera, F. (2016). Canada is recognized as a multicultural nation. If nurses are to be effective in meeting the needs of their patients, nursing practices must be better informed and modified to address a wider cultural range of patients. 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 author puts more emphasis on the care concept. Metaparadigm Concepts CARING (not Nursing) essence of nursing universal concept within all cultures assisting, supporting, or enabling behaviors to improve a person's condition essential for survival, development, ability to deal with life's events greater level of wellness is achieved when caring is in line with patient's cultural We'll deliver a custom Nursing paper tailored to your requirements with a good discount. StudyCorgi. A nursing theorist defines each of these metaparadigm concepts in accordance with their worldview of nursing. These include religion, economics, education, technology, politics, kinship, ethnohistory, environment, language, and generic care and professional care factors that impact the culture care meanings, expressions, and patterns in different cultures. Inopportunely, the fact that care is the central focus of nursing does not necessarily guarantee cure and healing. Read more in this paragraph please. 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). At one time, Leininger revealed that her aunt who ailed a congenital heart disease worn her heart to the field of nursing (Sagar, 2012). 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. (Fawcett,2002). Madeleine Leininger (Transcultural Theory) Theoretical Foundations in Nursing - Interpersonal Relationship Theories and Theorists University University of Perpetual Help System DALTA Course Bachelor of Science in Nursing (BSN) Academic year2020/2021 Helpful? The theory addresses the need to integrate nursing techniques and anthropological concepts to nurse diseases from a cultural outlook of a patient. Caring is essential for well-being, health, healing, growth, and to face death. (Purnell & Paulanka, 2003; Geiger & Davidhizar, 2002; Papadopoulos, Tilki & Ayling, 2008; Andrews & Boyle, 2002; Spector, 2000; Camphina-Bacote, 1999). B#@x1GLpD%AlTR$= This metaparadigm concept relates to the Leininger theory of culture care as it is focused on the modification of environmental factors to achieve better health. These observations lead Leininger to develop an interest in anthropology. Madeleine Leininger was born on July 13th, 1925 in the small town of Sutton Nebraska. Labelling by ethnicity is a position fundamental to Leiningers work (Leininger, 1988). John Diefenbaker, prime minister of Canada (1957-1963). This paper describes, evaluates, and discusses the application of Madeleine Leiningers nursing mid-range theory of culture care whilst providing the learner with an opportunity to connect theory and research to nursing phenomena. They expect the best care practices for them to regain their health. These concepts do not exist independent of each other, and it is essential to evaluate individual patient's needs considering these four elements. Many scholars and nursing theorists recognise her as the as the founder of transcultural nursing. Jones & Bartlett Learning. The Native people also wanted to be represented in the new human rights movement and assert equality with the mainstream Americans (Gabbacia, 2002; Price and Cordell, 1994; Naylor, 1997). Norderstedt, Germany: GRIN Verlag. All these theorists have developed different concepts throughout the years subjected to individual interpretations, but I belief that the four metaparadigms have been the core concept of these theories. Leininger also believed in the concept of cultural care universality, which refers to the idea that there are certain basic human needs that are universal to all cultures. (2022) 'Evaluation of Madeleine Leiningers Culture Care Theory'. The interrelatedness between these concepts conceives sound nursing decisions for the treatment of patients. Therefore, it guides nurses to establish the best criteria for administering treatment by developing all-inclusive nursing decisions for patients. However, it is the manner in which the information is obtained that brings forth the question of whether or not it is actually true. Transcultural Nursing Theory by Madeleine Leininger. July 16, 2022. https://nursingbird.com/transcultural-nursing-theory-by-madeleine-leininger/. In this manner, the theory enhances eccentricity of each party, thereby deriving a solution-oriented methodology for administering the treatment of patients. 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. Leiningers goal was to investigate her belief that a patients ethnic background profoundly influenced their understanding of health and illness, which is turn determined the type of nursing care required by individuals. In the Culture Care theory health is predicted as an outcome of using and knowing culturally based care, rather than biophysical or medical procedures and treatments (Leininger et al, 2006, p.10). It allows for examining generic (folk) as well as professional care (the nurse)implementing the theory stimulates nurses, as carers and researchers to reflect upon their own cultural values and beliefs and how they might influence the provision of care. The environment has to be viewed from a holistic perspective that goes beyond the traditional focus of nurses on the biophysical and emotional environment (Leininger et al, 2006). That is, if one fails to examine the power differences within the social categories or cultures then it is possible to potentate these differences. As her knowledge is derived from two different disciplines it can be considered as being unique. Jeffreys (2008) reveals that the nurse anthropologist clearly stated the propositions for nursing by providing relevant inferences about the relationship between the health of individuals and their cultural identity. Leininger (1995) also discusses not only differences between cultures but the need to discover the similarities as well. During the 1960s and 1970s, immigrants from less traditional countries such as the Hispanic and Asian communities were settling down in the USA in larger numbers (Gabbacia, 2002). Culture Care Diversity refers to the differences in meanings, values, or acceptable forms of care in or between groups of people. Through this manner an appreciation for the similarities and differences of the culturally varied approaches to health can occur. If you use an assignment from StudyCorgi website, it should be referenced accordingly. July 16, 2022. https://nursingbird.com/transcultural-nursing-theory-by-madeleine-leininger/. Once the assessment is complete, the nurse should use the culturalogical assessment to create a nursing care plan that also takes the patients cultural background into consideration. Registered office: Creative Tower, Fujairah, PO Box 4422, UAE. Our nursing niche receives worldwide patients from culturally diverse regions such as Florida, Haiti, Thai, and South America among other regions. In addition, the nurses care plan should involve aspects of the patients cultural background when needed. Culture Care Universality refers to common care or similar meanings that are evident among many cultures. The nurses diagnosis of the patient should include any problems that may come up that involve the healthcare environment and the patients cultural background. 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. These modes can stimulate nurses to design nursing actions and decisions using new knowledge and culturally based ways to provide meaningful and satisfying wholistic care to individuals, groups or institutions., Leiningers model has developed into a movement in nursing care called transcultural nursing. To export a reference to this article please select a referencing stye below: The objective for the development of a theory is to illustrate, define, or systematize knowledge in a professional field of study. Undoubtedly, these cultural factors change with time due to modernity and influence. Culture Care Theory and the traditional nursing metaparadigm Care and culture are the key constructs that make up the Culture Care Theory. 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. "Evaluation of Madeleine Leiningers Culture Care Theory." Moreover, within the existential -phenomenological philosophy, human beings are viewed as subjects rather than objects (Rajan, 1995, pg. Joyce Fitzpatrick 14. Madeleine Leininger who lived from 13 July 1925 to 10 August 2012 was an author, scholar, professor, administrator, consultant, and a nursing theorist and anthropologist (Jeffreys, 2008). The liberal humanistic perspective is also perceived as potentially creating problems (Campesino, 2008). The theory also assumes that cultural values, beliefs, and practices remain the same for a particular culture. I question whether Leininger did this, for I could not find any discussion regarding the potential for power difference (Leininger, 1995 & Leininger, 2010 *******ADD MORE REFERENCES HERE). Leiningers theory finds its application in a number of nursing occupations in areas such as education, informatics, administration, and/or general nursing practice. The Transcultural Nursing Theory (TNT) or Culture Care Theory (CCT) is a concept of cultural values and beliefs within a nursing field founded by Madeleine Leininger. In Madeleine Leininger s cultural care theory, she believed that cultural competency improved nursing practice. The Transcultural Nursing Theory, or CCT, aims at obtaining a comprehensive knowledge of the care issue that concerns the cultural expectations of the patients. Madeleine Leininger Views on the 4 Metaparadigms Leininger was the first nurse to formally explore the relationship between patients and their different ethnic backgrounds. 5+w cJ%VnnY>r ZE?-!Sq'bZ> 1CsMom$bSghGG -. This occurrence of traditional nursing interventions in a modern and complex society necessitated the need for the development of holistic nursing techniques to address the needs and behaviours of diverse cultures. This again questions the reliability of the results similar to the outdated anthropological approach to ethno-science in nursing. Leininger has defined health as a state of wellbeing that is culturally defined and constituted. In the 1950s, nurses in the United States of America began to develop and use structured theory. The following analysis of the theory, its conceptual model, incorporation with the four metaparadigm concepts, and the evidence-based examples facilitate a better understanding of the CCT and, hence, its successful implementation in the nursing practice. NursingBird, 16 July 2022, nursingbird.com/transcultural-nursing-theory-by-madeleine-leininger/. (2010). These four are collectively referred to as metaparadigm for nursing. Thus all care modalities require coparticipation of the nurse and clients (consumers) working together to identify, plan, implement, and evaluate each caring mode for culturally congruent nursing care. The Transcultural Nursing theory first appeared in Leiningers Culture Care Diversity and Universality, published in 1991, but it was developed in the 1950s. Crystal Fuller, DNP February 28, 2017 PowerPoint Outline I. Dr. Madeleine . There are many reasons its beneficial for nurses to use cultural knowledge of patients to treat them. As nurses immerse themselves in cultural education and adopt care that addresses patients cultural expectations, they implement a culturally congruent nursing process. The CCT has a worldwide implementation and value since it influenced the development of other modified disciplines. 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. Leiningers transcultural care theory uses inductive reasoning to elucidate congruent culture care norms and values. The four metaparadigm concepts were negatively viewed by nursing theorist while developing the transcultural theory. 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.. Running Head: NURSE THEORIS, MADELEINE LEININGER Institutional Affiliation Student's Affiliation Date 1 NURSE Nursing as a concept of the metaparadigm is not agreeable to Leininger as it it is not logical to use nursing to explain nursing. 2022. 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. Nursing is an evolving discipline in the development of science i.e. Caring is an action or activity directed towards providing care. Care is the essence of nursing and a distinct, dominant, and unifying focus. 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). Care knowledge and skill are often repatterned for the best interest of the clients. 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. 41 Comments Please sign inor registerto post comments. Caring is an action or activity directed towards providing care. The nursing society facilitates various issues such as nursing consultation, learning, direct care, ethnonursing research, and policymaking via an online platform to develop universally accepted holistic methods that find their use in health care (Jeffreys, 2008). 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. While it is important to look at a patient as a whole person from a physiological, psychological, spiritual, and social perspective, it is also important to take a patients culture and cultural background into consideration when deciding how to care for that patient. This applies to Leiningers theory as there are unknown truths about cultures to be discovered. Therefore, Leininger seems to express that one truth or reality may be revealed when examining cultures (Hair & Donoghue, 2009 and Leininger, 1995). and is a Registered Nurse. Alligood, M. (2018). Instead, the nurse anthropologist talks about worldviews, social constructions, and societal contexts (Butts & Rich, 2010). Culture care is the broadest holistic means by which a nurse can know, explain, interpret, and predict nursing care phenomena to guide nursing care practices. Beginning with an overview of the theory and its origins, this book presents the assumptions underlying the theory; the major concepts of the meta-paradigm of nursing, including the nursing. by Madeleine Leininger and Marilyn McFarland | Mar 4, 2002. Leininger's Transcultural Nursing: Concepts, Theories, Research & Practice, Fourth Edition $78.00 Only 6 left in stock - order soon. Entirely, patients in the RCU rely on nurses. During her career, Leininger has written 27 books, published over 200 articles and authored 45 book chapters (Marriner-Tomey & Alligood, 2006). As Leininger explains in her theory, nursing is a culture care paradigm that she used to emphasise the importance of cultural congruence. Every human culture has lay care knowledge and practices and usually some professional care knowledge and practices which vary transculturally. 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. Use discount. Ultimately, the combination of the CCT and the JHNEBP, together with a didactic module, connected several elements that contributed to the development of a pilot program for cultural assessment and staff education, as the core of the cultural competence. 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. The CCT maintained a systematic approach for the implementation of culturally congruent care with the use of social structure dimensions and modes of care action and decision that is demonstrated in the Sunrise Enabler. In contemporary nursing contexts, nurses have used the culture care theory to describe, explain, predict, and document day-to-day experiences of their patients. Leininger used her anthropological knowledge to develop the cultural knowledge of nurses. 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 theory develops on the behavioural patterns and commonality of patients. The presentation of the model correlates with the anthropological concepts that help nurses elucidate knowledge about multicultural beliefs, values, norms, and practices. Hair and Donoghue (2009) support this when they state, root causes for behaviors, thoughts, and feelings can be discovered, generalized, and predicted. It helps nurses to be understanding and respectful of the diversity that is often very present in a nurses patient load. Ethical and Moral Dimensions of Care (Human Care and Health Series) Madeleine Leininger. A metaparadigm is the most general statement of discipline and functions as a framework in which the more restricted structures of conceptual models develop. These elements can, therefore, guide nurses to apply the theory by the four meta-paradigms of nursing. I learnt that culture was a significant influence on behaviorsand I began to understand the important links between nursing and anthropology (p.23). As a clinical stuff nurse, I use Leiningers transcultural nursing premise to discover the perceptions of patients towards tuberculosis. A metaparadigm is a set of theories or ideas that provide structure for how a discipline should function. First of all, it helps nurses to be aware of ways in which the patients culture and faith system provide resources for their experiences with illness, suffering, and even death. The concept comprises two aspects: paradigm shift and paradigmatic thinking. Nurses need to appreciate the knowledge about culture care for the best nursing customs. Open Document. Leininger felt that the anthropologys most important contribution to nursing was to provide a foundation for the claim that health and illness states are primarily determined by the cultural background of the individual (Leininger, 1970, 1978) Her theory is in accord with the anthropological models that dominated in the 1960s when Leininger first undertook fieldwork in Papua Guinea, a study which she still continues to reference some 40 years later (Leininger & McFarland, 2003). Madeleine Leininger. Busher Betancourt, D. (2016). 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). Leininger originally worked as a childrens nurse in a psychiatric setting and noted that of children who came from diverse cultural backgrounds such as Afro-American, Spanish-Americantheir overt behaviors clearly differed (Leininger, 1978, p.21). The interest of Leiningers in nursing psychology developed during early years of her career. She believes that this particular blending of knowledge is not only unique to transcultural nursing but vital to study transcultural nursing (Leininger, 2010). The theory has now developed into a discipline in nursing. 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. In addition, I think that Leiningers theory may also be perceived as liberal, humanist perspective (Campesino, 2008). hb```f``g`a``g`@ r49m% It addresses nursing care from a multicultural and worldview perspective. Leiningers theory was used as a framework for designing teaching modules that enable a transcultural education to healthcare providers, as well as staff personnel. Leininger developed new terms for the basic concepts of her theory. defined as a learned subfield or branch of nursing which focuses upon the comparative study and analysis of cultures with respect to nursing and health-illness caring practices, beliefs, and values with the goal to provide meaningful and efficacious nursing care services to people according to their cultural values and . She holds a PhD in Cultural Anthropology and wrote her theory while studying in that field. Professional nursing care is a concept that deploys professional care systems to elucidate inductive reasoning by prompting cognitive thoughts to develop formally assistive, supportive, facilitative, and enabling nursing techniques with a view of improving the patients health condition. Early in her career, Madeleine Leininger recognized the importance of the element of caring in the profession of nursing. She grew up on a farm near the city with her two brothers and two sisters. Ethnonursing is a conceptual framework that facilitates the study of nursing care factors in transcultural nursing (Sagar, 2012). NursingBird. 12. As Daly and Jackson (2003) write, the theory was to discover what in universal(commonalities) and what is diverse about human care values, beliefs and practices (pxiii). Evaluation of Madeleine Leiningers Culture Care Theory. (Clarke, 2009) The following page outlines the major concepts and definitions that make up this theory. July 16, 2022. https://nursingbird.com/transcultural-nursing-theory-by-madeleine-leininger/. abstract. If you are the original writer of this essay and no longer wish to have your work published on the NursingAnswers.net website then please: Our academic writing and marking services can help you! The goal of transcultural nursing is to provide culturally congruent, sensitive and competent nursing care (Leininger, 1995, p.4). The assessment addresses the following: Leininger proposes that there are three modes for guiding nurses judgments, decisions, or actions in order to provide appropriate, beneficial, and meaningful care: preservation and/or maintenance; accommodation and/or negotiation; and re-patterning and/or restructuring. Transcultural nursing is a study of cultures to understand both similarities and differences in patient groups. Disclaimer: Services provided by StudyCorgi are to be used for research purposes only. Canada is a country that is differentiated by a tradition of continued and changing settlement. This mode requires the use of both generic and professional knowledge and ways to fit such diverse ideas into nursing care actions and goals. To become culturally competent nurses must require preparation and must undertake a course of theoretical study which gives them the ability to carry out etho-science research, culture based assessment and develop the cultural sensitivity required to design and implement culturally relevant nursing interventions (Leininger, 1978, 1981, 1984, 1988, 1995, 1998, 2002). 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). This is also analogous with the swift social change that the nursing world is facing today, on a worldwide scale.
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madeleine leininger metaparadigm concepts