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Transcultural Nursing Principles
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Research paper on cultural diversity in the healthcare delivery pdf
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As women’s role changed greatly in the 1950s, Madeline Leininger could have been ignited by her own culturally suppressed treatment, nonetheless she pioneered the nursing field into transcultural nursing. The purpose of this paper is to discuss the eight reasons why transcultural nursing is a necessary specialty according to Madeline Leininger. Furthermore, to provide in my own words the meaning of cultural diversity while showing its relationship within the nursing field and give examples of three ways culturally sensitive care is provided by this author.
Madeline Leininger believed transcultural nursing was a valuable nursing component because it communicates, educates, and establishes a forum to deliver culturally congruent care. These
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One must be empathetic but not sympathetic, sensitive but aware of the environment. Inmates have the right to practice their cultural beliefs. As an inmate exercises their right to gender transform, this nurse addresses the inmate to the gender they identify with and conduct medical care sensitive to their process. Inmates who practice the religion Islam par take in Ramadan a holy month, they must fast from eating, drinking and use of oral medications from predawn to after sunset. As a nurse it is my obligation to educate the practicing inmate regarding fasting during Ramadan and administer medication in accordance of time frames allowed (Meyer, Pomeroy, Reid, & Zuniga, 2016). While inmates are entitled to privacy, due to close personal boundary spaces and safety of nurses, private medical information is delivered in the presence of trained correctional officers with training in patient inmate confidentiality. These three methods are not limited too the only methods of delivering culturally sensitive care by this author but do demonstrate my awareness of the importance of cultural diversity in
...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
Transcultural nursing is a critical component of the nursing profession in an ever-changing culturally diverse world. The patient’s social and cultural dissimilarities are important for the nurse to recognize and acknowledge. This will help to prevent the imposition of the nurse’s beliefs onto the patient. The Japanese culture beliefs are incommensurable to American cultural beliefs in how they approach the process of labor and delivery. Nursing interventions should therefore be reflective and comprehensible to that of the Japanese cultural beliefs.
... L. D., & Paulanka, B. J. (2008). Transcultural health care: a culturally competent approach (3rd ed.). Philadelphia: F.A. Davis.
Environmental justice can influence the population’s health. This environmental justice is relevant to nursing, because awareness brings changes and can save and improve many lives. When a person in a hospital or in a community setting is affected by a health problem, the entire community is at risk, knowing the population is lack of knowledge and have limited access to understand health care system. Therefore, a solution to eliminating cultural disparities is optimal for immigrant communities. In conformity with the Journal of Transcultural Nursing journal, nurses need to follow 12 steps to have a successful result when integrating cultural competence in the health care environment: social justice, critical reflection, knowledge of cultures, culturally competent practice, cultural competence in the health care systems and organizations, patient advocacy and empowerment, multicultural workforce, education and training in culturally competent care, cross-cultural communication, cross-cultural leadership, policy development, a...
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,
Having cultural awareness, cultural sensitivity and cultural competence is very relevant as a professional nurse. There are many different models used for cultural assessments that were created by nurses. The Giger and Davidhizar’s Model of transcultural nursing outlines six factors that is useful in cultural assessment. This Model centers on patient’s health beliefs and health traditions. There is key information needed to perform an adequate cultural assessment in diverse cultures. There are diverse cultures and ethnicities found in my local community. The Russian community is prevenient in my community and has their own beliefs, health issues and health behaviors.
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.
Concepts Madeleine Leininger’s concepts are theoretically defined because the concepts are identified, relationships are proposed, and predictions made (McEwen & Wills, 2014, p. 521). Leininger believed routine nursing interventions may not always be suitable and the need to use knowledge from her theory to converge on cultural care practices as opposed to relying strictly on medical data. Interpreting the factors influencing gaps in care marks a difference between health and well-being of a patient and unwanted nurse-patient conflicts. Major concepts of the model are ethnicity, culture care diversities, culture care, and parallels relating to transcultural human care (McEwen & Wills, 2014, p. 233). Leininger’s theory included propositions and assumptions that help explain or guide action in providing culturally congruent nursing care.
Transcultural nursing requires us to care for our patients by providing culturally sensitive care over 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 definite 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 in my nursing practice.
This causes problems about the diagnosis as well as how nurses may tell patients about issues with their care. A way a nurse can overcome this is by having an interpreter when they know that a patient doesn’t know English, but this is not always the case for most nurses as there are not a lot of interpreters around. In health practice language isn’t always to do with culture but it can be the way a nurse or doctor speaks to the patients so they may adopt certain types of jargon and the patients may feel intimidated. Madeleine Leininger, who is the founder of transcultural nursing, says that providing competent care across all cultures and to be customized to fit patient’s different beliefs and traditions and different languages that a patient may speak. Divi et al (2007) claims that language barriers increase the risk of patient care and safety as they will find it difficult to understand what is going on with their care, so it is important for patients to have access to language services such as an
In the health profession, the diversity of people requires the ability to carefully, respectfully and effectively provide care. For this reason, it is vital that the approach of care delivered to patients depend on each individuals. This approach ensures patients receive best quality of care possible and avoid situations that can potentially prevent improvement of health status. This essay will discuss the importance of nurses to be cultural competent, possible consequences of ethnocentrism and how critical reflection can help prevent ethnocentricity.
Leininger M. & McFarland M.R. (2002). Transcultural nursing: concepts, theories, research, and practice (3rd ed.). New York, New York: McGraw-Hill Companies Inc.
Understanding cultural differences not only improves the effectiveness of the treatment the patient receives, it is also help the nurse to prevent negliency of care. It is impostant to maintain a curiosity about each patient no matter how much we know abouth that person's culture.
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.