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Transcultural in nursing
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NR501 Theoretical Basis for Advanced Nursing
SanilVarghese
Chamberlain College of Nursing
NR501 Theoretical Basis for Advanced Nursing
According to Smith and Parker (2010), nursing theories are the practical guidelines that help nurses to have a specific pattern of thinking as they practice effective delivery of care every day and improve the patient outcome. Alligood (2003), also states that when nurses use a theoretical approach in their nursing process, it increases their knowledge and thereby helps the growth of nursing discipline.
I chose the specific theory of Trans Cultural Nursing (TCN) by Madelein Leininger. I shall use this theory to explain how we can solve problems in the field of nursing discipline. The major concept of
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Participate in continuous cultural competence development.” ("Key Competencies," 2008, p. 2)
McFarland, Lewis and Easley (2006), utilized the transcultural nursing theory in the recruitment, engagement, and retention phases of Opportunities for Professional Education in Nursing [OPEN] for multicultural, educationally, and financially undertreated students (Sagar, 2014). Thus, different types of scholarships were provided to each student according to his/her needs to complete their courses.
The ethical aspect includes treating everybody as human with his or her own beliefs, culture, life style, and knowledge. Instead of trying to change cultural beliefs and attitudes of patients, the focus should be on getting closer to the culture they practice. Thus, by gaining their trust and cooperation, we provide effective patient care ("Case studies," 2012). Another ethical aspect of transcultural theory is that it avoids the danger of categorizing people by the name of race, culture, and ethnicity. Such categorization would result in segregation of specific culture and race. In addition, the criteria for a certain cultural group are not true to everybody who belongs to that race, ethnicity, and cultural group, which is well-supported by transcultural theory ("Case studies,"
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The basis of the implementation of cultural competence starts from the students of undergraduate, graduate, and master’s level of nursing education. Hence, including the concepts of transcultural nursing theory into the course curriculum would result in creation of the most culturally competent work force, that are able to serve the multicultural patient population of our country. Use of TCN theory in nursing education leads to improvement in nurse-patient relationship, which eventually produces optimum patient care outcome and patient satisfaction. Therefore, the nursing education, the nursing practice and the nursing administration equally benefit from using the transcultural nursing theory principles. When our nursing discipline is modified to be transcultural, it promotes the evolution of an effective healthcare system. In the United States, the majority of the population is multicultural. It will be very helpful if we can provide health services to everybody in their own culturally specific way so that patients who are anxious about seeking healthcare due to cultural reasons can also access preventive health care services comfortably confidently. With the proper use of primary or preventive healthcare like vaccinations, routine physical exams, screening
The nursing profession is considered both an art and a science. An example of the science of nursing is the theory and evidence based practice guidelines (EBP), which influence a nurses practice. The art of nursing is fluid of bringing science and patient care into nursing practice. Nurses in all levels of nursing educational programs should study nursing theory. According to Eun-Ok (2015) theory evaluation has declined and it is essential to developing nursing knowledge; which, leads to the development of nursing discipline. Nursing theory should be continually evolving as current health care trends evolve. The best way to accomplish this is through incorporating theory in academia and nursing
Parker M. E., & Smith M. C. (2010). Nursing theories and nursing practice (3rd ed.).
Nursing theories developed by scientists provide a framework for the process of establishing nursing as a profession with a specific body of knowledge including nursing language, and nurse is able to communicate inside in and outside of the profession. Theory supports and defines nursing practice and is used in practice situation to provide solution to the problem, provides guidelines in patient’s quality care, and helps to resolve nursing challenges. The benefits of middle-range theories found primarily in the research studies to address particular client population, in education, patient
Sagar, P. (2012). Madeline Leininger’s theory of culture care diversity and universality. Transcultural nursing theory and models: application in nursing education, practice, and administration (pp. 1-12). New York, NY: Springer Publishing Company.
Walker, L.O., & Avant, K.C. (2005). Strategies for theory construction in nursing. Upper Saddle River, NJ: Pearson Prentice Hall.
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.
Walker, L.O., & Avant, K. (2005). Strategies for theory construction in nursing (4th ed.). Upper Saddle River, NJ: Prentice Hall.
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.
Nursing theories are actions care that a nurse provides to a patient to prevent a sickness, maintain and promote health. Many of the theorists contribute to a frame work or a blueprint of how nurses should provide care to patients. Many these theories are part of nursing care and most of them they go hand in hand. Nursing theory aims to describe, predict and explain the phenomenon of nursing (Chinn and Jacobs1978).Nursing is apprehensive with laws and principles governing the life processes and functioning of sick or well human beings. Nursing theories are beneficial in understanding the knowledge of nursing and its application (Smith and Liehr, 2008).
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 case study espouses a conflict between scientific/conventional medicine and the diverse cultural beliefs. Admittedly, cultural beliefs affect the administration of treatment and care in the healthcare system because more often than not conservative people would disregard conventional medicine in preference for the traditional healing. The case study enumerates how Mrs. Thor is torn between conventional medicine and cultural healing as advised by her father. Eventually, pregnancy complications and emergency force her to sign for the caesarian section procedure against her fathers’ will. However, to address the sociocultural mismatch between the health care providers and the patient as witnessed in the case, I would incorporate multicultural trainings of physicians. In fact, according to Douglas, Rossenkoether, Pacquiao, Callister, Pollara, Lauderdale, Milstead, Nardi, and Parnell (2006), familiarity with cultural context is essential for the nurses to provide culturally competent communication. Further, a strategy to influence this intervention would be the acquisition of specialized training on transcultural nursing practice.
Walker, L. O. & Avant, K. C. (2011). Strategies for theory construction in nursing. Upper Saddle River, NJ: Pearson Education, Inc.
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.
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.
Characteristics can be as diverse as ethnic background, language spoken, gender status, physical appearance, race, and religion to name a few. Migration from various countries is creating a diverse population with different cultures and languages within the United States. Due to these cultural differences and lack of knowledge, disparities are increasing. Studies have shown that both language barriers and lack of cultural customs can hinder the services provided to the patient by the healthcare worker (Renzaho, Romios, Crock, & Sonderlund, 2013). This study provided a positive outcome when communication and cultural mutual understanding took place and patients had a more positive health outcome. It is very important that nurses are diversified in various cultures in order to better care for our patients. According to Mareno and Hart (2014), cultural competency has become one of the core values being taught in nursing programs. Their study showed that the perceived level of cultural awareness and skills among the nurses provided was low. Awareness and knowledge levels increased with higher education. It was highly recommended that self-awareness exercises be incorporated into the nursing course and continued to be addressed during the remaining curriculum until