Early in her career, Madeleine Leininger recognized the importance of the element of caring in the profession of nursing. Through her observations while working as a nurse, she identified a lack of cultural and care knowledge as the missing component to a nurse’s understanding of the many variations required in patient care to support compliance, healing, and wellness. Show
Leininger’s Culture Care Theory attempts to provide culturally congruent nursing care through “cognitively based assistive, supportive, facilitative, or enabling acts or decisions that are mostly tailor-made to fit with individual, group’s, or institution’s cultural values, beliefs, and lifeways.” The intent of the care is to fit with or have beneficial meaning and health outcomes for people of different or similar culture backgrounds. 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. This mode requires the use of both generic and professional knowledge and ways to fit such diverse ideas into nursing care actions and goals. Care knowledge and skill are often repatterned for the best interest of the clients. 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. 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.” Leininger’s model has developed into a movement in nursing care called transcultural nursing. In 1995, Leininger defined transcultural nursing as “a substantive area of study and practice focused on comparative cultural care (caring) values, beliefs, and practices of individuals or groups of similar or different cultures with the goal of providing culture-specific and universal nursing care practices in promoting health or well-being or to help people to face unfavorable human conditions, illness, or death in culturally meaningful ways.” Leininger developed new terms for the basic concepts of her theory. The concepts addressed in the model are:
The theory’s culturalogical assessment provides a holistic, comprehensive overview of the client’s background. 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. The modes have greatly influenced the nurse’s ability to provide culturally congruent nursing care, as well as fostering culturally-competent nurses. Leininger’s model makes the following assumptions:
The Culture Care Theory defines nursing as a learned scientific and humanistic profession that focuses on human care phenomena and caring activities in order to help, support, facilitate, or enable patients to maintain or regain health in culturally meaningful ways, or to help them face handicaps or death. The Sunshine Model is Leininger’s visual aid to the Culture Care Theory. Which action by the nurse is essential to providing culturally congruent care?The most important aspect of providing culturally competent care is exhibited through what action by the nurse? Assessing and listening to each patient's customs and beliefs is the most important way to provide culturally congruent and patient-centered care.
Which action of the nurse demonstrates culturally competent care?Cultural sensitivity is demonstrated when the nurse conveys nonjudgmental interest and respect through words and action and an understanding that some health care treatments may conflict with a person's cultural beliefs.
What are the 5 steps of problem solving process for delivering culturally congruent and competent nursing care for individual clients?Here are 5 ways to help you provide culturally competent nursing care.. Perform a cultural competence self-assessment. ... . Obtain a certificate in cultural competence. ... . Improve communication and language barriers. ... . Directly engage in cross-cultural interactions with patients. ... . Participate in online chats and networks.. Which benefits would the nurse have when providing culturally congruent care?Culturally Competent Care in Nursing
Cultural competence helps the nurse to understand, communicate, and interact with people effectively. More specifically, it centers around: Understanding the relationship between nurses and patients. Acquiring knowledge of various cultural practices and views of the world.
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