This rapidly changing social environment and increased awareness of human rights and freedoms was the environment in which Leininger was originally writing. -Fue la primera enfermera profesional con preparacin universitaria que obtuvo un Ph.D en antropologa cultural y social. 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. The chosen theory for this paper is Madeleine Leininger's Culture Care Diversity and Universality care theory. Ethnonursing is a qualitative anthropological research method that is used for description, documentation, and explanation of nursing care concepts across disciplines (Sagar, 2012). 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. (Clarke, 2009) The following page outlines the major concepts and definitions that make up this theory. I serve as a clinical staff nurse in the Respiratory Care Unit (RCU) at Jackson Health System where we deal with patients who suffer from tuberculosis. July 13, 1925 Dr. Madeleine M. Leininger was born in Sutton, Nebraska. Denzin and Lincoln (2008) challenge ethnographers to reconceptualize their approach using new strategies and hew methods of analysis that are cognizant of the contemporary concerns around race, gender, ethnicity and class. 2022. Madeleine Leininger (July 13, 1925 - August 10, 2012) was an internationally known educator, author, theorist, administrator, researcher, consultant, public speaker, and the developer of the concept of transcultural nursing that has a great impact on how to deal with patients of different culture and cultural background. (2022, April 16). July 16, 2022. https://nursingbird.com/transcultural-nursing-theory-by-madeleine-leininger/. Research and writing became more reflexive and researchers sought new methods. Finally, she defines health as a condition of an individual or groups wellbeing that characterises culturally defined values and practices that necessitate everyday activities in socially expressive, valuable, and premeditated ways of life. 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. Leiningers theory developed into a nursing discipline as a fundamental approach to nursing practice and a better understanding of health care delivery. Sagar (2012) attests that the culture theory holds that diverse cultures perceive, understand, and exercise care in different ways. Multiculturalism requires that each culture is considered equal to the other and cultural diversity is tolerated (Francis, 1999, Brannigan, 2000) FIND STATS. A metaparadigm is the most general statement of discipline and functions as a framework in which the more restricted structures of conceptual models develop. Provide three evidence?based examples that demonstrate how the nursing theory supports nursing practice. Transcultural Nursing. In this manner, the theory enhances eccentricity of each party, thereby deriving a solution-oriented methodology for administering the treatment of patients. April 16, 2022. https://studycorgi.com/evaluation-of-madeleine-leiningers-culture-care-theory/. "Evaluation of Madeleine Leiningers Culture Care Theory." Leininger explicitly defined the conceptual framework for her culture care theory. f Leininger's professional career is recognized as an educator and academic administrator from 1956 to 1995, a writer. This theory differed from other nurses' work or mindset because nurse leaders relied heavily up on the four metaparadigm concepts of person, environment, health, and . Culture care values, beliefs, and practices are influenced in the context of a particular culture. Hence, cultural competence is a crucial concept to pursue in the nursing practice to provide patients with improved and satisfactory health care. As described by Andrews and Boyle (2007), numerous authors have identified transcultural nursing as the blending of anthropology and nursing in both theory and practice. StudyCorgi. Not only can a cultural background influence a patients health, but the patient may be taking home remedies that can affect his or her health, as well. The American Civil rights movement was just starting to find its footing when Leininger began her work in the 1950s. 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). Transcultural theory of nursing practices was first introduced and developed in the 1950s by Madeleine Leininger. It has become apparent in recent years that the growing cultural diversity has challenged much of these long-established assumptions about health, illness and health care provision. All work is written to order. Copyright 2003 - 2023 - NursingAnswers.net is a trading name of Business Bliss Consultants FZE, a company registered in United Arab Emirates. "Evaluation of Madeleine Leiningers Culture Care Theory." Transcultural Nursing Theory by Madeleine Leininger. The metaparadigm is a conceptual framework or an idea-map about how something works. By conceptualizing the theory, one might define a basic theoretical tenet, which is described by Alligood (2018) as care diversities and universalities that co-exist among cultures (p. 347). NursingBird. "Evaluation of Madeleine Leiningers Culture Care Theory." They expect the best care practices for them to regain their health. Philosophies And Theories For Advanced Nursing Practice. Today, she is recognised as the first professional nurse to seek knowledge about cultural and social anthropology. In contrast, etic care knowledge was derived from outsider views of non-local or non-indigenous care values and beliefs (2010, p. 10). Kindle. Health is a state of being to maintain and the ability to help individuals or groups to perform their daily role activities in culturally expressed beneficial care and patterned ways (Leininger et al, 2006, p.10). This theory focuses on the fact that different cultures have different caring behavior and different health or illness values, belief, and pattern of behavior (Rubyks, 2008). 5+w cJ%VnnY>r ZE?-!Sq'bZ> 1CsMom$bSghGG -. The social environment within which nursing takes place in Canada is multicultural (no ref). Lydia Hall . The interrelatedness between these concepts conceives sound nursing decisions for the treatment of patients. Campesino, 2009, contends that privilege, even regarding skin colour, white privilege, can significantly alter relationships. The conceptual models determine the perspective and produce evidence on the phenomenon on the specific issue. The Sunshine Model is Leiningers visual aid to the Culture Care Theory. Contributor: Jacqueline Fawcett September 3, 2018 Author - Madeleine M. Leininger, RN: PhD, CTN, FRCAN; FAAN; LL (Living Legend) Year First Published - 1991 Major Concepts CARE CARING CULTURE Technological factors Religious and philosophical factors Kinship and social factors Cultural values, beliefs, and lifeways Political and legal factors Economic factors Educational factors LANGUAGE . Leininger (1970) acknowledged the influence of anthropology on her work when she wrote, nursing and anthropology are inified in a single specific and unitary whole (p.2). . Evaluation of Madeleine Leiningers Culture Care Theory. Leiningers 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, groups, or institutions 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. 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. 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. The concept of environment is complex and is a multifaceted dimension in all cultures. April 16, 2022. https://studycorgi.com/evaluation-of-madeleine-leiningers-culture-care-theory/. Leininger suggests that the use of person in the metaparadigm is questionable as it could lead to cultural clashes, biases and cultural imposition practices or to serious ethical-moral conflicts (Leininger et al, 2006, p.9). Leininger (1993) modified this original definition of culture to become more inclusive or the values and beliefs and she also began to refer to the learned, shared and transmitted values, beliefs, norms and life ways of a particular group that guide their thinking, decisions and actions in patterned ways and the ways of life of the members of a society, or of groups within a society(p.9). Dewey (1938) stated that all genuine education comes through experience. Eventually, a nurse will be able to appreciate diverse cultures and apply past experiences to future patient care. The nurse is the one responsible for providing care and engaging with a patient for the majority of his or her time receiving care. Compared to other fellow theorists of the 1950s and 1960s, Leiningers theory and methodology are focused on the qualitative paradigm. New York, NY: Springer Publishing Company. 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 Culture Care Theory finds its applicability in my nursing occupation. 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 Downtown Review, 2(1), 1-7. Generality The transcultural nursing theory is a qualitative oriented theory. Numerous concepts have been developed in the light of the culture care theory. She had four brothers and sisters, they lived on a farm. In addition, the nurses care plan should involve aspects of the patients cultural background when needed. Madeleine Leininger was born on July 13th, 1925 in the small town of Sutton Nebraska. This can be achieved when both the nurse and the patient creatively invent a new care lifestyle for the well-being and health of the patient. As nurses immerse themselves in cultural education and adopt care that addresses patients cultural expectations, they implement a culturally congruent nursing process. The nurse anthropologist perceives people as beings who have intrinsic capabilities of showing concern about the needs, wellbeing, and sustained being of others (Jeffreys, 2008). The theory of bio-psychosocial model was introduced in 1977 by Mr. George Engel, a professor of psychiatry and medicine. An analysis of Leiningers culture care theory reveals that the major concepts, namely transcultural nursing, ethnonursing, professional nursing care, and cultural congruence, function complimentarily to explicate comprehensive and relevant nursing decisions that enable nurses develop comprehensive treatment methods for patients of dissimilar cultures. Culture Care is the multiple aspects of culture that influence and help a person or group to improve their human condition or deal with illness or death. These metaparadigm concepts are defined below: Care. Our nursing niche receives worldwide patients from culturally diverse regions such as Florida, Haiti, Thai, and South America among other regions. The nursing conceptual models deal with extensive metaparadigm concepts of human beings, health, nursing, and environment. She holds a PhD in Cultural Anthropology and wrote her theory while studying in that field. In the contemporary world, the knowledge about cultural diversity has become increasingly important for nurses. 41 Comments Please sign inor registerto post comments. Upon graduation from Sutton High School Madeleine decided that she was going to attend college but she was unsure on which course to choose. Culture care concepts, meanings, expressions, patterns, processes, and structural forms of care are different and similar among all cultures of the world. 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, 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. The use inductive reasoning makes the theory derive qualitative comparisons and inferences rather than quantitative inferences that nurses derived from traditional hypotheses. 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. That is, if one fails to examine the power differences within the social categories or cultures then it is possible to potentate these differences. (Leininger, M. M., 1997) 9 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 Statistical findings indicate that the application of transcultural concepts in nursing contexts has improved the health status of many patients who suffer from diverse health conditions (Sagar, 2012). Culture is a set of beliefs held by a certain group of people, handed down from generation to generation. 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 Although many nurses have realised the importance of cultural nursing and appreciation of diverse cultures, the theory has failed to provide clarity in various nursing phenomena. Leiningers theory finds its application in a number of nursing occupations in areas such as education, informatics, administration, and/or general nursing practice. Even with regard to Leiningers visit to the Gadsup peoples I did not perceive any discussion regarding the possibility of Leiningers own influence of the visit. Madeleine Leininger: Human being, family, group, community, or institution (p. 182). Care is the essence of nursing and a distinct, dominant, and unifying focus. 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). !hHVT=..uO#MD 6 ! Me(DzQtJ^^r%"$hj;Rx !&8!cxBqx{_Hv#T=@ kT endstream endobj 136 0 obj <>stream The environmental context also includes the ecological, spiritual, sociopolitical, kinship, environmental symbols, and technological dimensions and gives clues about its influences on culture, care expressions, ways of life, health, wellbeing and patterns of living for individuals, families and communities. Instead, the nurse anthropologist talks about worldviews, social constructions, and societal contexts (Butts & Rich, 2010). Evaluation of the concepts of nursing metaparadigm reinforces and highlights each . Moreover, early psychiatric interventions seemed too outdated for her to realise the needs of a culturally diverse society. It is investable to deal with culturally diverse patients in a multicultural society. Culture Care Universality refers to common care or similar meanings that are evident among many cultures. Leininger describes herself as an anthropologist and a nurse. I think that her assumptions of truth could be viewed from a positivism perspective due to her need for scientific proof to underpin her thinking as she was concerned with the cataloging of the beliefs and practices of various minority ethnic groups as per her research, her articles and her books. 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. transcultural nursing from 1966 . Finally, using cultural knowledge to treat a patient also helps a nurse to be open minded to treatments that can be considered non-traditional, such as spiritually based therapies like meditation and anointing. 16 April. From its beginning, transcultural nursing has existed within a framework of race and ethnicity, with the fundamental promise that the term culture refers primarily, if not exclusively to ethnicity. Finally, the nurses evaluation should include a self-evaluation of attitudes toward caring for patients from differing cultural backgrounds. I do agree with Leininger that these concepts have an essential role in nursing in providing culturally appropriate state of wellbeing and satisfaction. In which she frequently referred to people of different ethnic origins (p.107), people of color and ethnic groups of color (Leininger, 1978, p.451). 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 most comprehensive guide to transcultural nursing in global settings, covering pain management, mental health therapies, child-rearing practices, certification, and much more. 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). Within the rapid growth of modern society, the health care industry keeps serving as the critical element of its members and system in general. Transcultural Nursing Theory by Madeleine Leininger. Developed the Transcultural Nursing Model. "Transcultural Nursing Theory by Madeleine Leininger." The concept comprises two aspects: paradigm shift and paradigmatic thinking. (Purnell & Paulanka, 2003; Geiger & Davidhizar, 2002; Papadopoulos, Tilki & Ayling, 2008; Andrews & Boyle, 2002; Spector, 2000; Camphina-Bacote, 1999). 1. In addition, Leiningers nursing theory fails to provide a lucid insight into disease symptoms and the processes of administering cure. Moreover, the John Hopkins Nursing Evidence-Based Practice Model (JHNEBP) is the practical model for applying evidence-based research into clinical practice (McFarland, & Wehbe-Alamah, 2015). Apart from the defined concepts, Leininger's theory is based on several assumptions that are related to the defined concepts. Evaluation of Madeleine Leiningers Culture Care Theory. In the Transcultural Nursing theory, nurses have a responsibility to understand the role of culture in the health of the patient. New York, NY: Springer Publishing Company, LLC. Culture refers to learned, shared, and transmitted values, beliefs, norms, and lifeways to a specific individual or group that guide their thinking, decisions, actions, and patterned ways of living. Madeleine Leininger's Culture Care Theory . Joyce Fitzpatrick 14. In the 1950s, nurses in the United States of America began to develop and use structured theory. Madeleine Leininger Views on the 4 Metaparadigms Leininger was the first nurse to formally explore the relationship between patients and their different ethnic backgrounds. StudyCorgi. With that said, by providing culturally congruent care that is respectful towards various cultural beliefs, values, and practices, one might obtain the moral and ethical responsibility in terms of professional care. xY6}WL+.yk>uQAvZVr$9~P?CD(Zg}o_)%qJ#N%o8 Leininger had some concern with the use of person which is one of the four metaparadigms from a transcultural knowledge perspective. Social segregation of the African-American community had just ended in 1954 and the black communities of previous African slaves that were taken from Africa to America 200 years earlier were becoming increasingly expressive about their human rights and were no longer pleased to hold a submissive social position in American society (Ward, 2003). It seeks the understanding of nursing practitioners to treat patients without interfering with their cultural values. Nurses are in constant and close interaction with others and all aspects of nursing needs a high degree of interpersonal communication (Pallen, 2000). After conducting adequate research, she gathered enough knowledge that helped her integrate nursing and anthropology. Disclaimer: This essay has been written by a student and not our expert nursing writers. She recognized that a patients ethnicity had the potential to impact on health and illness. The world of the ethnographer today, they claim is a politically charged space (p.21) and as a consequence the act of researcher can no longer be viewed from a neutral or ostensibly objective perspective. As Leininger explains in her theory, nursing is a culture care paradigm that she used to emphasise the importance of cultural congruence. The conceptualisation of these concepts in nursing situations has enabled nurses realise the importance of integrating anthropological concepts in nursing contexts in an attempt to derive the best nursing practices for culturally diverse patients. MADELEINE LEININGER -Naci el 13 Julio de 1925 en Sutton, Nebraska- Muri el 10 de agosto de 2012. Culture Care Theory and the traditional nursing metaparadigm Care and culture are the key constructs that make up the Culture Care Theory. 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. Madeleine Leininger : cultural care diversity and universality theory by Cheryl L Reynolds ( Book ) 4 editions published in 1993 in English and held by 398 WorldCat member libraries worldwide. `F[4Y {8eRQ endstream endobj 133 0 obj <>/OCGs[146 0 R]>>/PageLabels 123 0 R/Pages 125 0 R/Type/Catalog>> endobj 134 0 obj <> endobj 135 0 obj <>stream This essay should not be treated as an authoritative source of information when forming medical opinions as information may be inaccurate or out-of-date. Critical theory, feminist theory, and epistemologies of color now had influence and challenged many long held beliefs about the validity, reliability and objectivity of interpretations previously believed to be accurate, Many critical ethnographers have replaced the grand positivist vision of speaking from a historically and culturally situated standpointbecause all standpoints represent particular interests and positions and are partial (Foley & Valenzuela, 2005, p.218). Yet this progression in knowledge seems largely to be unacknowledged within transcultural nursing theory, which has continued to rely on the anthropological constructs originally penned by Leininger. 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.