Madeleine Leininger Theory Of Culture Care Nursing Essay

Madeleine Leininger Theory Of finis shell out treat strainMadeleine Leninger was innate(p) on July 23 1925 in Sutton, Nebraska.She is a Fellow of the proud College of Nursing in Australia, and a Fellow of the American Academy of Nursing.Her surmisal of Culture C atomic number 18 is now a care for discipline. In this modern font health keepingfulness system, nurses should consider cultivation as an all important(predicate) sentiment to admit holistic fright.Rationale for selecting Leiningers theoryWe selected Madeleine Leiningers Theory of Culture Care Diversity and Universality for our clinical practice with many reasons. We observe revolution among our enduring population on a daily basis. Patients come from variant glosss with different value and beliefs. One practice that is sure in matchless society or polish whitethorn not be accepted in another culture. Patients claim the right to get the kick found on their heathenish values and beliefs. For this re ason, it is one of the major responsibilities of nurses to domiciliate heathenly competent holistic flush to improve long-suffering outcome. For this reason it is of level best importance to promote heathen competence among all nurses. Leininger (2006a 16) refers to heathenly congruent precaution as knowledge, acts, and decisions gived in sensitive and knowledgeable slip path to appropriately and meaningfully fit the heathenish values, beliefs, and life ways of clients for their health and well-being, or to observe sickness, disabilities, or death.Biography of Madeleine LeiningerMadeleine Leininger is well known to as a breast feeding theorist who substantial transethnical nursing model. She was born in Sutton, Nebraska in July 23, 1925. Shereceived her nursing diploma from St. Anthonys enlighten of Nursing in Denver, and in 1950, she received her bachelor of Nursing from St. Scholastica College. She entire her Master of Science in mental health nursing from Catholi c University of America in 1954. She at raceed University of Washington in 1965 and studied cultural and neighborly anthropology in which she was awarded a Ph.D. In her earlier years in the nursing profession, she recognise care as one of the important put to achievement in nursing. Transcultural nursing was an idea that was formulated by Leininger when she realized that the expressions of the children in the guidance home were recurrent patterns from their cultural background. Transculture theory was bring forthed to provide nursing care in a holistic and blanket(prenominal) lift. Her theory gives nurses avenues on how to provide care in harmonious way through applying the patients cultural beliefs, values and practices.Classification of the TheoryMcEwen Wills (2011) places Leiningers Theory in the higher(prenominal) middle range theory classification based on the level of abstraction or degree of ad hocity. Leininger states that it is not a megabyte theory because it h as particular dimensions to assess for a total picture. It is a holistic and comprehensive approach, which has led to broader nursing practice applications than is traditionally expected with a middle-range, reductionist approach .Assumptions of Theory of Culture CareThe central taper of the theory is care. Caring is important for health, well-being, healing, growth, survival, and for facing illness or death. Culture care is a wholistic approach to serve gracious beings in health, illness and dying. There is no cure without giving and receiving care. Concepts of culture care have different and similar aspects in different parts of the world. Each human culture varies in folk remedies, professional knowledge and practice. Knowledge regarding this regeneration is important for the nurses to know to provide quality care. Worldview, style, religious, spiritual, social, political, educational, economic, technological, ethno historical, and environmental factors bear on culture care values, beliefs and practices. Healthy applications of culturally based care promote the welfare of the patient. Thorough knowledge of the culture is necessary to provide competent care to the clients. Clients who experience nursing care without incorporating the cultural issues experience stress, cultural conflict, noncompliance, and estimable moral concerns.Major concepts of the theoryUnderstanding of major concepts of theory is important to understand the whole theory. Care is to assist others with real or anticipate needs in an effort to improve a human fit of concern or to face death. Caring is an action or soundbox process directed towards providing care. Culture refers to learned, shared, and transmitted values, beliefs, norms, and life ways of a specific individual or group that hand their thinking, decisions, actions, and patterned ways of living. ethnical care refers to multiple aspects of culture that influence and enable a mortal or group to improve their human c ondition or to muckle with illness or death. ethnic care diversity refers to the differences in meanings, values, or acceptable modes of care within or between different groups of people. Cultural care universality refers to common care or similar meanings that are evident among many cultures. Personrefers to an individual human caring and cultural being as well as a family, group, a social institution, or a culture. Nursing is a learned profession with a disciplined focused on care phenomena. Worldview refers to the way people tend to look at the world or universe in creating a personal view of what life is about. Cultural and social structure dimensions complicate factors related to religion, social structure, political/legal concerns, economics, educational patterns, and the use of technologies, cultural values, and ethno history that influence cultural responses of human beings within a cultural context. Health refers to a state of well-being that is culturally defined and pr ecious by a designated culture. Cultural care preservation or precaution refers to nursing care activities that supporter people of particular cultures to retain and use core cultural care values related to healthcare concerns or conditions. Cultural care try-on or negotiation refers to creative nursing actions that help people of a particular culture adapt to or negotiate with others in the healthcare community in an effort to observe the shared goal of an optimal health outcome for client(s) of a designated culture (Summarized from Leininger, 2001, pp. 46-47).Major Propositions of the TheoryLeininger (1991) proposes that thither are three modes for guiding nurses judgments, decisions, or actions in order to provide appropriate, ripe, and meaningful care. They are cultural preservation or maintenance, cultural care accommodation or negotiation, and cultural care repatterning or restructuring. Cultural preservation or maintenance retain or preserve relevant care values so that clients can husband their well-being, recover from illness, or face handicaps and/or death. Cultural care accommodation or negotiation adapt or negotiate with the others for a safe or satisfying health outcome. Cultural care repatterning or restructuring records, change, or greatly modify clients life ways for a new, different and beneficial health care pattern (Leininger, 2002). The modes have greatly influenced the nurses ability to provide culturally congruent nursing care, as well as encourage culturally-competent nurses. These three modes of action can lead to the deliverance of nursing care that best fits with the clients culture and thus reduce cultural stress and view for conflict between the client and the caregiver.Examples from the literature of how the theory been used check to the article the expression of pain and its management has social and cultural facts that affect the biological state of the person, therefore many societies and cultures have their own ways an d perception to pain and how they treat it. In this article the nurses who were giving care to the patient used the international preaching guideline which is a bit-by-bit approach to the treatment of chronic non-cancer pain, involving not only over-the counter anti-inflammatory drug drug, but also lower dose opioids (Lu Javier, 2006). The nursing decisions that were used in this article are cultural care accommodation and negations in which the nurses embodied the holistic approach of using hilot. Hilot is a form of traditional Philippine healing massage the patients were allowed to use natural topical ointment which is usually found in their culture for relief of pain. This process allowed the patients to be prospering with the care that they received due to incorporating cultural believes with western medical specialtys. This also allowed the patient to have knowledge that is related to the treatment of pain, cultural values and hereditary pattern especially in the older population who view pain medication such as opioids and administration of it as addictive and would rather set up through it than to use it. The rational for this is because of the beliefs in the Filipino culture by both prescribing doctors, nurses who administer the medications and the patient that there ordain be high incidents of the patient becoming addicted opiods when used in treating chronic pain. execute planThe theory of Madeleine Leiningers will be integrated into practice in the work place by first reviewing the care and cultural values that fits the patient. This will be done by the way the nurse approach, work with and assist or help the patient. The integration will be approach through culturally congruent care or care that fits the culture, because care is enabling process by which the nurse will facilitate assist, guide and help the patient to link what the nurse is trying to help them in the treatment of their disease. This approach will help the nurse mange the diseases from a incomparable cultural perceptive of the patient. The nurse will monitor home remedies that are unique to the patient during admission and determine if any of them are contraindicated with the medications which the patient was taking. Also integrating religious rituals into the care plan can help make a significant impact on the success of the patients treatment it will impact on the perception of the patients health, disease process and treatment. With the patients permission, involving most family member can give the patient emotional support. Including respect of cultural values may allow the patient to express themselves to the nurse because they may view this as a sign of respect. When a nurse is having botherto get the patient to buy into to a particular treatment, negotiating will help them adapt without compromising the patients values. When the nurse develops the basic understanding of health behavior of a culture, this helps to have a positive impact on t he nurse-patient relationship.concrete mannequins of how theory would be integratedDuring assessment, the plan of care for the patient will be established. This will give the nurse clear concise minded(p) information about the patient. Cultural needs such as language barrier, dietary restrict, and beliefs will be assessed. Also rituals that may affect the patients care such as dietary restrict will be considered. An example is if the patient is Jewish, or Seventh day Adventist food product or meat made from pork should be omitted from their dietary tray. Meal intend is important because diet plays such an import healing process in the patients illness. Language barrier is another cultural issue that may farm during the patients stay in the hospital. Using the right interpreter such as someone who is certified and competent in the patients language is beneficial to prevent the wrong information being given to the patient. All these will be beneficial, helpful, assistive, and ther apeutic in the board sense to maintain an open intercourse between the nurse and the patient.ConclusionIn todays healthcare field, it is required for nurses to be sensitive to their patients cultural backgrounds when creating a nursing plan. This is especially important since so many peoples culture is so integral in whom they are as individuals, and it is that culture that can greatly affect their health, as well as their reactions to treatments and care. The practice of nursing today demands that the nurse observe and meet the cultural needs ofdiverse groups understand the social and cultural reality of the client, family, and community, develop expertise to implement culturally acceptable strategies to provide nursing care, and identify and use resources acceptable to the client (Boyle, 1987).When Leiningers Transcultural Nursing theory guides nursing practice, nurses can look at how a patients cultural background is complex in his or her health, and use that knowledge to crea te a nursing plan that will help the patient get healthy rapidly while still being sensitive to his or her cultural background. Nursing is in a new phase of health emphasis where there is an increased display of cultural identity, accompanied by increased demands for culture specific care and general health services. Unquestionably, it is the theory of today and tomorrow and one which will grow in use in the time to come in our growing and increasingly multicultural world. The research and theory provide a new pathway to advance the profession of nursing and the body of transcultural knowledge for application in nursing practice, education, research, and clinical denotation worldwide.