Madeleine Leininger (July 13, 1925 - August 10, 2012) Developed the Transcultural Nursing Theory Metaparadigm Person - Caring beings capable of being concerned about, holding interest in, or having personal regard for other people's needs, well-being, and survival. These elements can, therefore, guide nurses to apply the theory by the four meta-paradigms of nursing. These actions help a patient to modify personal health behaviors towards beneficial outcomes while respecting the patients cultural values. 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. Given this crisis, which changed the approaches taken to both methodology and method in anthropology, the original ethnographical approach utilized by Leininger and still employed for the methodology of ethno-science and data collection in transcultural nursing, may not be relevant or as able to claim truths as it was once believed. Question Caring is essential to curing and healing. Nurses are in constant and close interaction with others and all aspects of nursing needs a high degree of interpersonal communication (Pallen, 2000). After all, the values and beliefs passed down to that patient from generation to generation can have as much of an effect on that patients health and reaction to treatment as the patients environment and social life. Leininger was the first nurse to formally explore the relationship between patients and their different ethnic backgrounds. After her high school education at Sutton High School, the author reveals that Madeleine Leininger pursued a nursing diploma at St. Anthonys Hospital School of Nursing before she furthered her education at Mount St. Scholastica College (currently known as the Benedictine College) and Creighton University where she earned relevant nursing undergraduate degrees. The Downtown Review, 2(1), 1-7. Madeleine Leininger who lived from 13 July 1925 to 10 August 2012 was an author, scholar, professor, administrator, consultant, and a nursing theorist and anthropologist (Jeffreys, 2008). 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). Therefore, it is essential to consider the fundamental role of communication and accommodation to gain insight from the patient on his cultural background. hUmo@+qSU]"UHC]BIRv6Pdcc According to Ayiera (2016), the CCT is based upon the clinical experience considering that the aspect of culture was a missing link in the nursing care practice. Once the assessment is complete, the nurse should use the culturalogical assessment to create a nursing care plan that also takes the patients cultural background into consideration. Furthermore, it contributed to the project on increasing the medical personnel knowledge about cultures the health industry usually faces. These concepts do not exist independent of each other, and it is essential to evaluate individual patient's needs considering these four elements. $ 4.69. Madeleine Leininger's Culture Care Theory . The difficulty with truth from a positivism approach is that what is determined to be true is done so from anothers standpoint (Hair & Donoghue, 2009). "Evaluation of Madeleine Leiningers Culture Care Theory." Madeleine Leininger's theory of Transcultural Nursing, also known as Culture Care Theory, falls under both the category of a specialty, as well as a general practice area. According to Leininger, human care is a collective practice that is existent among universally diverse communities. Care, which assists others with real or anticipated needs in an effort to improve a human condition of concern, or to face death. 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. They are: cultural preservation or maintenance, cultural care accomodation or negotiation, and cultural care repatterning or restructuring. These observations lead Leininger to develop an interest in anthropology. 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 . since 2003, Your NursingAnswers.net purchase is secure and we're rated Leininger (1995) also discusses the use of her ethnonursing method enabled her (1995) to obtain the peoples ideas, values, beliefs, and practices of care and contrast them later with nurses knowledge (p. 99), and thereby enrich the cultural knowledge of nursing and nurses. (2022, April 16). Therefore, the theory development is based upon the four metaparadigm concepts of person, environment, health, and nursing in order to explain nursing. It allows for examining generic (folk) as well as professional care (the nurse)implementing the theory stimulates nurses, as carers and researchers to reflect upon their own cultural values and beliefs and how they might influence the provision of care. Critical theory recognizes that, nursing science and practice involves examining ways in which categories of social difference are constructed and operate in structural systems of privilege and power (Campesino, 2009, p. 300). So how accurate can the lived experience of individuals be clearly understood by a researcher and then extrapolated to represent the lived experience of an entire cultural group? 2022, studycorgi.com/evaluation-of-madeleine-leiningers-culture-care-theory/. As a result, the conceptual framework allows representational analysis of culture care diversities and universality in an attempt to seek holistic nursing knowledge that meets the needs of a multicultural society (Butts & Rich, 2010). The concepts addressed in the model are: Care, which assists others with real or anticipated needs in an effort to improve a human condition of concern, or to face death. Canada is recognized as a multicultural nation. Ethical and Moral Dimensions of Care (Human Care and Health Series) Madeleine Leininger. After conducting adequate research, she gathered enough knowledge that helped her integrate nursing and anthropology. Therefore, a theory is based on findings from the social structure, generic care, professional practices, and other aspects that promote culturally based care for patients. 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. 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. The metaparadigm is a conceptual framework or an idea-map about how something works. (2022) 'Evaluation of Madeleine Leiningers Culture Care Theory'. In transcultural nursing, nurses practice according to the patients cultural considerations. Evaluation of the concepts of nursing metaparadigm reinforces and highlights each . In this manner, the theory enhances eccentricity of each party, thereby deriving a solution-oriented methodology for administering the treatment of patients. Leiningers theory has not only advanced her own philosophy but has founded the development of transcultural nursing and a number of later models that have contributed to transcultural nursing today. The most comprehensive guide to transcultural nursing in global settings, covering pain management, mental health therapies, child-rearing practices, certification, and much more. The theory acknowledges that patients belong to different cultures with different social beliefs and practices. Ethnonursing is a conceptual framework that facilitates the study of nursing care factors in transcultural nursing (Sagar, 2012). 2[ StudyCorgi. Leininger describes herself as an anthropologist and a nurse. Some of Madeleine Leiningers works include: Madeleine Leiningers theory of Transcultural Nursing, also known as Culture Care Theory, falls under both the category of a specialty, as well as a general practice area. However, Leininger failed to explain the application of the theory where cultures exhibit common behaviours owing to the shared values, norms, attitudes, practices, knowledge, and/or language among other cultural characteristics. (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 This situation leads to outcome imperceptions pertaining to the valuation of patients. July 16, 2022. https://nursingbird.com/transcultural-nursing-theory-by-madeleine-leininger/. This paper was written and submitted to our database by a student to assist your with your own studies. Instead, care has the greatest epistemic and ontologic explanatory power to explain nursing. Leininger originally worked as a childrens nurse in a psychiatric setting and noted that of children who came from diverse cultural backgrounds such as Afro-American, Spanish-Americantheir overt behaviors clearly differed (Leininger, 1978, p.21). Leininger (1995) also discusses not only differences between cultures but the need to discover the similarities as well. 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). A body of knowledge is built up and maintained over time which contains the different cultural nuances, values and beliefs embedded in different ethnic groups and this is then used by nurses and can be relied upon to guide their practice. She is a Certified Transcultural Nurse, a Fellow of the Royal College of Nursing in Australia, and a Fellow of the American Academy of Nursing. Transcultural Nursing : Concepts, Theories, Research and Practice. 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. Do you have a 2:1 degree or higher in nursing or healthcare? A conceptual map for generating nursing knowledge about teaching culture care using the CCT can be applied to nurse educators in various contexts. It helps nurses to be understanding and respectful of the diversity that is often very present in a nurses patient load. In addition, the theory has helped nurses develop a multidimensional cultural competence that reinforces their roles and confidence of handling patients who suffer from different health conditions (Butts & Rich, 2010). Busher Betancourt, D. (2016). (Clarke, 2009) The following page outlines the major concepts and definitions that make up this theory. Disclaimer: This essay has been written by a student and not our expert nursing writers. The CCTs goal is to provide culturally congruent care that contributes to the health and well-being of people or to help them address disabilities, dying, or death with the aid of three modes of culture care decisions and actions. Nursing theorists and their work (9th ed.). nursing" and is recognized worldwide as the founder of transcultural nursing. Caring Imperative in Education (41-2308) Madeleine Leininger. The development of the transcultural treatment theories dates back to the 1950s when Leininger started a psychiatric treatment facility and a learning curriculum at Creighton University in Omaha. (2022, July 16). The second assumption is that caring is necessary for . The concept of health has great importance in Leiningers Culture Care theory but has been viewed by Leininger in a different perspective than traditionally implied. The theory's primary intention was to improve the universal patient satisfaction in a care delivery setup. We've received widespread press coverage 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. Lydia Hall . 132 0 obj <> endobj 145 0 obj <>/Filter/FlateDecode/ID[<671B5631295C054CE5C19D2AAF63FFB5>]/Index[132 26]/Info 131 0 R/Length 76/Prev 305860/Root 133 0 R/Size 158/Type/XRef/W[1 2 1]>>stream 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. Leiningers theory finds its application in a number of nursing occupations in areas such as education, informatics, administration, and/or general nursing practice. . The previous ideal of the melting pot culture, where immigrants settling in America were expected to forgo their values and traditions and assimilate into the American way of life, was coming under inquiry (Gleason, 2002). Madeleine Leininger's theory of care and nursing is a prime example of how knowledge taken from one field can synergistically benefit another (Leininger, 1988). 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). "Transcultural Nursing Theory by Madeleine Leininger." Therefore, Leininger seems to express that one truth or reality may be revealed when examining cultures (Hair & Donoghue, 2009 and Leininger, 1995). Cultural Care Accommodation or Negotiation refers to creative nursing actions that help people of a particular culture adapt or negotiate with others in the healthcare community in an effort to attain the shared goal of an optimal health outcome for patients of a designated culture. Leiningers 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. Ayiera, F. (2016). The transcultural concept serves as a rationale for gathering valuable information about the correlation between their health and cultural perceptions. The integration of anthropological concepts in nursing contexts shifted the nursing standpoint in the past half a century. B#@x1GLpD%AlTR$= By analyzing the transcultural theory by Madeleine Leininger, a nurse practitioner will attain culturally-specific knowledge, which will result in improved patient treatment with a sense of open-mindedness. Nursing is the action taken by the nurse [ 2 ]. As Omeri (2003) explains: The model demonstrates the different domains of the theory and is designed to guide the discovery of new transcultural knowledge through the identification and examination of the culturally universal. Josephine Paterson & Loreta Zderad 17. At one time, Leininger revealed that her aunt who ailed a congenital heart disease worn her heart to the field of nursing (Sagar, 2012). 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). There is also a number of transcultural models and guides that were impacted by the Leiningers CCT. The Transcultural Nursing Theory addresses both general practice and specialty and aims at providing culturally coherent nursing care. 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. Upon graduation from Sutton High School Madeleine decided that she was going to attend college but she was unsure on which course to choose. The concept of environment is complex and is a multifaceted dimension in all cultures. The use of transcultural theory surpasses the wide-ranging human culture due to its universality that has facilitated the development of rounded health practices. . The theory addresses the need to integrate nursing techniques and anthropological concepts to nurse diseases from a cultural outlook of a patient. For more detailed information: Leiningers Culture Care Theory, Copyright 2023 Alice Petiprin, Nursing-Theory.org. You are free to use it to write your own assignment, however you must reference it properly. Rajan (1995) explains that existentialism gives an account of how an individual consciousness apprehends existence (p. 452). foods and meal preparation and related lifeways. Beginning with an overview of the theory and its origins, this book presents the assumptions underlying the theory; the major concepts of the meta-paradigm of nursing, including the nursing. Retrieved from https://nursingbird.com/transcultural-nursing-theory-by-madeleine-leininger/, NursingBird. Undoubtedly, these cultural factors change with time due to modernity and influence. It is useful and applicable to both groups and individuals with the goal of rendering . Nursing theories hold that individuals with diverse cultural origins may have varied needs for health. Leininger acknowledges that the reason she met opposition regarding her theory was as a result of nursing adhering to the medical model which only valued the biophysical and the psychological aspects of humans (Leininger, 1995). 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. Madeleine Leininger is broadly recognized as the founder of cultural theory in nursing. Leininger became an Associate . It is investable to deal with culturally diverse patients in a multicultural society. NursingBird. !hHVT=..uO#MD 6 ! Me(DzQtJ^^r%"$hj;Rx !&8!cxBqx{_Hv#T=@ kT endstream endobj 136 0 obj <>stream Canada is a country that is differentiated by a tradition of continued and changing settlement. There are the original inhabitants; the Aboriginal people, as well as the more socially dominant Anglo-Canadian population, descendants of the settlers who came here from countries in Europe during the colonial era and in more recent times, immigrants who have arrived from a range of countries across the globe. The concept comprises two aspects: paradigm shift and paradigmatic thinking. %PDF-1.6 % Transcultural Nursing Theory by Madeleine Leininger, Website Evaluation: Kids Health as an Internet Resource for Learning About Nursing, Technology and Healthcare: Shortage of Healthcare Providers and the Aging Demographics, Quality Management and Nurse Administrators Role, Professionalism and Professional Conduct of Nursing Practice, The Effects of Workplace Conflict on Nurses Work and Patients, The American Association of Nurse Practitioners as one of the Major Certification Bodies, The Significance of National Certification, Pupil Nurses Transition to the Workforce, Regulations Change in Community Health Nursing, Madeleine Leininger and the transcultural theory of nursing. NursingBird, 16 July 2022, nursingbird.com/transcultural-nursing-theory-by-madeleine-leininger/. The CCT has a worldwide implementation and value since it influenced the development of other modified disciplines. Leininger describes them as, emic knowledge was the natural, local, indigenous root care values. Nursing is a transcultural, humanistic, and scientific care discipline and profession with the central purpose to serve human beings worldwide. Leiniger 1. Madeleine Leininger's Cultural Theory as Applied to a Certified Registered Nurse Anesthesiologist Everyday the world becomes smaller and smaller. Madeleine Leininger gained prominence all over the world in the field of cultural care. Therefore, there is a need to embolden the study, description, and prediction of nursing phenomenon by the use of congruent cultural nursing care practices. Beginning with an overview of the theory and its origins, this book presents the assumptions underlying the theory; the major concepts of the meta . In addition, the nurses care plan should involve aspects of the patients cultural background when needed. The background to her work was derived in an essential way from, and in embedded in, anthropology and the concept of care is drawn from nursing. Cultural Care Re-Patterning or Restructuring refers to therapeutic actions taken by culturally competent nurses. 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).