...Reflective Essay The aim of this essay is to reflect on an incident, which took place in a hospital setting during the first month of my Foundation Degree Assistant Practitioner course. It will explore the importance of communication amongst the health care professionals and how a good nursing documentation is an integral part of nursing. It will also demonstrate how reflection enabled me to make sense of and learn from this experience, as well as identify any further learning developments needed to improve my practice and achieve the level of competency needed for when I qualify as an assistant practitioner. While discussing the knowledge underpinning practice, evidence based literature will be reviewed to support my discussion and for the purpose of reflection the essay will be written in the first person. Spouse, J, et al (2008). Jonhs, C (2009) defined reflection as learning through our every day experiences, towards realising one’s vision of desirable practice as a lived reality. He also added that it is a critical and a flexible process of self inquiry and transformation of being and becoming the practitioner you desire to be. However, Ghaye, T et al. (2000) stated that for the health care professionals to develop a more reflective posture, they must fully embrace both the principles and the practices of reflection. It is about becoming more aware of how we learn and how this affects what we think, feel and do. There are different models for reflection; some are more...
Words: 1624 - Pages: 7
...Transcultural Nursing Model Transcultural Nursing Theory Transcultural Nursing Theory was developed by Madeleine Leininger. The theory first appeared in Leininger’s publication in 1991 but the theory itself was developed in the 1950s. Early in her nursing practice, Madeleine Leininger through observation, recognized that there was an important component of patient care that was missing. She noticed the lack of recognition and integration of patient’s cultural background into their plan of care. She recognized that patient’s cultural background influences their responses to health and illness and more importantly she believed that part of viewing the patient as a whole is taking into account their culture and cultural background in developing a plan of care. Her theory attempts to provide culturally competent nursing care through “cognitively based assistive, supportive, facilitative, or enabling acts or decisions that are mostly tailor-made to fit with individual, groups, or institution’s cultural values, beliefs, and lifeways.” The goal is to improve health outcome for people who are of different cultural backgrounds. Transcultural Nursing Theory has 3 components to it, the assessment, nursing care plan and evaluation. Leininger believed that a culturally friendly care for the patient begins with a culturalogical assessment which take into consideration the cultural background of an individual patient in relation to his or her health experience. This assessment also require...
Words: 859 - Pages: 4
...congruent care are the key factors for effective and excellent nursing care (Srivastava, 2007). However, health care provider’s roles and responsibilities in meeting health care needs of the clients in consideration to cultural perspective and diversity are getting more challenging and complicated due to increased number of people from a group of multi-ethnic and multi-cultural society, which, in turn requires health care providers to acknowledge and understand variations of cultural healthcare beliefs, values and practices. Transcultural nursing is essential in the process of nursing care because of the different factors, which includes increasing diversity and multicultural identities, emergent use of health care equipment that occasionally dispute the cultural ethics and beliefs of the clients and a rise in feminism and gender issues (Andrews &ump; Boyle, 2008). Maier-Lorentz (2008) states that the fundamental aspect of healthcare is transcultural nursing since culturally competent nursing care help guarantee patient satisfactions and health beneficial outcome. According to the Royal College of Nursing (2009), providing care with respect to health and illness based on the expectations of the people’s values, beliefs and practices corresponding with culture is the focal point of transcultural care. Influenced by the principles and theories of transcultural nursing, the author defines transcultural nursing as a discipline of culturally care for individuals, families, groups...
Words: 2692 - Pages: 11
...Transcultural nursing care/Culture Care Diversity and Universality Theory. Quynh Doan SCF- RN-BSN progrgram •Born in Sutton, Nebraska on July 13, 1925 •received her diploma in nursing from St. Anthony’s School of Nursing in Denver, Colorado in 1948 In 1950 •She earned her BS from St. Scholastica (Benedictine College) in Atchison, Kansas •She earned an M.S. in psychiatric and mental health nursing from the Catholic University of America in Washington, D.C., in 1954. •She received her Ph.D. in Cultural and Social Anthropology from the University of Washington in 1965 Referrence •Parker, M. E. (2005). Nursing Theories and Nursing Practice. Philadelphia: F.A. Madeleine M. Leininger Loading... •Madeliene Leininger recognized that the congruent of care and culture was the missing link in nursing. What lead her to recognized this phenomenon? •References •Parker, M. E. (2005). Nursing Theories and Nursing Practice. Philadelphia: F.A. Factors that shape the theorist •The main focus of cultural care frameworks is to assist nurses to avoid ethnocentric assessments, so that they can provide care that is responsive to the recipient’s cultural perspective. (Baker 1997.) Madeliene Leininger Loading... •It is the only theory explicitly focused on the close interrelationships of culture and care on well-being, health, illness, and death. •It is most holistic and multidimensional. •The theory focused on comparative culture...
Words: 847 - Pages: 4
...TANSCULTURAL NURSING SUBMITTED BY: HARUNA ABDULLAHI IBRAHIM, MSC. NURSING (1ST YEAR), GARDEN CITY COLLEGE OF NURSING. SUBMITTED ON: 13TH AUGUST, 2012 I. INTRODUCTION: In the health care delivery system, as in the society, nurses interact with people of similar as well as diverse backgrounds having different frames of references and varied preferences regarding their health and health needs. In the provision of care, nurses must acknowledge, respect and adapt the cultural needs of those patients and their significant others through identifying the differences between cultural groups that require health care providers to identify culture specific health and illness practices and caring behaviours that transcend cultural groups and appear to be universal care practices to enable the provision of care that is holistic, effective and culturally competent. The field of transcultural nursing which was pioneered by Madelein Leininger in 1975 represent a shift from the biophysiological and psychological models that dominated nursing in the 1950s as it advocates the recognition of each individual as a social being and must be handled as unique entity having cultural beliefs, norms, values and customs that influence his or her life in all ramifications including health, illness and treatment. Leininger, who was considered the leader and initiator in the field of transcultural nursing, postulated the theory of “diversity and universality of...
Words: 3258 - Pages: 14
...Journal of Transcultural Nursing http://tcn.sagepub.com/ Standards of Practice for Culturally Competent Nursing Care : 2011 Update Marilyn K. Douglas, Joan Uhl Pierce, Marlene Rosenkoetter, Dula Pacquiao, Lynn Clark Callister, Marianne Hattar-Pollara, Jana Lauderdale, Jeri Milstead, Deena Nardi and Larry Purnell J Transcult Nurs 2011 22: 317 DOI: 10.1177/1043659611412965 The online version of this article can be found at: http://tcn.sagepub.com/content/22/4/317 Published by: http://www.sagepublications.com On behalf of: Transcultural Nursing Society Additional services and information for Journal of Transcultural Nursing can be found at: Email Alerts: http://tcn.sagepub.com/cgi/alerts Subscriptions: http://tcn.sagepub.com/subscriptions Reprints: http://www.sagepub.com/journalsReprints.nav Permissions: http://www.sagepub.com/journalsPermissions.nav Citations: http://tcn.sagepub.com/content/22/4/317.refs.html >> Version of Record - Sep 26, 2011 What is This? Downloaded from tcn.sagepub.com by Marty Douglas on September 27, 2011 412965 ouglas et al.Journal of Transcultural Nursing TCN22410.1177/1043659611412965D Commentary Journal of ranscultural Nursing T 22(4) 317–333 © The Author(s) 2011 Reprints and permission: sagepub.com/journalsPermissions.nav DOI: 10.1177/1043659611412965 http://tcn.sagepub.com Standards of Practice for Culturally Competent Nursing Care: 2011 Update Marilyn K. Douglas, DNSc, RN, FAAN1, Joan...
Words: 12731 - Pages: 51
...There are various cultures in the world. Cultural diversity has brought cross cultural interactions beyond geographical boundaries. Every culture has values and beliefs which reflects cultural and social influences, relationships, and personal needs in an individual. Health cultural values “shape human behaviors and determine what individuals will do to maintain their health status, how they will care for themselves, and others who become ill, and where and from whom they will seek health care” (Edelman & Mandle, 2010). Transcultural nursing is a practice to transform health care and help people of diverse cultures. An analysis of Leninger's vision for the work of transcultural nursing indicates that there are many barriers and issues in health care, particularly for persons from diverse cultures. For instance, health care for poor Americans and ethnic minorities is less than optimal because they are unable to pay for services because of lack of insurance (Edelman & Mandle, 2010). Ethnicity is a reference to a collective identity, a sense of uniqueness within the larger society, and a distinction from nonmembers. Ethnicity denotes a sharing of customs, food, dress, music, religion, and of symbols, such as language, among those who see themselves as fellow members of the group (Edelman & Mandle, 2010). An ethnic group may have “common geographic origins, family patterns, language, religion, values, traditions, symbols, music, dietary preferences, and employment...
Words: 1637 - Pages: 7
...Universality University of Virginia Theoretical Foundation of Nursing Abstract The Cultural Care Diversity and Universality Theory provides a conceptual framework to discover and explain diversities and similarities of care practices, within a cultures context. The theory is highly complex, and has many levels of scope, in relation to human cultures and nursing worldwide. Culture care is applicable to any culture and many diverse settings. The theory is accessible as a guide to research and can lead to empirical precision. The Sunrise Enabler provides a “visual map” that depicts the multi-factoring influences of culture described in the Culture Care Theory. The United States has become a very pluralistic society and continues to grow in international and ethnic diversity daily. In 2006, Louis Kincannon, Census Bureau Director, stated that “about one in three U.S. residents is a minority.” In 2006, of the United States population, 66% were white or European, 15% Hispanic America, 13% African America, 5% Asian American, and 0.4% Native American (United States Census Bureau, 2006). By 2020 they project that only 53% of the U.S. population is going to be white of European descent. In addition, by 2020 the Hispanic Americans and Asian Americans will triple, while the number of African Americans is expected to double (U.S. Census Bureau, 2006). Considering these statistics, it is imperative that the nursing workforce adapt to the multicultural society in the United States...
Words: 3258 - Pages: 14
...Vulnerable Populations Nursing 2312 2/13/12 The School of Health Sciences Division of Nursing RN-BSN Option I will discuss two theories and apply them to different vulnerable populations. Vulnerability is an important factor for nurses to consider when working with clients across the lifespan. Vulnerability is a result of uncontrollable individual factors over which the patient has no influence (Creasia & Feiberg, 2011). Vulnerability is a general concept meaning “susceptibility” and has a specific connotation in health care “at risk for health problems” (Chesnay & Anderson, 2012). The first theorist is Lydia Hall’s care, cure, and core theory. It refers to patients as having three needs of care: the physical, the medical, and the social needs. Nurses can easily provide the care, cure, and core theory to meet the needs of patients with congestive heart failure. Nurses using Lydia Hall’s theory assist with education, medical management, and provide physical, emotional or social support for congestive heart failure patients. The medical management and education offered by nurses increase patients knowledge, and the ability to manage their disease. They can prevent exacerbations, and reduce hospital readmissions (Davood, 2009). The care model dominates when nurses provide hands on care to the heart failure patients produces an environment of comfort and trust. It promotes open communication between nurses and patients. Open communication encourages...
Words: 1157 - Pages: 5
...Nursing Theory Assignment Clifton Reed Mississippi University for Women NU 459 Dr. Linda Mills January 25, 2016 Nursing Theorist Shape Modern Nursing Every industry that has been able to survive and build upon its earlier growth has been able to do so because of research, theory, or evidenced-based practice. This statement cannot be more true about the wonderful world of nursing. The world of healthcare continues to change. The airline industry and nuclear power industry have prided themselves on finding ways to standardize processes and decrease accidents and improve employee and public safety. The automotive industry was charged with producing more energy-efficient vehicles. In nursing the goal is to utilize theory and evidenced-based practice to improve the quality of life of communities and people that entrust their care to nurses. Nursing has been forever indebted to many theorists of the modern nursing era. Two notorious individuals that linger in one’s mind are Sister Callista Roy and Madeleine Leininger. These two ladies have helped to transform nursing because of their contributions to evidenced-based practice, nursing research, and nursing theory. Nurses today have a tremendous amount of theory and history to reflect upon. This paper will focus on Sister Callista Roy’s Adaptation Model of Nursing and Madeleine Leininger’s Transcultural Nursing Theory. Sister Callista Roy’s Adaptation Model of Nursing states that one is at...
Words: 838 - Pages: 4
...Running head: HEALTH AND HERITAGE Health and heritage Health Promotion In Nursing Care Health and heritage Ever individual has a cultural heritage. Each culture views the world differently. Culture is an inherited characteristic and includes knowledge, beliefs, custom, skills, likes and dislikes. The fundamental role of cultural heritage is imitating, respecting the diversities and brings people together to face the future by informing perceiving and give importance to the understanding of the past. Heritage assessment tool was introduced for collecting information about different cultures nationalities and build cultural competences among health care professionals. It is used to investigate a given population or ethnic group. The tool helps to perform a heritage assessment depending on how deeply the person identify and answer the question and is helpful in setting the stage for understanding the health traditions of the person. The greater the number of the positive responses shows the persons greater identification with traditional heritage. Traditionally cultural knowledge makes people aware about the health maintenance, protection and restoration and is the three aspects of health promotion. It is derived from health beliefs and practices. Physical mental and spiritual well being of the individual is given importance and is viewed differently in each culture. Health is considered as a true balance with in the body, spirit and mind and family, community and the natural...
Words: 1064 - Pages: 5
...Heritage Assessment NRS-429V | Culture and Cultural Competency in Health Promotion John Thomas 3/24/13 The Heritage Assessment tool is primarily used as a device to evaluate health maintenance, health protection, and health restoration of a person’s cultural beliefs and values (Spector, 2006). This assessment helps aid in providing quality patient care in that it helps to meet and respect the needs of different types of people and their respective backgrounds (Spector, 2002). This particular paper serves to compare and contrast the ethnicities of Indian, Caucasian, and Arabic families using health maintenance, health protection, and health restoration as evaluation markers. The purpose was to identify and isolate different groups of people and their unique health practices and traditions that were based off their heritage or background. An assessment of these ethnicities led to several discoveries that I believe could truly improve our methods of health care. Cultural awareness is an essential part of life, especially in this country that is considered to be the melting pot of the world. Cultural awareness can be defined as understanding and appreciation the difference between oneself and people of other backgrounds and cultural beliefs (Shen, 2004). Cultural competence is a term used to refer to awareness and skill acquired to be able to care for people of different ethnicities and cultures (Purnell, 2002). The heritage assessment tool serves as a questionnaire of sorts...
Words: 1093 - Pages: 5
...Heritage Assessment Grand Canyon University 7/5/2014 Introduction Many times the United States is referred to as a melting pot of people, but this description of the diverse cultures and heritages that make up our nation fails to recognize the extreme individuality of the people here. Perhaps a better description would be a salad bowl, with each part and piece amazingly unique from the rest. Culture is a learned way of thinking and acting. “The behavioral, intellectual, and emotional forms of life expression represent a cultural heritage that is passed on from generation to generation” (Smith, 2009). Culture and heritage greatly influence all aspects of a person’s health. One’s heritage may determine a persons beliefs relating to the physical and /or spiritual approaches that people use to maintain, protect and restore health. The Heritage Assessment tool A heritage assessment tool is a set of 29 questions that address a person’s heritage. It looks at family connections, use of original language, religion, attendance of cultural functions and dietary habits and how closely an individual follows these practices from their cultural roots. Within this paper the author will examine the results of three families from India, Holland and Korea who took the assessment. It will look at how the heritage assessment ties in to help evaluate how closely an individual may follow common health traditions and practices such as health protection, maintenance and restoration from...
Words: 1908 - Pages: 8
... University of Phoenix Emerging Standards of Care: Cultural Competence The current U.S. population exhibits unparalleled sociocultural and ethnic diversity, yet the nursing workforce fails to reflect the current state of the nation’s diversity. According to Clark, Calvillo, Fongwa, Kools, Dela Cruz, Lowe, and Mastel-Smith (2011) non-Hispanic Whites constitute 83.2% of the nursing workforce, although Hispanics, African Americans, American Indians, Asians, and other ethnic groups remain underrepresented. Nursing faces the challenge to meet the health care needs of such a culturally diverse population while promoting diversity in the workforce through educating nurses on cultural sensitivity and competence. Cultural competence in nursing is evolving as the standard of care. Nursing and other health care providers must employ knowledge of various social and cultural influences in the care setting to promote patient-centered care (Mitchell, Fioravanti, Founds, Hoffmann, & Libman, 2010). It is crucial to recognize and appreciate the relevance of diversity in the acute care setting to set standards of culturally competent nursing care, and improve care delivery through meeting and improving these standards. Cultural Competence When examining definitions and concepts of cultural competence, it is evident that it not only pertains to race, sex, age, and ethnicity, but also encompasses “other...
Words: 3099 - Pages: 13
...Competency in Health Promotion Culture, Heritage & Health This paper will discuss culture and the cultural characteristics that can be associated with various groups and the affect it can have on one’s health in aspects of health protection, maintenance and restoration. It will also discuss the usefulness of a heritage assessment tool in providing better care for patients. The differences will be viewed based on culture in health protection, maintenance and restoration. A heritage assessment tool is a means to capture a snapshot view of one’s culture/heritage. Culture is defined as “an element of ethnicity, consists of shared patterns of values and behaviors that characterize a particular group. It is “shaped by values, beliefs, norms, and practices that are shared by members of the same cultural group” (Edelman & Mandle, 2006) In examining a patient’s heritage, it can provide an opportunity for better understanding in providing the best care possible for a patient. Madeleine Leininger is the founder of the transcultural nursing theory, but many have followed in her footsteps and built on that initial idea. The Giger and Davidhizar Transcultural Model is another tool that can be used. The model encompasses six cultural phenomena to be assessed: 1) Communication, which encompasses verbal and non-verbal communication and can be seen as the biggest barrier in working with clients from different backgrounds. 2) Space which is defined by personal space, more specifically...
Words: 1821 - Pages: 8
