Premium Essay

Transcultural Nursing Theory


Submitted By bcain09
Words 459
Pages 2
Madeleine Leininger’s Trancultural nursing theory overview and clinical application

Introduction and background
“ A lack of cultural and care knowledge is the missing link to nursing’s understanding of the many variations required in patient care.” (Sitzman, Eichelberger, 2011, p. 93).

Madeleine Leininger first developed the transcultural nursing theory in the 1950’s. She had an epiphany during some time spent in a child guidance home. She deduced that the reoccurring behavior patterns in the children had an underlying cultural basis (Sitzman, Eichelberger, 2011). She formed a theory of Culture Care to improve the way people of multiple cultures are being cared for in hospitals and other care centers. Leininger preferred to address patient care as a holistic project and incorporated her theory to caring about the patient’s mental and emotional wellbeing as it relates to a patient’s cultural comfort level with any particular medical procedure or nursing care protocol. She addressed the need to change nursing from a merely physical and physiological care of a patient into a more encompassing role of addressing cares as they relate to culture and religious beliefs of patients (Leininger, 1992, p. 1). This paper will define the theory and discuss cliical applications of this theory. Culture, caring, diversity and values are keywords one observes in this Theory’s basic tenets. Basic assumptions one sees from reading a summarized listing of the theory’s tenets are that culture and care are intertwined. A nurse cannot provide complete care of a patient without taking into consideration the patient’s cultural values. Leininger views the patients as individuals with their own views and values based on their culture, personal upbringing and religious beliefs. Nursing is “a learned profession with a disciplined focus on care phenomena” (Sitzman, 2011, p. 94).

Similar Documents

Premium Essay

Transcultural Nursing Theory

...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

Premium Essay

Nursing Theory Ppt- Transcultural

...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

Premium Essay

Transculteral Theory

...RUNNING HEAD: LEININGER’S THEORY OF CULTURE CARE Critique Paper Theory of Culture Care Diversity and 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...

Words: 3258 - Pages: 14

Premium Essay

Historical Perspective

...Essay There are many nursing theorist that have influenced the development of nursing research. Nursing Theorist have provided the interrelated frameworks of ideas which focus on nursing practice. Through clinical application and information, nursing science adds relevance to the care of patients in health and disease. Nursing theories provide guidance to researchers and educate nurses (Keefe, 2011) to look at different approaches in caring for their patients. This paper will show how one theorist most influenced the development of nursing research. The 1990's was the decade for research and expanded nursing theory. This period elevated the use of evidence-based and best practices in nursing (George, 2011). Transcultural Nursing was introduced in 1992 by Madeline Leininger. Leininger’s theory says that the goal of nursing care is to” provide care congruent with cultural values, beliefs, and practices’ (Alligood & Tomey, 2010). The cultural and sociocultural factors of each person affects how they take on factors, meanings, and expressions of health and caring systems. This theory has wide applicability in different settings. The interest is focused on nurses becoming culturally competent so they can provide appropriate nursing care to a growing culturally/ethnically diverse patient population. Nursing paradigms show a clear relationship among the existing theoretical works in nursing. Leininger is the proponent of Transcultural Nursing and Human Care Theory. According to Cohen...

Words: 536 - Pages: 3

Premium Essay

Cultural Diversity

...Culture Care Diversity and Universality Biography of Madeleine Leininger Madeleine Leininger’s theory of Culture Care Diversity and Universality was developed in the 1960’s. The idea for this self-developed theory was constructed after Leininger recognized that nursing’s metaparadigm was missing two major components: care and culture (Leininger & McFarland, 2006). While working on a med-surg unit in the 1940’s, Leininger recognized many patients often reported that nursing care practices helped them get well, stay well, or adjust to another state of well-being ( Leininger & McFarland, 2006). In the 1950’s while working as a child psychiatric mental health nurse, Leininger realized the importance of culture in the care of children of different backgrounds (Leininger, 2001). From these experiences, Leininger reported thoughts of helplessness and culture shock due to her lack of knowledge of cultural factors that influenced nursing care. This led her to pursue doctorial studies in anthropology in the 1960’s. During this time, the theory of Culture Care Diversity and Universality was developed. Brief Examination of Theory The general premise of this theory suggests that people of different cultures can define ways they experience and perceive nursing care and can also relate their experiences to their general health beliefs and practices (George, 2007). Leininger believed that people of different cultures can inform and direct professionals in such a manner to receive...

Words: 1016 - Pages: 5

Free Essay

Emerging Standards of Care

...Emerging Standards of Care Kassandra Snow NUR 531 May 25th, 2015 Greg Friesz Emerging Standards of Care In the United States, it is no secret that there are many differing cultures, ethnicities, religious and racial in an abundance. In the nursing field, we see many differing cultural diversities on a daily basis. Racial, religious, and ethnic differences are mostly easy to spot in the health care world. These differences are readily discussed in nursing education, and education is given on how to provide culturally competent care for many different backgrounds. While this is an amazing thing to have in the nursing world, my question is what about the culture of military Veterans? Veterans are typically overlooked when it comes to the concept of culturally competent care. They have their own way of thinking, own belief systems and even their own language along with the specific mental and addiction health disparities. It is important that nurses do not overlook the rising number of Veterans, and the specific care they need due to the differing culture. Culturally competent care for veterans, any vulnerabilities of the Veteran culture, standards of culturally competent care in the Veterans Administration, application of nursing theory, and solutions for providing culturally competent care for Veterans will be addressed in this paper. Culturally Competent Care and Standards The United States is widely known as the “melting pot” of the world, and that comes with many differing...

Words: 3111 - Pages: 13

Premium Essay


...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

Premium Essay


...Transcultural Nursing Theory Applied Vulnerable Populations I "Nowhere are the divisions of race, ethnicity and culture more sharply drawn that in the health of the people in the United States. Despite recent progress in overall national health, there are continuing disparities in the incidence of illness and death among African Americans, Latino/Hispanic Americans, Native Americans, Asian Americans, Alaskan Natives and Pacific Islanders as compared with the US population as a whole." --National Center for Cultural Competence Population addressed Population addressed In 1950, U.S.-born whites made up about 90 percent of the U.S. population. By 2000, this number declined to about 75 percent, and by 2050 non-Hispanic whites will be in the numerical minority (U.S. Census Bureau 2001, 2002). This rapid diversification requires healthcare organizations to pay closer attention to cross-cultural issues if they are to meet the healthcare needs of the nation and continue to maintain a high standard of care. Looking at the Country as a whole the current area of discussion for this paper is the area of Western North Carolina and the population of Asheville, which is a melting pot of cultures which the combination they create is unique to no other. According to the 2006 U.S. Census Bureau statistics for Asheville, N.C. the current demographics break down as follows: Asheville [City] Population (current estimate), 70,400. Buncombe County Population (2006), 222,174, county in...

Words: 7006 - Pages: 29

Premium Essay

Dr. Madeleine Leininger Model Creasia&Friberg, 2011, Nursing theories are composed of Concepts and propositions that characterize the central occurrences of interest to nursing discipline to include: person, environment, health /illness, and nursing. Dr. Madeline Leininger has drawn from a background in cultural and social anthropology and applied it to her model which is now known as Leininger’s Cultural Care Theory. The theory was initiated from clinical experiences recognizing that culture and a holistic concept was the missing link in nursing knowledge and practice (Leininger, 1988). This presentation will take a look at how person, environment, health/illness, and nursing are greatly affected by different cultures and subcultures. Nurses are responsible for taking care of not only our own communities, but an ever-growing world around us. The ultimate goal of this theory is to provide culturally appropriate nursing care (Leininger, 1988). BACKGROUND OF THEORIST MODEL Dr. MadeleineLeiningeris called “a living legend”. She was born in Sutton, Nebraska in July 13, 1925. As a Nurse, anthropologist, teacher, mentor and visionary she became the founder of the Transcultural Nursing Movement. She was the one who proclaimed that “the world was fast becoming a global community and nurses needed to be able to recognize it and deliver culturally competent care”. (Leininger , 1988) Dr. Leininger earned her nursing diploma from St.Anthony's Hospital School of Nursing, Denver, Colorado. In 1950, she...

Words: 1673 - Pages: 7

Premium Essay

Leininger's Culture Care Theory

...Leininger's Culture Care Theory jennifer davis PURDUE Leininger's Culture Care Theory Madeleine Leininger’s Theory of Culture Care Madeleine Leininger viewed by many as the founder of transcultural nursing. Leininger’s theory addressed the similarities and differences across human culture. She believed that transcultural nursing care could provide meaningful, therapeutic health and healing outcomes (Parker & Smith, 2010, 318). In her theory she hoped for the nurse to provide care within cultural measures, beliefs, and values of the patient. In the 1960’ s she devised the phased “culturally congruent care”. Leininger’s vision to provide “culturally congruent care” manifested thru the intertwinement of the nurse-patient relationship. The relationship had to identify, plan, implement, and evaluate each caring mode for holistic healthcare. In summary, nurses who understand and value the practice of culturally competent care are able to effect positive changes in healthcare practices for clients of designated cultures (Sitzman & Eichelberger, 2011, 46). In providing an example relative to everyday practice, I am reminded of the varying cultures and backgrounds we service at my current employer. We are surrounded in a melting pot community of different races and ethnicities. To the southeast we service primarily African American’s. To the west we primarily service White’s and Asian’s, and to the north primarily Hispanic’s. We also are directly across the street from...

Words: 707 - Pages: 3

Premium Essay

Vulnerable Populations with Nursing

...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

Premium Essay

Vulnerable People in the Workplace

...Vulnerable People in the Workplace Vulnerable People in the Workplace Paper Watson is a Nursing theorist who recognizes nursing as the art of caring and the need to treat each patient holistically (Watson, 2007). Leininger is another Nursing theorist who realized caring is unique and the core of nursing. According to Leininger’s Cultural Care Theory as cited by Maier-Lorentz (2008), on Transcultural Nursing, nurses need to be aware of various cultures and how to use this knowledge in their daily practice (Maier-Lorentz, 2008). Leininger’s Cultural Care Theory addresses the need for cultural competency in health care. Communication with a patient can be affected by a patient’s culture. In addition, nurses need to avoid ethnocentric bias. In an effort to achieve a holistic approach to health care one must have an understanding of cultural factors that may affect proposed health care interventions. Leininger’s Cultural Care Theory can be hardwired with Watson’s Theory of Human Care to help achieve holistic care of the patient (Leininger & McFarland, 2002). In this paper I will discuss the design of a teaching program at my workplace to help raise awareness about vulnerable populations. According to De Chesney and Anderson (2008), issues with vulnerability can apply to population groups or individual people. De Chesney and Anderson (2008) discuss vulnerable populations that are at higher risk for health issues related to socioeconomic status, cultural issues, or environmental...

Words: 1187 - Pages: 5

Premium Essay

Concept Comparison and Analysis Across Theories Paper

...Concept Comparison and Analysis across Theories Paper NUR 513 August 6, 2012 Comparison and Analysis Theories Paper The heart of nursing has always been caring. Since the start of professional nursing with Florence Nightingale, theorists have been writing about caring. This paper highlights three caring theories Madeleine Leininger, Jean Watson, and the combine theory of Patricia Benner and Judith Wrubel these theorists each has developed a theory of caring. This paper will examine each by comparing and contrasting on how each looks at caring. Leininger Madeline Leininger developed her first theories in the mid-1950s. Her main theory is transcultural nursing and caring theory. This theory was formed by an inadequate knowledge of cultural factors that represented a missing link to providing quality nursing care. Leininger believed that caring is universally present in all cultures (Nelson, 2006). Leininger’s definition of caring for nursing is “the central and unifying domain for the body of knowledge and practices in nursing’ It is critical to human growth, development and survival and has helped human beings through cultural evolution” (Cohen, 1991). Leininger’s transcultural theory of nursing her assumption human caring is a universal expression. However, patterns vary among different cultures. Caring has multiple dimensions of biophysical, psychological, cultural...

Words: 1722 - Pages: 7

Premium Essay

Personal Framework

...The Journey into Cultural Care and Diversity in Nursing: A Personal Framework I have had the opportunity to work in many different areas of nursing, and have learned a great deal regarding cultural care and diversity among patients and their families. I have used my past experiences in each different unit and healthcare facility to improve my communication and rapport with my patients and their families to improve the continuity of care. I have been exposed to patients from different countries, cultures, and religions on a daily basis. I believe that it is crucial for the nurse to build a trusting non-judgmental relationship with the patient and their families to show compassion. When caring for patients I listen to their concerns, decrease the stress levels and improve communication and recovery. As a nurse I must take in consideration the culture and religion in which they come from, and care for them appropriately to avoid upset and miscommunication. My goal and focus is to use holistic care to provide the patient with a successful recovery. My personal framework paper will be expressing my own personal journey as a bedside nurse and using my own personal beliefs, values, and philosophies related to caring for culturally diverse patients. Madeleine Leininger’s Cultural Care Diversity and Universality Theory, and the nursing metaparadigm will be discussed, and shown how it is incorporated into my daily nursing practice. Philosophy In McEwen and Wills (2011), Empiricism...

Words: 3237 - Pages: 13

Premium Essay

Emerging Standards of Care

...Emerging Standards of Care NUR/531 August 18, 2014 Emerging Standards of Care According to the U.S. Department of Health and Human Services (2013) “Cultural competency is one of the main ingredients in closing the disparities gap in health care. It’s the way patients and doctors can come together and talk about health concerns without cultural differences hindering the conversation, but enhancing it. Quite simply, health care services that are respectful of and responsive to the health beliefs, practices and cultural and linguistic needs of diverse patients can help bring about positive health outcomes.” Populations Served and Their Vulnerability Healthcare organizations across the United States have been an area where cultural differences have been evident for a long time. With the significant influx of English language challenged immigrants who have not only had the means to secure jobs providing health care plans, but have also been saddled with the fear of deportation if they are considered "illegal" and, therefore, hindering their healthcare options (USDHHS, 2013). Hospitals have had to change their cultural competency to address this populations' immediate healthcare needs. On any given day, healthcare providers in a hospital setting can encounter an astonishing diversity of ethnic groups. Each of these ethnic groups brings with it their own cultural identities including language, beliefs, socioeconomic status (the wealthy, the middle class, the poor and the...

Words: 1629 - Pages: 7