madeleine leininger metaparadigm concepts madeleine leininger metaparadigm concepts

Leininger started writing in the 1960's and her theory of transcultural nursing, also known as Culture Care Diversity and Universality, has turned out to be groundbreaking work in the nursing arena and been extensively implemented in western countries (Andrews & Boyle, 1995; Papadopoulos, 2004; Price & Cortis, 2000; Fawcett, 2002; Lister, 1999; This paper describes, evaluates, and discusses the application of Madeleine Leiningers nursing mid-range theory of culture care whilst providing the learner with an opportunity to connect theory and research to nursing phenomena. Evaluation of Madeleine Leiningers Culture Care Theory. 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. Entirely, patients in the RCU rely on nurses. NursingBird. Leininger's theory describes nursing as a powerful practice that focuses on the cultural attributes and perspectives of targeted clients. Madeleine Leiningers theory of culture care focuses on contemporary culturally diverse care factors that have profound impacts on the health of individuals or groups (Butts & Rich, 2010). (2022) 'Transcultural Nursing Theory by Madeleine Leininger'. Dewey (1938) stated that all genuine education comes through experience. This black community arose to assert its voice as American citizens born in America and entitled to all the rights and benefits as promised by the American Constitution for the citizens of America (Ward, 2003). FIND INFO. 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. Transcultural Nursing : Concepts, Theories, Research and Practice. 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. 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. NursingBird, 16 July 2022, nursingbird.com/transcultural-nursing-theory-by-madeleine-leininger/. Madeleine Leininger is broadly recognized as the founder of cultural theory in nursing. (Purnell & Paulanka, 2003; Geiger & Davidhizar, 2002; Papadopoulos, Tilki & Ayling, 2008; Andrews & Boyle, 2002; Spector, 2000; Camphina-Bacote, 1999). Objectives Leininger's Background View of the four nursing metaparadigms Concepts specific for transcultural nursing theory Propositions of the theory Analysis and Critique of the theory Implications for nursing, practice, education, and research Culture care differences and similarities between the nurse and patient exist in any human culture worldwide. Well write a 100%plagiarism-free paper this fast! 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. This should motivate a need for nurses to develop cultivate and advance a deeper understanding of cultural diversity, due to its potential effect on the delivery of nursing care specifically and the consequences for healthcare (no ref). Transcultural theory of nursing practices was first introduced and developed in the 1950s by Madeleine Leininger. Historically, nursing care in Canada was provided by nurses of Anglo-Saxon origin and today nurses work in a healthcare system developed during the era of British Colonization which was has an enduring tradition in western values and ideology (no ref). Developed the Transcultural Nursing Model. In addition, Leininger stresses the importance of rounded assessment of individuals, families, groups, and/or institutions in an attempt to deliver culturally congruent care. Apparently, nurses also come from diverse world cultures. Our nursing niche receives worldwide patients from culturally diverse regions such as Florida, Haiti, Thai, and South America among other regions. 4.4/5 on reviews.co.uk. Dynamics of Diversity: Becoming Better Nurses through Diversity Awareness. It can be used for purposes such as teaching (to explain things), research (to understand them), and decision making (what to do next). For a nursing discipline, these theories consist of four basic concepts that address the patient as a whole, the patient's health and well-being, the patient's environment and the nursing responsibilities. Regardless of their relationship with culture care, cure and healing are inherent processes that occur within the patient (Jeffreys, 2008). 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. Within the rapid growth of modern society, the health care industry keeps serving as the critical element of its members and system in general. Info: 5614 words (22 pages) Nursing Essay Nursing is a learned profession with a disciplined focus on care phenomena. Culture Care Diversity and Universality is illustrated in this model and it provides a framework for mapping and understanding a culture or subculture. What is worrying about this emic knowledge is that this knowledge of the indigenous person is obtained through the researchers reinterpretation of narrative and written into the text by the author. The way in which people perceive different cultures may be considered true to them and not true to someone else. The CCT maintained a systematic approach for the implementation of culturally congruent care with the use of social structure dimensions and modes of care action and decision that is demonstrated in the Sunrise Enabler. View -Order__802267.docx from BUSINESS S BBA/041J/2 at Technical University of Mombasa. These needs include the need for security, comfort, and a sense of belonging, and Leininger argued that it was the role of nurses to provide care that meets these universal needs in a culturally sensitive manner. She recognized that a patient's ethnicity had the potential to impact on health and illness. The TNT is effective in transforming the caregivers practice that was previously less concentrated on patient diversity. Leiningers theory developed into a nursing discipline as a fundamental approach to nursing practice and a better understanding of health care delivery. If you are the original writer of this essay and no longer wish to have your work published on the NursingAnswers.net website then please: Our academic writing and marking services can help you! As such, the CCT highlights care and culture as they were the missing phenomena in the metaparadigm concept. Inopportunely, the fact that care is the central focus of nursing does not necessarily guarantee cure and healing. They are: cultural preservation or maintenance, cultural care accomodation or negotiation, and cultural care repatterning or restructuring. 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. 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. To incorporate the theory into practice, Leininger established the Transcultural Nursing Society to harmonise the thoughts of nurses globally. The results from the concept help me draw central conclusions that relate the recovery of the patients to their cultural backgrounds (Jeffreys, 2008). Madeleine Leininger was born on July 13th, 1925 in the small town of Sutton Nebraska. Health refers to a state of well-being that is culturally defined and valued by a designated culture. 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. Out of Stock. New York, NY: Springer Publishing Company. During the 1980s, anthropology underwent what has been deemed a crisis of representation (Clifford & Marcus, 1986; Geertz, 1988; Marcus and Fischer, 1986). This applies to Leiningers theory as there are unknown truths about cultures to be discovered. The ethno-science reach method involves the nurse researcher undertaking ethnographic study using direct observation and the interviewing of selected culture bearing individuals from within a specific ethnic group, to gain data sets from the emic or insider perspective (Leininger, 1978). 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). 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. Care, which assists others with real or anticipated needs in an effort to improve a human condition of concern, or to face death. Nonetheless, the wholeness of the theory demands an in depth research to reveal the underlying assumptions that have left many questions for practitioners. It helps nurses to be understanding and respectful of the diversity that is often very present in a nurses patient load. Rosemarie Rizzo Parse 13. The concepts of Dr. Leininger's Theory In response to the question: How does your theory rely upon the four nursing paradigms of person, environment, health, and nursing, Dr Leininger replied: "The four nursing paradigms are too restrictive for open discovery about culture and care". However, she emphasized the aspects of care within a cultural context. Ethno science provided a means to obtain local or indigenous peoples viewpoints, beliefs and practices about nursing care or the modes of caring behaviors and processes of the designated cultural group for use in providing nursing care (specifically ethno-nursing) to that particular group (Leininger, 1978, p.15). Madeleine Leininger was born on July 13, 1925 in Sutton, Nebraska. It begins with a culturalogical assessment, which takes the patients cultural background into consideration in assessing the patient and his or her health. by Madeleine Leininger and Marilyn McFarland | Mar 4, 2002. $77.00 $ 77. The Transcultural Nursing theory first appeared in Leiningers Culture Care Diversity and Universality, published in 1991, but it was developed in the 1950s. Theories should predict and lead to discovery of unknown or vaguely known truths or interrelated phenomena, whereas models are mainly pictorial diagrams of some idea and are not theories as they usually fail to show predictive relationships. 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. 4.4 4.4 out of 5 stars (24) Paperback. 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. She advocated that nursing is a humanistic and scientific mode of helping a client through specific cultural caring processes (cultural values, beliefs and practices) to improve or maintain a health condition. 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). Emic refers to the beliefs, values, practices, and knowledge that belong to patients, while etic refers to the same factors but concerning . Every human culture has lay care knowledge and practices and usually some professional care knowledge and practices which vary transculturally. Madeleine Leininger: Transcultural Nursing theory. If nurses are to be effective in meeting the needs of their patients, nursing practices must be better informed and modified to address a wider cultural range of patients. Caring is essential to curing and healing. The Transcultural Nursing Theory addresses both general practice and specialty and aims at providing culturally coherent nursing care. The interest of Leiningers in nursing psychology developed during early years of her career. Moreover, early psychiatric interventions seemed too outdated for her to realise the needs of a culturally diverse society. This situation leads to outcome imperceptions pertaining to the valuation of patients. "Evaluation of Madeleine Leiningers Culture Care Theory." Any opinions, findings, conclusions, or recommendations expressed in this essay are those of the author and do not necessarily reflect the views of NursingAnswers.net. The culture care theory has numerous underlying assumptions that have developed criticism amongst the postulates and opponents of the theory. $ 4.99 - $ 5.59. In addition, the existential perspective acknowledges that culture is derived from values and meanings that contribute to the total being (Rajan, 1995). If you are the original creator of this paper and no longer wish to have it published on StudyCorgi, request the removal. The concept of environment is complex and is a multifaceted dimension in all cultures. These minority groups were to become substantial and ever increasing groups, thus contributing to the social heterogeneity of America (Gabbacia, 2002). During her work at a child-guidance home, she experienced . If you use an assignment from StudyCorgi website, it should be referenced accordingly. Publication types Interview MeSH terms Holistic Nursing* Humans Leininger found the four concepts of person, health, environment and nursing which are the definitive metaparadigm of nursing questionable, limited, inappropriate, and inadequate to explain or fully discover nursing especially ideas bearing on transcultural nursing (Leininger & MacFarland, 2006, p.6). 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. "Evaluation of Madeleine Leiningers Culture Care Theory." Madeleine Leininger's Cultural Theory as Applied to a Certified Registered Nurse Anesthesiologist Everyday the world becomes smaller and smaller. Anne Boykin & Savina Schoenhofer 15. These modes can stimulate nurses to design nursing actions and decisions using new knowledge and culturally based ways to provide meaningful and satisfying wholistic care to individuals, groups or institutions., Leiningers model has developed into a movement in nursing care called transcultural nursing. The model is holistic and addresses worldview, cultural values, beliefs and lifeways, cultural and social structural factors, it focuses on individuals, groups and institutions. Culture care values, beliefs, and practices are influenced in the context of a particular culture. The modes have greatly influenced the nurses ability to provide culturally congruent nursing care, as well as fostering culturally-competent nurses. Disclaimer: This essay has been written by a student and not our expert nursing writers. 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 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). 2022. It seems to me that she is comparing the other culture to her own. hbbd``b`$zc[$ d !~$b5 ! The efficiency of Leiningers theory lies in its purpose to better define the expectations of the nurse-patient relationship (Busher Betancourt, 2016, p. 2). New York, NY: Springer Publishing Company, LLC. 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. Ethnonursing is a qualitative anthropological research method that is used for description, documentation, and explanation of nursing care concepts across disciplines (Sagar, 2012). Alligood, M. (2018). StudyCorgi. I question whether Leininger did this, for I could not find any discussion regarding the potential for power difference (Leininger, 1995 & Leininger, 2010 *******ADD MORE REFERENCES HERE). Although Leininger claims to not be of the positivism perspective with regard to her theory (Leininger, 1995), I believe that her assumptions of truth could be viewed from a positivism perspective. Joyce Fitzpatrick 14. That is, as Leininger (1995) discusses the importance of understanding the others perspective Rajan (1995) contends that, Leininger demonstrates a phenomenological approach (p.452). With regard to the critical concerns about the metaparadigm concept, Leiningers approach is based on the modified perception of the nursing discipline that is primarily focused on care and culture. (2022, April 16). The concepts addressed in the model are: The theorys culturalogical assessment provides a holistic, comprehensive overview of the clients background. Nursing is the action taken by the nurse [ 2 ]. Through her observations while working as a nurse, she identified a lack of cultural and care knowledge as the missing component to a nurses understanding of the many variations required in patient care to support compliance, healing, and wellness. Beginning with an overview of the theory and its origins, this book presents the assumptions underlying the theory; the major concepts of the meta . Ultimately, the combination of the CCT and the JHNEBP, together with a didactic module, connected several elements that contributed to the development of a pilot program for cultural assessment and staff education, as the core of the cultural competence. Apart from the defined concepts, Leininger's theory is based on several assumptions that are related to the defined concepts. Registered office: Creative Tower, Fujairah, PO Box 4422, UAE. Moreover, the truth is determined according to knowledge that has been sanctioned by Euro-Western standards and claimed by experts (p. 73). The Transcultural Nursing Theory (TNT) or Culture Care Theory (CCT) is a concept of cultural values and beliefs within a nursing field founded by Madeleine Leininger. We're here to answer any questions you have about our services. They should be thoroughly examined, assessed, and implemented in the dynamic nurse-client interrelation. Jeffreys, M. (2008). It is useful and applicable to both groups and individuals with the goal of rendering . She attend Sutton High School and graduated upon completion. Leininger like Watson also viewed caring as the essence of nursing and unique to the profession. Leininger's culture care theory describes three of the four metaparadigms of nursing, namely people, nursing, and health. In fact, these cultural valuation techniques pose the risk of time shortcomings where patient cases demand urgency. 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 Furthermore, the theory assumes the importance of knowledge about curing and healing. Madeleine Leininger. The theory was further developed in her book Transcultural Nursing, which was published in 1995. Butts, J.B. & Rich, K.L. https://nursingbird.com/transcultural-nursing-theory-by-madeleine-leininger/. Multiculturalism requires that each culture is considered equal to the other and cultural diversity is tolerated (Francis, 1999, Brannigan, 2000) FIND STATS. foods and meal preparation and related lifeways. It also helps strengthen a nurses commitment to nursing based on nurse-patient relationships and emphasizing the whole person rather than viewing the patient as simply a set of symptoms or an illness. Professional nursing care is a concept that deploys professional care systems to elucidate inductive reasoning by prompting cognitive thoughts to develop formally assistive, supportive, facilitative, and enabling nursing techniques with a view of improving the patients health condition. 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. These observations lead Leininger to develop an interest in anthropology. 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. The American Civil rights movement was just starting to find its footing when Leininger began her work in the 1950s. 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. 1. These elements can, therefore, guide nurses to apply the theory by the four meta-paradigms of nursing. Practically, culture care practices open up a clear path for communication between nurses and patients. Leininger came to consider that belief systems from other cultures needed to be described and understood in order for the predominately Anglo-American nurses to America to make predictions about the health beliefs, and so anticipate the care needs, of groups from cultures, other than their own (Leininger, 1978). 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. 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. Jones & Bartlett Learning. 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). Sagar (2012) attests that the culture theory holds that diverse cultures perceive, understand, and exercise care in different ways. 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 . The Downtown Review, 2(1), 1-7. As a result, Anglo-Celtic customs, beliefs, and values came to underpin the American social structure and control its social institutions, as well as healthcare (Ward, 2003). 5+w cJ%VnnY>r ZE?-!Sq'bZ> 1CsMom$bSghGG -. (2022, July 16). Jeffreys (2008) reveals that the nurse anthropologist clearly stated the propositions for nursing by providing relevant inferences about the relationship between the health of individuals and their cultural identity. 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. This power imbalance is discussed in depth within critical theory (Campesino, 2008). 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. Culture Care Diversity refers to the differences in meanings, values, or acceptable forms of care in or between groups of people. The qualitative paradigm provides new ways of knowing and different ways to discover the epistemic and ontological dimensions of human care. For more detailed information: Leiningers Culture Care Theory, Copyright 2023 Alice Petiprin, Nursing-Theory.org. In Madeleine Leininger s cultural care theory, she believed that cultural competency improved nursing practice. 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). Much of the theoretical work in nursing focused on articulating relationships among four major concepts: person, environment, health, and nursing. Hair and Donoghue (2009) support this when they state, root causes for behaviors, thoughts, and feelings can be discovered, generalized, and predicted. The danger with this approach, she maintains, is that it suggests that everyone designated to a particular group will be believed to experience and understand the world in the same way and it doesnt take into regard the persons individuality, only the community/culture the person belongs too. Welcome to Our Website Dr. Madeleine Leininger was the foundress of the worldwide Transcultural Nursing movement. All Rights Reserved, Nursing Theories and a Philosophy of Nursing, A Statistical Look at Patient-Centered Care, Nemours Brings Nursing Opportunities to Central Florida, How Have the Sequester Cuts Affected Nursing and Health Care, Transcultural Nursing : Concepts, Theories, Research and Practice, Culture Care Diversity & Universality: A Worldwide Nursing Theory (Cultural Care Diversity (Leininger)), Culture Care Diversity and Universality: A Theory of Nursing, Madeleine Leininger: Cultural Care Diversity and Universality Theory (Notes on Nursing Theories), Care, Discovery and Uses in Clinical and Community Nursing (Human Care & Health Series), Transcultural Nursing: Concepts, Theories, & Practices, Care: The Essence of Nursing and Health (Human Care : Essentials for Nursing, Well-Being and Survival), Reference Sources for Transcultural Health and Nursing. July 16, 2022. https://nursingbird.com/transcultural-nursing-theory-by-madeleine-leininger/. The conceptual models determine the perspective and produce evidence on the phenomenon on the specific issue. These theories offered nurses a new approach to knowledge and provided a means to systematically order, analyze and interpret information and buy, doing so, develop nursing knowledge through which nurses might evaluate their thinking and reflect on their actions during patient care ( Pearson, 2007; Nancy Edgecombe) Culture Care diversity and Universality was written in the style of an American mid-range theory of the time and Leininger employed the concepts of person, environment, nursing and health which were popular with American theorists. 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). Open Document. All Rights Reserved, Nursing Theories and a Philosophy of Nursing, A Statistical Look at Patient-Centered Care, Nemours Brings Nursing Opportunities to Central Florida, How Have the Sequester Cuts Affected Nursing and Health Care. The Native people also wanted to be represented in the new human rights movement and assert equality with the mainstream Americans (Gabbacia, 2002; Price and Cordell, 1994; Naylor, 1997). For this reason, Madeleine Leiningers theory of culture care remains a central concept in nursing. Biography of Madeleine Leininger. Our nursing and healthcare experts are ready and waiting to assist with any writing project you may have, from simple essay plans, through to full nursing dissertations. In the 1950s, nurses in the United States of America began to develop and use structured theory. 5 Pages. The nurse is the one responsible for providing care and engaging with a patient for the majority of his or her time receiving care. As Andrews (2008) proposes, Transcultural nurses have taken action and are transforming nursing and healthcare in many places in the world (p.13).