model transkultural Nursing

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Madeleine Leininger was born in Sutton,

Nebraska on July 13, 1925She received her diploma in nursing from St.Anthonys School of Nursing in Denver, Coloradoin 1948

In 1950, she earned her BS from St. Scholastica(Benedictine College) in Atchison, Kansas

In 1954 earned an M.S. in psychiatric and mentalhealth nursing from the Catholic University of

America in Washington, D.C.She received her Ph.D. in Cultural and Social

Anthropology from the University of Washingtonin 1965


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TRANSCULTURAL NURSING/CULTURAL CARE DIVERSITY AND

UNIVERSALITY THEORY

What is transcultural nursing?

A field of study and practice

that shows the importance ofculture in providing healthcare.


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TRANSCULTURAL NURSING/CULTURAL CARE DIVERSITY AND

UNIVERSALITY THEORY

The upper half of the circle represents a part of the whole socio-culturalstructure and world view factors. These factors influence the care, patternsand expressions towards health and well-being of an individual, families,groups and institutions through language and environment. The same

factors also influence folk and professional nursing.


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The Sunrise Model depicts human beings asinseparable from their cultural backgroundand social structure, worldview, history andenvironmental context as a basic tenet ofLeiningerstheory. Gender, race, age andclass are embedded in social structurefactors and are studied. Biological,

emotional and other dimensions are studiedfrom a holistic view and not fragmented orseparate.


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Cultural CarePreservation orMaintenance

refers to nursing care activities that help people of particularcultures to retain and use core cultural care values related tohealthcare concerns or conditions.

Cultural CareAccomodation or

Negotiation

refers to creative nursing actions that help people of a particularculture adapt to or negotiate with others in the healthcarecommunity in an effort to attain the shared goal of an optimalhealth outcome for client(s) of a designated culture.

Cultural CareRepatterning orRestructuring

refers to therapeutic actions taken by culturally competentnurse(s) or family. These actions enable or assist a client to modifypersonal health behaviors towards beneficial outcomes whilerespecting the clients cultural values.

3 Nursing DecisionsTo provide Culturally Congruent Nursing care


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1. Human caring is a universal phenomenon, but the

expressions, processes, structural forms, and patterns ofcaring vary among cultures.

2. Caring acts and processes are essential for human birth,development, growth, survival, and peaceful death

3. Care has a biophysical, cultural, psychological, social andenvironmental dimension, and the concept of cultureprovides the broadest means to know and understand care.

4. Nursing is a transcultural phenomenon as nurses

interact with clients, staff, and other groups, and requiresthat nurses identify and use intercultural nurse-client andsystem data.


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5. Care behaviors, goals, and functions vary transculturally because of thesocial structure, worldview, and cultural values of people from differentcultures.

6. Self and other care practices vary in different cultures and in differentfolk and professional care systems.

7. The identification of universal and non universal folk and professionalcaring behaviors, beliefs and practices is essential to discover theepistemological and ontological base of nursing care knowledge.

8. Care is largely culturally derived and requires culturally basedknowledge and skills for satisfying and efficacious nursing practices.

9. There can be no curing without caring but there can be caring withoutcuring


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Patient care Competencies

1.Safe quality CareCore competency 1:

not much related but this knowlegde is based on aestheticalknowing which is understanding the patient

Core competency 2:It is somewhat related because it is a nurse-patient

relationshipCore Competency 3:

It is related because in caringfor the sick you must makethem feel safe, secure and comfortable from their surroundings.

Core competency 4:This one also is a nurse-patient relationship because this core

competency is based on the patients basic needs and one of those needsis basic health care.

Core competency 5:It is significantly related to the theory because it emphasizes

Nursing care to the patient. Some factors that may affect nursing care aretheir Culture and their environment


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Core competency 6:It ensures their well-being in nursing care.

Core competency 7:This competency is more on observing and evaluating

the clients needs so that you will know how to take care of the patient.2.CommunicationCore competency 1;

This also is a nurse-patient relationship. The bondingbetween the nurse and the patient affects the patients well being

Core competency 2:

This will be your guide in how the patient feels andthen how you will be able to help the patient to satisfy his/her needs.

Core competency 3:This will serve as a guide for patients on how are they

going to take care of themselves and maintaining their body frompossible discomfort

Core competency 4:This will affect your patients self-esteem and self-

confidence that will affect the patients state of health, you can buildup his spirit by encourage, acknowledge and recognize the patient.

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model transkultural Nursing