Madeleine Leininger is considered the founder of transcultural nursing theory. Culture influences all aspects of a person's health, including their beliefs about illness, health practices, and interactions with the healthcare system. Nurses must consider a client's cultural background, values, and health beliefs when providing care in order to deliver effective, individualized care that is sensitive to their diverse needs and experiences.
Original Description:
transcultural nursing in advanced nursing practice
Madeleine Leininger is considered the founder of transcultural nursing theory. Culture influences all aspects of a person's health, including their beliefs about illness, health practices, and interactions with the healthcare system. Nurses must consider a client's cultural background, values, and health beliefs when providing care in order to deliver effective, individualized care that is sensitive to their diverse needs and experiences.
Madeleine Leininger is considered the founder of transcultural nursing theory. Culture influences all aspects of a person's health, including their beliefs about illness, health practices, and interactions with the healthcare system. Nurses must consider a client's cultural background, values, and health beliefs when providing care in order to deliver effective, individualized care that is sensitive to their diverse needs and experiences.
NURSING. Nurse have always been contender with the whole person including the physical, emotional, psychological, spiritual and developmental dimensions. O CULTURE: Broadly defines set of values, beliefs and traditions that are held by a specific group of people and handed down from generation to generation. Culture is also beliefs, habits, likes, dislikes, customs and rituals learn from one's family. O RELIGION: It is the set of belief in a divine or super human power to be obeyed and worshipped as the creator and ruler of the universe.
CULTURAL IDENTITY: The sense of being a part of an ethnic group or culture. MATERIAL CULTURE: It refers to objects (dress, art, religious)
NON MATERIAL CULTURE: It refers to beliefs customs, languages, social instructions. SUBCULTURE: It is composed of people who have a distinct identity but are related to a larger cultural group.
BICULTURAL: A person who crosses two cultures, lifestyles, and sets of values. DIVERSITY: It refers to the fact or state of being different. Diversity can occur between culture and within a cultural group.
O ETHNIC GROUP: Group which shares a common social and cultural heritage that is passed on to successive generation. E.g.: Indian culture, American culture. (Christians will go to church on Sunday)
O RACE: The classification of people according to shared biologic characteristics, genetic markers. Not all people of the same race have the same culture. E.g.: Indian race, African race etc.. Transcultural nursing has developed into a specialty that focuses on the comparative study and analysis of culture and subcultures. LEININGER O Beware that the health concepts held by many cultural, groups, may result in people choosing not to seek western medical treatment procedures because they do not view the illness or disease as coming from within themselves.
O Remember that if the more traditional person does seek western medical treatment, then that person might not be able to provide or describe his or her symptoms in precise terms that the western medical practitioner can readily treat.
O Recognize that individuals from other culture might not follow through with health- promoting or treatment recommendations because they perceive the medical or other health promoting encountered as a negative or perhaps even hostile experience.
O Beware of the need to be flexible in the design of programs, policies, and services to meet the needs and concerns of the culturally diverse population, groups that are likely to be encountered. O Beware that folk illness are generally learned syndromes that individuals from particular cultural groups claim to have and from which their culture defines the etiology, behaviors, diagnostic procedures, prevention methods and traditional healing or curing practices.
O Remember that most cases of lay illness have multiple causalities and may require several different approaches to diagnosis, treatment, and cure including folk and western medical interventions.
O Recognize that folk illness, which are perceived to arise from a variety of cause, often require the services of a folk healer who may be a local corianders, shaman, native healer, spiritualist, root doctor or other specialized healer.
O Understanding these differences may help us to be more sensitive to the special beliefs and practices of multicultural target groups when planning a program. O Cultural background affect persons health in all dimensions, so the nurse should consider the clients cultural background when planning care. O Although basic human needs are the same for all people, the way a person seeks to meet those needs is influenced by culture.
O To heighten awareness of ways in which their own faith system. Provides resources for encounters with illness suffering and death. O To facilitate in recognizing the role of the hospital chaplain and the patients clergy as partners in the health care team in providing care for the patient.
O To encourage in developing and maintain a program of physical, emotional and spiritual self-care introduce therapies from the east, such as Ayurveda and panchakarma. O The nurse should begin the assessment by attempting to determine the clients cultural heritage and language skills. The client should be asked if any of his health beliefs relate to the cause of the illness or to the problem. The nurse should then determine what, home remedies the person is taking to treat symptoms.
O Nurse should evaluate their attitudes towards ethnic nursing care. Some nurse may believe they should treat all clients the same and simply act naturally, but this attitude fails to acknowledge that cultural differences do exist and that there is no one natural human behavior. The nurse cannot act the same with all clients and still hope to deliver effective individualized, holistic care.
O The process of self-evaluation can help the nurse become more comfortable when providing care to clients from diverse backgrounds. O Nurses have a responsibility to understand the influence of culture, race and ethnicity on the development of social emotional relationship, child rearing and attitude toward health.
O Socioeconomic influences play major role in ability to seek opportunity for health promotion for wellness. O Religious practices greatly influences health promotion belief in families.
O The nurse should have an understanding of the general characteristics of the major ethnic groups, but should always individualize care rather than generalize about all clients in the groups. O Before assessing the cultural background of a client, nurses should assess how they are influenced by their own culture.
O The nursing diagnosis for clients should include potential in their interaction with the health care system and problems involving the effects of culture. O The planning and implantation of nursing interventions should be adapted as much as possible to the clients cultural background.
O Evaluation should include the nurses self-evaluation of attitudes and emotions toward providing nursing care to clients from diverse socio-cultural backgrounds. O The clients nursing process, educational level and language skills should be considered when planning teaching activities.
O The nurse should begin the assessment by attempting to determine the clients cultural heritage and language skills. The client should be asked if any of his health beliefs relate to the cause of the illness or to the problem. The nurse should then determine what, if any home remedies the person is taking to treat the symptoms.
O Explanations of and practices into nursing therapies, aspects of care usually not questioned by acculturated client may be required for non-English speaking or non- acculturated clients to avoid confusion, misunderstanding or cultural conflict.
O Discussing cultural questions related to care with the client and family during the planning stage helps the nurse understand how cultural variables are related to the clients health beliefs and practices. So that interventions can be individualized for the client.
O The nurse evaluates the results of nursing care for ethnic clients as for all clients, determining the extent to which the goals of care have been met.