TFN: FT.9 Madeleine Leininger (Theory of Culture Care Diversity and Universality)

Theory of Culture Care Diversity & Universality

What is the theory of Madeleine Leininger?

Transcultural Theory in Nursing

Based on the concept that different cultures perceive, know, and practice care in different ways, yet there are some commonalities about care among all cultures o f the world

Anthropology

Academic discipline the Theory of Culture Care Diversity & University is borrowed from?

Cultural Care Diversity

Differences/variations that can be found both between and among cultures; By finding these variations the nurse can avoid the problem of stereotyping and assuming all people will react to the same nursing care

(1) Stereotyping

(2) Assuming all people will react to the same nursing care

By finding variations among cultures (cultural diversity), what 2 issues can a nurse avoid?

Care

Abstract and concrete phenomena related to assisting, supporting, or enabling experiences or behaviors toward or for others with evident or anticipated needs to ameliorate or improve a human condition or lifeway

Caring

Actions and activities directed toward assisting, supporting, enabling; another individual or group with evident or anticipated needs to ameliorate or improve a human condition or lifeway, or to face death

Assisting, Supporting, Enabling

Care is composed of actions and activities directed towards what 3 actions?

Cultural Care Universality

Common, similar, or dominant uniform care meanings, patterns, values, lifeways, or symbols that are manifest among many cultures, and reflect assistive, supportive, facilitative or enabling ways to help people

Nursing

Refers to a learned humanistic and scientific profession and discipline that is focused on human care phenomena and activities to assist, support, facilitate, or enable individuals or groups

To maintain or regain their well-being in culturally meaningful and beneficial ways, or to hope people face handicaps or death

Worldview

Way people tend to look out on the world or their universe to form a picture or a value stance about their life or world around them

Cultural & Social Structure Dimensions

Dynamic patterns and features of interrelated structural and organizational factors of particular culture (subculture or society)

Includes religious, kinship (social), political and legal, economic, educational, technological, cultural and ethnohistorical factors

How these factors may be interrelated and function to influence human behavior in different environmental context

TK CREEP

Acronym to Remember 7 Cultural & Social Structure Dimensions

Technological, Kinship (Social), Cultural & Ethnohistorical, Religious, Economic, Educational, Political & Legal

7 Cultural & Social Structure Dimensions

Environmental Context

Totality of an event, situation, or particular experience that gives meaning to human expression, interpretations, and social interactions, particularly: Physical, Ecological, Sociopolitical, Cultural Settings

Physical, Ecological, Sociopolitical, Cultural Settings

4 Components of Environmental Context

Ethnohistory

Past facts, events, instance, and experiences of individuals, groups, cultures, and institutions that are primarily people centered (ethno) and that describe, explain, and interpret human lifeways within particular cultural contexts and over short or long periods

Generic (Folk or Lay) Care System & Professional Care Systems

2 Types of Care Systems

Generic (Folk or Lay) Care System

The culturally learned and transmitted, indigenous (or traditional), folk (home based) knowledge and skills used to provide assistive, supportive, enabling and facilitative acts toward or for another individual, group, or institution with evident or anticipated needs to ameliorate or improve human lifeways or health condition ro( well being), or ot deal with handicaps and death situations

Professional Care Systems

Formally taught, learned, and transmitted professional care, health, illness, wellness and related knowledge and practice skills that prevail in professional institutions usually with multidisciplinary personnel to serve consumers

(1) Cultural Care Preservation or Maintenance

(2) Cultural Care Accommodation or Negotiation

(3) Cultural Care Repatterning or Restructuring

3 Types of Culturally-Based Nursing Actions

Cultural Care Preservation or Maintenance

Type of Culturally-Based Nursing Action

Assistive, supporting, facilitative, or enabling professional actions and decisions that help people of a particular culture to retain and/or preserve relevant care values so that they can maintain their well-being, recover from illness, or face handicaps and/or death

Cultural Care Accommodation or Negotiation

Type of Culturally-Based Nursing Action

Refers to those assistive, supporting, enabling, or facilitative creative professional actions that help people of a designated culture to adapt to, or negotiate with, others for a beneficial or satisfying health outcome with professional care providers

Cultural Care Repatterning or Restructuring

Type of Culturally-Based Nursing Action

Assistive, supporting, facilitating, enabling professional actions and decisions that help clients reorder, change, or greatly modify their lifeways for new, different, and beneficial healthcare patterns while respecting the client's cultural values and beliefs and still providing a beneficial or healthier lifeway than before the changes were coestablished with the clients

(1) caring (2) capable of being concerned

According to Leininger’s person metaparadigm, a person is believed to be (1) ___ and (2) ___ __ ___ ___ about the desires, welfare, and continued existence of others

Collective

According to Leininger’s person metaparadigm, human care is ____, meaning seen in all cultures.

Environment Framework & Culture

What are the two components of Leininger’s environment metaparadigm?

Environment Framework

Component of Leininger’s environment metaparadigm; being totality of an event, situation, or experience

Culture

Component of Leininger’s environment metaparadigm; particular group (society) and the patterning of actions, thoughts, and decisions that occurs as the result of the "learned, shared, and transmitted values, beliefs, norms, and lifeways

(1) universal (2) diverse

According to Leininger’s health metaparadigm, health is (1) ___ and (2) ____

(1) culturally-based nursing actions (2) preservation/maintenance (3) accommodation/negotiation (4) repatterning/restructuring

According to Leininger’s nursing metaparadigm, there are 3 types of (1) ___-___ ___ ___ consistent with client needs and values: cultural care (2) ____/____, cultural care (3) ___/___, and cultural care (4) ___/___.

(1) culture (2) cultural stress (3) conflict

According to Leininger’s nursing metaparadigm, nursing is providing nursing care that best fits with the client’s (1) ___ so as to reduce (2) ___ ___ and chance for (3) ____ between client and caregiver