Application of Theory to Culturally Competent Care
Cultural Connection. As you begin this course, reflect on what transcultural nursing means to you, and why you decided to take this course. Consider how what you learn in the next 8 weeks will help you in your career as you provide more culturally appropriate nursing care.
Cultural competence is a mainstay in healthcare today. Madeleine Leininger’s name is synonymous with transcultural nursing. Her background as an anthropologist and nurse gave her a unique perspective on the importance of culture and how care should be planned and delivered. As early as 1954, she noticed and then studied the cultural differences in the perception of care. The first courses in transcultural nursing were offered in 1965 and students since then have been interested in her theory. Her contributions just kept coming. Unfortunately, Dr. Leininger passed away in 2012. She was active in nursing for decades, serving as a transcultural nurse, consultant, scholar, speaker, and so on, and was recognized as the leader in the field of transcultural nursing.
Dr. Leininger developed the theory of culture care diversity and universality (Andrews & Boyle, 2016, p. 8). Below is an illustration of her sunshine model.
In addition to Dr. Leininger’s contributions to the field of transcultural nursing, other theories and models are noteworthy. Among these are the Andrews/Boyle Transcultural Interprofessional Practice (TIP) Model (Andrews & Boyle, 2016 p. 10) and the Purnell model for cultural competence. We will learn more about theories and models over the next 8 weeks.
For now, an extremely enlightening and “up close and personal” description of the Dr. Larry Purnell model is available for your review. An Interview with a Transcultural Nursing Theorist, the Purnell Model is available by clicking on the following link. You will not be disappointed.
An Interview with a Transcultural Nursing Theorist, Dr. Larry Purnell
An Interview with a Transcultural Nursing Theorist, Dr. Larry Purnell (Links to an external site.)
Culturally Competent Nursing Care
What does the term culturally competent nursing care mean? It is a term that has grown in popularity in the healthcare literature over the past few years. In our everyday practice, we hear about the importance of competent nursing care. But how much credence do we give to a cultural component?
Cultural competence is necessary to bring together healthcare providers (including nurses) and patients from diverse backgrounds in order to achieve positive health outcomes. Nurses need to understand how to function in cross-cultural situations. This requires an understanding of culture, how it influences a person’s healthcare decisions, and the ways in which nurses can adapt communication and interventions with patients and families.
Just think about it. Every day, every state is getting older. Hispanic people now form the country’s largest minority. States like California, New York, Texas, and Florida have the country’s largest immigrant populations. These simple facts have implications for nursing as a profession and nurses specifically.
Let’s review some common terms.
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The following steps are those we should consider crucial to acquiring cultural competence.
• Examine one’s personal values, beliefs, biases, and prejudices
• Become culturally aware
• Use specific communication strategies
• Interact with different cultures
• Identify mistakes and acknowledge them
• Remedy cultural mistakes
Andrews and Boyle (2016) have posted a Cultural Self-Assessment on pages 36-38. Complete the Self-Assessment and reflect on how you relate to various groups of people. Does your score indicate any difficulty that you could experience working with patients or their families? As you move through the course, you will learn ways to address cultural issues that may arise. A Self-Assessment will serve as the basis for our discussion in Week 2.
Chana is a student enrolled in NR 394, Transcultural Nursing. She will meet with her preceptor, Eric, on a weekly basis. Chana is anxious to share with Eric what she is learning. Please follow their discussions at the end of each weekly lesson. You will learn many tips about the course and expand your knowledge about transcultural nursing.
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Play media comment.
This week, the lesson highlighted a few theories and models related to transcultural nursing. A spotlight was focused on Madeleine Leininger and her pioneering efforts to integrate culture care diversity into the profession. Culturally competent care was described, along with several relevant terms. You read the first installment of an unfolding case study that follows a nursing student, ChaNa, through your Transcultural Nursing course. You will learn from ChaNa’s example and gain insight into how to approach your own Course Project.
Test Your Knowledge on Theory to Culturally Competent Care
1. Which component of transcultural nursing has been greatly supported through the research conducted by anthropologists?
A.Nursing interventions planned on the basis of age and developmental norms
B.Evaluation of the understanding of risk factors based on cognitive function
C.Implementation of nursing care, respectful of the individual’s economic status
D.Assessment of a woman’s ability to function successfully in her role within the family