Hello Arina,
Nurses play an essential role in the provision of culturally-sensitive care. The provision of care to patients of diverse backgrounds needs to adhere to consider the customs and beliefs of the patient to avoid the health disparities associated with this culture. Additionally, it is crucial to find or instead appreciate the provision of culturally appropriate care when meeting the specific needs of the patient and the respective families. The provision of this care is reflective of the changes in the demographic landscape. One of the dimensions of patient-centered care comes in respecting the patient’s values and wishes. First, the process entails recognizing that all patients are unique, and differences are existing between cultures. The nurses then initiate practices that are congruent with the provision of care in these trans-cultural situations. Leininger’s theories on transcultural nursing and cultural diversity assert the need to provide care, which recognizes the patient’s diversity. Cultural competency is an essential consideration in the provision of patient-centered care. The context of patient-centered care and transcultural nursing comes from the fundamental practices in which the nurse needs to listen to the patient, assess the values and beliefs, and implement critical decisions to prevent the incidences of offensive care. Communication and accommodation are crucial in the provision of transcultural care.
Hello Diana,
The right approach when beginning the discussion by defining transcultural nursing, according to Leininger. On the other hand, patient-centered care entails direct communication with the patient and the family when planning and providing and meeting the tailored care needs that take into consideration the values and beliefs of the patient. When the theory is applied, there are specific expectations to be met, one of them fostering the nurse-patient relationship. One of the objectives of this theory comes in the context of nurses immersing themselves in cultural education when meeting this cultural expectation. Nurses have a role in providing congruent care based on the needs of the patient. Failure to understand or take heed of specific beliefs and the patient’s caring patterns would result in diminishing the quality of care. Importantly, I am pleased with the applicability of Leininger’s theory in your practice. The least of the nursing practice would come in the context of building a rapport with the patient. Active listening to the patient and noting down cultural values would be critical in providing quality care.
Hello Ramon
Perhaps, at one moment, we have all witnessed the need to decide between the right and the wrong. Some of these decisions can play a role in influencing a positive outcome for the patient. Provision of patient care should be made within ethical, moral, and legal standards. The grand theories of nursing illustrate the regulation of care in the context of ethical, moral, and legal frameworks. These theories play an instrumental role in guiding the fidelity of care. In the provision of ethical-based care, there are four main principles: autonomy, justice, beneficence, and non-maleficence. The grand theories play an important role in grounding nursing practice in a manner that follows specialized knowledge. The grand theories play the particularistic role seen by understanding the good and the bad in the clinical practice. The theories specify the design of the clinical actions applicable to specific situations. In this case, each action/decision undertaken in the clinical environment should be weighed in the benefits and drawbacks. The utility of these grand theories extends to include the formulation of the orientation, attitudes, and commitments, which are critical in the nursing practice. The commitment to the four nursing principles is the first step in the offering of nursing care, which follows legal, moral, and ethical care.
Hello Arina,
I am honored again to comment on your post. The culture care theory by Leininger recognizes nursing as a profession that has both scientific and humanistic dimensions. The theoretical model plays an integral role in supporting and facilitating the patients to regain health in a culturally significant manner. The congruent cultural care, as you have indicated, can only occur when the patient’s values, beliefs, and expressions are well understood and used to enhance the patient’s clinical experience. The culture care theory underscores the need for multicultural competence among nurses. When patient care is not offered harmoniously to the values and beliefs, then there will be incidences of cultural conflicts that might create ethical/moral concerns. I would agree with you that culture care theory recognizes the need to offer care that acknowledges the patient’s values and belief system to maximize health outcomes. The underlying theme in culture care is that the values, beliefs, and practices are embedded in things such as spirituality, worldview, political affiliation, socio-economic status, and ethnicity. Thus, the culture care model provides a comprehensive approach through which the nurse can explain and interpret the nursing phenomena that meet the unique demands of the patient.