TRANS CULTURALNURSINGUNIT 3

presented Zafar AliPost RN BScN 1th semester 2015Subject: Culture, Health & SocietyFaculty: Ramesh KumarDated: 21 oct 2015

presented Zafar AliPost RN BScN 1th semester 2015Subject: Culture, Health & SocietyFaculty: Ramesh KumarDated: 21 oct 2015

OBJECTIVE

Define concept of trans cultural nursing Define cultural competence in nursing Explain Levels of Cultural Competence Know about nursing theorists in trans cultural

nursing Leininger’s Theory Geiger and Davidhizer Model

Define concept of trans cultural nursing Define cultural competence in nursing Explain Levels of Cultural Competence Know about nursing theorists in trans cultural

nursing Leininger’s Theory Geiger and Davidhizer Model

Basic Concepts

Transcultural Nursing—the study of thelifeways and patterns of persons of variouscultures including their healthcare practicesand nursing’s role in that culture.

Cross Cultural Nursing—the study of thelifeways and patterns of persons of variouscultures from an anthropological perspectivethat is being applied to nursing.

Transcultural Nursing—the study of thelifeways and patterns of persons of variouscultures including their healthcare practicesand nursing’s role in that culture.

Cross Cultural Nursing—the study of thelifeways and patterns of persons of variouscultures from an anthropological perspectivethat is being applied to nursing.

Concepts (Cont’d) International Nursing—

the exchange of nurses between 2 ormore nations/cultures.

Culture—the patterns and lifeways thatguide a group of people’s worldview anddecision-making.

Cultural Imposition—a situation where oneculture forces their values and beliefs onanother culture or subculture.

International Nursing—the exchange of nurses between 2 ormore nations/cultures.

Culture—the patterns and lifeways thatguide a group of people’s worldview anddecision-making.

Cultural Imposition—a situation where oneculture forces their values and beliefs onanother culture or subculture.

Concepts (Cont’d)

Acculturation—the process of adapting ormodifying the patterns and lifeways of an adoptedculture as a result of contact with another group orindividual.

Assimilation—the process of accepting some ofthe cultural practices or traits of the prevailingculture into one’s own daily activities.

Refugee—a person who flees from persecution,invasion, or political danger.

Acculturation—the process of adapting ormodifying the patterns and lifeways of an adoptedculture as a result of contact with another group orindividual.

Assimilation—the process of accepting some ofthe cultural practices or traits of the prevailingculture into one’s own daily activities.

Refugee—a person who flees from persecution,invasion, or political danger.

Concepts (cont’d) Values—something regarded as desirable,

worthy, or right, as a belief, standard, ormoral precept.

Beliefs—a tenet or body of tenets; doctrine;creed.

Ethnocentrism—the universal tendency ofhuman beings to think that their ways ofthinking, acting, and believing are the onlyright, proper, and natural ways. It can be amajor barrier to providing culturallyconscious care.

Values—something regarded as desirable,worthy, or right, as a belief, standard, ormoral precept.

Beliefs—a tenet or body of tenets; doctrine;creed.

Ethnocentrism—the universal tendency ofhuman beings to think that their ways ofthinking, acting, and believing are the onlyright, proper, and natural ways. It can be amajor barrier to providing culturallyconscious care.

Concepts (Cont’d)

Generalization—usually an oversimplificationmade about behaviors of an individual or largegroup.

Stereotyping—to make a person possess orbelieve to possess characteristics or qualitiesthat typify a particular group.

Generalization—usually an oversimplificationmade about behaviors of an individual or largegroup.

Stereotyping—to make a person possess orbelieve to possess characteristics or qualitiesthat typify a particular group.

Cultural Competence in Nursing

Developing an awareness of one’s ownexistence, sensations, thoughts, andenvironment without letting it have an undueinfluence on those from other backgrounds.

Demonstrating knowledge and understandingof the client’s culture.

Accepting and respecting cultural differences. Adapting care to be congruent with the client’s

culture.

Developing an awareness of one’s ownexistence, sensations, thoughts, andenvironment without letting it have an undueinfluence on those from other backgrounds.

Demonstrating knowledge and understandingof the client’s culture.

Accepting and respecting cultural differences. Adapting care to be congruent with the client’s

culture.

4 Levels of Cultural Competence

Unconscious incompetence—not beingaware that one is lacking knowledge aboutanother culture.

Conscious incompetence—being aware thatone is lacking knowledge about anotherculture.

Conscious competence—learning about theclient’s culture, verifying generalizationsabout the client’s culture, and providingculturally specific interventions.

Unconscious competence—automaticallyproviding culturally congruent care toclients of a diverse culture.

Unconscious incompetence—not beingaware that one is lacking knowledge aboutanother culture.

Conscious incompetence—being aware thatone is lacking knowledge about anotherculture.

Conscious competence—learning about theclient’s culture, verifying generalizationsabout the client’s culture, and providingculturally specific interventions.

Unconscious competence—automaticallyproviding culturally congruent care toclients of a diverse culture.

What is YOUR goalre: Cultural Competence??

Through thiscourse we hopethat you will desireto strive forCONSCIOUSCOMPETENCEregarding yourclient’s culturewhen you practice.

Through thiscourse we hopethat you will desireto strive forCONSCIOUSCOMPETENCEregarding yourclient’s culturewhen you practice.

Nursing Theorists inTranscultural Nursing

Madeleine Leininger—the founder ofTranscultural Nursing.Dr. Leininger studied anthropology in the 1950’s andearly 60’s. She earned her PhD in CulturalAnthropology. She then decided that nursing wasconstantly dealing with the lifeways and patterns ofpeoples of many backgrounds and that in caring forthese persons, nurses needed to be sensitive to theunique needs of all peoples. She felt strongly thatwe should NOT impose our views on otherswhenever possible.

Madeleine Leininger—the founder ofTranscultural Nursing.Dr. Leininger studied anthropology in the 1950’s andearly 60’s. She earned her PhD in CulturalAnthropology. She then decided that nursing wasconstantly dealing with the lifeways and patterns ofpeoples of many backgrounds and that in caring forthese persons, nurses needed to be sensitive to theunique needs of all peoples. She felt strongly thatwe should NOT impose our views on otherswhenever possible.

Leininger’s Theory

She developed the “SUNRISE MODEL” as a basisfor assessment and research in nursing.

This model remains as a standard in TransculturalNursing Theory.

She developed the “SUNRISE MODEL” as a basisfor assessment and research in nursing.

This model remains as a standard in TransculturalNursing Theory.

Leininger’s Theory (cont’d) Note that the model looks like a Sunrise and the

Worldview encompasses everything that makespeople who they are.

The 7 Cultural and Social StructureDimensions are the large areas that nurses needto learn about through interview and living amongthe people of different cultures.

Below the Individuals, Families, Groups,Communities, & Institutions are the DiverseHealth Systems that all persons deal with invarious ways.

Note that the model looks like a Sunrise and theWorldview encompasses everything that makespeople who they are.

The 7 Cultural and Social StructureDimensions are the large areas that nurses needto learn about through interview and living amongthe people of different cultures.

Below the Individuals, Families, Groups,Communities, & Institutions are the DiverseHealth Systems that all persons deal with invarious ways.

Leininger’s Theory (cont’d) Generic or Folk Systems are the

everyday remedies an individual, familyor group may use to promote wellnessand healing. Some examples mightinclude:

Chicken Soup Chamomile Tea or other Herbal teas Voodoo Sacrifices of birds or animals

to the spirits Prayer Curandero

Nurses need to assess in all theseareas to plan safe, effective care.

Generic or Folk Systems are theeveryday remedies an individual, familyor group may use to promote wellnessand healing. Some examples mightinclude:

Chicken Soup Chamomile Tea or other Herbal teas Voodoo Sacrifices of birds or animals

to the spirits Prayer Curandero

Nurses need to assess in all theseareas to plan safe, effective care.

Leininger’s Theory (cont’d)

Professional Systems are different dependingupon the Health Care Delivery System of thatculture. Whether there is socialized medicine,private insurance, communal healthcare, pooreconomic support vs. great wealth, all contribute tothe influence of the utilization of Professionals toprevent illness, heal illness, and promote health andwellness.

Nursing must collaborate within the healthcaredelivery system to plan and implement safe,effective, culturally competent care.

Professional Systems are different dependingupon the Health Care Delivery System of thatculture. Whether there is socialized medicine,private insurance, communal healthcare, pooreconomic support vs. great wealth, all contribute tothe influence of the utilization of Professionals toprevent illness, heal illness, and promote health andwellness.

Nursing must collaborate within the healthcaredelivery system to plan and implement safe,effective, culturally competent care.

How to ProvideCulturally Congruent Care:

Leininger suggests 3 approaches to planand implement Culturally Congruent Care.

The first is Cultural CarePreservation/Maintenance where we lookat what we as nurses can do to preserveand maintain the cultural practices of anindividual or family while receiving safe,holistic care somewhere in the HealthcareDelivery System.

Leininger suggests 3 approaches to planand implement Culturally Congruent Care.

The first is Cultural CarePreservation/Maintenance where we lookat what we as nurses can do to preserveand maintain the cultural practices of anindividual or family while receiving safe,holistic care somewhere in the HealthcareDelivery System.

How to ProvideCulturally Congruent Care: (cont’d)

The second approach is Cultural CareAccommodation/Negotiation where welook at what we as nurses can do toaccommodate the patient and negotiate withthe patient within the healthcareenvironment in order to provide culturallycongruent care while he/she is in theHealthcare Delivery System.

The second approach is Cultural CareAccommodation/Negotiation where welook at what we as nurses can do toaccommodate the patient and negotiate withthe patient within the healthcareenvironment in order to provide culturallycongruent care while he/she is in theHealthcare Delivery System.

How to ProvideCulturally Congruent Care: (Cont’d)

The third approach is Cultural CareRepatterning/Restructuring where welook at what we as nurses need to do withthe patient and family to repattern orrestructure their lifeways in order topromote healing and wellness, alwaysbeing cognizant of the cultural influencesthat affect why they do what they do intheir life experience.

The third approach is Cultural CareRepatterning/Restructuring where welook at what we as nurses need to do withthe patient and family to repattern orrestructure their lifeways in order topromote healing and wellness, alwaysbeing cognizant of the cultural influencesthat affect why they do what they do intheir life experience.

“Culturally Competent Model of Care”

Geiger and Davidhizer Model

Joyce Newman Geiger and Ruth Davidhizerwere inspired to develop a culturallycompetent assessment tool by their nursingstudents.

Geiger and Davidhizer Model

Culturally Unique Individual Communication

Space

Social Organization

TimeEnvironmental Control

Biological Variations

In Summary

You have been introduced to severaltheorists in Transcultural Nursing. we willexplore the in greater depth as it will be thebasis for your Cultural Presentations. I hope you have been inspired to learn

more about cultures in order to be aCULTURALLY CONSCIOUS

COMPETENT NURSE

You have been introduced to severaltheorists in Transcultural Nursing. we willexplore the in greater depth as it will be thebasis for your Cultural Presentations. I hope you have been inspired to learn

more about cultures in order to be aCULTURALLY CONSCIOUS

COMPETENT NURSE

Thanks Everyone