Transcultural Diversity And Health Care - Get Instant Homework

Transcultural Diversity and Health Care

Read chapter 1 of the class textbook and review the attached Power Point presentation. Once done answer the following questions.

1. In your own words and using the proper evidence-based references define transcultural diversity and Health care and discuss how both term interact and how they help in the delivery of health care to different heritages.

2. Mention and discuss at least 4 variant characteristics of culture.

Assignment must be submitted in the discussion forum. A minimum of 2 evidence-based references no older than 5 years are required. You must post at least two replies to any of your peers sustained with the proper references. A minimum of 500 words are required.
Transcultural Health Care: A Culturally Competent Approach, 4th Edition

Theories, Models, and Approaches

Larry Purnell, PhD, RN, FAAN

Transcultural Health Care: A Culturally Competent Approach, 4th Edition

Cultural Theories, Models, and Approaches

Leininger: First nurse cultural theorist from early 1950s. She states it is for nursing only
Campinha-Bacote: basic simple model without complex constructs but applicable to all healthcare providers. Also has a Biblical based model.
Transcultural Health Care: A Culturally Competent Approach, 4th Edition

Cultural Theories, Models, and Approaches

Giger and Davidhizar: Nursing only
Purnell: For all health care providers and is an example of a complexity and holographic conceptual model with an organizing framework.
Transcultural Health Care: A Culturally Competent Approach, 4th Edition

Cultural Theories, Models, and Approaches

Papadopoulous, Tilki, and Taylor Model for Transcultural Nursing and Health
Andrews and Boyle Nursing Assessment Guide
Spector’s Health Traditions Model
Transcultural Health Care: A Culturally Competent Approach, 4th Edition

Cultural Theories, Models, and Approaches

Ramsden’s Cultural Safety Model
Jeffrey’s Teaching Cultural Competence in Nursing and Health Care: Inquiry, Action, and Innovation
Transcultural Health Care: A Culturally Competent Approach, 4th Edition

Leininger’s Theory of Cultural Care
Diversity and Universality
www.madeleine-leininger.com

Leininger described the phenomena of cultural care based on her experiences.
Began in the 1950s with her doctoral dissertation conducted in New Guinea
www.tcns.org and go to theories and then to the Sunrise Enabler and her model is displayed as well as publications.
Transcultural Health Care: A Culturally Competent Approach, 4th Edition

Transcultural Nursing

“Transcultural nursing has been defined as a formal area of study and practice focused on comparative human-care (caring) differences and similarities of the beliefs, values, and patterned lifeways of cultures to provide culturally congruent, meaningful, and beneficial health care to people.“
Leininger and McFarland text, 3rd ed.,2002, pp5-6.

Transcultural Health Care: A Culturally Competent Approach, 4th Edition

Leininger: Purpose and Goal

To discover, document, interpret, explain and predict multiple factors influencing care from a cultural holistic perspective.
The goal of the theory was to provide culturally congruent care that would contribute to the health and well being of people, or to help them face disability, dying, or death using the three modes of action.
Transcultural Health Care: A Culturally Competent Approach, 4th Edition

Leninger: Theoretical Tenets

Leininger’s tenets: Care diversities (differences) and universalities (commonalties) existed among cultures in the world which needed to be discovered, and analyzed for their meaning and uses to establish a body of transcultural nursing knowledge.
Transcultural Health Care: A Culturally Competent Approach, 4th Edition

Leininger: Assumptions

Care is essence of nursing and a distinct, dominant, central, and unifying focus. Some would say that caring is not unique to nursing.
Care is essential for well being, health, growth, survival, and to face handicaps or death.
Culturally based care is the broadest means to know, explain, interpret, and predict nursing care phenomena to guide nursing care decisions and actions.
Transcultural Health Care: A Culturally Competent Approach, 4th Edition

Leininger Assumptions

Nursing is a transcultural humanistic and scientific care to serve individuals, groups, communities, and institutions worldwide.
Caring is essential to curing and healing for there can be no curing without caring.
Cultural care concepts meanings and expression patterns of care vary transculturally with diversity and universality.
Transcultural Health Care: A Culturally Competent Approach, 4th Edition

Leininger Assumptions

Every human culture has generic care knowledge and practices and some professional care knowledge that vary transculturally.
Culture care values, beliefs, and practices are influenced by the (rays of the sun see the Model).
Beneficial, healthy, and satisfying culturally based care influences the health and well-being of individuals, families, groups, and communities within the cultural context.
Transcultural Health Care: A Culturally Competent Approach, 4th Edition

Leininger Assumptions

Culturally congruent care can only occur when individuals’, groups’, and communities’ patterns are known and used in meaningful ways.
Culture care differences and similarities between professionals and clients exist in all human cultures worldwide.
Culture conflicts, imposition practices, cultural stresses, and pain reflect the lack of professional care to provide culturally congruent care.
Transcultural Health Care: A Culturally Competent Approach, 4th Edition

Leininger’s Sunrise Enabler to

Discover Culture Care

To view the model go to:

http://leiningertheory.blogspot.com/

Transcultural Health Care: A Culturally Competent Approach, 4th Edition

Leininger Orientational Theory Definitions

Cultural Care Preservation or Maintenance: all is well with the patient so encourage to continue what has been done
Cultural Care Accommodation or Negotiation: Needs some change. What is acceptable weight from the patient’s perspective
Cultural Care Repatterning or Restructuring: Practices are deleterious to overall health and need restructured: sexually promiscuous and has not been practicing safe sex
Transcultural Health Care: A Culturally Competent Approach, 4th Edition

Cultural Competence in the Delivery of Healthcare Services: A culturally Competent Model of Care

Dr. Josepha Campinha-Bacote but cannot display her model. Go to http://www.transculturalcare.net
Transcultural Health Care: A Culturally Competent Approach, 4th Edition

Process of Cultural Competence

Cultural Competence is a process not an event.
The process consist of five inter-related constructs: Cultural desire, cultural awareness, cultural knowledge, cultural skills, and cultural encounter.
The key and pivotal construct is cultural desire.
There is more variation within a cultural group than across cultural groups.
Transcultural Health Care: A Culturally Competent Approach, 4th Edition

Process of Cultural Competence

There is a direct relationship between healthcare professionals level of cultural competence and their ability to provide culturally responsive health care.
Cultural competence is an essential component in delivering effective and culturally responsive care to culturally diverse clients.
Transcultural Health Care: A Culturally Competent Approach, 4th Edition

Cultural Desire

. . . Cultural desire is defined as the motivation of the healthcare professional to “want to” engage in the process of becoming culturally competent; not the “have to”.
Transcultural Health Care: A Culturally Competent Approach, 4th Edition

Concepts

Cultural awareness is the self-examination and in-depth exploration of one’s own cultural background.
Cultural knowledge is the process of seeking and obtaining a sound educational base about culturally diverse groups.
Cultural Skills is the ability to collect relevant cultural data regarding the client’s presenting problem as well as accurately perform a culturally based physical assessment.
Cultural encounter is the process which encourages the healthcare professional to directly engage in face-to-face interactions with clients from culturally diverse backgrounds.
Transcultural Health Care: A Culturally Competent Approach, 4th Edition

The Giger and Davidhizar Transcultural Assessment Model

Dr. Joyce Giger

Dr. Ruth Davidhizar (deceased)

Transcultural Health Care: A Culturally Competent Approach, 4th Edition

Giger and Davidhizar Assumptions

The Giger and Davidhizar Transcultural Model postulates that each individual is culturally unique and should be assessed according to the six cultural phenomena.
Transcultural Health Care: A Culturally Competent Approach, 4th Edition

Giger and Davidhizar Communication

Communication embraces the entire world of human interaction and behavior. Communication is the means by which culture is transmitted and preserved. Both verbal and non-verbal communication are learned in one’s culture.
Transcultural Health Care: A Culturally Competent Approach, 4th Edition