SafeAssign report

.pdf

School

University of Texas, Medical Branch *

*We aren’t endorsed by this school

Course

5355

Subject

Nursing

Date

May 24, 2024

Type

pdf

Pages

Uploaded by ajiwani3

SafeAssign Originality Report • Submitted on Mon, Oct 16, 2023, 11:00 AM PRE-VIEW SafeAssign Draft Review Submission- Not Graded SON Fall 2023: GNRS 5373 - Theoretical, Research, and Evidence-Based Practice Foundations for Advanced Nursing Practice (CORE) Total Score: 32 % Medium risk Anusha Jiwani Submission UUID: c1db750a-613c-b8c3-3433-b2e6eb8c5c88 Total Number of Reports 1 Highest Match 32 % Analysis of Leininger’s Cultural Care … Average Match 32 % Submitted on 10/16/23 11:00 AM CDT Average Word Count 1,868 Highest: Analysis of Leininger’s Cultu… 32 % Attachment 1 Word Count : 1,868 Source : Analysis of Leininger’s Cultural Care Diversity and Universality Theory.docx 12 % Internet (7) nursing-theory nurseslabs wikipedia paperdue slideplayer wikipedia studymoose 12 % Global database (8) Student paper Student paper Student paper Student paper Student paper Student paper Student paper Student paper 8 % Institutional database (1) Student paper Top sources (3) 8 6 4 3 7 16 14 1 5 9 11 10 12 15 13 2 2 Student paper 8 % 8 nursing-theory 3 % 6 nurseslabs 3 % 1 Analysis of Leininger’s Cultural Care Diversity and Universality Theory Group 14 Dr. Juneau Miranda Garzoria, Anastashia Guillory, Valerie Grims, Anusha Jiwani, Taylor Jones, Joshua Kirksey University of Texas Medical Branch GNRS 5373: Theoretical, Research, and Evidence-Based Practice Foundations for Advanced Nursing Practice Dr. Mini Jose October 16, 2023 Analysis of Leininger’s Cultural Care Diversity and Universality Theory The guiding nursing theory chosen by the group is Leininger's Theory of Culture Care Diversity and Universality. Leininger’s Theory emphasizes the importance of providing culturally congruent care through individualization and considering cultural values and beliefs (Petiprin, 2019). Failing to recognize cultural differences can lead to lower-quality care. However, gaining knowledge and cultivating skills that improve cross-cultural communication can play a 1 2 2 1 3

significant role in providing equitable patient care (Tulane University, 2021). Leininger's goal was to provide culture-specific and universal nursing care to promote the health and well-being of all patients in "culturally meaningful ways" (Petiprin, 2019). Other corresponding theories used by the groups include Nightingale's Environmental theory, which focuses on sterility and cleanliness; Peplau's Interpersonal Relations Theory, which stresses the importance of the nurse-patient relationship; Watson's Theory of Human Caring Science that incorporates a spiritual dimension to nursing care, and Benner's Model of Skill Acquisition that is used to describe the novice nurse to expert nurse practice. A shared commonality between the theories used is cultural sensitivity. Cultural sensitivity refers to working in a manner that is respectful of and responds to people of all cultures (American Academy of Family Physicians, 2020). Race, socioeconomics, health literacy, and other factors affect how patients perceive their illness, seek care, their preferences regarding procedures and treatments, and who they believe should make their healthcare decisions (Tulane University, 2021). This is why Leininger's Theory is vital in responding without bias to the unique cultural needs of the patient. Basic Considerations of Leininger’s Theory Leininger’s Theory Operationalized The central concepts of Leininger's Theory can be operationalized in the chosen practice example. The three central concepts of Leininger's model include culture, culture care, and culture care differences and similarities as they pertain to transcultural care (McEwen, 2019, p. 221). Culture is "the learned, shared, and transmitted values, beliefs, norms, and lifeways. that guide thinking, decision and actions in patterned ways” (McFarland, 2019, p. 546). In the example, the mother's decision to hire a nanny as the primary caregiver was a cultural decision. For many Chinese parents, hiring a nanny is one way to build a "care coalition" to care for young children because having a mother care for a child exclusively is not seen as suﬃcient or optimal (Zhang et al., 2020, p. 612 ). Culture care involves the nurse conceptualizing the union between culture and care and using research and practice to confirm the relationship. The nurse sought the resources to understand the cultural basis for the mother's decision to hire a nanny as the primary caregiver. The nurse collaborated with the chaplain, who was also Chinese, to learn cultural differences, thus confirming the relationship between culture and the care decision for her child. The nurse's recognition that the mother's care choice was different led to her desire to understand how culture might be impacting the mother's decision. Once the cultural differences in perception of childcare were understood, the nurse was able to meet with the mother and the nanny to elicit other ways in which she could assist in incorporating their culture and traditions into the patient’s care. When the mother returned, she brought massage oil and explained the Chinese belief in the connection between massaging a child’s feet and the child walking and standing up. This experience undoubtedly led to the mother and the nanny feeling like their culture was appreciated and included in the care of the infant. Lastly, there are some similarities in values and beliefs related to childcare between Chinese culture and Western culture. The idea of having a nanny as the primary caregiver over the mother differs from Western norms’ thoughts regarding motherhood and maternal care. However, the foundational belief differs from the Western notion that "it takes a village to raise a child." What the village looks like and how they help rear the child is different. However, the end goal of creating and establishing a "care coalition" made up of individuals who play different and complementary roles in a child's care is similar (Zhang et al, 2020, p. 612). Directives for Nursing Care from Leininger's Theory Directives can and should be derived from applying the Theory to nursing practice. It is essential to provide culturally competent nursing care for all patients. It has been said many times that America is the melting pot because of the diversity in this country. That diversity means that there are many different cultures represented. To provide competent care that benefits the patient, a nurse must consider their culture and how it inﬂuences their actions, expectations, and desires regarding their healthcare. Many theorists have advocated for the integration of standards related to culturally competent care into policies and guidelines. In fact, in 2015, the American Nurses Association (ANA) included the concept of culturally congruent practice in the Nursing Scope and Standards of Practice. The section states that nurses must practice in a culturally inclusive way (American Nurses Association, 2015, p. 69). Understanding the cultural diversity of your patients and local population does not just help provide a positive perception of care to patients; it can also help save lives. Some cultural beliefs and norms impact the acceptance of life-saving care by some patients. The most known example is a Jehovah's Witness who refuses to receive blood products even though they might save their life. Being culturally aware and sensitive will allow the nurse to advocate for bloodless alternatives early, thus helping to save the patient's life (Domaradzki et al., 2023). Internal Analysis and Evaluation Inconsistencies in Leininger’s Theory While Leininger's Theory of transcultural nursing emphasizes cultural appreciation, certain aspects of the Theory can be problematic while caring for patients. A significant inconsistency in the Theory is that it does not account for the nurse's own cultural background and individual bias. Unconscious bias still exists and inﬂuences care. (Marcelin et al, 2019). This cultural bias and background differences can cause the nurse and the patient to have contradicting beliefs, impacting the patient's quality of care. To combat this, nurses should remain open to acquiring knowledge about patient cultures and be willing to adapt their nursing styles to match the patient's beliefs. "The nurse's assessment of the patient should include a self-assessment that addresses how the nurse is affected by his or her cultural background, especially regarding working with patients from culturally diverse backgrounds" (Petiprin, 2023). Ms Wang, learning to respect her wishes of having a nanny as a primary caregiver, is an example of a nurse putting aside her background to benefit her patient. While the nurse had never experienced this type of caregiving, by asking questions and working with Ms Wang, they were able to develop a mutualistic relationship to care for her patient. External Analysis and Evaluation Leininger’s Theory and Nursing Standards Leininger's Theory is considered a nursing discipline because it is integral to how nurses practice today. Nurses are trained to have cultural humility when caring for patients of different backgrounds. Congruence with Nursing Diagnoses and Interventions As defined by the ANA, standards of nursing practice consist of three components: professional standards of care, diagnostic, intervention, and evaluation competencies. This Theory is related to nursing diagnoses and interventions through understanding how a patient's cultural background plays a role in a patient's health and utilizing that knowledge to create a nursing plan to help the patient create and maintain a healthy lifestyle (American Nurses Association, 4 2 5 6 7 2 2 8 2 7 6 2

Source Matches (34) Student paper 100 % Student paper 80 % 2015). Leininger’s Theory Evidenced in Nursing Research Leininger's culture care theory is supported by a qualitative methodology called ethnonursing. This type of research can be used to investigate those of different backgrounds, geographic locations, and times. According to Wehbe-Almah and McFarland (2020), a nurse may work collaboratively with his or her diabetic patient to identify ways cultural meals may be prepared to meet dietary requirements for optimal health. The cultural care theory allows nurses to consider the patient as a whole and not just by the diagnosis. Conclusion In conclusion, Madeleine Leininger’s Cultural Care Diversity and Universality Theory has undeniably left a profound mark on contemporary nursing practice. Our group's examination of Whall's Practice Theory Analysis and Evaluation Criteria, applied to our practice scenario, highlights the crucial importance of cultural sensitivity and diversity in patient care, particularly in our capacity as nurses. Interactions we have had with a diverse range of patients and their families, especially our integration of cultural practices such as respecting patients' cultural or religious values and beliefs, enables them to take ownership of their care plans while showing respect for their diverse backgrounds. This vividly demonstrates how recognizing and honoring cultural differences can enhance the quality of care. Leininger's Theory has guided our practice and deepened our collective comprehension of the vital role of cultural competence in nursing. It highlights the significance of delivering care that aligns with an individual's cultural background to nurture their overall health and well-being (McFarland, 2019). References American Academy of Family Physicians. (2020). Cultural proficiency: The importance of cultural proficiency in providing effective care for diverse populations (position paper). www.aafp.org.https://www.aafp.org/about/policies/all/cultural-proficiency-position-paper American Nurses Association. (2015). Nursing: Scope and standards of practice (3rd ed., pp 69–70). American Nurses Association. Domaradzki, J., Głodowska, K., & Jabkowski, P. (2023). “Between autonomy and paternalism: Attitudes of nursing personnel towards Jehovah's witnesses’ refusal of blood transfusion.” International Journal of Public Health, 68(1606291), 1-14. https://doi.org/10.3389/ijph.2023.1606291 Marcelin, J. R., Siraj, D. S., Victor, R., Kotadia, S., & Maldonado, Y. A. (2019). The impact of unconscious bias in healthcare: How to recognize and mitigate it. The Journal of Infectious Diseases, 220(Suppl. 2), S62–S73. https://doi.org/10.1093/infdis/jiz214 McEwen, M. (2019). Overview of selected middle-range nursing theories. In M. McEwen & E. M. Wills (Eds.) Theoretical basis for nursing (5th ed., pp. 221– 222). Philadelphia: Lippincott Williams & Wilkins. McFarland, M.R., & Wehbe-Alamah, H.B. (2019). Leininger's Theory of culture care diversity and universality: An overview with a historical retrospective and a view toward the future. Journal of Transcultural Nursing, 30(6), 540–557. https://doi.org/10.1177/1043659619867134 Wehbe-Alamah, H., & McFarland, M. (2020). Leininger’s ethnonursing research method: Historical retrospective and overview. Journal of Transcultural Nursing, 31(4), 337–349. https://doi.org/10.1177/1043659620912308 Petiprin, A. (2019). Culture care theory. Nursing theory. https://nursing-theory.org/theories-and-models/leininger-culture-care-theory.php Tulane University. (2021). How to improve cultural competence in health care. https://publichealth.tulane.edu/blog/cultural-competence-in-health-care/ Zhang, C., Fong, V. L., Yoshikawa, H., Way, N., Chen, X., Lu, Z., & Deng, H. (2020). How urban Chinese parents with 14-month-old children talk about nanny care and childrearing ideals. Journal of Family Studies, 26(4), 611-627. https://doi.org/10.1080/13229400.2018.1447983 7 9 9 10 11 11 12 11 2 5 13 1 3 14 15 7 16 1 Submitted paper Analysis of Leininger’s Cultural Care Diversity and Universality Theory Original source Analysis of Leininger’s Cultural Care Diversity and Universality Theory 2 Submitted paper University of Texas Medical Branch Original source University of Texas Medical Branch at Galveston

Your preview ends here

Eager to read complete document? Join bartleby learn and gain access to the full version