Gwapa sa imo | HISTORICAL AND THEORETICAL PERSPECTIVES OF TRANSCULTURAL NURSING Flashcards
She was the first in the 1960s to coin the concept of “culturally congruent care,” which
was the goal of the Theory of Culture Care, and today the concept is being used globally.
Madeleine Leininger
Each element described here builds a context for a crossculturally competent system of care. The system’s approach may be adapted to create a better fit between the needs of minority groups and services available. Styles of management, definitions of who is included in “family,” and service goals are but a few of the things that can be changed to meet cultural needs.
Adaptation to Diversity
Major Concepts of the Transcultural Nursing Theory:
Is a state of well-being that is culturally defined, valued, and practiced. It reflects individuals’ (or groups)’ ability to perform their daily role activities in culturally expressed, beneficial, and patterned lifeways.
Health
Josepha Campinha-Bacote: Process of Cultural Competence in the Delivery of
Healthcare Services: A Model of Care
Cultural competence consists of five constructs
cultural awareness, cultural knowledge, cultural skill, cultural encounters, and cultural desire.
Major Concepts of the Transcultural Nursing Theory:
Leininger did not define these terms; she speaks instead of worldview, social structure, and environmental context.
Society and Environment
_________: Cultural Care Theory
Madeleine Leininger
Campinha-Bacote five-prong system:
First and foremost, nurses must perform a self-examination to gain insight into their own beliefs and values.
Cultural awareness
Subconcepts of the Transcultural Nursing Theory:
It refers to the outsider’s efforts, both subtle and not so subtle, to impose their own cultural values, beliefs, behaviors upon an individual, family, or group from another culture. (Leininger, 1978)
Cultural Imposition
Subconcepts of the Transcultural Nursing Theory:
Is defined as actions and activities directed toward assisting, supporting, or enabling another individual or group with evident or anticipated needs to ameliorate or improve a human condition or lifeway or face death
Care as a verb
Major Concepts of the Transcultural Nursing Theory:
It indicates the variabilities and/or differences in meanings, patterns, values, lifeways, or symbols of care within or between collectives related to assistive, supportive, or enabling human care expressions
Culture Care Diversity
Sunrise Model of Madeleine Leininger’s Theory:
It includes those assistive, supportive, facilitative, or enabling creative professional actions and decisions that help people of a designated culture to adapt to or negotiate with others for a beneficial or satisfying health outcome with professional care providers.
Cultural care accommodation, also known as negotiation
_____ first
mentioned in 1950 that the cultures were an important variable affecting mental health.
Peplau
An essential for any health-care professional, this book sets the standard for cultural perspectives and more importantly health-the balance of the person, both within one’s being-physical, mental, and spiritual-and in the outside world natural, communal, and metaphysical.
Rachel Spector: Cultural difference in health and disease
Sunrise Model of Madeleine Leininger’s Theory:
It includes those assistive, supporting, facilitative, or enabling professional actions and decisions that help clients reorder, change, or greatly modify their lifeways for new, different, and beneficial health care pattern while respecting the clients’ cultural values and beliefs and still providing a beneficial or healthier lifeway than before the changes were established with the clients
Culture care repatterning or restructuring
Subconcepts of the Transcultural Nursing Theory:
A knowledge gained from direct experience or directly from those who have
experienced it. It is generic or folk knowledge.
Emic
Cultural competence can best be identified as a _________ that is never ending and ever expanding. It is built on increases in knowledge and skill development related to its attributes.
Nonlinear Dynamic Process
Jacqueline L Rosenjack Burchum: Cultural Competence: An Evolutionary Perspective
What are the identified attributes of cultural competence in this model?
cultural awareness, cultural knowledge, cultural understanding, cultural sensitivity, and cultural skill.
Major Concepts of the Transcultural Nursing Theory:
how people look at the world, or the universe, and form a “picture or value stance” about the world and their lives.
Worldview
Campinha-Bacote five-prong system:
It involves collecting relevant cultural information. It is insensitive to assume a person’s cultural preferences based on appearance, country of origin or religion. Instead, nurses should ask questions and seek information in a professional manner
Cultural skill
Major Concepts of the Transcultural Nursing Theory:
Is learned, shared, and transmitted values, beliefs, norms, and lifeways of a particular group that guides their thinking, decisions, and actions in patterned ways.
Culture
Wells M; Beyond cultural competence: a model for individual and institutional
cultural development:
_____________ is a concept that extends cultural competence into nursing practice,
administration, education, and research. It is a philosophical and behavioral approach to cultural diversity that guides and prescribes individual and institutional behavior toward “cultural others.”
Cultural proficiency
Major Concepts of the Transcultural Nursing Theory:
The study of nursing care beliefs, values, and practices as cognitively perceived and known by a designated culture through their direct experience, beliefs, and value system.
Ethnonursing
Sunrise Model of Madeleine Leininger’s Theory:
It includes those assistive, supporting, facilitative, or enabling professional actions and decisions that help people of a particular culture to retain and/or preserve relevant care values so that they can maintain their well-being, recover from illness, or face handicaps and/or death
Cultural care preservation is also known as maintenance
The foundations of transcultural nursing were laid in the _____
mid-1950s
Jacqueline L Rosenjack Burchum: Cultural Competence: An Evolutionary Perspective
The need for conceptual clarity, which is essential for effective communication related to cultural competence. _____, _____, _____, and _____ are identified.
Practice, education, administration, and research
Major Concepts of the Transcultural Nursing Theory:
Is defined as involving the dynamic patterns and features of interrelated structural and organizational factors of a particular culture (subculture or society) which includes religious, kinship (social), political (and legal), economic, educational, technological, and cultural values, ethnohistorical factors, and how these factors may be interrelated and function to influence human behavior in different environmental contexts.
Cultural and Social Structure Dimensions
Major Concepts of the Transcultural Nursing Theory:
Is defined as those cognitively based assistive, supportive, facilitative, or enabling acts or decisions that are tailor-made to fit with the individual, group, or institutional, cultural values, beliefs, and lifeways to provide or support meaningful, beneficial, and satisfying health care, or well-being services.
Cultural Congruent (Nursing) Care
Major Concepts of the Transcultural Nursing Theory:
Are believed to be caring and capable of being concerned about others’ needs, well-being, and survival. Leininger also indicates that nursing as a caring science should focus beyond traditional nurse-patient interactions and dyads to include families, groups, communities, total cultures, and institutions.
Human Beings
Major Concepts of the Transcultural Nursing Theory:
Is defined as a learned humanistic and scientific profession and discipline which is focused on human care phenomena and activities to assist, support, facilitate, or enable individuals or groups to maintain or regain their well-being (or health) in culturally meaningful and beneficial ways, or to help people face handicaps or death.
Nursing | I love you my nursing AUGHY!
The Giger and Davidhizar Transcultural Assessment Model (the six cultural phenomena):
It refers to the manner in which a cultural group organizes itself around the family group. Family structure and organization, religious values and beliefs, and role assignments may all relate to ethnicity and culture.
Social organization
__________________: Process of Cultural Competence in the Delivery of Healthcare Services: A Model of Care
Josepha Campinha-Bacote
Campinha-Bacote five-prong system:
This is the process of engaging with patients from culturally diverse backgrounds, as this exposure increases the nurse’s cultural competence.
Cultural Encounter
Major Concepts of the Transcultural Nursing Theory:
Is defined as the subjectively and objectively learned and transmitted values, beliefs, and patterned lifeways that assist, support, facilitate, or enable another individual or group to maintain their well-being, health, improve their human condition lifeway, or deal with illness, handicaps or death.
Culture Care
Major Concepts of the Transcultural Nursing Theory:
It indicates the common, similar, or dominant uniform care meanings, patterns, values, lifeways, or symbols manifest among many cultures and reflect assistive, supportive, facilitative, or enabling ways to help people.
Culture Care Universality
Irena Papadopoulos & Shelley Lees: Training culturally competent researchers:
There are two layers of cultural competence, those of ______ (knowledge and
skills that are applicable across ethnic groups) and ______________(knowledge and skills that relate to a particular ethnic group). The relationship between
these two layers is a dynamic and spiralling process as illustrated by the model.
culture-generic, culture-specific competence
Subconcepts of the Transcultural Nursing Theory:
A culturally learned and transmitted, indigenous (or traditional), folk (home-based) knowledge and skills used to provide assistive, supportive, enabling, or facilitative acts toward or for another individual, group, or institution with evident or anticipated needs to ameliorate or improve a human life way, health condition (or well-being), or to deal with handicaps and death situations.
Generic (Folk or Lay Care Systems)
_____________: Cultural Competence Ethical Decision-making
Dula F. Pacquiao
Josepha Campinha-Bacote: Process of Cultural Competence in the Delivery of Healthcare Services: A Model of Care
Who developed the five-prong system?
Campinha-Bacote
Campinha-Bacote five-prong system:
Nurses must find the motivation to become culturally aware by remaining open-minded to learning and being accepting of others.
Cultural Desire
It is a model that enables nurses to develop critical and complex thoughts about nursing practice. These thoughts should consider and integrate cultural and social structure dimensions in each specific context, besides nursing care’s biological and psychological aspects
Sunrise Model
Major Concepts of the Transcultural Nursing Theory:
The totality of an event, situation, or particular experience that gives meaning to human expressions, interpretations, and social interactions in particular physical, ecological, sociopolitical, and/or cultural settings.
Environmental Context
Subconcepts of the Transcultural Nursing Theory:
It may result when an outsider attempts to comprehend or adapt effectively to a different cultural group. The outsider is likely to experience feelings of discomfort and helplessness and some degree of disorientation because of the differences in cultural values, beliefs, and practices.
Culture Shock
The Model is a circle, with an outlying rim representing global society, a second rim representing community, a third rim representing family, and an inner rim representing the person. The interior of the circle is divided into 12 pie-shaped wedges depicting cultural domains and their concepts. The dark center of the circle represents unknown phenomena. Along the bottom of the model is a jagged line representing the nonlinear concept of cultural consciousness. The 12 cultural domains (constructs) provide the organizing framework of the model.
The Purnell Model for Cultural Competence
Campinha-Bacote’s The Process of Cultural Competence in Delivering Health Care Services: What are the 5 factors of the five-prong system?
Awareness, Skill, Knowledge, Encounters, and Desire.
Joyce Newman Giger & Ruth Davidhizar: Transcultural nursing; Evaluation and
intervention:
____________________________was developed in 1988 in response to the need for nursing students in an undergraduate program to assess and
provide care for patients that were culturally diverse.
The Giger and Davidhizar Transcultural Assessment Model
Subconcepts of the Transcultural Nursing Theory:
Is defined as formally taught, learned, and transmitted professional care, health, illness, wellness, and related knowledge and practice skills that prevail in professional institutions, usually with multidisciplinary personnel to serve consumers.
Professional care systems
Campinha-Bacote five-prong system:
Nurses seek out information to expand their knowledge base of different ethnic groups. Resources include journal articles, textbooks, workshops, and continuing education courses.
Cultural knowledge
Subconcepts of the Transcultural Nursing Theory:
It includes those past facts, events, instances, experiences of individuals, groups, cultures, and instructions that are primarily people-centered (ethno) and describe, explain, and interpret human lifeways within particular cultural contexts over short or long periods of time.
Ethnohistory
________________ & ___________: Training culturally competent researchers
Irena Papadopoulos & Shelley Lees
The Giger and Davidhizar Transcultural Assessment Model (the six cultural phenomena):
It refers to the distance between individuals when they interact. All
communication occurs in the context of ______.
Space
Aru Narayanasamy: ACCESS model
ACCESS stands for:
Assessment, Communication, Cultural negotiations and Compromise, Establishing respect, Sensitivity and Safety)
Subconcepts of the Transcultural Nursing Theory:
Is defined as those abstract and concrete phenomena related to assisting, supporting, or enabling experiences or behaviors toward or for others with evident or anticipated needs to ameliorate or improve a human condition or lifeway
Care as a noun
_______________: Cultural Competence: An Evolutionary Perspective
Jacqueline L Rosenjack Burchum
The Giger and Davidhizar Transcultural Assessment Model (the six cultural phenomena):
It embraces the entire world of human interaction and behavior. It is the means by which culture is transmitted and preserved. Both verbal and nonverbal _________ are learned in one’s culture. It often presents the most significant problem in working with clients from diverse cultural backgrounds
Communication
Eunyoung Eunice Suh. Cultural Competence Model through Evolutionary Concept Analysis:
Becoming a __________ health professional is a demanding prerequisite in this
multicultural society.
Culturally Competent
The Giger and Davidhizar Transcultural Assessment Model (the six cultural phenomena):
It is an important aspect of interpersonal communication. Cultural groups
can be past, present, or future-oriented. Preventive health care requires some future
time orientation because preventive actions are motivated by a future reward
Time
Terry L. Cross and Barbara J. Bazron, Karl W. Dennis, and Mareasa R. Isaacs:
Towards a culturally adequate care process: Effective services for minority children with
emotionally serious illness:
Cultural competence is a developmental process, which moves along a continuum of six
positions, ranging from least competent to most competent.
Enumarate in order from least to most competent.
- Cultural Destructiveness
- Cultural Incapacity
- Cultural Blindness
- Cultural Pre-Competence
- Cultural Competence
- Cultural Proficiency
Transcultural Nursing also
known as ____.
Culture Care Theory.
The Giger and Davidhizar Transcultural Assessment Model (the six cultural phenomena):
It refers to the ability of the person to control nature and to plan and direct factors in the environment that affect them.
Environmental control
Major Concepts of the Transcultural Nursing Theory:
Is defined as formal and cognitively learned professional care knowledge and practice skills obtained through educational institutions that are used to provide assistive, supportive, enabling, or facilitative acts to or for another individual or group to improve a human health condition (or wellbeing), disability, lifeway, or to work with dying clients.
Professional Nursing Care (Caring)
Major Concepts of the Transcultural Nursing Theory:
Is defined as a learned subfield or branch of nursing that focuses upon the comparative study and analysis of cultures concerning nursing and health-illness caring practices, beliefs, and values to provide meaningful and efficacious nursing care services to their cultural values and health-illness context
Transcultural nursing
The Giger and Davidhizar Transcultural Assessment Model (the six cultural phenomena):
__________, especially genetic variations, exist between individuals in different racial groups. It is a well-known fact that people differ culturally. Less recognized and understood are the biological differences that exist among people in various racial groups. Although there is as much diversity within cultural and racial groups as there is across and among cultural and racial groups, knowledge of general baseline data relative to the specific cultural group is an excellent starting point to pro.
Biological variations
The system of care must sanction and in some cases mandate the incorporation of cultural knowledge into the service delivery framework. Every level of the system needs accurate information or access to it.
Institutionalization of Cultural Knowledge
Subconcepts of the Transcultural Nursing Theory:
A knowledge that describes the professional perspective. It is professional care
knowledge.
Etic
Dula F. Pacquiao: Cultural Competence Ethical Decision-making:
Culturally competent ethical decision-making is proposed as the pathway to promote
health equity. It is built on ______ as the critical motivation that compels people to
act on behalf of others, which emerges from an affective and cognitive understanding
and identification with others’ experiences. It is the fire that ignites the energy to take
action on problems involving enormous risks, complexities, and resources. Compassion
requires the ability to distinguish the oppressed from the oppressor, victims from
perpetrators, and the disadvantaged from the powerful.
Compassion
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