NURS 217 Health Assessment: Leininger’s Culture Care Model
I better take care of myself! Momma had bad pressure and it killed her! Who knows, I may even have to learn to cook different than I was taught in Jamaica! I may have to let Tomas do the cooking. He's got more time at home now than I do since he lost his job. There isn't too much time between my shifts at the school cafeteria and my new housecleaning job. You know my sister is coming up from Jamaica to see me. I think she is bringing me some bush tea. That'll set me right!"
Task:
Why is the theory of Culture Care Diversity important in the delivery of nursing care for all patients?
Using Leininger's Theory of Culture Care Diversity and Universality, develop a plan of care for Mrs. Franklin-Jones.
Discuss the strengths and limits to Leininger's Theory.
Answer:
Leininger’s Culture Care Model
Madeleine Leininger designed this theory, which tries to advocate for nursing care that is culturally congruent through supportive, facilitative, cognitively based and enabling decisions that are fit to incorporate an individual’s lifestyle, culture, customs, beliefs, and values. This sort of congruent care occurs whereby the nurse using his/ her professional knowledge is able to communicate amicably with the patient and together they come up with a new different care lifestyle for the well-being of the patient. In this particular case, Mrs. Franklin Jones is an acute myocardial infarction patient but in her Jamaican culture, she is okay with taking “bush tea” which is a drug smoked and is not good for her conditions. She also misses taking her drugs due to her work schedule and seems not to cook for herself the right meals. The nurse should, therefore, take it upon herself to explain to Mrs. Franklin that smoking is not good for her condition without judging her; she should also advise her to take time off her duties to get some rest and cook for herself nutritional foods. The nurse can take it upon herself to be regularly checked on her as a way of reminding her to be taking her medications (Leininger, 2011).
Importance of Cultural Care Diversity Theory
This theory helps nurses to work together with the patients to provide them with healthcare that has taken into consideration the customs, values, and beliefs of these patients hence providing them with the appropriate services. It also helps nurses in decision making and coming up with care plan designs that are culturally based hence providing holistic satisfaction to the patient without discrimination of any individual. This is vital in enhancing the relationship between the patient and the healthcare providers. In addition, the theory enables nurses to gain the trust of their patients, which will improve communication, hence, improved quality of care (Hacker and Violaine, 2011)
Plan care for Mrs. Franklin-Jones
The nurse will ask Mrs. Franklin to be seeing her once in every seven days to check on her health status and to take her for screening, this is imperative for the nurse to determine whether there is an improvement in the patient’s health. The nurse can also be contacting her to know whether she is taking her medication and also recommend on change of drugs if the ones she is taking are not making her have improvements on the condition. The nurse can also negotiate with her, to take some bed rest before going home to see whether, there can be changes in her conditions (McFarland, 2013).
Strengths and weakness of the Leininger's theory
The theory has helped to create a society whereby cultural diversity has been incorporated in the healthcare service provision; hence, patients from diverse cultures have been able to receive holistic healthcare provision without any discrimination. The weakness of this theory is that it is based on some assumptions made hence no accurate data can be collected, for example, a researcher will base his or her conclusion based on information got from the interviewed sample of people (Gandolfi, Siega, Rostirolla, Kleba & Colliselli, 2016).
References
Gandolfi, M., Siega, C. K., Rostirolla, L. M., Kleba, M. E., & Colliselli, L. (2016). SYSTEMATIZATION NURSING CARE: THE THEORY OF INTEGRAL CARE. Journal of Nursing UFPE on line, 10(4), 3694-3703.
Hacker , Violaine (2011), “ Building Medias Industry while promoting a community of values in the globalization: from quixotic choices to pragmatic boon for EU Citizens”, Politicke Vedy-journal of Political Science, Slovakia.
Leininger, M. M. (2011). Leininger's theory of nursing: Cultural care diversity and universality. Nursing science quarterly, 1(4), 152-160.
McFarland, M. R. (2013). Leininger’s Theory of Culture Care Diversity and Universality in Nursing Practice. Nursing Theory: Utilization & Application, 350.
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