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TRANSCULTURAL
NURSING
INTRODUCTION
• Transcultural Nursing is a specialty with in
Nursing focused on the comparative study
and analysis of different cultures and sub-
cultures.
• Various groups are examined with respect to
their caring behavior, nursing care, health and
HISTORICAL PERSPECTIVES
• In 1950’s Dr . Madeleine Leininger noted cultural differences
between patients and nurses while working with emotionally
disturbed children.
•The transcultural nursing has its roots in early 1990’s. during
the 19th century the civilization or culture was something
achieved by the society.
PURPOSE OF TRANSCULTURAL NURSING
To make growing awareness acceptance of diversity and
willingness to maintain and support ethnic and cultural
heritage.
To give competent and sensitive health care.
To provide holistic and comprehensive approach in client
care.
TERMINOLOGIES
CULTURE- broadly defines a set of values , belief
and traditions that are held by a specific group of
people and handed drown from generation to
generation
Culture is also belief , habits , likes , dislikes ,
customs , and rituals learn from one’s family
RELIGION – it is a set of belief in a divine
or super human power to be obeyed
and worshipped as the creator and
ruler of the universe .
Ethical values and religion system of
belief and practices , difference within
the culture and across culture are
found
Cultural identity-
the sense of being a part of
an ethnic group or culture
 MATERIAL CULTURE –
It refers to an objects ( dress , art , religious
artifacts )
 NON-METERIAL CULTURE-
It refers to belief , custom , languages , social
institutions .
 SUB- CULTURE-
It is composed of people who have distinct
identity but are related to a large cultural group .
 BI-CULTURAL-
a person who crosses two cultures , lifestyles ,
and sets of values .
 DIVERSITY-
It refers to fact or state of being different .
Diversity can occur between culture and
within a cultural group.
ETNICGROUP-
Group which shares a common social and cultural
heritage that is passed on to successive generation.
E .g. - Indian culture , American culture .
RACE-
The classification of people according to shared biologic
characteristics , genetic makers , or features . Not all
people of the same race have the same culture.
e. g. – Indian race , American race
•Madeleine Leininger
The founder of the theory of Transcultural Nursing /
Culture Care Theory
Her theory has now developed as a discipline in
nursing. Evolution of her theory can be understood
from her books: Culture Care Diversity and
Universality (1991)
Transcultural Nursing (1995)
Transcultural Nursing (2002)
Theoretical framework is depicted in her modelcalled the Sunrise Model(1997).
•Leininger--defined transcultural nursing as:
“Transcultural Nursing is a comparative study
of cultures to understand similarities(culture
universal) and differences(culture-specific)
across human group.”
ASSUMPTIONS
Human caring is a universal phenomenon, but the
expressions, processes, structural forms, and patterns of
caring vary among cultures.
Caring acts and processes are essential for human birth,
development, growth, survival, and peaceful death.
Care has a biophysical, cultural, psychological, social and
environmental dimension, and the concept of culture
provides the broadest means to know and understand care.
 Nursing is a transcultural phenomenon as nurses interact
with clients, staff, and other groups, and requires that nurses
identify and use intercultural nurse-client and system data
Care behaviors, goals, and functions vary transculturally because of
the social structure, worldview, and cultural values of people from
different cultures.
Self and other care practices vary in different cultures and in different
folk and professional care systems.
Care is largely culturally derived and requires culturally based
knowledge and skills for satisfying and efficacious nursing practices.
There can be no curing without caring but there can be caring
without curing.
THE SUNRISE MODEL
•Leininger has presented the Sunrise Model
to visualize the different dimensions of her
Culture Care Theory.
TRANSCULTURAL.pptx
• The upper half of the circle represents a part of the whole socio-cultural
structure and world view factors.
• These factors influence the care, patterns and expressions towards health
and well-being of an individual, families, groups and institutions
through language and environment.
• The same factors also influence folk and professional nursing, bridged by
the nursing subsystem which can be seen in the lower half of the model.
With the aid of the three types of nursing care, decisions and actions
cultural congruent nursing care can be possibly achieved which is
meaningful, beneficial and satisfying to people.
HEALTHPRACTICES IN DIFFERENT CULTURES
USE OF PROTECTIVE OBJECTS-Protective objects can be worn or carried or
hung in the home- charms worn on a string or chain around the neck, wrist, or
waist to protect the wearer from the evil eye or evil spirits.
USE OF SUBSTANCES . It is believed that certain food substances can be
ingested to prevent illness. E.g. eating raw garlic or onion to prevent illness or
wear them on the body or hang them in the home.
RELIGIOUS PRACTICE -Burning of candles, rituals of
redemption etc.. Religion strongly affects the way people
attempt to prevent illness , and it plays a strong role in rituals
associated with health protection.
TRADITIONAL REMIDIES -The use of folk or traditional
medicine is seen among people from all walks of life and
cultural ethnic back ground.
HEALERS- Within a given community, specific people are
known to have the power to heal.
IMMIGRATION - Immigrant groups have their own cultural
attitudes ranging beliefs and practices regarding these areas.
GENDER ROLES-In many cultures, the male is dominant figure
and often they take decisions related to health practices and
treatment. In some other cultures females are dominant. In
some cultures, women are discriminated in providing proper
treatment for illness.
BELIEF ABOUT MENTAL ILLNESS-Mental illnesses are caused
by a lack of harmony of emotions or by evil spirits. Problems in
this life are most likely related to transgressions committed in
a past life.
ECONOMIC-FACTOR- such as unemployment
underemployment, homelessness, lack of health insurance
poverty prevent people from entering the health care system.
TIME ORINTATION -It is varies for different cultures groups.
PERSONAL RESPECT-Respect the client's personal space
when performing nursing procedures. The nurse should also
welcome visiting members of the family and extended family.
NURSING PROCESS AND ROLE OF NURSE
Determine the client's cultural heritage and language skills.
 Determine if any of his health beliefs relate to the cause of the
illness or to the problem.
Collect information that any home remedies the person is taking
to treat the symptoms.
Nurses should evaluate their attitudes toward ethnic nursing
care.
Self-evaluation helps the nurse to become more comfortable
when providing care to clients from diverse backgrounds.
Understand the influence of culture, race &ethnicity on the
development of social emotional relationship, child rearing
practices & attitude toward health.
Collect information about the socioeconomic status of the
family and its influence on their health promotion and
wellness
Identify the religious practices of the family and their influence
on health promotion belief in families.
Understanding of the general characteristics of the major
ethnic groups, but always individualize care.
The nursing diagnosis for clients should include potential
problems in their interaction with the health care system and
problems involving the effects of culture
CONCLUSION
Nurses need to be aware of and sensitive to the cultural needs of
clients. The practice of nursing today demands that the nurse identify
and meet the cultural needs of diverse groups, understand the social
and cultural reality of the client, family, and community, develop
expertise to implement culturally acceptable strategies to provide
nursing care, and identify and use resources acceptable to the client
THANK - YOU

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TRANSCULTURAL.pptx

  • 2. INTRODUCTION • Transcultural Nursing is a specialty with in Nursing focused on the comparative study and analysis of different cultures and sub- cultures. • Various groups are examined with respect to their caring behavior, nursing care, health and
  • 3. HISTORICAL PERSPECTIVES • In 1950’s Dr . Madeleine Leininger noted cultural differences between patients and nurses while working with emotionally disturbed children. •The transcultural nursing has its roots in early 1990’s. during the 19th century the civilization or culture was something achieved by the society.
  • 4. PURPOSE OF TRANSCULTURAL NURSING To make growing awareness acceptance of diversity and willingness to maintain and support ethnic and cultural heritage. To give competent and sensitive health care. To provide holistic and comprehensive approach in client care.
  • 5. TERMINOLOGIES CULTURE- broadly defines a set of values , belief and traditions that are held by a specific group of people and handed drown from generation to generation Culture is also belief , habits , likes , dislikes , customs , and rituals learn from one’s family
  • 6. RELIGION – it is a set of belief in a divine or super human power to be obeyed and worshipped as the creator and ruler of the universe . Ethical values and religion system of belief and practices , difference within the culture and across culture are found
  • 7. Cultural identity- the sense of being a part of an ethnic group or culture
  • 8.  MATERIAL CULTURE – It refers to an objects ( dress , art , religious artifacts )  NON-METERIAL CULTURE- It refers to belief , custom , languages , social institutions .  SUB- CULTURE- It is composed of people who have distinct identity but are related to a large cultural group .
  • 9.  BI-CULTURAL- a person who crosses two cultures , lifestyles , and sets of values .  DIVERSITY- It refers to fact or state of being different . Diversity can occur between culture and within a cultural group.
  • 10. ETNICGROUP- Group which shares a common social and cultural heritage that is passed on to successive generation. E .g. - Indian culture , American culture . RACE- The classification of people according to shared biologic characteristics , genetic makers , or features . Not all people of the same race have the same culture. e. g. – Indian race , American race
  • 11. •Madeleine Leininger The founder of the theory of Transcultural Nursing / Culture Care Theory Her theory has now developed as a discipline in nursing. Evolution of her theory can be understood from her books: Culture Care Diversity and Universality (1991) Transcultural Nursing (1995) Transcultural Nursing (2002) Theoretical framework is depicted in her modelcalled the Sunrise Model(1997).
  • 12. •Leininger--defined transcultural nursing as: “Transcultural Nursing is a comparative study of cultures to understand similarities(culture universal) and differences(culture-specific) across human group.”
  • 13. ASSUMPTIONS Human caring is a universal phenomenon, but the expressions, processes, structural forms, and patterns of caring vary among cultures. Caring acts and processes are essential for human birth, development, growth, survival, and peaceful death.
  • 14. Care has a biophysical, cultural, psychological, social and environmental dimension, and the concept of culture provides the broadest means to know and understand care.  Nursing is a transcultural phenomenon as nurses interact with clients, staff, and other groups, and requires that nurses identify and use intercultural nurse-client and system data
  • 15. Care behaviors, goals, and functions vary transculturally because of the social structure, worldview, and cultural values of people from different cultures. Self and other care practices vary in different cultures and in different folk and professional care systems. Care is largely culturally derived and requires culturally based knowledge and skills for satisfying and efficacious nursing practices. There can be no curing without caring but there can be caring without curing.
  • 16. THE SUNRISE MODEL •Leininger has presented the Sunrise Model to visualize the different dimensions of her Culture Care Theory.
  • 18. • The upper half of the circle represents a part of the whole socio-cultural structure and world view factors. • These factors influence the care, patterns and expressions towards health and well-being of an individual, families, groups and institutions through language and environment. • The same factors also influence folk and professional nursing, bridged by the nursing subsystem which can be seen in the lower half of the model. With the aid of the three types of nursing care, decisions and actions cultural congruent nursing care can be possibly achieved which is meaningful, beneficial and satisfying to people.
  • 19. HEALTHPRACTICES IN DIFFERENT CULTURES USE OF PROTECTIVE OBJECTS-Protective objects can be worn or carried or hung in the home- charms worn on a string or chain around the neck, wrist, or waist to protect the wearer from the evil eye or evil spirits. USE OF SUBSTANCES . It is believed that certain food substances can be ingested to prevent illness. E.g. eating raw garlic or onion to prevent illness or wear them on the body or hang them in the home.
  • 20. RELIGIOUS PRACTICE -Burning of candles, rituals of redemption etc.. Religion strongly affects the way people attempt to prevent illness , and it plays a strong role in rituals associated with health protection. TRADITIONAL REMIDIES -The use of folk or traditional medicine is seen among people from all walks of life and cultural ethnic back ground. HEALERS- Within a given community, specific people are known to have the power to heal. IMMIGRATION - Immigrant groups have their own cultural attitudes ranging beliefs and practices regarding these areas.
  • 21. GENDER ROLES-In many cultures, the male is dominant figure and often they take decisions related to health practices and treatment. In some other cultures females are dominant. In some cultures, women are discriminated in providing proper treatment for illness. BELIEF ABOUT MENTAL ILLNESS-Mental illnesses are caused by a lack of harmony of emotions or by evil spirits. Problems in this life are most likely related to transgressions committed in a past life.
  • 22. ECONOMIC-FACTOR- such as unemployment underemployment, homelessness, lack of health insurance poverty prevent people from entering the health care system. TIME ORINTATION -It is varies for different cultures groups. PERSONAL RESPECT-Respect the client's personal space when performing nursing procedures. The nurse should also welcome visiting members of the family and extended family.
  • 23. NURSING PROCESS AND ROLE OF NURSE Determine the client's cultural heritage and language skills.  Determine if any of his health beliefs relate to the cause of the illness or to the problem. Collect information that any home remedies the person is taking to treat the symptoms. Nurses should evaluate their attitudes toward ethnic nursing care.
  • 24. Self-evaluation helps the nurse to become more comfortable when providing care to clients from diverse backgrounds. Understand the influence of culture, race &ethnicity on the development of social emotional relationship, child rearing practices & attitude toward health. Collect information about the socioeconomic status of the family and its influence on their health promotion and wellness
  • 25. Identify the religious practices of the family and their influence on health promotion belief in families. Understanding of the general characteristics of the major ethnic groups, but always individualize care. The nursing diagnosis for clients should include potential problems in their interaction with the health care system and problems involving the effects of culture
  • 26. CONCLUSION Nurses need to be aware of and sensitive to the cultural needs of clients. The practice of nursing today demands that the nurse identify and meet the cultural needs of diverse groups, understand the social and cultural reality of the client, family, and community, develop expertise to implement culturally acceptable strategies to provide nursing care, and identify and use resources acceptable to the client