Historical and Theoretical Foundations Flashcards

1
Q

a specialized field that focuses on providing
culturally competent and congruent healthcare to individuals from
diverse backgrounds

A

Transcultural nursing

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2
Q

The Birth of Transcultural Nursing

A

1950s: Early Observations
1960s: Concept Development
1970s: Theory Formulation
1980s: Global Recognition

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3
Q

Madeleine Leininger, while working as a child psychiatric nurse, notices cultural differences in children’s
behavior and care needs.

A

1950s: Early Observations

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4
Q

Leininger pursues anthropology studies and begins developing the concept of transcultural nursing

A

1960s: Concept Development

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5
Q

Leininger publishes her Theory of Culture Care Diversity and Universality, laying the groundwork for
transcultural nursing practice.

A

1970s: Theory Formulation

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6
Q

Transcultural nursing gains international recognition as a distinct field of study and practice within nursing.

A

1980s: Global Recognition

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7
Q

The
Mother of Transcultural
Nursing

A

Madeleine Leininger

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8
Q

1980s:

A

Global Recognition

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9
Q

1970s:

A

Theory Formulation

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10
Q

1960s:

A

Concept Development

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11
Q

1950s:

A

Early Observations

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12
Q

academic background of leininger

A

degrees in nursing and anthropology

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13
Q

Key Contributions of leininger

A

Developed the Theory of
Culture Care Diversity and
Universality and the Sunrise
Model for cultural
assessment.

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14
Q

Professional Impact

A

Founded the Transcultural
Nursing Society and
established the Journal of
Transcultural Nursing.

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15
Q

emphasizes the
importance of understanding
cultural similarities and differences
in healthcare practices

A

Theory of Culture Care Diversity and Universality

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16
Q

posits that
culturally congruent care is essential
for promoting health and well-being

A

Theory of Culture Care Diversity and Universality

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17
Q

includes seven cultural
and social structure dimensions

A

Theory of Culture Care Diversity and Universality

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18
Q

seven cultural
and social structure dimensions of the Theory of Culture Care Diversity and Universality

A
  • technological factors,
  • religious and philosophical factors
  • kinship and social factors
  • cultural values and lifeways
  • political and legal factors
  • economic factors
  • educational factors
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19
Q

Application in Practice
of the Theory of Culture Care Diversity and Universality

A

Nurses use this theory to:

  • assess cultural factors,
  • develop culturally appropriate care plans,
  • provide holistic care that
    respects and incorporates
    patients’ cultural beliefs and practices.
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20
Q

Other Influential Transcultural Nursing Theorists

A
  • Joyce Newman Giger
  • Larry Purnell
  • Josepha Campinha-Bacote
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21
Q

Developed the Giger and Davidhizar Transcultural Assessment Model

A

Joyce Newman Giger

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22
Q

Created the Purnell Model for Cultural Competence

A

Larry Purnell

23
Q

Introduced the Process of Cultural Competence in the Delivery of Healthcare Services

A

Josepha Campinha-Bacote

24
Q

focusing on six cultural phenomena:
communication, space, social
organization, time, environmental
control, and biological variations.

A

Giger and Davidhizar
Transcultural Assessment Model

25
which includes 12 domains for assessing cultural attributes in healthcare settings
Purnell Model for Cultural Competence
26
emphasizing cultural awareness, knowledge, skill, encounters, and desire
Process of Cultural Competence in the Delivery of Healthcare Services
27
Cultural Competence in Nursing
- Cultural Awareness - Cultural Knowledge - Cultural Skill - Cultural Encounters - Cultural Desire
28
Recognizing one's own cultural biases and prejudices, and acknowledging the existence of cultural differences.
Cultural Awareness
29
Seeking and obtaining education about diverse cultural and ethnic groups, including their health-related beliefs and practices.
Cultural Knowledge
30
Developing the ability to conduct cultural assessments and perform culturally-based physical assessments.
Cultural Skill
31
Engaging in face-to-face interactions with patients from diverse cultural backgrounds to refine or modify existing beliefs.
Cultural Encounters
32
Cultivating the motivation to want to engage in the process of becoming culturally aware, knowledgeable, and skillful.
Cultural Desire
33
The tendency to view one's own culture as superior and to judge other cultures by the standards of one's own
Ethnocentrism
34
can lead to biased care and misunderstandings between healthcare providers and patients
Ethnocentrism
35
The principle of understanding and evaluating a culture on its own terms, without imposing one's own cultural values
Cultural Relativism
36
promotes a more open-minded approach to patient care and cultural practices
Cultural Relativism
37
Transcultural nursing aims to strike a balance between these concepts, encouraging nurses to be aware of their own cultural biases while respecting and accommodating diverse cultural practices in healthcare settings.
Balancing Act
38
Globalization and Its Impact on Transcultural Nursing
- Increased Cultural Diversity - Cross-Cultural Health Issues - Technology and Communication - International Nursing Collaborations
39
Global migration patterns have led to more diverse patient populations in healthcare settings, necessitating a deeper understanding of various cultures.
Increased Cultural Diversity
40
The spread of global health challenges, such as pandemics, has highlighted the need for culturally sensitive approaches to public health interventions.
Cross-Cultural Health Issues
41
Advancements in technology have facilitated cross cultural communication and access to health information, influencing patient expectations and care delivery.
Technology and Communication
42
Increased opportunities for international nursing exchanges and collaborations have fostered a global perspective in nursing education and practice.
International Nursing Collaborations
43
Challenges in Implementing Transcultural Nursing
- Language Barriers - Time Constraints - Lack of Resources - Resistance to Change
44
Difficulties in communication can lead to misunderstandings, misdiagnoses, and inadequate care. Ensuring access to professional interpreters and translated materials is crucial but often challenging
Language Barriers
45
Conducting thorough cultural assessments and providing culturally congruent care often requires more time, which can be challenging in fast-paced healthcare environments.
Time Constraints
46
Many healthcare institutions lack the necessary resources, including culturally diverse staff, specialized training programs, and culturally appropriate healthcare materials
Lack of Resources
47
Some healthcare professionals may resist adopting new practices or may hold unconscious biases that hinder the implementation of culturally competent care.
Resistance to Change
48
Ethics and Transcultural Nursing
- Ethical Principles - Cultural Relativism vs. Ethical Universalism - Informed Consent
49
Ethical Principles
- autonomy, - beneficence, - non-maleficence, - justice
50
involves critical reflection on when to accommodate cultural practices and when to intervene for patient safety or well-being
Cultural Relativism vs. Ethical Universalism
51
Holds that ethical values and human rights are culturally determined and vary across cultures. This view argues that rights are not absolute and are instead informed by social, religious, and cultural contexts
Cultural relativism
52
Holds that universal ethical principles apply to all individuals regardless of cultural or societal differences. This view supports the idea that certain rights and freedoms are inherent and not subject to change based on locality or culture
Ethical universalism
53
Nurses must ensure that patients understand their options and the implications of their choices within their cultural framework.
Informed Consent