Leininger’s Cultural Core Theory

Thesis Title: Informal Social Support and Quality of Life Of Elderly

• The goal of transcultural nursing is to provide care that is congruent with cultural values, beliefs, and practices.

• Cultural care – refers to values and beliefs that assist, support, or enable another person to maintain well-being, improve personal conditioning, or face death or disability.

• Folk Health/Well-being System – care practices that are used to heal or assist people in the home or in the community

Metaparadigm of Nursing1. PERSON Referred as “human being” Caring and capable of being concerned about other’s;

although care is universal, ways of caring vary across cultures.

2. ENVIRONMENT Not specifically defined, but the concepts of world views,

social structure, and environmental context are discussed Closely related to the concept of culture

3. HEALTH Viewed as a state of well-being Culturally defined, valued, and practiced Reflects the ability of individuals to perform their daily roles. Includes health systems, health care practices

4. NURSING Defined as a learned humanistic art and science that focuses

on personalized behaviors, functions, and processes to promote and maintain health

3 modes of actions:1. cultural care preservation 2. cultural care accommodation3. cultural care repatterning

Requires an understanding of the specific values, beliefs, and practices of a client’s culture.

METAPARADIGM DESCRIPTION

1. PERSON Referred as “human being” Caring and capable of being concerned about other’s;

although care is universal, ways of caring vary across cultures.

2. ENVIRONMENT Not specifically defined, but the concepts of world views, social structure, and environmental context are discussed

Closely related to the concept of culture

3. HEALTH Viewed as a state of well-being Culturally defined, valued, and practiced Reflects the ability of individuals to perform their daily roles. Includes health systems, health care practices

4. NURSING Defined as a learned humanistic art and science that focuses on personalized behaviors, functions, and processes to promote and maintain health

Requires an understanding of the specific values, beliefs, and practices of a client’s culture.

Applicability of the Theory NURSING PRACTICE• Before assessing the cultural background of a client, nurses

should assess how they are influenced by their own culture. • The nursing diagnosis for clients should include potential

problems in their interaction with the health care system and problems involving the effects of culture.

• The planning and implementation of nursing interventions should be adapted as much as possible to the client's cultural background.

• Evaluation should include the nurse's self-evaluation of attitudes and emotions toward providing nursing care to clients from diverse sociocultural backgrounds.

NURSING EDUCATION

• Transcultural advanced practice nurse is needed “to ensure culturally congruent care (which has been especially forsaken in most acute care settings), while participating in the multidisciplinary planning and case management phases of the provision of care”