Nursing Theory
Nursing theories are an important part of both research and practice in order to advance the practice of nursing. The same theory that is used for research must be used in practice and proven both effective and essential in order to use it for research. In a diverse city, such as Miami, the nurse faces many benefits and challenges as well. A benefit is learning from different methods of practice and patients. A challenge might be to apply care and sensitivity with different populations.
Working as a nurse gives you a sense of working with every walk of life. Leininger’s culture care theory is important in an environment that is considered a multicultural healthcare environment where nurses are exposed to diverse cultures. In the Emergency department we see a large portion of patients that are from all walks of life. Leininger’s culture care theory can be applied to disciplines of nursing practice and help in all areas of nursing.
Leininger’s Assumptions
According to Leininger (1996), Care (caring) is essential to curing and healing, for there can be no curing without caring.
• Every human culture has generic, folk, or indigenous care knowledge and practices and usually some professional care knowledge and practices that vary transculturally.
• Culture care values, beliefs, and practices are influenced by and tend to be embedded in the worldview, language, philosophy, religion and spirituality, kinship, social, political, legal, educational, economic, technological, ethno-historical, and environmental contexts of cultures.
• A client who experiences nursing care that fails to be reasonably congruent with his or her beliefs, values, and caring life ways will show signs of cultural conflict, noncompliance, stress, and ethical or moral concern.
• Within a cultural care diversity and universality framework, nurses may take any or all of three culturally congruent action modes: (1) cultural preservation/maintenance, (2) cultural care accommodation/negotiation, and (3) cultural care repatterning/restructuring.
References
Butts, J. B., & Rich, K. L. (2017). Philosophies and Theories for Advanced Nursing Practice(2nd ed.). Burlington, MA.: Jones and Bartlett.
Leininger, M. (1996). Culture Care Theory, Research, and Practice. Nursing Science
Quarterly,9(2), 71-78. doi:10.1177/089431849600900208