Quality Nursing Care In A Transcultural Setting: Myth Or Reality essay

Nursing has been a single from the noblest professions which have its roots deep down in humanity. Though profound credit score is often specified to doctors but nursing is what with no which even medicine and doctors’ efforts all are in vain due to the fact taking care on the patient, giving medicine on time and keeping check of patient’s vital metabolic activities aren't the only aid that is certainly provided by nurses, they supply moral, emotional and psychological aid for the patient which if provided in proper mannerism can accelerate patient recovery.

Generally speaking nursing is all about taking care from the patients. But in 1950’s a single nurse idea that caring taught in nursing training and used in method is general for all, irrespective of their ethnic background, religious beliefs, Norms, life ways and environment. She was Madeleine Leininger who was in between the first graduate to accomplish doctorate degree in anthropology and she notion to add new dimension to nursing by introducing culture relevant caring program which was introduced being a idea and later mature into a specialized domain in nursing and identified being as transcultural nursing.

Sharon C. Murphy quotes Leininger definition of transcultural nursing as

“A substantive area of find out and process focused on comparative cultural care (caring) values, beliefs and practices of people or groups of similar or different cultures. Transcultural nursling’s goal is to supply culture specific and universal nursing care practices to your wellness and well-being of individuals or to assist them face adverse human conditions, illness or death in culturally meaningful ways”

Culture and care has been associated in nursing in transcultural setting in which care is provided with accordance to person’s culture. Care based on Leininger is termed as a powerful and dynamic force to understand the totality of human behavior in well being and sickness (p 2). Based on Leininger “Caring is also attributed to actions, attitudes and practices to aid or assist others toward healing and wellbeing” (p 5)

Culture on the other hand will be the “broadest, most comprehensive, holistic and universal feature of individual which comprises with the learned, shared, and transmitted values, beliefs, norms, and life ways of a particular culture that guides thinking, decisions, and actions in patterned ways and always intergenerationally” (Leininger, p 6).

Leininger thought that owning no cultural knowledge was affecting the quality of nursing actions and decisions. So nursing in transcultural setting is reliant on the knowledge for the patient’s culture and cultural attributes. Transcultural nurses are train to jobs in different culture and to identify unknown or misunderstood cultures reasons and influencers which affect caring actions and decisions. Sharon Murphy quotes that transcultural studies comprises of care symbol, expressions and meanings and their research is basically studying cultural care and health concern. Leininger also presented a theory referred to as as “The Culture Care Theory”. This theory presented the interdependency between culture and care and emphasized that culture relevant care helps to enhance the helping system use to facilitate patient inside the course of their recovery.

Some major construct of Leininger’s theory are firstly the interdependency between culture and care, secondly the theories and models are unknown blurred truth and expressions inside a culture and are pictorial diagram showing some idea but lack the relationship in between them respectively. Thirdly the theory is open to discovery of unknown ideas previously unknown or indistinctive related to cultural care experience of human well being and welfare. Fourthly the theory encourages ascertaining numerous aspect of culture and care in naturalistic manner in similar or a variety of environmental context. Fifth is a new technique of discovery this sort of cultural values and expressions which is Ethnonursing procedure and it is define by Leininger as “an open, natural, and qualitative inquiry mode looking for informants’ ideas, perspectives, and knowledge, and did not control, reduce, or manipulate culture and care as with quantitative methods(p 2-3).

Now if we contemplate whether the top quality nursing in transcultural setting is often a myth or it has some fact behind it then we now have to bring into consideration that human diversity and its impact upon health difficulty and human well being are incredibly profound and there exist succeeding challenges to adjust education and process in nursing that are cultural congruent and with respect to numerous belief and values (Ludwick, Silva 2000). It's obvious that every culture has its very own cultural values and ethics which could be conflicting with other cultures and thus giving rise to ethical conflict. In nursing these items obtain value as world progress via globalization and nurses have been faced with challenge of nursing patient from alien culture. Some cultures are according to “individualism” which in accordance with Ludwick and Silva is defined to be as the capacity of an individual to pull themselves as much as their bootstraps and some are take into account to become depending upon collectivism exactly where trustworthiness of a individual is vested in his family members and friends. So any wellness decisions and action taken in either culture are going to be a variety of from the other.

According to Ludwick and Silva any misunderstanding can result into lack of trust in treatment along with it can potentially damage patient emotionally, physically or psychologically. The way to impede these kinds of a case to come the nursing should be provided in transcultural settings.

Now we must take into account some true life case studies that will throw light on regardless of whether transcultural nursing is substantial and it's a demand of the time thus a truth that can’t be ignored. Some Studies are pin pointed by Cultural Diversity in Nursing Firm on their website, I am quoting right here two of them

Chinese Culture Example: In Chinese based on the internet site it is consider that well being is really a land where spiritual and physical synchronization with nature exists. If this balance is disturbed then illness occurs. The Asian patient was observed to become rarely complaining about their illness and nurses have to reply on responsive cues to realize them.

Case I: According to the internet site “A Vietnamese woman was rushed for the hospital by her adult children. The emergency room personnel found dark red welts running up her arms, shoulders and chest, yet the only presenting complaint was dizziness. After questioned, her son stated that he had rubbed her system with a quarter.

A nurse becomes concerned once she finds an elderly Chinese patient rubbing him self having a quarter (she concept he was trying to hurt himself). After she took the coin away from the patient, he became incredibly upset, grabbed it back from her and continued to rub his arms and legs, leaving dark red scratches “.

Now the following there's a need to understand that coin rubbing is used for healing purpose in Chinese culture that is certainly not an abuse. During the system of coin rubbing some red welts do look on a patient’s physique which distracted the medical staff. The need here is to know that what coin rubbing is in cultural context as the patient is emotionally and morally connected with this kind of beliefs, so impede them for it can cause even heightened stress for patient.

In the end it's now obvious that quality nursing in transcultural setting isn't a myth, it's a truth and as globalization takes place and men and women from different culture move beyond their cultural boundary for wellness care, top quality nursing in this sort of environment posts a colossal challenge in front of nurses. This challenge is however can also be successfully handle by after transcultural theory of Leininger and other literature studies whose major points had been formerly mentioned. Transcultural nursing is often a new interactive technique of budding patient-nurse bilateral relationship which has much more trust , care , love and humanity vested in it so it is actually a simple fact in reality it is a future of nursing. 

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