Madeleine Leininger’s Theory of Culture Care Diversity and Universality – Flashcards

Theory of Culture Care Diversity and Universality

Culture care diversities and universalities (commonalities) exist within and between cultures worldwide. "Providing culture specific care that fit the beliefs, values, and lifeways of cultures" would be more therapeutic for patients. "Worldview and social structure factors - including religion (and spirituality), political and economic considerations, kinship (family ties), education, technology, language expressions, the environmental context, and cultural history - are essential to understand and are powerful influences on care outcomes" (Leininger, 1991) Traditional (indigenous folk) and professional care influence health and well-being of clients

- Believed to be caring and to be capable of being concerned about the needs, well-being and survival of others. -Care is universal, that is, seen in all cultures. -Universally caring beings who survive in a diversity of cultures through their ability to provide the universality of care in a variety of ways according to differing cultures, needs and settings.

A 'state of well-being that is culturally defined, valued and practiced, and which reflects the ability of individuals (or groups) to perform their daily role activities in culturally expressed, beneficial and patterned lifeways'.

Society or environment are not terms that are defined by Leininger but she instead speaks of worldview, social structure and environmental context.

A learned humanistic and scientific profession and Discipline focused on human care phenomena and caring activities in order to assist, support, facilitate or enable individuals or groups to maintain or regain their health or well-being in culturally meaningful and beneficial ways, or to help individuals face handicaps or death'.

The purpose and goal of the theory is to use research findings to provide culturally congruent, safe, and meaningful care to clients of diverse or similar cultures. The three modes for congruent care, decisions, and actions are predicted to lead to health and well-being, or to face illness and death." (Leininger, 2002, p. 190)

Past facts, events, instances and experiences of individuals, groups, cultures and institutions that are primarily people-centered (ethno) and which describe, explain, and interpret human lifeways within particular cultural contexts over short or long periods of time'.

Culture definition It is the 'learned, shared and transmitted knowledge of values, beliefs, norms and lifeways of a particular group that guides an individual or group in their thinking, decisions and actions in patterned ways' . (Leininger, 1991, p. 47).

Particular values, beliefs and behavior patterns that are unique to a group and tend not to be shared by members of other cultures.

Commonly shared values, norms of behaviors, and life patterns that are similarly held among cultures about behaviors and lifestyle. Leininger, 1991

Defined as 'the subjectively and objectively learned and transmitted values, beliefs and patterned lifeways that assist, support, facilitate or enable another individual or group to maintain well-being and health, to improve the human condition and lifeway or to deal with illness, handicaps or death'. (Leininger, 1991, p. 47).

Culture Care Diversity indicates 'the variabilities and/or differences in meanings, patterns, values, lifeways or symbols of care within or between collectives that are related to assistive, supportive or enabling human care expressions'.

The nurse does a comprehensive assessment of the patient, family, and community and includes the cultural and social structural dimensions and their care practices including generic care and nursing care and profession care-cure practices that they have sought/used.

Defined as involving 'the dynamic patterns and features or interrelated structural and organizational factors of a particular culture which includes religious, kinship, political, economic, educational, technology and cultural values, to influence human behavior in different environmental contexts'.

Co-participation of the nurse and clients working together to identify, plan, implement, and evaluate each caring mode for culturally congruent nursing care.

Systems are 'culturally learned and transmitted, indigenous (or traditional), folk (home-based) knowledge and skills used to provide assertive, supportive enabling or facilitate acts toward or for another individual, group or institution with evident or anticipated needs to ameliorate or improve a human lifeway, health condition (or well-being) or to deal with handicaps and death situations'.

Defined as those 'abstract and concrete phenomena related to assisting, supporting, or enabling experiences or behaviors toward or for others with evident or anticipated needs to ameliorate or improve a human condition or lifeway'.

Nurses to design nursing actions and decisions using new knowledge and culturally based ways to provides meaningful and satisfying wholistic care to individuals, groups, or institutions (Leininger, 1991, p. 44).