Nurse Hernandez taking care of Mrs. Franklin-Jones is expected totake care of her within the cultural beliefs in her Jamaican culture.The patient has an understanding of the health conditions she may befacing and the risks that she faces with the current lifestyle shehas adopted. The disease has been in the family history. Whenconsidering the patient’s discharge, the nurse will take intoconsideration the family history of high blood pressure and theprogression to acute myocardial infarction. The client has been undermore stress lately since the man she refers to as Tomas has lost hisjob and she had to take up a new job to supplement the householdincome. The client has a tendency to forget to take her medication,and she further realizes that she has not been eating healthy fooddespite the circumstances. She says that the bush tea would be goodfor her health and as a nurse, she cannot dispute it since culturallythey believe it is right for their health.
Leininger’s culture care theory involves knowing and understandingthe cultural differences that the nurses will encounter in theirnursing practices (Ray, 2016). Patients will often have differingbeliefs and values which the nurse should take into account withtheir goal of providing the patient with efficient nursing careservices within their cultural and illness context. The culture caretheory will cater to the different culture by working within thevarious health and disease values, cultural beliefs and behavioralpatterns. Nursing is a discipline that revolves taking care of thepatients and focusing on assisting, facilitating, supporting, andenabling them to regain ad maintain their health (Henriques, Costa, &Cabrita, 2012). The ideal manner of nursing should be culturallymeaningful to the patient especially in helping the patient facetheir handicap or death.
The nurse has to be sensitive to Mrs. Franklin’s culturalbackground when she creates the nursing plan. Culture is oftenintegral in the daily lives of the individuals thus it has asignificant influence on their health and the reactions that theywill have to the treatments prescribed and the nursing care that theyare provided. The nursing interventions that Nurse Hernandez has todesign have to be culturally acceptable to the patient. The nurse hasto ensure that the patient has specific reminders of the time anddose of medication that she has to take either by setting an alarm ofhaving writings in the most prominent places. She has to eat healthyfoods as much as possible to ensure that the conditions are undercontrol and they do not resurface. Education on such foods should bedone through nutrition interventions, and family should be includedin the training to ensure that they eat healthy foods as anencouragement to the patient.
Leininger’s culture care theory model can be applied in differentsettings. From the theory, the Sunrise Model was developed. Itdemonstrates the interrelationships of the concepts in the culturecare diversity and universality theory. The theory and model have theideas incorporated in a manner that it can be applied in varyingsettings. It is highly generalizable and understood during the firstcontact. On the other hand, the theory has its weaknesses. It hasbeen shown to be a primary cause of error when making clinicaldecisions such as the misperceptions of the outcomes and the valuethat patients place on the results. In the case, when the nurse failsto recognize the cultural needs of the client, there is a likelihoodthat the client will not be satisfied with the nursing care practicesand services provided (Ray, 2013). The theory further does not giveattention to the illness the client suffers from. Basing the argumenton the client’s point of view, it can be difficult to integrate theculture into the nursing practices especially when there are culturalshocks to the nursing practitioner.
The transpersonal caring relationship between a nurse and the clientis based on the emotional connection that will focus on the processof regaining and maintaining the health of the client at the momentrather than focusing on the illness and pathology or prognosis of thedisease (Dossey, 2012). The patient, Claude-Jean-Baptiste, is facedwith several concerns especially due to the language and culturallybarriers that arise during the period of his rehabilitation. Culturalvalues and beliefs should be integrated into the services provided toensure that the client is not offended. The rehabilitation is focusedon the hip region, and thus the nurses have to perform their dutieswithout crossing the lines of their ethical values. Thetranspersonal nurse will try to connect with the patient and providea more holistic nursing service that would aid Claude in hisrehabilitation. The translation services would come in handy inestablishing a relationship between the two since the knowledge ofthe service provider would ensure that the patient’s concerns aretaken into consideration.
In any caring moment, the interaction of the patient and the nurse isthe demonstration of love (Sitzman & Watson, 2013). Love is thecare that the nurse inputs in nursing the patient back to health. Inthe case of Claude, the nurse may not be capable of directly speakingwith him, but the translation services can give them a chance to talkand interact. The nurse can provide the services while the client canshare the warmth of his culture with the nursing staff. Theinteractions that occur even in sign language will bring anunderstanding between the staff and the client ensuring thedevelopment of a transpersonal caring relationship. The nurse wholacks an understanding of the Creole language and culture cancreatively use herself or himself to create the environment thatwould aid in his healing. To do so, the nurse would have to patientand understanding of the patient especially when the family member isnot there to help out. It will be more tiresome and time-consuming tocommunicate but sign language and trying to learn the language can beone way to interact with the patient. Putting on music from hisculture would provide solace from their illness and focus more on themoment.
The theory involves a nursing process which is carried out followingthe steps of a scientific research process. The theory has itsstrengths and weaknesses. It is relatively easy to understand and beused to improve and guide the healthcare practitioners with theaspects of practice and holistic care of the patient. The goal ofnursing theories is to enhance the practice of nursing in healthcaresetups (George, 2011). The theory’ carative factors are logicallyderived from assumptions that provide a supportive framework to thetheory. The theory forms a basis for nursing encompassing aspects ofhealth promotion, illness prevention, and maintenance of health. Thetheory is, however, lacking in giving direction to the nursingpractitioners in achieving the transpersonal relationships.
Dossey, B. M., Certificate, C. D. I. N. C., Keegan, L., &Co-Director International Nurse Coach Association. (2012). Holisticnursing. Jones & Bartlett Publishers.
George, J. B. (2011). Nursing theories: The base for professionalnursing practice. Upper Saddle River, N.J: Pearson Education
Henriques, M. A., Costa, M. A., & Cabrita, J. (2012). Adherenceand medication management by the elderly. Journal of clinicalnursing, 21(21-22), 3096-3105.
Ray, M. A. (2016). Transcultural caring dynamics in nursing andhealth care. FA Davis.
Ray, M. A. (2013). Madeleine M. Leininger, 1925–2012. Qualitativehealth research, 23(1), 142-144.
Sitzman, K., & Watson, J. (2013). Caring science, mindfulpractice: Implementing Watson`s human caring theory. SpringerPublishing Company.