Cultural Care Practices

Cultural Care Practices

Select TWO of the following questions to answer. Restate the questions you selected in the discussion forum and answer each separately.

Question: Leininger’s Culture Care Theory presents three culture care modes of decisions or actions. Describe what is meant by culture care preservation and/or maintenance; culture care accommodation and/or negotiation, and culture care restructuring and /or repatterning. Provide a practice exemplar relative to a patient’s culture and each of the three Culture Care modes.

Question: Watson’s Theory of Human Caring seeks to balance the cure of medicine with human caring as essential to health and healing, revealing nursing’s unique disciplinary, scientific, philosophical, ethical and professional perspective and contributions (Watson, 2020 in Smith 2020). Watson believes that nursing is a lifetime journey of caring and healing. When we include love and caring in our life and work as nurses, nursing becomes a life-giving and life-receiving career of growth and learning (Watson, 2020). Discuss Watson’s 10 Caritas Processes and for each process explain how you will incorporate it into your nursing practice.

Question: Based on Meleis’ Transition Theory, discuss transition triggers, properties of transitions, conditions of change and transitions and patterns of responses.  Develop one practice exemplar of a transition experienced by a patient and identify the triggers, properties, conditions, and patterns of the transition.  With this knowledge, what nursing interventions would offer to facilitate a healthy transition process and healthy outcome behaviors?

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Answer

Question 1: Leininger’s Culture Care Theory presents three culture care modes of decisions or actions. Describe what is meant by culture care preservation and/or maintenance; culture care accommodation and/or negotiation, and culture care restructuring and/or repatterning. Provide a practice exemplar relative to a patient’s culture and each of the three Culture Care modes.

Answer:

Culture Care Preservation and/or Maintenance: Culture care preservation and maintenance refer to the actions taken by healthcare providers to support and sustain the cultural practices of patients that contribute to their health and well-being. This mode emphasizes the importance of recognizing and integrating a patient’s cultural values, beliefs, and practices into their care plan. Cultural Care Practices

Exemplar: A patient from a Native American background may prefer herbal remedies and traditional healing practices. In this case, a nurse could engage with the patient to understand their preferred healing methods, ensuring that these practices are incorporated alongside conventional treatments. For instance, the nurse could allow the patient to continue using traditional herbs while monitoring their effectiveness in conjunction with prescribed medications.

Culture Care Accommodation and/or Negotiation: Culture care accommodation involves the nurse’s efforts to adapt care practices to meet the cultural needs of patients. This may include negotiating between the patient’s cultural preferences and the standard medical practices to arrive at a mutually agreeable care plan. Cultural Care Practices

Exemplar: A Muslim patient may have dietary restrictions due to religious beliefs, such as avoiding pork and alcohol. A nurse could negotiate meal options that comply with these restrictions while still meeting the nutritional needs of the patient. This could involve collaborating with a dietitian to develop a meal plan that respects the patient’s cultural preferences while ensuring they receive adequate nutrition during their hospital stay.

Culture Care Restructuring and/or Repatterning: Culture care restructuring involves changing or modifying care practices that may hinder the patient’s health outcomes or well-being, while also respecting their cultural beliefs. This may mean educating the patient about necessary health changes while finding ways to align those changes with their cultural values.

Exemplar: A Hispanic patient may believe that certain ailments are best treated with home remedies. A nurse could help the patient understand the importance of adhering to prescribed medication for managing diabetes, while also exploring culturally appropriate dietary changes and incorporating the patient’s home remedies that do not conflict with the treatment plan. This helps the patient feel more comfortable and supported while also addressing their health needs.

Question 2: Based on Meleis’ Transition Theory, discuss transition triggers, properties of transitions, conditions of change and transitions and patterns of responses. Develop one practice exemplar of a transition experienced by a patient and identify the triggers, properties, conditions, and patterns of the transition. With this knowledge, what nursing interventions would offer to facilitate a healthy transition process and healthy outcome behaviors?

Answer:

Transition Triggers: Transition triggers are events or changes that lead to a transition in a person’s life, prompting a need for adjustment. These triggers can be expected (e.g., childbirth, retirement) or unexpected (e.g., sudden illness, loss of a loved one).

Properties of Transitions: Properties of transitions include the process of change, duration, and the individual’s perception of the transition. Each person’s experience of transition is….