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Proposed standards for transcultural nursing. Transcultural Nursing Society.

For the past 3 years, the Minnesota Chapter of the Transcultural Nursing Society has focused efforts on the development of standards for transcultural nursing practice. The standards, based on Leininger's culture care theory and Campinha-Bacote's model of cultural competence, are intended to foster excellence in transcultural nursing practice, to provide criteria for the evaluation of nursing care, to be a tool for teaching and learning, to increase the public's confidence in the nursing profession, and overall to advance the field of transcultural nursing. The standards are presented as an invitation for individual and collective reflection and commentary.

Humans↗

Educational issues in transcultural nursing.

Transcultural nursing education is an essential element of the nursing curriculum. There are a number of curriculum designs available but a combination of approaches seems to be the most desirable way forward.

Clinical Competence↗

A transcultural nurse's adventures in Costa Rica: using Leininger's Sunrise Model for transcultural nursing discoveries.

This paper is a descriptive report of a transcultural nurse's experiences as an Earthwatch volunteer working with Leatherback sea turtles in Costa Rica. While in Costa Rica the author had an opportunity to observe and experience the culture and lifeways of the people of Costa Rica. The author attempted to discover and understand aspects of the Costa Rican social structure and world view and relate these insights to Leininger's (1991) Sunrise Model and the role of transcultural nurses. Leininger's (1991) Sunrise Model depicted the relationships inherent in her theory and included: culture, world view, and social structure dimensions. The social structure dimensions included: technological, religious and philosophical, kinship and social, cultural values and lifeways, political and legal, economic, and educational factors. The insights and understandings learned through application of Leininger's (1991) Sunrise Model were applied to transcultural nurses' role in meeting the care needs of clients from various cultures.

Attitude↗

The relevance of transcultural nursing to international nursing.

Does transcultural nursing as taught in United States' nursing education programmes adequately prepare US nurses for experiences in international health as they assist with the implementation of changes in another country's health care delivery system? That's the question posed by Lydia DeSantis, who is concerned that US nurses need a broader perspective of health care and culture in order to effect changes needed at the national level of policy and decisionmaking to meet the challenges of the Declaration of Alma-Ata. Her concerns about the focus of transcultural nursing are also relevant to INR's international readers, as it offers another perspective on how to persuade policymakers in their countries to reassess and initiate the health programmes needed to attain WHO's HFA goal.

Cross-Cultural Comparison↗

Teaching transcultural nursing in a transcultural setting.

The application of Leininger's Theory of Culture Care Diversity and Universality to the dialogue between students and faculty regarding nursing education and practice provides the theoretical framework for evaluating a transcultural nursing curriculum in a transcultural, transnational setting on the Texas-Mexico border. In evaluating the first semester of this cultural encounter between the nurse-patient-community system and baccalaureate nursing education, faculty and students at Texas A&M International University School of Nursing in Laredo identified some particular challenges and assessed the effectiveness of approaches to meeting these challenges within the context of Leininger's Culture Care Theory and its three modes of action: culture care preservation, accommodation, and repatterning.

Cultural Diversity↗

Nursing's new paradigm is transcultural nursing: an interview with Madeleine Leininger. Interview by Susan Cummings.

Around the world, transcultural nursing is being developed to provide culturally competent, congruent, humanistic health care. In this article, Susan Cummings, Associate Editor of Advanced Practice Nursing Quarterly, interviews Madeleine Leininger, founder of transcultural nursing and leader in human care nursing research. For the past 40 years Dr. Leininger has been instrumental in developing concepts, definitions, and a theoretical and research base for the development of transcultural nursing with a human care focus.

Holistic Nursing↗

TRANDU. Transcultural Nursing Development Unit.

Transcultural nursing is the acquisition of essential cultural knowledge as the basis for the provision of culturally appropriate nursing care. Fairfield Hospital in South Western Sydney established a transcultural nursing development unit in 1995 to service their diverse ethnic population.

Hospital Units↗

A review of transcultural nursing.

In this article, transcultural nursing is reviewed in the light of the literature mainly relevant to the British context. The key features of transcultural nursing are examined in the context of multicultural Britain as follows: definitions, racism, ethnocentrism, culture, diversity, transcultural health care practice and nurse education. Models of transcultural care practice and contemporary developments in cultural care are also explored. There is evidence from emerging literature that innovations are taking place in promoting transcultural care practice and education. However, the article concludes that much practice-based research is still needed to establish transcultural nursing in Britain.

Cultural Diversity↗

The ACCESS model: a transcultural nursing practice framework.

As transcultural nursing is beginning to be a feature of health care in multiethnic and multicultural Britain, the need for transcultural health practice models is increasing. The focus of this article, the ACCESS model (Narayanasamy, 1999), was developed to offer nurses a framework to deliver transcultural nursing care. Since its introduction there has been increasing interest about it from practitioners, nurse educators and students of nursing. The aim of this study was to ascertain the usefulness of the ACCESS model by a questionnaire study. In the institution where this study took place, pre- and post-registration nursing students are introduced to this model along with other models of transcultural health care. Participants (n = 166) who received transcultural healthcare education completed questionnaires with statements about the usefulness of this model. A significant number of participants found the model to be very useful with respect to its various features. The conclusion of this study is that the ACCESS model offers a useful framework for nurses implementing transcultural care practice. It appears that students and practitioners are interested in this model because of its practice implications.

Clinical Nursing Research↗

Transcultural nursing: a perspective derived from Jean-Paul Sartre.

Transcultural nursing care is a well-established theoretical framework. This theory, developed by Madeleine Leininger, can have an impact on clinical practice, academic preparation and nursing research. The heightened interest in applying transcultural care and the increased need to espouse this framework have been triggered by constant population changes. This paper defines transcultural nursing care and expands its definition further by comparing and contrasting it with Jean-Paul Sartre's existentialist perspective. The two modes of existence as defined by Sartre are closely examined. Concrete examples are offered as cultural phenomena and the components of a cultural assessment are discussed and applied. The philosophical thesis is approached from a transcultural nursing perspective and existentialism is shown to serve as a foundation for transcultural nursing. The advantages and disadvantages of transcultural nursing practice and the preparation of transcultural nurses are finally addressed.

Existentialism↗

Including transcultural nursing content in the curriculum--Part 2.

Transcultural nursing should be included in the curricula of the basic nursing courses. In this article, the transcultural nursing curriculum content that could be included, is discussed. To ensure a comprehensive approach to this field, a basic course in socio-cultural anthropology should be followed by transcultural nursing study units at strategic points in the curriculum.

Anthropology, Cultural↗

Meeting diversity challenges: pathway of 'advanced' transcultural nursing practice in Australia.

This paper aims to address the state of transcultural nursing in Australia. In an attempt to address the challenges of cultural diversity in nursing practice, the significance of research-based transcultural nursing knowledge is examined within the evolutionary changes of multicultural policies in Australia. Transcultural nursing research, building upon existing nursing knowledge, provides evidence to advance transcultural nursing practice. In order to promote 'adanced practice' in multicultural Australia, models of research-based transcultural nursing practice are examined and highlighted.

Australia↗