Question

Based on Madeleine Leininger theory of transcultural nursing, in what way do worldview, social structure, and environment influence the expression of culture in the United States, and in the U.S. healthcare system in particular?

Answer 1

MADELEINE LEININGER THEORY OF TRANSCULTURAL NURSING

Madeleine Leininger is a nursing theorist who developed the transcultural nursing theory or culture care nursing theory. This theory attempts to provide culturally congruent nursing care through " Cognitively based assistive, supportive facilitative, or enabling acts or decisions that are mostly tailormade to fir with individual, group's or institution's cultural values, beliefs and lifeways".

The main focuse of leininger's theory is for the nursing care to fit with or have beneficial meaning and health outcomes for people of different or similar cultural backgrounds. With these she has develop the Sunrise Model in a logical order to demonstrate the inter relationships of the concepts in her theory of culture care diversity and universality.

Worldview, Social Structure, and Environment influence the expression of culture in the United States and in US healthcare systems as given below:

World view:

World view is the way in which people look at the world or at the universe and form a picture or value stance about the world and their lives

Social structure:

Social structure dimensions are defined as involving the dynamic patterns and features of inter related structural and organizational factors of a particular culture which includes religious, kinship, political, economic, educational, technological and cultural values, ethno historical factors and how this factors may be interrelated and function to influence human behavior in different environmental contexts. The speed of cultural evolution varies. It increases when a group migrates to and incorporates components of a new culture into their culture of origin.

Environmental influence:

Environmental influence is the totality of an event, situation, or particular experience that gives meaning to human expressions, interpretations, and social interctions in particular physical ,ecological, socio political and cultural settings.

Influence of culture on health is vast. It affects perceptions of health, illness and deaths, beliefs about causes Of diesease, approavhes to health promotion, how illness and pain are experienced and expressed, where patients seek help. And the types of treatment patients prefer. Both health proffer and patients are influenced by their respective cultures. US health system has been shaped by the main stream beliefs of historically dominant cultures. Demonstrating awareness of a patients culure can promote trust, better health care, live to higher rates of acceptance of diagnosis and include treatment adherence.