caring of people irrespective of culture

2. Seminar on
Transcultural Nursing
By
Mousumi Mondal
MSc nursing 1st year
N.I.O.H, kolkata

3. Historical perspectives
• In 1950’s Dr.Madeleine Leininger
noted cultural differences between
patients and nurses while working with
emotionally disturbed children.
• The transcultural nursing has its roots
in early 1990’s. during the 19th century
the civilization or culture was
something achieved by the society.

4. According to, American Nursing
Association
Transcultural nursing is consideration of
individual value system and lifestyle
should be included in the planning and
health care for each client nursing
curriculum recognize the contribution of
nursing to the health care needs of a divers
and multicultural society life style may
reflect culture heritage.

5. Definition of Transcultural Nursing
A substantive area of study and practice focused
on comparative cultural care (caring) values,
beliefs, and practices of individuals or groups of
similar or different cultures with the goal of
providing culture-specific and universal nursing
care practices in promoting health or well-being
or to help people to face unfavorable human
conditions, illness, or death in culturally
meaningful ways.
- Leininger

6. Purposes of transcultural nursing
• To make growing awareness acceptance of diversity
and willingness to maintain and support ethnic and
cultural heritage.
• To give competent and sensitive health care.
• To provide holistic and comprehensive approach in
client care.

7. Important terminologies
• Culture
• Cultural identity
• Material culture
• Non material culture
• Subculture
• Bicultural
• Cultural imposition
• Cultural values
• Cultural shock

8. Cont,
• Religion
• Ethnicity
• Ethnic group
• Diversity
• Race
• Cultural awareness
• Cultural knowledge
• Cultural skill
• Cultural encounter
• Cultural desire

9. Culture and health care

10. Culturally congruent care
• Care that fits the people’s valued life patterns
and set of meanings which is generated from the
peoples themselves, rather than based on the
predetermined criteria.

11. Culturally competent care
• Cultural competence is a set of congruent
behavior, attitudes, and policies that come
together in a system, agency or among
professionals and enable that system,
agency or those professions to work
effectively in cross cultural situations.

12. Health practices in different culture
Use of protective
objects

13. Use of substances

14. Traditional remedies/ folk medicine

15. Healers

16. Healers
Cultural group
Chinese and
southeast Asians
Asian Indian
African American
Healers
Herbalist
Acupuncturist
Ayurvedic
practitioner
Homeopath
Old lady granny
midwife spiritualist
Nature of practice
Combination of
plants, animals.
Using needles for
treatment
Dietary, herbal and
naturalistic therapies
Natural remedies
Counseling and
prayers to treat
illness

17. Immigration

18. Gender roles
Indian culture
• Males are the dominant
figures related to health
practices and treatment
African culture
• Females are dominant

19. Illness cause prevention related to food
• Food substances are considered as hot or cold
Hot food Cold food
Chocolate , cofee, corn
meal, garlic, kidney
beans, onion, peas.
Honey , bananas, lima
beans

20. Traditional beliefs about mental health
• Mental illness caused
by lack of harmony
emotions or by evil
spirit

22. Transcultural nursing model
Culturally unique
individual
Biological
variations
communication
Space
Social
organization
Time
Environmental
control

23. Patient history
• A Nigerian lady age of 32 years with 37 weeks
pregnancy admitted in the hospital. Suddenly
she feels pain when she was working in the
corridor.
According to their culture,
• She is not permitting any male doctors for her
check up.
• she is un willing to do Caesarian section as
because against their culture.

24. Role of nurse
• The should perform trans cultural assessment
like communication, personal space, diet,
religious beliefs.
• The client nursing process, educational level and
language skill should be considered when
planning teaching activities.
• The nurse should be aware about client socio
cultural background and respect ethnic or
religious values.