Your assignment this week will be an APA paper to include title page, level headings, and a reference page.
Case study #1
Mrs. Franklin-Jones was admitted from the Emergency Room to Cardiac Intensive Care one week ago with a diagnosis of acute myocardial infarction. She has recovered as expected and is moving to the cardiac step down unit today. She is talking with Nurse Julie Hernandez, as she gets settled in her new room, “I was really surprised when I got that bad pain in my chest! I knew I had high pressure but I just didn’t think it was that bad. I try to take my medicine like they told me to in the clinic but sometimes I forget. I guess that I need to study those papers they gave me about what foods I should eat and not eat. I better take care of myself! Momma had bad pressure and it killed her! Who knows—I may even have to learn to cook different than I was taught in Jamaica! I may have to let Tomas do the cooking. He’s got more time at home now than I do since he lost his job. There isn’t too much time between my shifts at the school cafeteria and my new housecleaning job. You know my sister is coming up from Jamaica to see me. I think she is bringing me some bush tea. That’ll set me right!”
- Using Leininger’s Culture Care Model, what factors in the story shared by Mrs. Franklin-Jones should be considered by Nurse Hernandez when planning for the patient’s discharge?
- Why is the theory of Culture Care Diversity important in the delivery of nursing care for all patients?
- Using Leininger’s Theory of Culture Care Diversity and Universality, develop a plan of care for Mrs. Franklin-Jones.
- Discuss the strengths and limits to Leininger’s Theory.
Case Study #2
Claude Jean-Baptiste is recovering from post-hip replacement surgery and has been transferred to the Rehabilitation Institute adjacent to the hospital. When he enters the unit, he sees welcoming signs written in several languages including his own, Creole. Since there are no nurses on that shift that speak Creole, they use a language line to ask for translation services. During this initial nursing assessment, the translator informs Mr. Jean-Baptiste that the nurses invite him to have a relative at his side so that they can be sure to understand and meet his needs. He is asked about Haitian customs and beliefs that they might honor. Mr. Jean-Baptiste is encouraged to bring food and spiritual care items, and to share the warmth of his culture with the nursing staff.
- Discuss assumptions of the Transpersonal Caring relationship. What is the nurse’s role?
- How is love, as defined by Watson, evident in this caring moment?
- How can the nurse creatively use self to create a healing environment?
- Discuss the strengths and limits to Watson’s Theory.
This paper should include 2 outside references and your book. The essay should be between 1500 and 1750 words in length.
Expert Solution Preview
Introduction:
In the medical field, it is crucial for healthcare professionals to understand and incorporate cultural factors into their practice. This not only enhances patient care but also ensures that healthcare is delivered in a culturally sensitive manner. In this assignment, we will explore two case studies and analyze them through the lenses of Leininger’s Culture Care Model and Watson’s Transpersonal Caring Theory.
Answer to Question 1:
When planning for Mrs. Franklin-Jones’ discharge, Nurse Hernandez needs to consider several factors in accordance with Leininger’s Culture Care Model. Firstly, Mrs. Franklin-Jones mentions her Jamaican background and the need for dietary changes. Nurse Hernandez should recognize the importance of culturally appropriate food choices and involve a dietitian to educate the patient on suitable dietary options.
Additionally, Mrs. Franklin-Jones highlights her worry about needing to cook differently. Nurse Hernandez could provide resources such as culturally appropriate recipes or cooking classes to help her adapt to her new dietary requirements while maintaining her cultural food preferences.
Moreover, Mrs. Franklin-Jones mentions her sister bringing her bush tea from Jamaica. Nurse Hernandez should acknowledge the significance of this traditional remedy in Mrs. Franklin-Jones’ culture and consider incorporating it into her care plan if it aligns with her medical condition.
Answer to Question 2:
The theory of Culture Care Diversity, as propounded by Leininger, is crucial in the delivery of nursing care for all patients because it recognizes the unique cultural backgrounds of individuals. Culturally diverse patients often have distinct healthcare needs and hold specific values, beliefs, and practices related to health and illness.
By applying the theory, nurses can better understand the cultural contexts of their patients and provide care that is respectful, effective, and individualized. It helps prevent cultural imposition, where healthcare providers impose their beliefs and values onto patients, without considering their cultural backgrounds.
Answer to Question 3:
Using Leininger’s Theory of Culture Care Diversity and Universality, a comprehensive plan of care for Mrs. Franklin-Jones can be developed. Firstly, the plan should prioritize patient education regarding her dietary restrictions and cultural food options. This can be achieved through one-on-one sessions with a dietitian, the provision of educational materials in her native language, and the involvement of her family in meal planning.
Secondly, the plan should incorporate the traditional practice of bush tea in Mrs. Franklin-Jones’ care, ensuring it aligns with her medical condition. This can be achieved by consulting with her healthcare team, assessing potential interactions with medications, and involving her sister in discussions regarding its preparation and administration.
Finally, since Mrs. Franklin-Jones mentions her limited time due to multiple jobs, the plan of care should consider her schedule and provide strategies to manage her healthcare effectively. This may involve coordination between different healthcare providers and flexible appointment scheduling.
Answer to Question 4:
Leininger’s Theory of Culture Care Diversity has several strengths. Firstly, it emphasizes the significance of cultural factors in healthcare, allowing healthcare providers to deliver culturally competent care. It encourages healthcare professionals to value cultural diversity and view it as a resource rather than a barrier.
Additionally, the theory provides a framework for considering cultural factors in all aspects of patient care, including assessment, planning, intervention, and evaluation. It promotes the development of culturally appropriate interventions and fosters a respectful and empathetic nurse-patient relationship.
However, Leininger’s Theory also has certain limitations. It may oversimplify cultural diversity by categorizing patients solely based on their ethnic or cultural backgrounds, overlooking individual variations within cultural groups. Furthermore, applying the theory may sometimes be challenging due to time constraints, limited resources, or lack of cultural knowledge among healthcare professionals.
References:
– Leininger, M. (1991). Culture care diversity and universality theory and evolution of the ethnonursing methods and practices. Nursing Science Quarterly, 4(2), 56-61.
– Smith, M. C., & Parker, M. E. (2015). Nursing theories and nursing practice. F. A. Davis.
Disclaimer: The above answers are for academic purposes only and do not constitute medical advice.
