What is culture? Why culture is important? What is cultural competent health care? Why is it important in clinical management

3. Objectives
By the end of the presentation the learners will be able to:
Define culture
Describe cultural competence
Discuss Cultural competence in healthcare
Identify the need of cultural competence
Discuss the primary concerns of cultural competence in healthcare
Identify Importance of cultural competence for nursing care
Define Medelein Leininger Transcultural Nursing Theory
Discuss the Sunrise model of Medelein Leininger

4. What is Culture?

5. What is culture?

6. What is culture?
Leininger (1985)describes culture as:
“the values, beliefs, norms, and practices
of a particular group that are learned
and shared and that guide thinking,
decision and action in a patterned way”.

7. Cultural competence …
A journey, not a destination
Cultural Awareness
Cultural
Knowledge &
skill
Cultural
Encounter

8. Cultural competence
The understanding of diverse attitudes,
beliefs, behaviors, practices and
communication patterns attributable to
a variety of factors.
Factors race, ethnicity, religion,
historical and social context, physical
or mental ability, age, gender, sexual
orientation, generational acculturation
status.

9. Cultural competence in healthcare
According to health policy institute, cultural competence is the ongoing
process of capacity of healthcare system, organizations and
professionals to provide for diverse patient population high quality
care that is safe, patient and family centered, evidence-based, and
equitable. (The National Quality Forum)

10. Cultural competence in health care
The goal is to provide the highest quality of care
to every patient, regardless of race, ethnicity,
cultural background, English proficiency or
literacy.
A health care provider is cultural competent
when:
He /she is able to deliver culturally appropriate
and specifically tailored care to patients with
diverse values, beliefs and behaviors.

11. Why do we need cultural competence in 21st
century?
 Everyone has a right to healthcare that meets their
needs
 Immigration will impact demographics
 Growth of minority population
 Important tool to help reduce disparities

12. Culture is central to the delivery of healthcare
It influences patients healthcare
beliefs, practices, attitudes towards care,
and trust in the system and in the
individual providers.
Cultural differences affect how health
information and healthcare services are
received, understood and acted upon.

13. Primary concerns of cultural competence in
healthcare
 Eliminate misunderstanding in
diagnosis or in treatment planning that
may arise from differences in language
or culture.
 Improve patient adherence with
treatment.
 Eliminate healthcare disparities.

14. Importance of cultural competence in
nursing care
 competence helps the nurses to understand, communicate, and interact with people
effectively.
 Cultural competency can help nurses establish a better rapport and trust with their
Cultural patients.
 Improved levels of communication.
 Cultural competence is necessary because it helps the nurse offer the best services
to every patient , leading high satisfaction and care on the side of the patient.
 A strong background and knowledge of cultural competence prevents professional
healthcare givers from possessing stereotypes and being myopic in their thoughts.
 It also helps them offer the best services to all, regardless of their social status or
belief.

15. Madeleine Leininger
Madeleine Leininger (July 13,1925-
August 10,2012)was an internationally
known educator, author, theorist,
administrator, researcher, consultant,
public speaker and the developer of
transcultural nursing that has a great
impact on how to deal with patients of
different culture and cultural
background.

16. Madeleine Leininger transcultural nursing
theory
Leininger ‘s model has develop into a movement in
nursing care called transcultural nursing. In 1995,
Leininger define transcultural nursing as “a
substantive area of study and practice focused on
comparative culture care 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 condition, illness , or death
in culturally meaningful ways.

17. The
Sunrise
Model of
Medelein
Leininger

18. Scenario:

19. Conti..

20. Conti…

21. No one should make the claim of being educated until he or she has
learned to live in harmony with people who are different.
(A.H.Wilson)

22. References
 Leininger, M. M., & McFarland, M. R. (2010). Madeleine Leininger’s
theory of culture care diversity and universality. Nursing theories and
nursing practice, 317-336.
 Tomey, A.M., (1994).Nursing Theorist and Their Work .3rd
ed.Missouri: Mosby
 Busher Betancourt, D. A. (2015). Madeleine Leininger and the
transcultural theory of nursing. The Downtown Review, 2(1), 1.
https://www.slideshare.net/tomrue/cultural-competence-in-healthcare
 https://nursing-theory.org/theories-and-models/leininger-culture-care-
theory.php er/cultural-competence-powerpoint-ppt-presentation

23. References
 de Melo, L. P. (2013). The sunrise model: a contribution to the teaching of
nursing consultation in collective health. American Journal of Nursing
Research, 1(1), 20-23.
 Marriner-Tomey, A. (1994). Nursing Theorists and Their Work (3 rd edn)
St. Louis, Mo: Mosby-Year Book.
 Chahrlotte Newman & Jan Kelly (2001) Culture Quality: An Introductory
Look into Cultural Competancy in Health Care.
 Joan Engerbretson(2001). Culture and Health Care, class notes for
Advance Practice Nursing: Health Promotion, The University of Texas-
Houston, Health Science Center School of Nursing
 https://www.qualityforum.org/Home.aspx