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 nurses 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: The following assignment requires the students to analyze two case studies and apply nursing theories to develop a plan of care for the patients. The first case study involves a patient with acute myocardial infarction, and the second case study involves a patient recovering from post-hip replacement surgery. The students are required to use Leininger’s Culture Care Model and Watson’s Transpersonal Caring Theory to answer the questions.
1. 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?
Answer: Leininger’s Culture Care Model aims to provide culturally congruent care to patients. In the case of Mrs. Franklin-Jones, Nurse Hernandez should consider the patient’s cultural background, beliefs, and values when planning for the patient’s discharge. Mrs. Franklin-Jones is from Jamaica and may have different dietary preferences and beliefs regarding health care. Nurse Hernandez should assess the patient’s knowledge and understanding of her condition and medication regimen. The nurse should also educate the patient and family about the importance of a healthy diet and medication compliance. Additionally, Nurse Hernandez should consider the patient’s work schedule and provide appropriate resources to help the patient manage her self-care needs.
2. Why is the theory of Culture Care Diversity important in the delivery of nursing care for all patients?
Answer: Culture Care Diversity is an essential aspect of nursing care as it recognizes the unique cultural beliefs, values, and practices of patients. Every patient belongs to a different cultural background, and their cultural beliefs may influence their health practices and decisions. By acknowledging and respecting the cultural diversity of patients, nurses can provide culturally congruent care that meets the patient’s needs and preferences. Additionally, recognizing cultural diversity can enhance patient satisfaction and improve health outcomes.
3. Using Leininger’s Theory of Culture Care Diversity and Universality, develop a plan of care for Mrs. Franklin-Jones.
Answer: A plan of care based on Leininger’s Theory of Culture Care Diversity and Universality for Mrs. Franklin-Jones should include the following:
Assessment: Assess the patient’s cultural background, beliefs, and practices related to health care.
Diagnosis: Identify areas where cultural diversity may impact the patient’s health outcomes.
Planning: Develop a culturally sensitive care plan that considers the patient’s health practices, beliefs, and preferences.
Intervention: Utilize resources to provide tailored education materials with the patient and family for medication compliance and dietary education. Consider utilizing professional translation services and provide alternative work arrangements for the patient who may have difficulty self-managing their health.
Evaluation: Measure the effectiveness of the plan of care in meeting the patient’s needs and satisfaction.
4. Discuss the strengths and limits to Leininger’s Theory.
Answer: Leininger’s Theory of Culture Care Diversity and Universality has several strengths, such as recognizing the importance of cultural diversity in nursing care and improving cultural competence among nurses. The theory provides a holistic approach to care for patients and acknowledges the impact of cultural beliefs on health outcomes. However, the theory may have certain limitations. Leininger’s theory does not provide a clear framework for addressing power imbalances that may exist between patients and healthcare providers. Additionally, the theory may not be applicable in all healthcare settings as cultural beliefs and practices may differ from region to region.
5. Discuss assumptions of the Transpersonal Caring relationship. What is the nurse’s role?
Answer: The Transpersonal Caring relationship is based on assumptions that all individuals are valuable and unique, holism, and interconnectedness. The theory emphasizes the importance of developing a caring relationship between the nurse and the patient towards healing. The nurse plays a critical role in creating a therapeutic environment where the patient feels comfortable to share their concerns and needs. The nurse should be compassionate, empathetic, and non-judgmental in their approach to care. The nurse should also promote the patient’s autonomy and provide resources and support to help the patient achieve their health goals.
6. How is love, as defined by Watson, evident in this caring moment?
Answer: Watson’s definition of love is seen as a transformational force that helps to improve health outcomes. In the caring moment described in the case study, the nursing staff is demonstrating love by showing interest and respect for the patient’s cultural background and belief system. The nursing staff is creating a nurturing environment that promotes the patient’s healing. By encouraging the patient to express their needs and preferences while recovering from surgery, the nurses are showing compassion and empathy, which aligns with Watson’s definition of Love.
7. How can the nurse creatively use self to create a healing environment?
Answer: A nurse can creatively use self to create a healing environment by being present, attentive, and authentic in their approach to care. The nurse should engage in active listening, provide emotional support, and ensure that the patient’s holistic needs are met. Empathy and compassion are essential qualities of a nurse who wishes to create a healing environment within a therapeutic relationship. Nurses can use humor and storytelling to build trust and rapport with their patients. Creatively, the nurse should demonstrate a willingness to learn the patient’s cultural beliefs and values aimed at creating a tailored care plan. Encouragement, reassurance, and positive reinforcement are critical components when considering the cultural and spiritual needs of the patient held in high regard at The Institute adjacent to the hospital.
8. Discuss the strengths and limits to Watson’s theory.
Answer: Watson’s Transpersonal Caring Theory has several strengths, such as recognizing the importance of developing a caring relationship with patients based on compassion, empathy, and respect. The theory emphasizes the humanistic aspects of nursing care and promotes a holistic approach to care that considers the patient’s unique needs. However, Watson’s theory may have limitations. Some critics suggest that the theory may be too idealistic, and its application may be challenging in a busy healthcare setting. Additionally, the theory may give less consideration to evidence-based practice. Nonetheless, Watson’s Theory may serve as a guide towards a patient-centered approach in nursing practice.
Conclusion: Nursing theories provide a framework for nurses to deliver patient-centered care that considers the patient’s unique needs and preferences. Using Leininger’s Culture Care Model and Watson’s Transpersonal Caring Theory, nurses can develop a culturally sensitive and holistic plan of care that ultimately improves health outcomes. By applying these theories, the nursing staff can create a healing environment and develop meaningful therapeutic relationships with their patients.
