Transcultural nursing and nursing diagnoses.
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Communication↗
Biomedical subjects
E M Geissler
Publications and source records attributed to E M Geissler.
An exploratory study of selected female registered nurses: meaning and expression of nurturance.
The words 'nurse' and 'nursing' originate in the word 'nurture' which dates back to the 14th century. 'Nurturance' appeared for the first time in the 1976 Supplement to the Oxford English Dictionary and in a United States dictionary in 1983. Etymologically and semantically bound to nursing, little is known about the term nurturance. An exploratory design using phenomenological analysis was applied to understand the female registered nurses' experience of nurturing patients throughout the life-span and to uncover behaviours commonly believed nurturant. Interviews with 14 RNs practising in diverse settings revealed 39 nurturant behaviours that were intuited into four themes describing the subjects' perceived structure of nurturance as: (1) enabling maximum potential; (2) providing physical and emotional protection; (3) engaging in a supportive interaction; and (4) conveying shared humanity. Data were formulated into an exhaustive description of the phenomenon nurturance. Additionally, the results support Greenberg-Edelstein's theoretical model of the positive reciprocity of nurturance between nurse and patient.
Adult↗
Teaching the dynamics of effective oral presentations.
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Communication↗
Coping with change.
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Adaptation, Psychological↗
Nursing diagnoses: a study of cultural relevance.
This study examines the adequacy/inadequacy of three nursing diagnoses with cultural etiologies: (1) impaired verbal communication related to cultural differences; (2) impaired social interaction related to sociocultural dissonance; and (3) noncompliance related to patient value system. The research tool was administered to the membership of the American Nurses Association Council on Cultural Diversity and the International Transcultural Nursing Society, with a response rate of N = 245 (42.2 per cent) from 43 states, the District of Columbia, and seven foreign countries. The tool listed the North American Nursing Diagnosis Association (NANDA) defining characteristics and cultural etiology for each diagnosis rated on a five-point Likert scale from "nearly always present" to "rarely present." The subjects also wrote and ranked other defining characteristics they used to make the diagnosis in clinical practice. Percentage distribution results indicate no defining characteristic meets the NANDA criteria for a major or minor defining characteristic. By collapsing categories, seven were acceptable only as minor defining characteristics. Respondents' 113 suggestions for additional characteristics were content analyzed. Themes for 12 categories were intuited and added to the lists. Based on respondents' suggestions, the definitions for each diagnosis were reworked, and new cultural-related factors were added. The cultural adequacy/inadequacy of elements within these three diagnoses was identified and provides the opportunity for greater selectivity in their clinical use. Additional suggestions from transcultural nursing experts form a data base for future research to expand the use of the currently limited components of NANDA diagnoses with culturally diverse patients.
Cultural Characteristics↗
Nursing diagnoses of culturally diverse patients.
As the world's people become more mobile and the record number of refugees seek new homes, nurses are being increasingly faced with the caring of people from a culture different than their own. More than ever, there is a need for nursing care planned around unique cultural healthcare beliefs, values and practices of patients. However, incorporating cross-cultural defining characteristics into nursing diagnoses has been slow and difficult, the main reason being that nursing diagnoses are built into a classification system based on "labelling" which is "unintentionally culturally insensitive and may even stereotype clients." To help nurses in caring for culturally diverse patients, additions suggested to the classification system of nursing diagnoses are given below.
Attitude of Health Personnel↗