This information allows for the identification of

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This information allows for the identification of similarities and differences or cultural care universality and cultural care diversity. Next are nursing care decisions and actions which involve cultural care preservation or maintenance, cultural care accommodation or negotiation and cultural care repatterning or restructuring. It is here that nursing care is delivered. THREE MODES OF NURSING CARE DECISIONS AND ACTIONS Cultural care preservation or Maintenance Cultural care preservation is also known as maintenance and includes those assistive, supporting, facilitative, or enabling professional actions and decisions that help people of a particular culture to retain and/or preserve relevant care values so that they can maintain their well-being, recover from illness, or face handicaps and/or death. Cultural care accommodation or Negotiation Cultural care accommodation also known as negotiation, includes those assistive, supportive, facilitative, or enabling creative professional actions and decisions that help people of a designated culture to adapt to or negotiate with others for a beneficial or satisfying health outcome with professional care providers. Culture care repatterning or Restructuring Culture care repatterning or restructuring includes those assistive, supporting, facilitative, or enabling professional actions and decisions that help a clients reorder, change, or greatly modify their lifeways for new, different, and beneficial health care pattern while respecting the clients cultural values and beliefs and still providing a beneficial or healthier lifeway than before the changes were coestablished with the clients. (Leininger, 1991) This document and the information thereon is the property of PHINMA 5 of 9 Education (Department of Nursing)
ASSUMPTIONS The following are the assumptions of Madeleine Leininger’s theory: Different cultures perceive, know, and practice care in different ways, yet there are some commonalities about care among all cultures of the world. Values, beliefs, and practices for culturally related care are shaped by, and often embedded in, “the worldview, language, religious (or spiritual), kinship (social), political (or legal), educational, economic, technological, ethnohistorical, and environmental context of the culture. While human care is universal across cultures, caring may be demonstrated through diverse expressions, actions, patterns, lifestyles, and meanings. Cultural care is the broadest holistic means to know, explain, interpret, and predict nursing care phenomena to guide nursing care practices. All cultures have generic or folk health care practices, that professional practices vary across cultures, and that in any culture there will be cultural similarities and differences between the care-receivers (generic) and the professional caregivers. STRENGTHS Leininger has developed the Sunrise Model in a logical order to demonstrate the interrelationships of the concepts in her theory of Culture Care Diversity and Universality.

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