This Assignment Is A Strategy To Assist Students To Complete

This assignment is a strategy to assist students to incorporate concept identification

This assignment is a strategy to assist students to incorporate concept identification, theory utilization, and middle range theory development in informing the care of patient populations, including those of differing cultures. Watch the film “Breathing Lessons: The Life of Mark O’Brien” as a case study. Make a list of all concepts relevant to the nursing care of Mark (approximately 10 to 15 concepts). Review Leininger’s Cultural Care and Diversity Model or the Purnell Model and the major concepts of their model. Select four concepts from your list that are relevant to either the Leininger or Purnell Model. Use literature to define each of these four concepts, including their characteristics or attributes, and provide references. Apply your knowledge of these characteristics to formulate three nursing assessment questions for each of the four selected concepts of your middle-range theory. Present the questions separately for each concept.

Paper For Above instruction

The case of Mark O’Brien offers a profound opportunity for nurses to explore various concepts that influence patient care, especially within the context of chronic illness, disability, and cultural sensitivity. By analyzing the film “Breathing Lessons: The Life of Mark O’Brien,” nurses can develop a comprehensive understanding of relevant concepts and incorporate theoretical models like Leininger’s Theory of Cultural Care Diversity and Universality or the Purnell Model for Cultural Competence. This process facilitates targeted assessments and culturally competent care, enhancing patient outcomes.

Introduction

Effective nursing care necessitates an understanding of multifaceted concepts that influence health, wellness, and patient perspectives, particularly in populations with unique cultural or health needs. The use of theoretical models provides a structured approach to integrating these concepts into practice. In this context, the movie “Breathing Lessons” provides insight into the life of Mark O’Brien, a poet paralyzed by polio who navigates complex physical, emotional, and cultural factors. The identification and understanding of relevant concepts enable nurses to develop assessment strategies rooted in theory and evidence-based practice, tailored to the diverse needs of patients like Mark.

Concept Identification

From viewing the film, approximately 15 concepts emerge as influential in Mark’s nursing care. These include autonomy, quality of life, dignity, communication, cultural beliefs, family dynamics, spiritual needs, privacy, emotional well-being, pain management, independence, social support, cultural identity, ethical considerations, and hope. These concepts encompass physical, psychological, social, and spiritual dimensions vital for holistic care.

Theories for Cultural Competence

Leininger’s Culture Care Diversity and Universality Model emphasizes the importance of understanding cultural factors influencing health practices and care preferences (Leininger, 1991). The Purnell Model offers a comprehensive framework to assess cultural attributes and promotes culturally sensitive nursing interventions (Purnell, 2002). Both models highlight key concepts such as cultural identity, communication, spiritual beliefs, and social relationships.

Selected Concepts and Literature Review

Among the identified concepts, four are selected for their central role in nursing assessment and intervention within the context of Mark’s case: dignity, cultural beliefs, emotional well-being, and privacy. These align with the major themes in the models and have well-defined attributes in the literature.

1. Dignity

Attributes of dignity involve respect, autonomy, and recognition of individual worth (Hamrick et al., 2016). Maintaining dignity in care involves respecting patient preferences, promoting self-esteem, and protecting privacy.

2. Cultural Beliefs

This concept pertains to culturally grounded values, practices, and health beliefs that influence patient behavior and responses to care (Purnell, 2002). Cultural beliefs shape perceptions of illness, treatment decisions, and engagement in care.

3. Emotional Well-being

Refers to the psychological state, including feelings of hope, despair, security, and resilience, that influence health outcomes (Papadatou, 2012). Emotional support enhances coping and recovery.

4. Privacy

Attributes include confidentiality, personal space, and control over personal information, crucial for comfort and trust (Hamrick et al., 2016). Respecting privacy promotes dignity and open communication.

Application in Nursing Assessment

Using these concepts, nurses can develop specific assessment questions:

Dignity:

- How does Mark perceive the respect he receives from his caregivers?

- Are his personal preferences and choices honored during care?

- How is his sense of self-worth addressed in daily interactions?

Cultural Beliefs:

- What cultural values influence Mark’s health beliefs and decisions?

- How does his cultural background affect his approach to spiritual and social needs?

- Are there specific cultural practices that should be integrated into his care plan?

Emotional Well-being:

- How is Mark coping emotionally with his health status?

- Does he express feelings of hope or despair about his future?

- What emotional support systems does he have in place?

Privacy:

- Does Mark feel that his privacy is adequately maintained during care procedures?

- Are his personal boundaries respected by caregivers?

- How comfortable is he in sharing personal information or concerns?

Discussion

Incorporating these concepts into nursing assessments fosters culturally competent, patient-centered care. It allows for tailored interventions that respect the patient’s values and enhance well-being. The use of models like Leininger’s and Purnell’s frameworks supports systematic evaluation of cultural factors, ensuring holistic approaches that accommodate physical, emotional, and cultural needs. For Mark, a nuanced understanding of dignity, cultural beliefs, emotional well-being, and privacy can improve his quality of life and reinforce his sense of autonomy and respect.

Conclusion

The integration of concepts such as dignity, cultural beliefs, emotional well-being, and privacy, supported by theoretical models, promotes comprehensive, culturally sensitive nursing care. Developing targeted assessment questions based on these concepts enables nurses to identify patient needs accurately and implement interventions that honor individual differences, ultimately improving health outcomes for diverse populations like Mark O’Brien. As healthcare continues to globalize and diversify, the importance of concept-based, theory-informed practice remains paramount in achieving optimal patient-centered care.

References

  • Hamrick, C., O'Connell, B., & McDonald, M. (2016). Dignity in nursing care: A review of the literature. Nursing Ethics, 23(7), 747-762.
  • Papadatou, D. (2012). Psychological support to cancer patients: From diagnosis to remission. Psychology & Health, 27(3), 319-334.
  • Purnell, L. (2002). The Purnell Model for Cultural Competence. Journal of Transcultural Nursing, 13(3), 193-196.
  • Leininger, M. (1991). Culture Care Diversity and Universality: A theory of nursing. Springer Publishing Company.
  • Hamrick, C., O'Connell, B., & McDonald, M. (2016). Dignity in nursing care: A review of the literature. Nursing Ethics, 23(7), 747-762.
  • Purnell, L. (2002). The Purnell Model for Cultural Competence. Journal of Transcultural Nursing, 13(3), 193-196.
  • Papadatou, D. (2012). Psychological support to cancer patients: From diagnosis to remission. Psychology & Health, 27(3), 319-334.
  • Leininger, M. (1991). Culture Care Diversity and Universality: A theory of nursing. Springer Publishing Company.
  • Kleinman, A., & Benson, P. (2006). Anthropology in the clinic: The problem of cultural competency and how to fix it. PLoS Medicine, 3(10), e294.
  • Campinha-Bacote, J. (2002). The process of cultural competence in the delivery of healthcare services: A model of care. Journal of Transcultural Nursing, 13(3), 181-184.

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