Transculturalism

in Nursing
Practice BY. GROUP 5 1RKI
SUPPORTING LECTURER NS PAULA KRISANTY, S.KEP. M.A.
 Members

Evi Innayah Galih Fakhri Pratama Hafizh Nasrulloh Al Adnan

P3.73.20.2.22.094 P3.73.20.2.22.095 P3.73.20.2.22.096
 ifesting ~

Transcultural Definition
n
ing ~ ma

man
ifest
st

i
e ng
~ manif

Transcultural comes from the words trans and culture, trans means flow of
movement, causeways or links. According to the Big Indonesian Dictionary;
trans means transverse, penetrate, through while Culture means culture.
According to the Big Indonesian Dictionary, culture means; culture,
maintenance methods, cultivation. Beliefs, values ​and patterns of behavior that
generally apply to a group and are passed on to the next generation, while
cultural means; something to do with culture.

 Transcultural Nursing
According to Leininger (1991), Transcultural Nursing is an
area related to differences or similarities in cultural
values ​(different cultural values, races, which affect a
nurse when carrying out nursing care to
clients/patients). Leininger believes that it is very
important to pay attention to cultural diversity and
ni
festing
~ values ​in the application of nursing care to clients.
ing ~ ma

man
ifest
st

e ng
~ manif
Cultural Characteristics
In the perspective of anthropology, Leininger defines
culture as a learning, togetherness and transmission of
knowledge, which is the value of a habit, belief and norms
in certain cultural groups, where the ultimate goal of this

theory is a form of congruent care based on culture which

is interpreted as a form of action culturally adapted
nursing, more specifically adapted to the needs of patients
in order to improve, maintain their health and prosper.
(Leininger (2002) in Ping Zou (2016)). festing ~
ni

ing ~ ma

man
ifest
st

i
e ng
~ manif
Cultural Characteristics
According to Samovar and Porter (1995) there are 6
cultural characteristics:

• Culture is not hereditary but learned

• Culture is transferred from one generation to the next

• Culture is based on symbols
• Culture is a thing that can change
• Culture is comprehensive
• Culture is ethnocentric ifesting ~
n

ing ~ ma

man
ifest
st

i
e ng
~ manif
 ni
ing ~ ma
festing ~
Family Health Culture in
man
ifest Indonesia
st

i
e ng
~ manif

Culture is the values, beliefs, norms and ways of life that are formed and learned
in certain groups that provide direction in mindset, decisions and actions in
various patterned ways.

A culture of healthy living is a concept of life that prioritizes various life

activities based on healthy actions.
 Habits that can affect
the health of the body

1. Healthy living
2. Clean life.
3. Drink clean water.
4. Eat enough nutritious food.
5. Balance between activity and rest.
6. Exercise regularly.
 3 basic groups of
healthy people
1
People are healthy because they have
excellent body condition from birth

2 People who regularly do physical activity

3 A healthy person because he deliberately

does various activities to be healthy.
 Family Health

Family health is knowledge about

physical health. physical and social
aspects of the individuals in one family
 Factors Affecting
Family Health
Physical Factors
Psychic Factors
Social Factors.
Cultural Factors
 Transcultural
Nursing
Transcultural Nursing is an area/region of cultural
science in the learning process and nursing practice that
focuses on looking at differences and similarities between
cultures by respecting care, health and illness based on
human cultural values, beliefs and actions, and this
knowledge is used to provide nursing care, especially
culture or cultural integrity to humans (Leininger, 2002).
 Transcultural
Nursing Goals
To develop science and a humanist scientific tree so as to create
culturally specific and universal nursing practices
Help individuals or families with different cultures to be able to
understand their needs for nursing and health care
Assist nurses in making decisions during the provision of nursing
care to individuals or families through assessment of lifestyle,
beliefs about health and health practices of clients
Nursing care that is culturally relevant and sensitive to client
needs will reduce the possibility of stress and conflict due to
cultural misunderstandings
Nursing Care Provided To Individuals In Accordance
With Cultural Background.

Maintaining culture
Negotiate or accommodate
culture
Replacing or changing
individual culture
 The Transcultural Transcultural Nursing
Paradigm of Nursing Strategy

Human Protection/Maintenance of
Culture
Healthy
Accommodating/Negotiating
Environment Culture
Nursing Changing/Switching Client
Culture

ifesting ~
n

ing ~ ma

man
ifest
 Cultural competencies that nurses need to have

Cultural competence is a complex concept and culture-

sensitive cultivation has not yet been achieved.
Leininger (1991) was a pioneer in the discipline of
nursing with an emphasis on culture and concern for
people.
Cultural competence of nursing includes taking into
account different spiritual and religious needs, when
ifesting ~
working with patients of different genders, caring for n

ing ~ ma

man
refugees or people from outside, caring for the disabled

ifest
or poor, caring for people with physical, mental or

st

i
e ng
~ manif
intellectual disabilities, speaking differently than its
linguistic and cultural diversity with its collaborators
(Joseph, 2014).
 1.Social justice 2.Critical thinking
Cultural competencies
that nurses need to have
4. Intercultural
3.Intercultural
Practices, Health
knowledge
Culture-Based Nursing Systems
Competence Standards
according to Suroso
(Suroso et al., 2015), that is: 5. Patient Advocacy
6. Education and
training

7. Intercultural
communication and

leadership
Transcultural Application in Nursing
Practice
Nursing as a profession has a solid knowledge base that can be developed and
applied in nursing practice. The development of nursing theory is divided into
4 stages of development, namely metha theory, grand theory, middle range
theory and practice theory. One of the theories expressed in middle range
theory is the theory of transcultural

nursing. This theory comes from the

discipline of anthropology and was developed in the context of nursing. This
theory describes the concept of nursing based on understanding the
differences in society's cultural values. Leininger believes that it is very
important to pay attention to cultural diversity and values in the application
of care to clients. When this is ignored by the caregiver, it leads to culture
shock.
ifesting ~
n

ing ~ ma

man
ifest
st

i
e ng
~ manif
Transcultural In order to implement
Application in transcultural nursing in the
Nursing Practice nursing process, a useful
set of guidelines is
required as a guide for the
nurse or client.
These guidelines are needed
so that caregivers can
properly perform their
duties and patients can make
a full recovery. These
guidelines include:
1. Always treat patients with respect. Caregivers need to be able to treat
patients from different backgrounds in different ways.
2. As nursing staff, we have to recognize, understand and familiarize
ourselves with the different customs and beliefs of certain cultures in the
nursing rooms we look after and manage.
3. We must skillfully integrate cultural symbols and practices into the
client's care plan. Of course, if all this is possible, because there are a
number of things that are not necessarily

compatible with different forms

of modern medicine.
4. A nurse must be able to break away from various cultural stereotypes,
which sometimes are not necessarily true.
5. Nurses need to be able to learn how clients perceive health, illness,
sadness, happiness and the healthcare system.
6. Nurses must be able to translate or find translators for patients who do not
have a good command of Indonesian.
7. The nurse should always have paper and pencil by the patient's bedside.
 man
ifest
In order for communication with patients to be good and
i
ng
~ mani smooth, every nurse must understand different forms
of cross-cultural nursing communication. This is

Transcultural required to achieve the effectiveness of sending and

receiving messages in communication. The effectiveness
Application in of receiving and sending this message is very important
in communication. This must be done in order for
Nursing Practice individuals to be able to interact normally with others.
The interaction and communication process can be
difficult at first, especially when the sender and receiver
do not share the same culture and language.
Transcultural communication is very important in the
nursing process. Therefore, caregivers need to
understand the belief system and how healthy beliefs
are from the client's perspective. Communication skills
in the transcultural process of nursing and the exchange
of concepts and principles will certainly be important
prerequisites for teaching nursing skills.
 Conclusion
Transcultural nursing is one of the main areas in which nursing is focused on the
comparative and analysis of the world's different cultures and sub-cultures
appreciate caring behavior, nursing services, values, beliefs about health-illness,
as well as patterns of behavior aimed at developing a scientific body of
knowledge and humanistic to provide a place for nursing practice in a particular
culture and culture universal. Although each group has a pattern that can be
seen which helps distinguish it from other groups, most individuals also express
beliefs or traits that do not conform to group norms. Nurses have a lot time to
interact with clients, therefore nurses must realize its importance culture related
to communication.
Do You Have Any Questions?