Application of Leiningers theory to the Muslim Client

Application of Leiningers theory to the Muslim Client According to Madeleine Leininger, care is the essence and the central, unifying, and dominant domain to characterize nursing (Leininger, 1984). To Leininger, â€Å"care and culture were inextricably linked together and could not be separated in nursing care actions and decisions† (Leininger, 1988, p. 153). Her theory of cultural care diversity and universality proves particularly useful in giving care in multicultural societies such as Canada where clients from non Anglo-Saxon origins have different interpretations of care and whose strict cultural beliefs, religion makes it impossible for minimal or no acculturation of nursing care of the dominant culture. The conservative Muslim client is unique in the sense that no matter where he or she comes from, Islam dictates how the client is supposed to live their life. Embedded in Islam is what care means. Nevertheless, it is important for nurses to be cognizant of the fact that Muslims have different origins and thus different cul tures. This paper explores what some of these care practices are in Islam and how Leininger’s modes of nursing care can be used in providing culturally congruent care. Leininger conceptualizes that there are two kinds of care that exist in every culture and are important to nursing care. These are generic and professional care. Generic care is the naturalistic local, folk and familiar home care practices whereas professional care in contrast is cognitively learned, practiced and transmitted knowledge learned through formal and informal professional nursing schools (Leininger, 1991). For a nurse to provide culturally competent care the two types of care have to be in unison. In which case, the ultimate goal is to link and synthesize generic and professional care to benefit the client. Leininger developed the sunrise model to help nurses visualize components of the theory influencing human care. The model conceptually depicts the worldview, cultural and social structure dimensi ons which influence generic and professional care which in turn influences nursing care actions and decisions. The nursing care actions and decisions include cultural preservation, accommodation and repatterning. Wehbe-Alamah, Lawrence, Rozmus and Luna all agree that a nurse’s knowledge of the basic tenets of Islam is important in providing culturally congruent care to the client. They also caution that since Muslim’s originate from different places and thus different cultural backgrounds it is imperative that Muslim’s are not treated as a homogenous group. It becomes important that in addition to knowing the tenets of Islam, the nurse inquires about the folk practices of the patient. Also all articles point to Leininger’s nursing modes of repatterning, accommodation and preservation as effective methods in achieving culturally congruent care. Wehbe-Alamah relies on the research of others as well as descriptive sources in providing what care means in Isla m while Lawrence and Rozmus rely on the Koran, the Hadith and modern interpretations of those writings as their source. Luna on the other hand conducts a study in which she analyzes the meanings and experiences of care of immigrant Lebanese Muslims living in a large Midwest urban community in the US. She explores the meaning of care in the clinic, community and clinic context. Narayanasamy’s study on how nurses respond to cultural needs also cautions that nurses must be careful in stereotyping people of the same religion since their cultural needs might be different.

UPMC & Highmark Assignment Example | Topics and Well Written Essays - 500 words

UPMC & Highmark - Assignment Example The key reason for this battle is the attempt by Highmark Inc. to acquire a financially troubled group of hospitals known as West Penn Allegheny Health System. Highmark Inc. argues that this move will significantly lower medical costs and offer efficient health care services (Scarpino, 2013). On the other hand, UPMC, which has its own insurance firm, believes that it will not continue to bolster a company that will be a direct rival to its 19 area hospitals (Scarpino, G. 2013). Therefore, UPMC has resulted to increasing charges for patients covered by Highmark. UPMC says that Highmark’s plan to shift its 41000 inpatient from UPMC to its allegedly new chain of hospitals will result into UPMC closing its Shadyside and UPMC mercy sections and laying off over 11,000 of its employees (Baumol & Blinder, 2012). Additionally, UPMC also argues that this move will make most employees change their insurance plans that are attached to their current places of employment. This will result into the lose of patients tied to Highmark. Highmark also says that since UPMC has its own insurer, then it would be of no issue if it had its own health giver network. They believe that a little competition will be beneficial to the residents of Pittsburg since they will be provided with a range of health care providers to choose from. In response to UPMC’s sentiments that it is impossible to change insurance since it is tied to employment, Highmark says that it is also difficult for the patients to abandon the doctors that they have fully trusted and build confidence in, in pursuit for new relationships (Baumol & Blinder, 2012). I feel that UPMC has been able to get their message across most effectively because they have clearly shown that Highmark is in pursuit of its own personal interests without caring about the patients and relationships that they had built with UPMC. All the counter reactions made by UPMC were in the attempt to protect their business, as most health

The Political Theory of Machiavelli Essay Example | Topics and Well Written Essays - 1500 words - 5

The Political Theory of Machiavelli - Essay Example It makes sense to ask a question about whether it is possible to justify his political concept and see its validity. Following the logic of Abramson, one can find two main arguments in favor of the validity of Machiavelli’s theory. The first argument assumes that Machiavelli considered his theory as useful for those rulers who tried to avoid evil because he was aware that political activity is always associated with a certain kind of cruelty and violence (location 2085). In turn, the second argument is that the philosopher developed his political concept based on the use of pagan rather than Christian morality (locations 2094 and 2101). As he saw it, in contrast to Christian ethics, pagan morality gave much more opportunities to solve an extremely important political task, namely the unification of Italy (location 2101). In general, the validity of his concept stems from the fact that it was aimed at strengthening the political power in Italy and its unification into a single country able to demonstrate a high economic and social potential. Thus, the aim of the paper is to provide two main arguments in favor of the political theory of Machiavelli. As previously noted, the negative attitude towards the political philosophy of Machiavelli is due to the fact that the philosopher justified the use of violence, abuse, lies, and deceit to gain the authority of the governor. In his famous work titled The Prince, Machiavelli suggested political leadership based on a number of principles, in particular, pursuing the aim to eliminate political opponents. One can identify a few basic principles proposed by Machiavelli in this work. Firstly, the philosopher said that the desire to seize power using violence and cruelty is rather natural.