Page 441 - alligood 8th edition_Neat

422 UNIT IV Nursing Theories

MAJOR CONCEPTS & DEFINITIONS—cont’d
Culture Care Universality and practiced by individuals or groups and that
Culture Care universality refers to commonalities or enables them to function in their daily lives.
similar culturally based care meanings (“truths”), Transcultural Nursing
patterns, values, symbols, and lifeways reflecting
care as a universal humanity. Transcultural nursing refers to a formal area of
humanistic and scientific knowledge and practices
Worldview focused on holistic Culture Care (caring) phe-
Worldview refers to the way an individual or a group nomena and competencies to assist individuals or
looks out on and understands the world about them groups to maintain or regain their health (or well-
as a value, stance, picture, or perspective about life being) and to deal with disabilities, dying, or other
and the world. human conditions in culturally congruent and
beneficial ways.
Cultural and Social Structure Dimensions Culture Care Preservation or Maintenance
Cultural and social structure dimensions refer to the
dynamic, holistic, and interrelated patterns of struc- Culture Care preservation or maintenance refers to
tured features of a culture (or subculture), including those assistive, supportive, facilitative, or enabling
religion (or spirituality), kinship (social), political professional actions and decisions that help people
characteristics (legal), economics, education, technol- of a particular culture to retain or maintain mean-
ogy, cultural values, philosophy, history, and language. ingful care values and lifeways for their well-being,
to recover from illness, or to deal with handicaps or
Environmental Context dying.
Environmental context refers to the totality of an envi- Culture Care Accommodation or Negotiation
ronment (physical, geographic, and sociocultural),
situation, or event with related experiences that give Culture Care accommodation or negotiation refers to
interpretative meanings to guide human expressions those assistive, supportive, facilitative, or enabling
and decisions with reference to a particular environ- professional actions and decisions that help people
ment or situation. of a designated culture (or subculture) to adapt to or
to negotiate with others for meaningful, beneficial,
Ethnohistory and congruent health outcomes.
Ethnohistory refers to the sequence of facts, events, Culture Care Repatterning or Restructuring
or developments over time as known, witnessed, or
documented about a designated people of a culture. Culture Care repatterning or restructuring refers to
the assistive, supportive, facilitative, or enabling
Emic professional actions and decisions that help clients
Emic refers to local, indigenous, or the insider’s reorder, change, or modify their lifeways for new,
views and values about a phenomenon. different, and beneficial health outcomes.

Etic Culturally Competent Nursing Care
Etic refers to the outsider’s or more universal views Culturally competent nursing care refers to the explicit
and values about a phenomenon. use of culturally based care and health knowledge in
sensitive, creative, and meaningful ways to fit the
Health general lifeways and needs of individuals or groups
Health refers to a state of well-being or a restorative for beneficial and meaningful health and well being,
state that is culturally constituted, defined, valued, or to face illness, disabilities, or death.