Assignment: Generic & Professional Care
The five enablers that I developed are, as follows: (a) Sunrise Model Enabler, (b) Stranger to Trusted Friend Enabler, (c) the Observation, Participation, and Reflection Enabler, (d) the Researcher’s Domain of Inquiry (DOI) Enabler, and (e) the Acculturation Enabler (Leininger, 1991, pp. 139-142; Leininger, 1997, pp. 38, 45-47). The concept of enablers was new in the 1960s but most valuable in teasing out vague ideas.
Because the Sunrise Model Enabler is so frequently requested by nurses for health care assessments, a brief sum-
mary on its use is offered. One usually begins with a focus on an individual or small group and wherever one wishes and is comfortable with the model. Some nurses begin with a focus on generic and professional care, whereas others start at the top of the model with worldview, spiritual, family, political, and other areas. What is most crucial is listening with a very open mind to the informant, learning from them, and not imposing your ideas. One checks and rechecks ideas for accu- racy as one uses the enablers with informants.
The Observation-Participation Reflection Enabler is very important in obtaining holistic, specific, and accurate data. All data from the top and middle of the Sunrise Model are reflected on with the three modes of decisions and actions to arrive at culturally congruent care (bottom part of model). All data collected is thoughtfully examined with the author’s six qualitative criteria: credibility, confirmability, meaning-in- context, recurrent patterning, saturation, and transferability (Leininger, 1995, 1997). Specific evidence that these criteria are met is essential to substantiate or refute the domain of inquiry and the theory.
In sum, the Culture Care theory has been a major and sig- nificant contribution to establish and maintain the discipline of transcultural nursing discipline over the past five decades. TAssignment: Generic & Professional Careut culture and care phenomena. Today, nurses are becoming sensitive to and knowledgeable about cultural differences and similarities in people’s care. A wealth of rich
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