Teori Model Keperawatan Madeleine Leininger
DOI:
https://doi.org/10.31539/9vjmq913Abstract
This study aims to explore the application of Madeleine Leininger's transcultural nursing theory in nursing care for patients with diverse cultural backgrounds. The method used is a descriptive case study of a pediatric patient with type 1 diabetes mellitus who refused insulin therapy due to religious and cultural beliefs. The results showed that the application of Leininger's three decision modes—preservation, accommodation, and repatterning—can facilitate negotiations between the patient, family, health care provider, and a third party (a trusted person). The intervention successfully increased the acceptance of wound care according to health standards, although insulin therapy was still refused. In conclusion, Leininger's theory is effective in helping nurses overcome cultural barriers in providing nursing care. The application of this model improves communication, family involvement, and utilization of health facilities, although external support and combination with professional standards are needed for optimal results.
Keywords: Cultural Nursing Care, Cultural Values and Norms, Leininger
References
Agga, A. O., Lavin, K. L., B, R., Jr, A. (2022). Culturally Congruent Care in Nursing Practice: A Concept Analysis. SSRG: International Journal of Nursing and Health Science. 8(3). 32-39. https://doi.org/10.14445/24547484/IJNHS-V8I3P106
Alsharari, R. A., Alofi, H. I., Alrashedi, A., AL-Rashedi, O., Albelewi, A. (2024). Effectiveness of Nursing Cultural Competency in Improving Healthcare Care Delivery in Diverse Populations including Ethnic Minorities: An Integrative Review. Journal of International Crisis and Risk Communication Research, 7(2), 327–341. https://doi.org/10.63278/jicrcr.v7i2.1150
Asl, S., Khademi, M., & Mohammadi, E. (2022). The Influential Factors in Humanistic Critical Care Nursing. Nursing Ethics, 29, 608-620. https://doi.org/10.1177/09697330211043274.
Caruso, R., Terzoni, S., Lusignani, M., Varano, E., Pittella, F., Xharra, V., Carrodano, S., Ghizzardi, G., Conte, G., Magon, A., De Maria, M., Rocco, G., & Stievano, A. (2025). Integrating Cultural Competence in Nursing: A Scoping Review of Purnell's Model in Clinical Practice and Education with Data Mining Analytics. Journal of transcultural nursing : official journal of the Transcultural Nursing Society, 10436596251323273 . https://doi.org/10.1177/10436596251323273
Cipta, D. A., Andoko, D., Theja, A., Utama, A. V. E,, Hendrik, H., William, D. G., Reina, N., Handoko, M. T., and Lumbuun, N. (2024). Culturally Sensitive Patient-Centered Healthcare: A Focus on Health Behavior Modification in Low and Middle-Income Nations-Insights from Indonesia. Front. Med. 11:1353037. https://doi.org/10.3389/fmed.2024.1353037
Curcio, F., Khabir, H., Chelo, G., Puggioni, S., Soddu, M., Lucchetta, M., & Avilés-González, C. (2024). Transcultural Perspectives in Nursing: Understanding the Role of Healers and the Evil Eye in Modern Healthcare. Nursing Reports, 14, 2443-2455. https://doi.org/10.3390/nursrep14030181
Desse, T., Namara, K., & Manias, E. (2024). Patient-Perceived Challenges to Type 2 Diabetes Self-Management in Sub-Saharan Africa: A Qualitative Exploratory Study. The Science of Diabetes Self-Management and Care, 50, 456 - 468. https://doi.org/10.1177/26350106241279809.
Ellina, D. A., Nursalam, N., Yunitasari, E., Putra, M. M., & Adiutama, N. M. (2022). Culturally Based Caring Model in Nursing Services. Kontakt, 24(3), 212-218. doi: 10.32725/kont.2022.027
El-Messoudi, Y., Lillo-Crespo, M., & Leyva-Moral, J. (2023). Exploring the Education in Cultural Competence and Transcultural Care in Spanish for Nurses and Future Nurses: A Scoping Review and Gap Analysis. BMC Nursing, 22. https://doi.org/10.1186/s12912-023-01483-7
Fabry, L., McDermott, S., & Wilford, B. (2024). Culturally Competent Care for Diverse Populations. Advanced Emergency Nursing Journal, 46, 274-282. https://doi.org/10.1097/tme.0000000000000526
Faleiro, A., & Oliveira, C. (2025). Bridging Culture and Care: The Role of Ethnographic Inquiry in Contemporary Nursing Practice. Community and Interculturality in Dialogue, 5, 151. https://doi.org/10.56294/cid2025151
Farokhzadian, J., Nematollahi, M., Nayeri, N., & Faramarzpour, M. (2022). Using a Model to Design, Implement, and Evaluate a Training Program for Improving Cultural Competence Among Undergraduate Nursing Students: A Mixed Methods Study. BMC Nursing, 21. https://doi.org/10.1186/s12912-022-00849-7
Farsangi, S., Shahraki, S., Cruz, J., & Farokhzadian, J. (2023). Designing, Implementing, and Evaluating a Mobile App-Based Cultural Care Training Program to Improve the Cultural Capacity and Humility of Nursing Students. BMC Medical Education, 23. https://doi.org/10.1186/s12909-023-04952-4.
Gulyenli, N., & Tanriverdi, G. (2024). Defining the Cultural Care Needs of Syrian University Students in Türkiye Using Leininger's Sunrise Model. Health Sciences Quarterly, 4(2), 145-153. https://doi.org/10.26900/hsq.2326
Haroen, H. (2023). Response To: A Qualitative Study of Perception and Experience Toward End-of-Life Care Among Nursing Students Who Witnessed Dying People in Their Family [Response to Letter]. Journal of Multidisciplinary Healthcare, 16, 2861-2862. https://doi.org/10.2147/jmdh.s435722
Jenkins, C., & Kamal, A. (2023). A Qualitative Study Exploring Nurses' Experiences of Supporting South Asian People with Dementia and Their Family Carers. Journal of Advanced Nursing, 80(1), 161-175. https://doi.org/10.1111/jan.15780
Leyva-Moral, J., Tosun, B., Gómez-Ibáñez, R., Navarrete, L., Yava, A., Aguayo-González, M., Dirgar, E., Checa-Jiménez, C., & Bernabeu-Tamayo, M. (2023). From a Learning Opportunity to a Conscious Multidimensional Change: A Metasynthesis of Transcultural Learning Experiences Among Nursing Students. BMC Nursing, 22. https://doi.org/10.1186/s12912-023-01521-4
Lima, A., Santos, C., Alves, N., Júnior, M., Jorge, J., Tigre, H., De Almeida, A., Da Silva Santos, T., & De Miranda Crispim Costa, L. (2024). Nursing Care for the Warao People: An Experience Report Based on Transcultural Theory. Revista da Escola de Enfermagem da U S P, 57, e20230035. https://doi.org/10.1590/1980-220x-reeusp-2023-0035en
Mihu, L., Marques, R., & Sousa, P. (2024). Strategies for Nursing Care of Critically Ill Multicultural Patients: A Scoping Review. Journal of clinical nursing, 33(9), 3468-3476. https://doi.org/10.1111/jocn.17156
Mukarromah, N., Zakaria, A., Daroini, D., & Sumara, R. (2022). Cultural Care Analysis of Scabies Disease Based on the Sunrise Theory of the Leininger Model. Gaceta Médica de Caracas, 130(1), 177-184. https://doi.org/10.47307/gmc.2022.130.s1.31
Rio, C., & Saligan, L. (2023). Understanding Physical Activity from a Cultural-Contextual Lens. Frontiers in Public Health, 11. https://doi.org/10.3389/fpubh.2023.1223919
Sarma, E. W., Novieastari, E., & Pujasari, H. (2025). Pengembangan Panduan Praktik Keperawatan Berdasarkan Peka Budaya dan Formulir Asesmen Keperawatan Pasien Menjelang Akhir Kehidupan. Media Penelitian dan Pengembangan Kesehatan, 35(2), 653–664. https://doi.org/10.34011/jmp2k.v35i2.2706
Stephen, J., Zoucha, R., Cazzell, M., & Devido, J. (2023). Cultural Care Needs of Spanish Speaking Parents with Limited English Proficiency Whose Children are Hospitalized: An Ethnonursing Study.. Journal of Pediatric Nursing, 69, 62-70 . https://doi.org/10.2139/ssrn.4194444
Suniyadewi, N. W., Arief, Y. S., Kurniawati, N. D., Rismayanti, I. D. A., Trisnadewi, N. W., & Iswatun, I. (2024). Development of a Holistic Nursing Model Based on Transcultural Nursing to Improve the Quality of Life of Patients with Type-2 Diabetes Mellitus. Nurse Media Journal of Nursing, 14(1), 142-159. https://doi.org/10.14710/nmjn.v14i1.56812
Sutantri, S., Putri, A., & Ismiyati, R. (2022). “Getting Caught Unprepared” : A Phenomenological Study of Indonesian Nurses Dealing with Difficulties When Caring for Patients with Coronavirus Disease (COVID‐19). Nursing & Health Sciences, 24, 469-478. https://doi.org/10.1111/nhs.12944
Teixeira, G., Picoito, R., Gaspar, F., & Lucas, P. (2024). Cultural Competence and Nursing Work Environment: Impact on Culturally Congruent Care in Portuguese Multicultural Healthcare Units. Healthcare, 12(23), 2430. https://doi.org/10.3390/healthcare12232430
Tong, L., Tong, T., Noji, A., Kitaike, T., & Wang, X. (2022). Nurses' Experiences of Providing Transcultural Nursing Care to Minority Patients in Yunnan Province: A Descriptive Qualitative Study. Nursing & Health Sciences, 24(3), 661-669. https://doi.org/10.1111/nhs.12959
Weraman, P., Yuswanto, T., & Nugroho, H. (2023). Response to: A Qualitative Study of Perception and Experience Toward End-of-Life Care Among Nursing Students Who Witnessed Dying People in Their Family [Letter]. Journal of Multidisciplinary Healthcare, 16, 2377 - 2378. https://doi.org/10.2147/jmdh.s435331
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Mursiti Mursiti, Irna Nursanti

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

