Two Case Studies to address:
Leininger’s Culture Care Model and Watson Transpersonal Caring
Case Study # 1: Mrs. Franklin-Jones and Leininger’s Culture Care Model
Mrs. Franklin-Jones was admitted from the Emergency Room to Cardiac Intensive Care one week ago with a
diagnosis of acute myocardial infarction. She has recovered as expected and is moving to the cardiac stepdown unit today. She is talking with Nurse Julie Hernandez, as she gets settled in her new room, "I was really
surprised when I got that bad pain in my chest! I knew I had high pressure, but I just didn't think it was that bad.
I try to take my medicine like they told me to in the clinic but sometimes I forget. I guess that I need to study
those papers they gave me about what foods I should eat and not eat. I better take care of myself! Momma had
bad pressure and it killed her! Who knows—I may even have to learn to cook different than I was taught in
Jamaica! I may have to let Tomas do the cooking. He's got more time at home now than I do since he lost his
job. There isn't too much time between my shifts at the school cafeteria and my new housecleaning job. You
know my sister is coming up from Jamaica to see me. I think she is bringing me some bush tea. That'll set me
right!"
Answer the below on Mrs. Franklin-Jones
• Using Leininger's Culture Care Model, what factors in the story shared by Mrs. Franklin-Jones should be
considered by Nurse Hernandez when planning for the patient's discharge? (Think about her culture and what
the nurse should be aware of and address)
• Why is the theory of Culture Care Diversity important in the delivery of nursing care for all patients?
• Using Leininger's Theory of Culture Care Diversity and Universality, develop a plan of care for Mrs. FranklinJones.
• Discuss the strengths and limits to Leininger’s Theory.
Case Study #2: Claude Jean-Baptist and Watson Tranpersonal Caring
Claude Jean-Baptiste is recovering from post-hip replacement surgery and has been transferred to the
Rehabilitation Institute adjacent to the hospital. When he enters the unit, he sees welcoming signs written in
several languages including his own, Creole. Since there are no nurses on that shift that speak Creole, they
use a language line to ask for translation services. During this initial nursing assessment, the translator informs
Mr. Jean-Baptiste that the nurses invite him to have a relative at his side so that they can be sure to
understand and meet his needs. He is asked about Haitian customs and beliefs that they might honor. Mr.
Jean-Baptiste is encouraged to bring food and spiritual care items, and to share the warmth of his culture with
the nursing staff.
• Discuss assumptions of the Transpersonal Caring relationship. What is the nurse's role?
• How is love, as defined by Watson, evident in this caring moment? (Identify the showing of love, per Watson,
in this case study scenario)
• How can the nurse creatively use self to create a healing environment? (What can the nurse offer towards the
healing/caring environment?)
• Discuss the strengths and limits to Watson’s Theory.
References
Bibb, S. C. G. (2006). Leininger's theory of culture care diversity and universality (2nd. ed. ed.). New York:
Springer Publishing Company. Retrieved from https://search.proquest.com/docview/189459826?
accountid=34574
Morris, D. L. (2006). Watson's theory of human caring (2nd. ed. ed.). New York: Springer Publishing Company.
Retrieved from https://search.proquest.com/docview/189451612?accountid=34574
Smith, M. C., & Parker, M. E. (2015). Nursing theories & nursing practice. Davis Company