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The Influence of the Nursing Metaparadigm on Culturally Proficient Nursing Care Implementation

How does the nursing metaparadigm impact the implementation of culturally proficient nursing care?

The Influence of the Nursing Metaparadigm on Culturally Proficient Nursing Care Implementation

Culturally proficient nursing care is a vital component of providing effective and holistic healthcare to diverse patient populations. It requires healthcare professionals, particularly nurses, to possess a comprehensive understanding of various cultures, traditions, and belief systems. To facilitate the delivery of culturally proficient care, nurses rely on theoretical frameworks that guide their practice. One such framework is the nursing metaparadigm, which comprises four essential concepts: person, environment, health, and nursing. This article explores the impact of the nursing metaparadigm on the implementation of culturally proficient nursing care.

The Nursing Metaparadigm

The nursing metaparadigm is a conceptual framework that provides a foundation for nursing theory and practice. It encompasses four key elements:

Person: The person, in the context of nursing, refers to the individual receiving healthcare. The nursing metaparadigm acknowledges that each person is unique and possesses intrinsic worth and dignity. When providing culturally proficient care, nurses recognize and respect the diverse cultural backgrounds, values, and beliefs of their patients. This understanding allows nurses to tailor their care approaches and interventions accordingly, ensuring that they are culturally sensitive and appropriate.

Environment: The environment refers to the physical, social, and cultural context in which healthcare occurs. Nurses recognize that the environment has a significant impact on a person’s health and well-being. In the context of culturally proficient care, nurses consider the cultural, social, and economic factors that influence a patient’s health status. They strive to create a supportive and inclusive environment that respects and accommodates diverse cultural practices and norms.

Health: Health is a central component of the nursing metaparadigm. It encompasses physical, mental, and social well-being. Culturally proficient nursing care acknowledges that health is influenced by cultural factors and recognizes that individuals from different cultural backgrounds may have unique perspectives on health and illness. Nurses leverage this understanding to promote health and prevent illness by integrating culturally appropriate health practices and education into their care plans.

Nursing: The nursing element of the metaparadigm refers to the profession itself. It encompasses the knowledge, skills, and attitudes that nurses bring to their practice. In the context of culturally proficient care, nursing extends beyond providing medical interventions. It involves developing cultural competence, which includes the ability to communicate effectively, understand cultural practices and beliefs, and deliver care that is congruent with the patient’s cultural values. Culturally proficient nursing requires ongoing education and self-reflection to enhance cultural competence.

Impact on Culturally Proficient Nursing Care Implementation

The nursing metaparadigm plays a pivotal role in the implementation of culturally proficient nursing care. By incorporating the concepts of person, environment, health, and nursing, nurses are equipped with a comprehensive framework that guides their practice and decision-making. When caring for individuals from diverse cultural backgrounds, nurses who embrace the nursing metaparadigm can:

Enhance Communication: Cultural variations in language, non-verbal communication, and health beliefs can pose challenges to effective communication between nurses and patients. However, by recognizing the person as an individual with unique cultural experiences, nurses can adapt their communication strategies to ensure clarity and understanding. This may involve using interpreters, utilizing visual aids, or employing culturally appropriate communication techniques.

Tailor Care Approaches: Culturally proficient nursing care requires personalized approaches that respect and incorporate cultural values and beliefs. The nursing metaparadigm guides nurses in recognizing the influence of culture on health and tailoring care plans accordingly. By integrating cultural practices, dietary preferences, and spiritual beliefs into the care process, nurses can provide patient-centered care that aligns with individual cultural needs.

Promote Health Equity: Cultural proficiency in nursing aims to address health disparities and promote health equity among diverse populations. The nursing metaparadigm empowers nurses to consider the social determinants of health and understand how cultural factors contribute to health inequities. By incorporating this knowledge into their practice, nurses can advocate for equitable access to healthcare resources, implement culturally relevant health promotion strategies, and work towards reducing health disparities.


The nursing metaparadigm serves as a fundamental framework that guides the implementation of culturally proficient nursing care. By considering the person, environment, health, and nursing elements, nurses can provide care that respects and incorporates diverse cultural values and beliefs. Through effective communication, tailored care approaches, and the promotion of health equity, nurses can deliver culturally proficient care that enhances patient outcomes and fosters positive healthcare experiences.


Leininger, M. M. (2018). Culture care theory: A major contribution to advance transcultural nursing knowledge and practices. Journal of Transcultural Nursing, 29(1), 5-7.

Papadopoulos, I., Tilki, M., & Taylor, G. (2018). Transcultural care: A guide for health care professionals. Jessica Kingsley Publishers.

Sagar, P. L. (2017). Culturally competent nursing care: A cornerstone of caring. Journal of the College of Physicians and Surgeons–Pakistan: JCPSP, 27(3), 165-167.

Swanson, K. M. (2016). Foundations of transpersonal caring and the healing of persons. Journal of Holistic Nursing, 34(4), 376-387.

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