Transcultural Nursing Theory and Models: Ap-plication in Nursing Education, Practice, and Ad-ministration by Priscilla Sagar is a distinctivebook that blends the historical context of tran-scultural nursing with the current application oftranscultural theory and models. Leininger’sCulture Care theory, the models of Purnell,Campinha-Bacote, Giger and Davidhizar, andAndrews and Boyle’s assessment guide are ap-plied to the areas of nursing education, practiceand nursing administration. This book makes aworthwhile contribution to the field of transcul-tural nursing by complementing texts that intro-duce theory and models (Andrews & Boyle,2012) or delve into them individually and moredeeply (Andrews & Boyle, 2012, Campinha-Ba-cote, 2005; Giger, 2012; Leininger & McFarland,2006; Purnell & Paulanka, 2008). Sagar con-tributes her expertise as a Transcultural NursingScholar by focusing on how to use the modelsand guide. She explains and shows the readerhow transcultural nursing theory can be dissem-inated and implemented.

The review of each theory, model and guideis enhanced with resources for use in nursing ed-

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Online Journal of Cultural Competence in Nursing and Healthcare Volume 3, No. 1, 2013

Online Journal of Cultural Competence in Nursing and Healthcare

Volume 3, No. 1, (2013)

Book Review:Transcultural Nursing Theory and Models: Application in

Nursing Education, Practice, and Administration

Tweedie, J. (2013). Book Review: Transcultural nursing theory and models: Application in nursing education, practice, and administration.Online Journal of Cultural Competence in Nursing and Healthcare, 3(1), 1-2. doi:10.9730/ojccnh.org/v3n1b1

Copyright © 2013 The Author. Reprints and Permissions: www.ojccnh.org/copyrights DOI: http://dx.doi.org/10.9730/ojccnh.org/v3n1b1

Tweedie 1

Reviewed by:Jeanine Tweedie, PhD(c), MSN, RN, CNE

ucation, practice and administration. As an ex-ample, Leininger’s Theory of Culture Care Di-versity and Universality is applied in academiawith a sample role play scenario of the three ac-tion modes of preservation, accommodation,and repatterning. The scenario offers a way forstudents to comprehend the theory through crit-ical thinking, debriefing and reflection. The in-corporation of Purnell’s Model of CulturalCompetence into didactic and clinical nursingcourses is demonstrated with an assignment thatutilizes the 12 domains of culture in nursing as-sessment. Campinha-Bacote’s Model of theProcess of Cultural Competence in the Deliveryof Healthcare Services is put into practice in asample workshop module that guides nursesthrough the steps of cultural awareness, culturalknowledge, cultural encounter, cultural skill,and cultural desire. Giger and Davidhizar’sTranscultural Assessment Model is applied tonursing practice with a case scenario to helpnurses utilize language access services. Spector’sHealth Traditions Model is implemented innursing administration with a plan to orient newnurses with a survey on communication, socialorganizations, health maintenance, health pro-tection, and health restoration. Finally, compo-nents of the Andrews/Boyle NursingAssessment Guide are evident in a case scenarioshowing how nurse administrators can supportnursing staff to address the cultural needs of pa-tients.

Each chapter concludes with fifteen NCLEX-type questions. These questions can be used bythe reader to appraise their recall and under-standing of the content as well as providing pro-totypes of test questions for transculturalnursing education.

Endorsements by Madeleine Leininger andMarge Andrews support the credibility ofSagar’s presentation of transcultural nursing.Emerging new models and trends in transcul-

tural nursing education, practice and adminis-tration are energetically discussed. The reality ofgrowing cultural diversity and widespreadhealth disparities in healthcare are addressed asSagar calls for nurses to become cultural ac-tivists.

The timeliness of this book is emphasized bya closing poem which is a fitting tribute to Dr.Leininger who recently passed away. In thepoem, Sagar depicts culture care and transcul-tural nursing as the movement of waterthroughout the “villages of the world” (p. 161).

ReferencesAndrews, M. M. & Boyle, J. S. (2012). Transcultural con-

cepts in nursing care. Philadephia, PA: Wolters/Lip-pincott Williams and Wilkins.

Campinha-Bacote, J. (2005). A Biblically based model of cul-tural competence in the delivery ofhealthcare services.Cincinnati, OH: Transcultural C.A.R.E Associates.

Giger, J. N. (2012). Transcultural nursing: Assessment and in-tervention. St. Louis, MO: Elsevier Mosby.

Leininger, M. M. & McFarland, M. (2006). Culture care di-versity and universality: A worldwide nursing theory.Boston, MA: Jones & Bartlett.

Purnell, L. D. & Paulanka, B. J. (2008). Transcultural healthcare: A culturally competent approach. Philadelphia, PA:F. A. Davis.

The ReviewerJeanine Tweedie, PhD(c), MSN, RN, CNEMs. Tweedie is adjunct nursing faculty for Hawai’i PacificUniversity, Honolulu, Hawai’i (USA) and Western Gover-nors University, Salt Lake City, Utah (USA). She serves asa peer reviewer for the Online Journal of Cultural Compe-tence in Nursing and Healthcare and is an accomplished re-viewer of manuscripts as well as textbooks.

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Online Journal of Cultural Competence in Nursing and Healthcare Volume 3, No. 1, 2013