Home visits in case of heart failure : reflection in the light of Leininger's theory

Abstract

Aim: To exercise the theoretical-reflexive thought based on Leininger's cultural care diversity and universality theory in the context of home visits for heart failure (HF) patients. Methods: this is a reflection of the Sunrise-based model. In this study the first level of the model was used, whereas the concrete individual, was handicapped by HF, in the home scenario. Results: the process of dealing with a disease is influenced by socioeconomic and cultural factors. Leininger refers to values, beliefs, norms and ways of life that are learned, made and transmitted by a particular group. These guide decisions, actions and standards of care. Discussion: In home visits, the nurse should consider the individuals and the families involved in the process. They should make use of culturally congruent care and should avoid introducing practices which overpower the participants. Conclusion: home visits provide a broad overview about the living conditions of the individual and family care and may be oriented in terms of the theory of cultural diversity and universality.