Transcultural Caring Dynamics in Nursing and Healthcare


The dynamics meaning of culture and transcultural caring awareness and understanding of relational caring experiences for health, healing, and well-being are presented in this book. The five dimensional conceptual model of Ray’s, “Transcultural Caring in Nursing and Health Care” will illuminate knowledge for understanding how each individual is a “cultural being” and how cultures influence one another through transcultural caring relationships in the local and global environment. The Dimensions are:

  • Essence of caring(the action of compassion and love as the mediating force to guide moral caring behavior and facilitate right action within the dynamics of culture. caring beliefs and values, transcultural caring ethics (moral foundations of respect for persons, cultural rights), transcultural context, and universal sources (religious/spiritual dimensions);
  • Transcultural Caring Ethics(the ethical knowledge of respect, fidelity, integrity, beneficence, human rights, cultural rights, the rights of nature and so forth that shapes moral caring experience that facilitates transcultural ethical caring;
  • Transcultural Contextilluminates the person in the sociocultural context, including political, economic, technological, legal, ecological and health care systems–the diverse identities and personal/ethnic/cultural/multicultural values, beliefs and attitudes about relationships, symbols, rituals guiding transcultural experience in social, communal, health care and global cultural systems;
  • Universal Sourceshighlight select religions and/or spiritual relationships and beliefs and the universal mind, and identify how standards of spiritual and religious traditions shape transcultural caring experience.
  • Transcultural Caring Awareness, Understanding and Choiceis the center of this dynamic model which illuminates the process of transcultural caring inquiry–the processes of knowledge of transcultural caring evidence and cultural competence–the dynamics of the essence of caring, transcultural caring ethics, transcultural context, and universal sources to make responsible mutual choice-making incorporating tools of assessment and evaluation for transcultural communicative spiritual-ethical caring in health, healing, and well-being.
  • Real world” examples of transcultural caring experiences are presented at the end of each chapter in Section 1, and Chapters 7-26 in Section 2 of the book to help master transcultural assessment and caring techniques. An Instructor Guide with learning tools and examination questions and powerpoints written by Drs. Anne Vitale and Marilyn Ray is available from F. A. Davis Company to facilitate both in-class and on line instruction.
    The Cover: Sunflower World
    By H.Lea Barbato Gaydos, PhD, RN

    Sunflower World is about the interconnectedness of all things. It is in the tradition of a mandala, the Sanskrit word for “whole world” or “healing circle.” Mandalas are usually very colorful and found in many spiritual traditions. The purpose of a mandala is to provide a focus for medication and reflection. There are three symbolic elements for reflection in Sunflower World.

    First, in this work, the earth is encompassed by the sunflower, which is meant to symbolize the beauty and harmony of the world as it exists in nature. Second, the mosaic background represents the multiplicity of peoples and cultures that inhabit our world, different in color, shape, and tradition, but essentially the same in our humanity. Like the sunflower that follows the light, we must look to our intrinsic nature and compassionate caring to transcend our differences and find our wholeness as human beings in relationship with others. Third, the green bars that bisect the image horizontally and vertically represent the four directions: they resemble a ribbon, suggesting a gift, the gift of life.

    The aesthetic for this piece was inspired by the work of Lily Yeh, Founder and Director of Barefoot Artists, Inc. and her work with people in Africa who had experienced genocide. With the community of survivors, she created a healing garden memorial to the dead where before they had only a mass grave of concrete.