Finn J
J Transcult Nurs. 1995 Summer;7(1):28-35. doi: 10.1177/104365969500700105.
This paper is a descriptive report and analysis of a transcultural nurse's experiences immersed in a hippie subculture at The Farm near Summertown, Tennessee. This subcultural group initially was established over 20 years ago as a community with a unique worldview which included pacifistic, vegetarian, and collective values and beliefs. This community prefers health care provided by their own community members who serve as generic care providers and also as folk midwives for home births. Leininger's (1991) Theory of Culture Care Diversity and Universality and her Sunrise Model provided the framework for discovering and understanding this unique subcultural group. The major components of Leininger's Sunrise Model including worldview, cultural values, and lifeways were used in the analysis. The important social structure factors discovered included environmental context, technological factors, religious and philosophical factors, political and legal factors, economic factors, and educational factors. The Farm community's culture care expressions, patterns and practices for health and well being were discovered including generic and folk systems of care. The farm midwives provide primary care and home birthing care to a nearby Old Order Amish community. The Amish culture and health care seeking patterns are discussed including their selective use of generic, folk, and professional care systems. The discoveries that resulted from the application of Leininger's Sunrise Model are presented including implications for transcultural nurse caregiving.
本文是一份描述性报告，分析了一位跨文化护士融入田纳西州萨默敦附近“农场”嬉皮士亚文化群体的经历。这个亚文化群体最初于20多年前作为一个拥有独特世界观的社区建立起来，其世界观包含和平主义、素食主义以及集体价值观和信仰。这个社区更喜欢由本社区成员提供的医疗保健服务，这些成员既是普通护理提供者，也是家庭分娩的民间助产士。莱宁格（1991年）的文化护理多样性与普遍性理论及其日出模型为发现和理解这个独特的亚文化群体提供了框架。分析中使用了莱宁格日出模型的主要组成部分，包括世界观、文化价值观和生活方式。发现的重要社会结构因素包括环境背景、技术因素、宗教和哲学因素、政治和法律因素、经济因素以及教育因素。发现了“农场”社区关于健康和幸福的文化护理表达、模式及实践，包括普通护理和民间护理体系。“农场”的助产士为附近一个旧秩序阿米什社区提供初级护理和家庭分娩护理。文中讨论了阿米什文化及寻求医疗保健的模式，包括他们对普通护理、民间护理和专业护理体系的选择性使用。呈现了应用莱宁格日出模型所产生的发现，包括对跨文化护理的启示。
