Theoretical Significance
The criterion of significance is further examined in the theory’s facilitation of novel
awareness pertinent to the proposed contextual application of the investigated problem (Fawcett
& Garity, 2009). Previous studies of the concept of cultural competency have revealed increased
unresponsiveness to the culturally diverse patient leading to potential adverse patient safety
issues (Isaacson, 2014). Bringing awareness to the mindful utilization of humility rather than the
unconscious act of superiority in the nurse-client relationship is theoretically significant.
Internal Consistency
Semantic clarity is present when there are theoretical and operational definitions of all
concepts (Fawcett & Garity, 2009). Leininger’s model is inclusive of both constitutive and
operational definitions of each of her concepts. Clarity is sustained in this theory with no
deviation in the above definitions thereby meeting semantic consistency. The propositions of this
theory are reasonable together with inductive and deductive observations thus giving structural
consistency.
Parsimony
Is there elegance in simplifying the complexity of the theory while maintaining meaning
(Fawcett & Garity, 2009)? The Theory of Culture Care: Diversity and Universality is succinct
and supported by Leininger’s Sunrise Model (McEwen & Wills, 2014).
Testability
Leininger’s theory is able to be empirically tested. The model has been confirmed using
techniques in quantitative and qualitative research and is capable of meeting criterion with use of
the C-T-E structural diagram (Elminowski, 2015; Fawcett & Garity, 2009; Long, 2016; Yeager
& Bauer-Wu, 2013). The model continues to be tested with use of countless culturalogical
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assessment tools (Ethnomed website, n.d.; University of Washington Medical Center website,
n.d.; U.S. Department of Health and Human Services, Health Resources and Services
Administration, n.d.). Additionally, be it noted hypotheses testing is profitable in determining the
truism of observable outcomes (Fawcett & Garity, 2009; Im, 2015). Leininger’s model is explicit
in hypothesizing positive change in outcomes in healthcare as having more than a chance
relationship with the variables of employed transcultural nursing concepts and research findings.\