Theoretical and Scientific Foundations for Nursing Practice
NURS 8110
Date
2
Middle Range Theory Evaluation
Ingenious words articulated by the Hmong people are as follows: “when crossing a river,
remove your sandals; when crossing a border, remove your crown (Lor, Xiong, Park, Schwei, &
Jacobs, 2017, p. 408).” This proverb is inspiratory pertinent to the objectives of this author in
pursuit of nursing excellence. What wisdom may be translated from this Hmong aphorism and
found useful to the nursing discipline? The elucidation here of Hmong insight is as if they
desired to paint a picture for the conscious efforts vital to the achievement of cultural humility.
How does this relate to middle range theory?
Cultural congruency, requisite of humility, is imperative to optimal outcomes in the
nurse-patient relationship (Elminowski, 2015). The practice of humility by the nurse in settings
of diversity of culture promotes understanding and circumvention of cultural impositioning
(Isaacson, 2014). The misperception of capacity to practice cultural competency facilitates
hierarchical care, power imbalances, social injustices, and health disparities (Foronda, Baptiste,
Reindholdt, & Ousman, 2015). In the vast multicultural modern realm, continuing a remiss quest
for cultural competency gravely hinders patient care outcomes, whereas, upholding a vision of a
preferred future of universality of care exempt from bias is the pathway to nursing excellence.
Critical to this conquest is the augmentation of pertinent nursing knowledge; the evaluation of
theory is elementary to the propositioned developments. The purpose of this paper is to evaluate
the Culture Care: Diversity and Universality Theory and the Interpersonal Relations in Nursing
Theory from the context of a petition for cultural humility as the alternative to the solecism of
cultural competency