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The application of the Theory of Culture Care Diversity and Universality (TCCDU) in different contexts of nursing and healthcare practice serves to foster culturally sensitive care. Madeleine Leininger’s developed TCCDU encourages patients’ cultural views and principles to be included into nursing care to improve outcomes and patient satisfaction. It had been studied in diverse settings (Middle East; Brazil; Ethiopia) because TCCDU improved cultural competency, communication and transcultural nursing leadership. For example, Chatham and Mixer (2020) showed how TCCDU is pertinent to dealing with childhood obesity in ethnic minority communities and Berhanu et al. (2021) discussed Ethiopian nurses’ transcultural self-efficacy. Despite the benefits, a key associated issue is a lack of application, using it inconsistently, insufficient training and incorporation into real life scenarios. In addition, Middle Eastern studies on culturally informed care for patients with chronic diseases and COVID-19 are reviewed and how TCCDU is responsive to current healthcare challenges are discussed. The analysis calls on the need to integrate TCCDU in nursing education, leadership models and policy frameworks. Future work should explore whether contextual differences exist (addressing both identification and measurement) and incorporate a broader definition of TCCDU to advance efforts toward equitable health outcomes. The findings also foster and support TCCDU's role to prepare culturally competent nursing in an increasingly diverse healthcare environment.

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Applications of the Theory of Culture Care Diversity and Universality: An Integrative Literature Review

  • 章节

  • 发表日期：

    2026年

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  • Anas Khalifeh,
  • Ahmad Rayan,
  • Nidal Eshah,
  • Mohammad Alosta,
  • Islam Oweidat,
  • Ghada Abu-Shosha,
  • Mashael Alanazi,
  • Maysa Alkowikby,
  • Muzun Fraih

摘要

The application of the Theory of Culture Care Diversity and Universality (TCCDU) in different contexts of nursing and healthcare practice serves to foster culturally sensitive care. Madeleine Leininger’s developed TCCDU encourages patients’ cultural views and principles to be included into nursing care to improve outcomes and patient satisfaction. It had been studied in diverse settings (Middle East; Brazil; Ethiopia) because TCCDU improved cultural competency, communication and transcultural nursing leadership. For example, Chatham and Mixer (2020) showed how TCCDU is pertinent to dealing with childhood obesity in ethnic minority communities and Berhanu et al. (2021) discussed Ethiopian nurses’ transcultural self-efficacy. Despite the benefits, a key associated issue is a lack of application, using it inconsistently, insufficient training and incorporation into real life scenarios. In addition, Middle Eastern studies on culturally informed care for patients with chronic diseases and COVID-19 are reviewed and how TCCDU is responsive to current healthcare challenges are discussed. The analysis calls on the need to integrate TCCDU in nursing education, leadership models and policy frameworks. Future work should explore whether contextual differences exist (addressing both identification and measurement) and incorporate a broader definition of TCCDU to advance efforts toward equitable health outcomes. The findings also foster and support TCCDU's role to prepare culturally competent nursing in an increasingly diverse healthcare environment.