The theory of cultural marginality explores the lived experiences of individuals who exist between two or more cultural systems without fully identifying with either. This often leads to feelings of isolation, identity conflict, and social displacement. In the healthcare setting, cultural marginality significantly influences patient care, as individuals living on the margins frequently experience disparities in access, communication barriers, and mistrust toward the healthcare system. Nurses play a pivotal role in mitigating these challenges by adopting culturally competent and compassionate care strategies. Caring, as defined by Watson’s Theory of Human Caring, emphasizes the importance of authentic presence, respect, and individualized attention in fostering trust and healing. Applying this principle to culturally marginalized patients involves recognizing their unique backgrounds, listening to their concerns, and advocating for equitable healthcare.

     An example from practice involves a young immigrant mother from Central America living in a shelter. She spoke limited English, lacked insurance, and hesitated to seek medical care due to fear of deportation. As her nurse, I employed a culturally sensitive approach by using an interpreter, validating her concerns, and providing education about community resources for undocumented individuals. By creating a safe and nonjudgmental space, I was able to establish trust, ensuring she received prenatal care and support. This encounter underscored the importance of integrating cultural competence and humanistic caring to address the vulnerabilities faced by marginalized populations. Culturally marginal individuals require more than clinical interventions; they need holistic care that acknowledges their struggles and affirms their dignity. Nursing, at its core, is about advocacy, understanding, and the promotion of inclusive healthcare.

References

Leininger, M. (2002). Culture care theory: A major contribution to advance transcultural nursing knowledge and practices. Journal of Transcultural Nursing, 13(3), 189-192.

Watson, J. (2008). Nursing: The philosophy and science of caring. University Press of Colorado.

Sagar, P. L. (2012). Transcultural nursing theory and models: Application in nursing education, practice, and administration. Springer Publishing Company.