Leininger’s theory also identifies three supportive acts that the nurse can apply when giving culturally congruent
nursing care. In regard to culture care preservation and maintenance, given the context of the situation, our staff learned and gave maximum respect to the family and their Amish culture. Culture care accommodation and negotia- tion were met in allowing for extended visiting privileges and eventually moving Jacob into a private pediatric room with more liberal visitation, with beds for the family to sleep in the same room and an environment more appro- priate for his development. In cultural care repatterning and restructuring, we worked with the family to develop a system that would work with Jacob’s home care with as much respect to Amish ways and values as possible