Purnell Model for Cultural Competence
Purnell Model for Cultural Competence
Purnell Model for Cultural Competence
Larry Purnell, PhD, RN, FAAN
Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Copyright © 2013 F.A. Davis Company
Purnell Model: Assumptions
- All healthcare professions need much of the same information about cultural diversity and share the metaparadigm concepts of global society, community, family, person, and health.
- One culture is not better than another culture; they are just different.
Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Copyright © 2013 F.A. Davis Company
Purnell Model: Assumptions
- There are core similarities shared by all cultures.
- There are differences within, between, and among cultures.
- Cultures change over time, but slowly.
- Culture has powerful influences on one’s interpretations and responses to health care.
Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Copyright © 2013 F.A. Davis Company
Purnell Model: Assumptions
- If clients are co-participants in care and have a choice in health-related goals, plans, and interventions, health outcomes will be improved.
- Variant cultural characteristics determine the degree to which people vary from their dominant culture beliefs, values, and practices.
Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Copyright © 2013 F.A. Davis Company
Purnell Model: Assumptions
- Individuals and families belong to several cultural groups, usually known as subcultures.
- Each individual has the right to be respected for his or her unique differences and cultural heritage.
- Caregivers who can assess, plan, and intervene in a culturally competent manner will improve the care of clients for whom they care.
Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Copyright © 2013 F.A. Davis Company
Purnell Model: Assumptions
- Caregivers know themselves better by learning about their own cultures.
- Professions, organizations, and associations have their own cultures.
- Healthcare teams can benefit from a Model and Organizing Framework that is useable by all healthcare disciplines.
Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Copyright © 2013 F.A. Davis Company
Variant Cultural Characteristics
- Nationality
- Race
- Color
- Gender
- Age
- Religious affiliation
- Educational status
- Socioeconomic status
- Occupation
- Military experience
- Political beliefs
- Urban versus rural residence
Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Copyright © 2013 F.A. Davis Company
Variant Cultural Characteristics
- Marital status
- Parental status
- Physical characteristics
- Sexual orientation
- Gender issues
- Length of time away from the home country
- Reason for immigration—sojourner, immigrant, undocumented status
Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Copyright © 2013 F.A. Davis Company
*
Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Copyright © 2013 F.A. Davis Company
Metaparadigm Concept: Global Society
- Seeing the world as one large community of multicultural people
- Evidence of global society
- What happens in other parts of the world affects each community
Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Copyright © 2013 F.A. Davis Company
ClickerCheck
What determines a person’s adherence with his/her dominant culture?
Metaparadigm concepts
Variant characteristics
Global society
Cultural worldview
*
Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Copyright © 2013 F.A. Davis Company
Correct Answer
Correct answer: B
Variant cultural characteristics determine the degree to which a person adheres to his/her dominant cultural beliefs and practices.
*
Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Copyright © 2013 F.A. Davis Company
Metaparadigm concept: Community
- A group or class of people having a common interest or identity living in a specified locality but can be an online community as well now
- What happens in the community has an effect on the family.
Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Copyright © 2013 F.A. Davis Company
Metaparadigm concept: Family
- Two or more people who are emotionally involved with each other
- They may, but not necessarily, live in close proximity to each other.
- What affects the individual, affects the person.
Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Copyright © 2013 F.A. Davis Company
Metaparadigm concept: Person
- A human being, one who is constantly adapting to his or her environment biologically, physically, socially, or psychologically
- Person is defined differently in other cultures.
Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Copyright © 2013 F.A. Davis Company
Domain: Overview/Heritage
- Origins
- Residence
- Topography
- Economics
- Politics
- Education
- Occupation
Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Copyright © 2013 F.A. Davis Company
Domain: Communication
- Dominant language and dialects
- Contextual use of the language
- Paralanguage—volume and tone
- Temporality—time—and spatial distancing
- Use of touch
- Eye contact and facial expressions
- Greetings and name format
Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Copyright © 2013 F.A. Davis Company
Domain: Family Organization
- Head of household
- Gender roles
- Goals and priorities
- Developmental tasks
- Roles of the aged and extended family
- Social status
- Alternative lifestyles
Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Copyright © 2013 F.A. Davis Company
Domain: Workforce Issues
- Acculturation
- Autonomy
- Language barriers
Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Copyright © 2013 F.A. Davis Company
Domain: Biocultural Ecology
- Biological variations
- Skin color
- Heredity
- Genetics
- Endemics
- Drug metabolism
Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Copyright © 2013 F.A. Davis Company
Domain: High-Risk Behaviors
- Tobacco
- Alcohol
- Recreational drugs
- Physical activity
- Safety
- Sexual behavior
Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Copyright © 2013 F.A. Davis Company
Domain: Nutrition
- Meaning of food
- Common foods
- Rituals
- Deficiencies
- Limitations
- Health promotion
Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Copyright © 2013 F.A. Davis Company
Domain: Pregnancy and Childbearing
- Fertility practices
- Views toward pregnancy
- Pregnancy beliefs
- Birthing practices
- Postpartum
- Prescriptive, restrictive, and taboo practices
Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Copyright © 2013 F.A. Davis Company
Domain: Death and Dying
- Death rituals during the dying process
- Post mortem practices
- Bereavement
Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Copyright © 2013 F.A. Davis Company
Domain: Spirituality
- Religious practices
- Use of prayer
- Meaning of life
- Individual strength
- Spirituality and health
Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Copyright © 2013 F.A. Davis Company
ClickerCheck
Contextual aspect of cultural communication includes
Dominant language
Dialects
Explicit versus implicit communication
Translation versus interpretation
*
Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Copyright © 2013 F.A. Davis Company
Correct Answer
Correct answer: C
Contextual use of a language is concerned with the number of words used to express a thought. High-contexted communication uses fewer words to express a thought.
Low-contexted communication uses a lot of words to express a thought
*
Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Copyright © 2013 F.A. Davis Company
Domain: Health-care Practices
- Focus of health care
- Traditional practices
- Magicoreligious beliefs
- Responsibility for health
- Self-medication practices
Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Copyright © 2013 F.A. Davis Company
Domain: Health-care Practices
- Responses to pain
- Sick role
- Mental health
- Rehabilitation
- Chronicity
- Blood transfusion
- Transplantation
Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Copyright © 2013 F.A. Davis Company
Domain: Health-care Practitioners
- Perceptions of practitioners
- Folk practitioners
- Gender and health care
- Status of healthcare providers
Collepals.com Plagiarism Free Papers
Are you looking for custom essay writing service or even dissertation writing services? Just request for our write my paper service, and we'll match you with the best essay writer in your subject! With an exceptional team of professional academic experts in a wide range of subjects, we can guarantee you an unrivaled quality of custom-written papers.
Get ZERO PLAGIARISM, HUMAN WRITTEN ESSAYS
Why Hire Collepals.com writers to do your paper?
Quality- We are experienced and have access to ample research materials.
We write plagiarism Free Content
Confidential- We never share or sell your personal information to third parties.
Support-Chat with us today! We are always waiting to answer all your questions.
