The Purnell Model For Cultural Competence Essay.

The Purnell Model For Cultural Competence Essay.

The Purnell Model For Cultural Competence Essay., ,The Purnell Model for Cultural Competence,Please read chapter 2 of the class textbook and review the attached Power Point Presentation. Once done answer the following questions;The Purnell Model For Cultural Competence Essay.,1. In your own words discuss the empirical framework of the Purnell Model and what are the purposes of this model.,2. Please mention and discuss the macro aspects of the model.,3. What is the role of the head of household and genders according to this model?,4. In your own words define the domain biocultural ecology and discuss one variation of this domain.,As indicated in the syllabus the assignment must be presented in an APA format, word document, Arial 12 font attached to the forum title “Week 2 discussion questions” in the discussion board. A minimum of 2 evidence based references besides the class textbook no older than 5 years are required. Assignment must contained a minimum of 500 words without counting the first and reference page.The Purnell Model For Cultural Competence Essay.,Discussion: The Purnell Model for Cultural Competence,Transcultural Health Care: A Culturally Competent Approach, 4th Edition,Copyright © 2013 F.A. Davis Company,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,Transcultural Health Care: A Culturally Competent Approach, 4th Edition,Copyright © 2013 F.A. Davis Company,Purnell Model: Assumptions,Transcultural Health Care: A Culturally Competent Approach, 4th Edition,Copyright © 2013 F.A. Davis Company,Purnell Model: Assumptions,Transcultural Health Care: A Culturally Competent Approach, 4th Edition,Copyright © 2013 F.A. Davis Company,Purnell Model: Assumptions,Transcultural Health Care: A Culturally Competent Approach, 4th Edition,Copyright © 2013 F.A. Davis Company,Purnell Model: Assumptions,Transcultural Health Care: A Culturally Competent Approach, 4th Edition,Copyright © 2013 F.A. Davis Company,Variant Cultural Characteristics,Transcultural Health Care: A Culturally Competent Approach, 4th Edition,Copyright © 2013 F.A. Davis Company,Variant Cultural Characteristics,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,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,Transcultural Health Care: A Culturally Competent Approach, 4th Edition,Copyright © 2013 F.A. Davis Company,Metaparadigm concept: Family,Transcultural Health Care: A Culturally Competent Approach, 4th Edition,Copyright © 2013 F.A. Davis Company,Metaparadigm concept: Person,Transcultural Health Care: A Culturally Competent Approach, 4th Edition,Copyright © 2013 F.A. Davis Company,Domain: Overview/Heritage,Transcultural Health Care: A Culturally Competent Approach, 4th Edition,Copyright © 2013 F.A. Davis Company,Domain: Communication,Transcultural Health Care: A Culturally Competent Approach, 4th Edition,Copyright © 2013 F.A. Davis Company,Domain: Family Organization,Transcultural Health Care: A Culturally Competent Approach, 4th Edition,Copyright © 2013 F.A. Davis Company,Domain: Workforce Issues,Transcultural Health Care: A Culturally Competent Approach, 4th Edition,Copyright © 2013 F.A. Davis Company,Domain: Biocultural Ecology,Transcultural Health Care: A Culturally Competent Approach, 4th Edition,Copyright © 2013 F.A. Davis Company,Domain: High-Risk Behaviors,Transcultural Health Care: A Culturally Competent Approach, 4th Edition,Copyright © 2013 F.A. Davis Company,Domain: Nutrition,Transcultural Health Care: A Culturally Competent Approach, 4th Edition,Copyright © 2013 F.A. Davis Company,Domain: Pregnancy and Childbearing,Transcultural Health Care: A Culturally Competent Approach, 4th Edition,Copyright © 2013 F.A. Davis Company,Domain: Death and Dying,Transcultural Health Care: A Culturally Competent Approach, 4th Edition,Copyright © 2013 F.A. Davis Company,Domain: Spirituality,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,Transcultural Health Care: A Culturally Competent Approach, 4th Edition,Copyright © 2013 F.A. Davis Company,Domain: Health-care Practices,Transcultural Health Care: A Culturally Competent Approach, 4th Edition,Copyright © 2013 F.A. Davis Company,Domain: Health-care Practitioners,Purnell Model for Cultural Competence
The demographics of the American population are increasingly changing due to a growth in the proportion of persons collectively termed as ethnic minority. It is expected that by the year 2020, 35% of the American population will consist of ethnic minorities (Barrow, 2010). This increase in diversity is expected in the background of long-standing variations in the health status of persons from culturally diverse backgrounds (Barrow, 2010). These variations have been attributed to lack of cultural competence amongst healthcare professionals. Consequently, acquisition of cultural competence for health workers had been prioritized. A number of models for guiding cultural competency amongst multidisciplinary healthcare team members across a variety of settings have been proposed. Purnell’s model of cultural competence is one such model: it helps health professionals understand the concept of cultural competence and provides a process for achievement of this competence (Rose, 2013, p. 54).
Purnell’s model of cultural competence consists of a schematic combined with an organizing framework. It was first developed in 1991 as a clinical assessment tool. In 1992, the schematic, metaparadigm concepts, and scale for cultural competence were added. The model was conceptualized from multiple theories, a research base garnered from administrative, communication, family development and organizational theories as well as discipline knowledge in anthropology, nutrition, pharmacology, physiology, anatomy amongst others (Purnell, 2002). The model comprises of two sets of factors denoted as the macro and micro aspects. The macro aspects are the metaparadigm concepts that are universal to all cultures and healthcare professionals. These macro aspects are global society, community, family, and person. The micro aspects are the model’s 12 domains/ constructs. The theory also has explicit assumptions about healthcare providers and care recipients (Purnell, 2005).
Diagrammatically, Purnell’s model is organized into concentric circles. The macro aspects constitute the four outlying rims while the micro aspects constitute the inner circle. The four outermost concentric circles consist of the global society, community, family, and person moving inwards. The inner circle section is divided into 12 pie-shaped wedges. Each wedge represents a cultural domain and its related concepts. The 12 domains do not stand alone but are affected and related to each other. Each domain has a separate table called the organizing framework (Purnell, 2005). The tables contain a number of questions that healthcare providers can utilize to assess an individual or a group. The inner most circle of the schematic is empty. This section represents unknown aspects of a cultural group. Both the outer lying rims and inner circle form segments of a whole. At the bottom of the schematic is an erose. The erose represents the concept of cultural consciousness and relates to healthcare providers and organizations. Purnell conceptualized the process of gaining cultural competence as a non-linear process consisting of four levels: unconscious incompetence, conscious incompetence, conscious competence, and unconscious competence. Since the model is conceptualized from a broad perspective, it is applicable to all healthcare-related professions and across different care settings (Purnell, 2005).
The 12 domains of culture in Purnell’s model are overview/heritage, communication, family roles and organization, workforce issues, biocultural ecology, high-risk behaviors, nutrition, pregnancy and childbearing practices, death rituals, spirituality, healthcare practice, and healthcare practitioner. These domains influence healthcare diversity in a myriad of ways. The first domain, overview, influences issues such as conditions that patients in a certain cultural group are likely to be predisposed to on account of their country of origin and current residence. Communication, the second domain, influences the manner in which healthcare workers create rapport and disclose information to patients (Purnell, 2005).The Purnell Model For Cultural Competence Essay. For instance, the Pakistani community shields family members from bad news and thus do not inform terminally ill patients of their diagnosis. Family roles and organizations influence health-related issues such as decision making and child rearing practices. Workforce issues impact on individual and community healthcare practices. Biocultural ecology creates variances in terms of endemic, genetic, and hereditary conditions and drug metabolism. High-risk behaviors accepted in a culture influence the health risks members of a community are exposed to. Nutrition influences the prevalence of nutrient-related conditions in a community and use of foods to promote health and wellness. Pregnancy and child bearing practices influence birthing and family planning choices as well as pregnancy behaviors. Death rituals influence end-of-life decision making and manner of grieving. Spirituality influences individual and family coping mechanisms in diseases and illness. Healthcare practices influences individual responses to pain, adoption of the sick role, self-medication practices, and views towards illnesses. Healthcare practitioner status shapes individual and community views towards healthcare professionals, traditional healers, and gender of healthcare workers. In effect, they influence patient-health worker relationships (Purnell, 2005).The Purnell Model For Cultural Competence Essay.
In my practice, I will use Purnell’s model as a framework for providing culturally competent care to patients and clients. I will apply the model’s organizing framework in carrying out assessments and planning nursing interventions for patients drawn from different cultures. The domains of the model allow a more in-depth and focused analysis (Rose, 2013, p. 54). The model can thus provide useful insights into a patient’s cultural needs in every domain. In so doing, it will help me provide individualized care using approaches that respect the culture of clients/patients. The expected outcome is that my patients will participate in their own care.
In summary, an increase in the diversity of the American population has prompted health professionals to consider cultural variations in the provision of healthcare. This paper has described the theory and organizing framework of Purnell’s model of cultural competence. Further, it has discussed how the model’s 12 domains influence diversity in healthcare. Lastly, it has discussed how the model can be applied when working with different cultures.The Purnell Model For Cultural Competence Essay., 

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