Give a breif discussion on the purnell model for cultural competence?
The Purnell Model for Cultural Competence, developed in 1995, provides a constructive framework for culturally assessing a person (Purnell, 2011). Twelve domains make up this model that is common to all cultures prevalent among people. The domains are all interconnected (Purnell, 2012). With the help of some research questions, a thorough analysis of a person can be done in relation to the cultural background of the person (Purnell, 2014). The different domain are overview, inhabited localities, and topography, followed by communication, role of family and organisation, workplace issue, high-risk behaviours, bicultural ecology, nutrition, childbearing and pregnancy, spirituality, death rituals, health care practices and health care practitioner (Nasn.org, 2015).
The following is a cultural assessment of a person using the Purnell model for cultural competence. The nurse had recently joined the health care setting and was finding it difficult to adjust to the environment. She belonged to a culturally different group.
The questions coming up from the different domains of Purnell Model was used. She was asked about the place of her origin, to which she replied that was a native of another city and belonged from another country. That differentiated her from the native people of the country. This is very important in determining cultural background. Comparison could have been done with demographic data. That would identify the groups of people who belong to other cultures. She was asked about her reason of migration and it was known that she wanted exposure needed for building up a career and then led her to migrate to a city. It was also known on asking that women are given respect in her culture and they have the freedom to take their own decisions. It is not exactly a male dominant society in which she lived. She showed signs of dedication to the hospital as she said that she reported on time daily and often stayed overtime just to take care of the patients effectively. She responded to her seniors obediently and had a good impression on others. She had no bad habits like smoking and drinking. She led a simple life and had the habit of eating the right food at the right time. She avoided junk food and carried her own food from home to the hospital. She avoided eating out as she was afraid of falling sick and failing to report to duty. While interviewing her, it was found that her language was a little different from ours. That reflects the background of the person. The pronunciations were different, and it was thought that it could influence her communication with the patients. Spirituality plays a significant role in the principles and believes of a person. When asked her she informed that she was spiritually inclined. She was well educated and it was known that she was one of the few people from her community who had pursued higher education and went forward to obtain a degree in nursing and then to practising in a different city. She had received strong support from her family. Such faith and support had made her more confident she believes. But one negative aspect that was found was that she was very superstitious. She believed in conditions like curse and evil. She was also found to have strong faith in traditional practices of curing patients. These beliefs are found in many groups of people. Questions were then asked to her about her own perceptions about nutrition as well as pregnancy. She was newly married but had no plans about pregnancy as she wanted to focus on her career. That stated that she was an intelligent person and that would positively influence her career in nursing career. She was well aware of personal hygiene and importance of nutrition for a woman. She was not found to be afraid of issues like her own death. The interview reflected that people from different cultural background are different and that has an influence in their lives.
Nasn.org,. (2015). NASN | Purnell Model for Cultural Competence. Retrieved 9 September 2015, from https://www.nasn.org/ToolsResources/CulturalCompetency/PurnellModelforCulturalCompetences
Purnell, L. (2011). The Purnell Model for Cultural Competence. Interventions in Mental Health–Substance Use, 29-50.
Purnell, L. (2014). The Purnell model applied to Ostomy and wound care.
Purnell, L. D. (2012). Transcultural health care: A culturally competent approach. FA Davis.