Cultural competence health care
Description
Present an essay discussing the Purnell model its framework, assumptions which the model is based and how this model helps us to provide cultural competence health care.
You must present a minimum of two evidence-based references no older than 5 years to sustained your essay. A minimum of 2 replies to any of your peers sustained with the proper references are required and a minimum of 500 words excluding the first and reference page. APA format .
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Purnell Model for Cultural
Competence
Larry Purnell, PhD, RN, FAAN
Copyright © 2013 F.A. Davis Company
Transcultural Health Care: A Culturally Competent Approach, 4th Edition
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.
Copyright © 2013 F.A. Davis Company
Transcultural Health Care: A Culturally Competent Approach, 4th Edition
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 ones
interpretations and responses to health care.
Copyright © 2013 F.A. Davis Company
Transcultural Health Care: A Culturally Competent Approach, 4th Edition
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.
Copyright © 2013 F.A. Davis Company
Transcultural Health Care: A Culturally Competent Approach, 4th Edition
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.
Copyright © 2013 F.A. Davis Company
Transcultural Health Care: A Culturally Competent Approach, 4th Edition
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.
Copyright © 2013 F.A. Davis Company
Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Variant Cultural Characteristics
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Nationality
Race
Color
Gender
Age
Religious affiliation
Copyright © 2013 F.A. Davis Company
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Educational status
Socioeconomic status
Occupation
Military experience
Political beliefs
Urban versus rural
residence
Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Variant Cultural Characteristics
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Marital status
Parental status
Physical characteristics
Sexual orientation
Gender issues
Copyright © 2013 F.A. Davis Company
? Length of time away
from the home country
? Reason for
immigrationsojourner,
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
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
Copyright © 2013 F.A. Davis Company
Transcultural Health Care: A Culturally Competent Approach, 4th Edition
ClickerCheck
What determines a persons adherence with
his/her dominant culture?
a. Metaparadigm concepts
b.Variant characteristics
c. Global society
d.Cultural worldview
Copyright © 2013 F.A. Davis Company
Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Correct Answer
Correct answer: B
Variant cultural characteristics determine the
degree to which a person adheres to his/her
dominant cultural beliefs and practices.
Copyright © 2013 F.A. Davis Company
Transcultural Health Care: A Culturally Competent Approach, 4th Edition
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.
Copyright © 2013 F.A. Davis Company
Transcultural Health Care: A Culturally Competent Approach, 4th Edition
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.
Copyright © 2013 F.A. Davis Company
Transcultural Health Care: A Culturally Competent Approach, 4th Edition
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.
Copyright © 2013 F.A. Davis Company
Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Domain: Overview/Heritage
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Origins
Residence
Topography
Economics
Politics
Education
Occupation
Copyright © 2013 F.A. Davis Company
Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Domain: Communication
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Dominant language and dialects
Contextual use of the language
Paralanguagevolume and tone
Temporalitytimeand spatial distancing
Use of touch
Eye contact and facial expressions
Greetings and name format
Copyright © 2013 F.A. Davis Company
Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Domain: Family Organization
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Head of household
Gender roles
Goals and priorities
Developmental tasks
Roles of the aged and extended family
Social status
Alternative lifestyles
Copyright © 2013 F.A. Davis Company
Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Domain: Workforce Issues
? Acculturation
? Autonomy
? Language barriers
Copyright © 2013 F.A. Davis Company
Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Domain: Biocultural Ecology
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Biological variations
Skin color
Heredity
Genetics
Endemics
Drug metabolism
Copyright © 2013 F.A. Davis Company
Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Domain: High-Risk Behaviors
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Tobacco
Alcohol
Recreational drugs
Physical activity
Safety
Sexual behavior
Copyright © 2013 F.A. Davis Company
Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Domain: Nutrition
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Meaning of food
Common foods
Rituals
Deficiencies
Limitations
Health promotion
Copyright © 2013 F.A. Davis Company
Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Domain: Pregnancy and Childbearing
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Fertility practices
Views toward pregnancy
Pregnancy beliefs
Birthing practices
Postpartum
Prescriptive, restrictive, and taboo practices
Copyright © 2013 F.A. Davis Company
Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Domain: Death and Dying
? Death rituals during the dying process
? Post mortem practices
? Bereavement
Copyright © 2013 F.A. Davis Company
Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Domain: Spirituality
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Religious practices
Use of prayer
Meaning of life
Individual strength
Spirituality and health
Copyright © 2013 F.A. Davis Company
Transcultural Health Care: A Culturally Competent Approach, 4th Edition
ClickerCheck
Contextual aspect of cultural communication
includes
a. Dominant language
b.Dialects
c. Explicit versus implicit communication
d.Translation versus interpretation
Copyright © 2013 F.A. Davis Company
Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Correct Answer
Correct answer: C
Contextual use of a language is concerned with the
number of words used to express a thought. Highcontexted communication uses fewer words to
express a thought.
Low-contexted communication uses a lot of words to
express a thought
Copyright © 2013 F.A. Davis Company
Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Domain: Health-care Practices
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Focus of health care
Traditional practices
Magicoreligious beliefs
Responsibility for health
Self-medication practices
Copyright © 2013 F.A. Davis Company
Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Domain: Health-care Practices
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Responses to pain
Sick role
Mental health
Rehabilitation
Chronicity
Blood transfusion
Transplantation
Copyright © 2013 F.A. Davis Company
Transcultural Health Care: A Culturally Competent Approach, 4th Edition
Domain: Health-care Practitioners
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Perceptions of practitioners
Folk practitioners
Gender and health care
Status of healthcare providers
Copyright © 2013 F.A. Davis Company
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References:
Nursing Standards
Nursing and Midwifery Board of Australia. (2018). Code of conduct for midwives. https://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/Professional-standards.aspx
Clinical Guidelines
Guideline Adaption Committee. (2016). Clinical practice guidelines and principles of care for people with dementia. NHMRC Partnership Centre for Dealing with Cognitive and Related Function Decline in Older People. https://cdpc.sydney.edu.au/wp-content/uploads/2019/06/CDPC-Dementia-Guidelines_WEB.pdf
Living Guideline
Stroke Foundation. (2022). Australian and New Zealand living clinical guidelines for stroke management – chapter 1 of 8: Pre-hospital care. https://app.magicapp.org/#/guideline/NnV76E
Evidence-based practice
BMJ Best Practice
Goldfarb, S., & Josephson, M. (2020). Cystic fibrosis. BMJ Best Practice. https://bestpractice.bmj.com/
Schub, T., & Cabrera, G. (2018). Bites: Head lice [Evidence-based care sheet]. Cinahl Information Systems. https://www.ebscohost.com
Beyea, S. C., & Slattery, M. J. (2006). Evidence-based practice in nursing: A guide to successful implementation. http://www.hcmarketplace.com/supplemental/3737_browse.pdf
JBI: Evidence summary
Swe, K. K. (2022). Blood glucose levels: Self-monitoring [Evidence summary]. JBI EBP Database. https://jbi.global
JBI: Best practice information sheet
Bellman, S. (2022). Experiences of living with juvenile idiopathic arthritis [Best practice information sheet]. JBI EBP Database, 24(1), 1-4.
Cochrane Database of Systematic Reviews
Srijithesh, P. R., Aghoram, R., Goel, A., & Dhanya, J. (2019). Positional therapy for obstructive sleep apnoea. Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.CD010990.pub2
Drug Information
Codeine. (2023, January). In Australian medicines handbook. Retrieved February 2, 2023, from https://amhonline.amh.net.au
Colorado State University. (2011). Why assign WID tasks? http://wac.colostate.edu/intro/com6a1.cfm
Dartmouth Writing Program. (2005). Writing in the social sciences. http://www.dartmouth.edu/~writing/materials/student/soc_sciences/write.shtml
Rutherford, M. (2008). Standardized nursing language: What does it mean for nursing practice? [Abstract]. Online Journal of Issues in Nursing, 13(1). http://ojin.nursingworld.org/MainMenuCategories/ThePracticeofProfessionalNursing/Health-IT/StandardizedNursingLanguage.html
Wagner, D. (n.d.). Why writing matters in nursing. https://www.svsu.edu/nursing/programs/bsn/programrequirements/whywritingmatters/
Writing in nursing: Examples. (n.d.). http://www.technorhetoric.net/7.2/sectionone/inman/examples.html
Perth Children’s Hospital. (2022, April). Appendicitis [Emergency Department Guidelines]. Child and Adolescent Health Service. https://www.pch.health.wa.gov.au/For-health-professionals/Emergency-Department-Guidelines/Appendicitis
Department of Health. (n.d.). Who is being active in Western Australia? https://ww2.health.wa.gov.au/Articles/U_Z/Who-is-being-active-in-Western-Australia
Donaldson, L. (Ed.). (2017, May 1). Healthier, fairer, safer: The global health journey 2007-2017. World Health Organisation. https://www.who.int/publications/i/item/9789241512367
NCBI Bookshelf
Rodriguez Ziccardi, M., Goyal, G., & Maani, C. V. (2020, August 10). Atrial flutter. In Statpearls. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK540985/
Royal Perth Hospital. (2016). Procedural management: Pre and post (24-48 hours) NPS. Canvas. https://courses.ecu.edu.au
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