Purnell Model For Cultural Competence

Cultural competence in nursing is imperative for effective patient care. A nurse must know his or her own values and beliefs as well as knowing about a patient cultural practices in relation to healthcare. Cultural competence is defined by some as: “the learned, shared and transmitted values, beliefs, norms and lifeways of a particular group that guides their thinking, decisions and actions.” Also it is noted that an important change to this definition is “the recognition of the dynamic,

I have learned that it is important that educators  and health providers be trained on cultural competency to understand the population they are serving. Marks, Sims, and Osher (King, Sims, & Osher, n.d.) define cultural competency  as a set of congruent behaviors, attitudes, and policies that come together in a system, agency, or among professionals and enables that system, agency, or those professionals to work effectively in cross–cultural situations" ( as cited in Cross et al., 1989; Isaacs & Benjamin, 1991). Health providers and educators should investigate demographic patterns or trends in the place where they live and work. This brings awareness of the types of cultures that they might come across when they are working with people. Organizations should integrate and implement policies that promote the value of  diversity, self-assessment, manage the dynamics of difference, acquire and institutionalize cultural knowledge, and adapt to diversity and the cultural contexts of communities they serve (Georgetown  University, 2004). Georgetown University (2004) also stresses that culture competency grows gradually and is always open for improvement.

Cultural Competence is important for many reasons. First, it can help develop culturally sensitive practices which can in turn help reduce barriers that affect treatment in health care settings. Second, it can help build understanding, which is critical in competence, in order wards knowing whom the person

Cultural competency is the capacity of people or services to include ethnic/cultural considerations into all aspects of their work related to health promotion, disease prevention and other and other healthcare interventions (Cultural competence is important for several reasons, (Purnell, 2008a).First, it can contribute in the development of culturally sensitive practices which can reduce barriers that effect treatment in healthcare settings. Second, it can promote understanding, which is detrimental in cultural competence assessment, to know whom, the individuals known as the primary care provider and whom they view as the primary healer, can attribute to the promotion of trust and increase the person’s interest in participating

I enjoyed reading your thoughtful discussion post on cultural competency of organizations and nurses. Your rationale for both the organization and the individual nurse being responsible to ensure culturally competent care was similar to mine. For example, I mentioned the need for nursing curriculums at all levels of nursing education to provide competency training (American Academy of Colleges of Nursing website, 2011).

While examining the life of the Lee family, it was easy to identify that Hmong culture is much different than Western culture today. The Lee’s faced many adversities that not only affect their lives but the life of their ill daughter Lia. By analyzing culture, stigma, prevention, and implications, one can begin to see how the Hmong culture collides in the care of Lia.

Some of the author’s major points are the lack of understanding of what cultural competence really means which is bringing confusion about ways it can be utilized in the social work field. The confusion of the utilization of cultural competence is leading to the lack of consensus concerning the effective training that providers should obtain and the population being served with the cultural competence skills lack clear description. According to the author, the most popular cultural competence intervention in the healthcare system is the cultural competency training which is for health care providers and the two approaches that have been utilized in creating the intervention are; the programs aimed at improving knowledge which is group specific,

Arthur H. Woodard, Jr., MSW Soulhelp@me.com Jim Wuelfing, NRPP Jim.Wuelfing@gmail.com  Name?  From where?  Doing what?  Why here?

Culture includes the customs, traditions, ideas, and ways of interacting with the environment that often differ in various parts of the world. Over the last several decades in the U.S. there has been a growing awareness and tolerance of cultures other than the traditional western culture in the community. And in healthcare we are expected to provide all patients and families with the same respect and treatment, but at the same time provide individualized care. In order to meet these standards the work place environment has responded with training and education on cultural competence. The term cultural competence can be defined by the ability to respect and understand the beliefs and attitudes of

Understand cultural competence and why is it important especially for that have a diverse workforce.

S. R. is satisfied with her current weight of 113 lb., without food allergies, stating “I don’t limit the types of food that I eat, I use portion control and eat three meals and to snacks a day to maintain my health” (personal communication, August 20, 2010). The primary source of protein in her diet comes from fish, she balances her diet with several servings of fruit and milk daily. Organ meats are eaten regularly as part of her cultural heritage. Beef tongue, fish eyes, chicken liver and gizzards are among the organ meats that she consumes weekly. The primary way of cooking meets is by boiling, using ground pepper, chili powder and chili peppers for seasoning. Filipino comfort porridge, arroz ca is eaten in S. R. family when they are feeling ill or run down, it consist of chicken and rice (personal communica-tion, August 20, 2010).

Family structure can be described as the framework of any family; it details the roles, positions and responsibilities of each family member and describes how they function together as a whole to fulfill the primary objective universal to almost every family, to nurture one another. However, because parenting doesn 't occur within a vacuum, many influences such as culture, ethnicity and socioeconomic status (SES) can largely affect how a family structures itself.

Cultural competence is focused on learned behaviors and actions and can be pertain and individual, organization or policy (Oelke, Thurston, & Arthur, 2013). Ideally, a healthcare providers’ practice would only be influenced by the individual patient and/or the community of which the patient resides. But in reality, the healthcare providers’ practice and care is influenced by many entities, such as the

Purnell’s Model for Cultural Competencies is represented by a circle. The perimeter of the circle is made up of three different layers, each representing something different. The outer layer represents the global society; the middle layer represents the individual’s family and the inner layer of the perimeter represents the individual. The center of the circle is divided up into twelve different categories, which look like slices of a pie. Each of these categories represents part of one of the 12 different cultural domains. The very center of the circle, inside the pie slices is a small black circle, this represents all the unknown information about the individual (Dayer-Berenson, 2014).

The Purnell model for cultural competences is an organized framework for student nurses to explore the domains and identities of culture and this model is now used by all health professionals after the addition of the cultural competence scale was added (ARTICLE). Most of us cross between several of the domains and live our lives structured behind them. In regards to Casey, I would identify her as a strong follower of Domain 2: Communication and Domain 7: Nutrition of Purnell’s 12 cultural elements. Domain 2: Communication is a must for her because it allows her to