What Is The Purnell Model Of Cultural Competence

Cultural competence is the ability to interact well with people of different cultural backgrounds (Rundle, 2002). It provides the best ways of meeting the needs of diverse patient population which is always on the increase, as well as ways of effectively advocating for them. This means that cultural competence has the benefit of enabling nurses to deliver services that respect and effectively respond to health beliefs and practice needs of diverse patients. Through the process of globalization, nurses are moving to places of nursing shortage to offer their knowledge and skills beyond their home

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,

The Purnell Model for Cultural Competence originated out of education and practice. In 1989, when he took nursing students to a community hospital that was not accustomed to having students. Soon after the clinical experience began, it was obvious that the students and staff need additional knowledge concerning culture. The students primarily came from middle and upper middle class white families which most of the patients and staff came from lower socioeconomic backgrounds or with their heritage from Appalachia.

Cultural competence is defined as possessing the skills and knowledge necessary to appreciate, respect, and work with individuals from different cultures. It is a concept that requires self-awareness, awareness and understanding of cultural differences, and the ability to adapt to clinical skills and practices as needed

Critically analyse one of the main challenges, barriers, and enablers for cultural competence in health care when working in a cross-cultural environment.

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 can be defined as using the ability of one’s awareness, attitude, knowledge and skill to effectively interact with a patient’s many cultural differences. Madeline Leininger, a pioneer on transcultural nursing describes it this way; “a formal area of study and practice focused on comparative human-care differences and similarities of the beliefs, values and patterned lifeways of cultures to provide culturally congruent, meaningful, and beneficial health care to people” (Barker, 2009, p. 498). The importance of cultural diversity in healthcare allows for the delivery of appropriate cultural autonomy. Showing respect for others will lead to trust between nurse and

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

Adapting to different cultural beliefs and practices requires flexibility and a respect for others view points. Cultural competence means to really listen to the patient, to find out and learn about the patient's beliefs of health and illness. To provide culturally appropriate care we need to know and to understand culturally influenced health behaviors. However, becoming culturally competent is a much more daunting task. Culture (and ethnicity) often influences a patient’s perceptions of health and illness. Therefore, if healthcare providers appear insensitive to cultural diversity, their actions may negatively affect the quality of the healthcare that they provide.

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

With the upsurge diverse culture in the societies, make the health care providers faces lots of challenges and problem s to deliver proper health care services and quality care to the individuals of different cultures. This challenge brings opportunity for the health providers, health care systems and policy makers to create and provide culturally competence to the individuals of diverse cultures. The goal of

From the self-assessment survey for quality and culture I took, I would like to improve and understand how cultural competence can have a real impact on clinical outcomes. There are a few questions I was surprised that I answered them incorrectly. Now I do understand that what I learned in this culturally competence class will help me become more efficient in cultural competence, to provide quality care to all my patients regardless of gender, socioeconomic status, and ethnic, but it will take consistent individual practice, patience, and training on my part to develop and maintain that. I have learned that being culturally competent and implementing sound cultural competency techniques, will help to increase health access and reduce health disparities among different racial and ethnic groups. Cultural competence can lead to, health literacy, health equity, and fewer diagnostic errors, which might help the patient expand their choices and access high quality medical providers because the patient is no longer restricted to a small pool of clinicians who share their culture.

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

The application of cultural competence in health care interventions can be broadly conceptualized as cultural leverage (Fisher T, 2007), which means considering the disparities, understanding the differences, and involving all racial, ethnic, religious, and age groups in the process of making health

Purnell’s model of cultural competence is designed to guide cultural competence among multidisciplinary members of health care team (Purnell, 2013). In order to deliver patient-centered care, health care workers need to pay attentions to 12 domains of culture, which are described below;