Cultural Assignment Over Purnell’s Model of Cultural Competence
Kathryn O’Brien
Southern Illinois University Edwardsville
Introduction Purnell’s Model of Cultural Competence is often used in health care settings to determine variations in value’s, beliefs, and cultures of an individual. This model has been very helpful, especially for student nurses as a tool for clinical assessment. I interviewed Gabriel to get a better understanding of his culture and values. The two domains I am focused on were communication and family roles and organization.
Communication
Communication is a huge part of Gabriel’s identity due to the fact that the primary language he uses at home is Spanish, but the primary language he uses elsewhere is English. He moved to America from Mexico when he was six years old. His first language learned was Spanish and he didn’t learn any English until he started school, where for the first year he needed a translator. Now, since he is bilingual, he has a distinct advantage in today’s job market. During the interview, he was very casual and open to answering all of my questions. For some of the questions, I had to explain the question more in depth or give examples. He sometimes has trouble understanding questions or statements, possibly because of English not being his first language learned. Many people have trouble understanding Gabriel because he tends to speak softly and mumbles frequently. He mumbles because in the Spanish language,
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 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
In this paper I will be identifying beliefs and values common to my family of origin. I will be using Purnell's Model of cultural competency and will explain the major assumptions of the model in relevance to my culture. The purpose of this paper is to provide the reader with a quick overview of the Asian Indian culture. One must be aware of their own culture and the culture of others in order to offer competent and culturally sensitive care and understand how their cultural beliefs may affect their health. (Leuning, Swiggum, Wiegert, and McCullough-Zander, 2002).
Nurses have the responsibility of caring for a diverse group of people. These people come from different cultures, races, and religious backgrounds. Religion plays a major role in patient care and has for many years. Cultural competency is a major component of nursing practices. Understanding culture is imperative in knowing what is important to a patient and how to address his or her healthcare needs. Understanding culture is also important when determining what suggestions to make about interventions for treatment. Culture is defined as many people interacting and sharing with one another their patterns of behavior, beliefs and values (Burkhardt, G. & Nathaniel, A., 2014).
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 Giger and Davidhizar cultural assessment in 1988 in response to there being only a few cultural assessment tools and increased amount of nursing students providing care to more diverse patients (Sagar, 2012, p. 57). The model has six cultural phenomena: biological variations, environmental control, time, social orientation, space, and communication. These phenomena are the basis of the model and help guide nurses through important cultural considerations.
The Purnell Domains of Culture assessment gives a vast amount of information in regards to a persons cultural background, family and heritage that gives care provides a better understanding of their client or clients family. As a future care provider, I took the time to speak to Mrs. Smith about herself and family to gain insight on whom they are as a family and what influences them to be who they are today. Over the course of the domains of culture I have been able to increase my perception of who and what drives this family and how their beliefs came about.
The United States is a diverse accumulation of cultural backgrounds which can often set the stage for feelings of confusion, anger, mistrust, and a host of other emotions when dissimilar cultures disagree. Cultural competence in nursing can help eliminate these barriers and provide a platform for nursing to follow in the quest to understand a patient's culture and background. When a nurse takes the time to learn about a given culture prior to providing care, it conveys she respects the patient's right to their beliefs, customs, and culture. It does not necessarily mean the nurse agrees with their practices but
The term culture is defined as “the thoughts, communications, actions, customs, beliefs, values, and institutions of racial, ethnic, religious, or social groups” (Potter & Perry, 2013). With the increase of culturally diverse populations in the United States, it is important for nurses to practice cultural competence. Cultural competence is the ability to acquire specific behaviors, skills, attitudes, and policies in a system that permits “effective work in a cross-cultural setting” (OMH, 2013). Being culturally competent is essential because nurses who acknowledges and respects a patient’s health beliefs and practices are more likely to have positive health outcomes (OMH, 2012). Every culture has certain views and attitudes concerning
Understand cultural competence and why is it important especially for that have a diverse workforce.
Culture competence is a quality that any nurse should have. The article that I decided to research refers to the impact that language and different cultures have on a patient’s health. It is the duty of health care professionals to attempt to learn about different cultures and to be sensitive to the way patient’s feel about their beliefs. Once the nurse understands a patient’s
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
“Health is influenced by culture and beliefs” (NRS-429V, 2011, p. 1). In order for the nurse to properly care for the patient, she must know and understand the patient’s culture. “Cultural care is a comprehensive model that includes the assessment of a client’s cultural needs, beliefs, and health care practices” (NRS-429V, 2011, p. 1). It is not enough to just know where the patient lives or where he came from. The nurse must embrace the concept of cultural competence and cultural awareness. This requires not only the awareness of the cultural beliefs and values of their patients, but also
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
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