Purnell Model

Purnell Model for Cultural Competency I have been given the Purnell Model for Cultural Competency to discuss. The Purnell Model was created by Larry D. Purnell. The model was established when Purnell learned of the need for both students and staff to have a way to learn about their cultures and the cultures of others. Dr. Larry Purnell made this discovery when he was teaching undergraduate students (Purnell, 2005). The framework for this theory was organized in 1991 (Purnell, 2005). Early in 1998, his model was confirmed as a grand theory and not a framework, by three well-known nurse theorists (Purnell, 2005). Purnell’s Model has been used to develop cultural competence in many different fields, and also stimulates the want for further investigation into cultural backgrounds, not only of one’s self but of others as well, despite the debate about grand theories versus conceptual framework (Purnell, 2005). Components Domains are not intended to stand alone, rather, they affect one another (Purnell, 2005). There are twelve domains to the Purnell Model (Purnell, 2005). The twelve domains are overview, inhabited localities, and topography, communication, family roles and organization, workforce issues, biocultural ecology, high-risk behaviors, nutrition, pregnancy and childbearing practices, death rituals, spirituality, health-care practices, health-care practitioners (Paulanka & Purnell, 2008). Purnell’s Model offers a framework for many people of diverse callings to learn concepts of principles, learn circumstances that affect culture, and offer suggestions that relate to most central relationships of culture (Paulanka & Purnell, 2008).ApplicationWhen I was in nursing school to get my associates degree, I was attending to a patient during my mother baby rotation, that was of Mexican descent. This model was helpful for me to learn some things about how to connect with the patient and her family. Upon my arrival in the unit that day, the charge nurse gave me an article to read about things that the Mexican culture believe to be true and helpful during childbirth. One thing I learned that day was that they are very open during childbirth and want as much of their family present for the actual birth as possible. When the lady gave birth that afternoon, there were eleven relatives in the room when the child was born. It was a very full room, to say the least, and was unlike anything I was used to.This theory is valid to my current work due to the range of not only the patients but also the staff I work with. It is important to be conscious of not only your patients but also co-worker’s beliefs. When working with people from other beliefs it is vital to make sure you know what they consider disrespectful, as well as how they like to communicate. Some people do not mind a simple touch on the arm, while others may find that offensive. Another important thing to be aware of is death formalities. In the healthcare field when a death occurs it is a stressful circumstance and things need to go as smoothly as possible so knowing what your patient, or their family needs, or wants is a way to show respect and gain trust.Influences This theory can be used across many different professions to integrate transcultural capability, not only in practice but in educational realms as well (Purnell, 2005). As noted by Albougami, Pounds, and Alotaibi undergraduates often use this theory in communications and programs for health assessment (2016). The model has many strong features including flexibility, which helps enhance its use in different contexts and allows professionals to learn the diversity of the people they are working with and use it as they see applicable (Albougami, Pounds, & Alotaibi, 2016). Using the basics learned about someone’s history can also help nurses discover the patient’s cultural perspective and encourages nurses to give the best cultural competent care possible. The model’s framework allows nurses to consider and reflect on the unique characteristics of every patient, including their views of illness, motivation, healthcare and facilitates the analysis of cultural data, allowing nurses to cater to families, groups, and individuals in terms of their respective cultural uniqueness using various communication strategies (Albougami, Pounds, & Alotaibi, 2016).Cultural Care on the ForefrontCultural background plays a large part in how people like to be treated. Effective healthcare revolves around communication knowing the beliefs of the people you are dealing with aides in those interactions. The specific backgrounds can be used by anyone to communicate effectively across disciplines, distinct practices, and exact conditions of interacting with the client. As nurses become more comfortable in their ability to deliver culturally competent care increases, so does their desire to experience newer and more challenging multicultural patient care encounters (Kersey-Matusiak, 2013). Nurses who reach this level of confidence as culturally competent nurses will help reduce the disparities that exist between groups and serve as role models and mentors for other nurses (Kersey-Matusiak, 2013).The Purnell model has a large viewpoint which allows the information to be used more appropriately depending on who is using it. Healthcare has evolved to rely on patients being involved with their care and knowing the patients background, whether cultural, or just the history in general plays a vital role in the way patients perceive the treatment they received. The better the providers are with the backgrounds of patient, cultural, healthcare or otherwise, the better the patient will be cared for. The Purnell model is a good tool for learning the things that are important to patients and making sure they are treated with respect, and to the best of everyone’s ability. (Purnell, 2005).

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