Purnell’s model of cultural competency – Domains and Influences

Purnell’s model of cultural competency – Domains and Influences

Learning Outcomes
1. Apply Purnell’s model of cultural competency, including cultural domains as it pertains to various populations.
2. Summarize the religious beliefs, spiritual beliefs, and folk remedies or alternative therapies that influence health care for diverse cultures.
3. Apply the concepts of cultural factors that influence health and illness of Hispanics/Latinos and Asian/Pacific Islanders.

Introduction
Students will examine cultural influences related to religion and spiritual beliefs, which comprise part of patients’ heritage. Purnell’s cultural competency model encompasses global, communal, familial, and personal perspectives that can affect the patient’s health care. It is important for nursing professionals to understand that the twelve domains of Purnell’s model are interrelated and do not stand alone. This model provides the framework for a thorough health assessment, including culture in order to provide competent care.

Required Resources
Text
Dayer-Berenson, L. (2014). Cultural competencies for nurses: Impact on health and illness (2nd ed.). Burlington, MA, Jones & Bartlett Learning.
• Chapter 6: Hispanics/Latinos
• Chapter 7: Asians/Pacific Islanders

Articles
Diabetes: researchers’ work from University of Arizona focuses on diabetes. (2012). Education Business Weekly, p.107. Retrieved from http://www.educationbusinessuk.net/
• The full text of this article is available in the ProQuest database in the Ashford University Library. This article shares the role of culturally competent care in Hispanic/Latino diabetic patients. The article identifies history information that is necessary, but was likely not asked as part of the history form.
Parker, V. A. (2010). The importance of cultural competence in caring for and working in a diverse America. Generations, 34(4), 97-102. Retrieved from http://www.asaging.org/generations-journal-american-society-aging
• The full text of this article is available in the EBSCOhost database in the Ashford University Library. This article addresses the need for culturally competent care in the elderly in all settings (i.e. hospital, assisted living, and long-term care facilities) and how there is an equal need for diverse employees as is necessary to be culturally competent for a diverse patient/client population.

Multimedia
Practice Activity. (2015). Transcultural Nursing. Burlington, MA: Jones & Bartlett Learning Navigate.
• The practice activities provide an opportunity to reinforce the concepts presented in the textbook readings.
• Complete the following practice activities: 7.1, 7.2, 7.3, 7.4, 8.1, 8.2, 8.3, 8.4

Websites
Cultural Competence Project. (2014). Developing cultural competencies in nurses: Evidence-based and best practices. Retrieved from: http://www.ojccnh.org/project/index.shtml
• This website offers details related to Purnell’s model for cultural competency along with cultural theories and research from Andrews & Boyle, Campinha-Bacote, Galanti, Giger & Davidhizar, Jeffreys, Leininger, Sagar, and Spector.
National Association of School Nurses. (2013). Purnell model for cultural competency. Retrieved from: https://www.nasn.org/ToolsResources/CulturalCompetency/PurnellModelforCulturalCompetence
• This website lists the domains of Purnell’s model for cultural competency and the inclusions for each domain.
Recommended Resources
Text
Dayer-Berenson, L. (2014). Cultural competencies for nurses: Impact on health and illness (2nd ed.). Burlington, MA, Jones & Bartlett Learning.
• Chapter 1: Birth of Transcultural Nursing to Current Theory and Conceptual Models for Cultural Diversity
• Chapter 5: Black Americans
• Chapter 8: Native Americans/Alaska Natives
• Chapter 9: Whites (Non-Hispanic)

Article
Pesut, B., Fowler, M., Reimer-Kirkham, S., Taylor, E., & Sawatzky, R. (2009). Particularizing spirituality in points of tension: Enriching the discourse. Nursing Inquiry, 16(4), 337-346. doi: 10.1111/j.1440-1800.2009.00462.x
• The full-text version of this article can be accessed through the EBSCOhost database.

Website
Peek, M. (2014, October 30). Poverty association with poor dealth outcomes and health disparities [Blog post]. Retrieved from http://healthaffairs.org/blog/2014/10/30/povertys-association-with-poor-health-outcomes-and-health-disparities/
• This blog discusses how poverty can contribute to poor health outcomes.

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