Purnell's Model for Cultural CompetencePurnell's Model for Cultural Competence

Purnell’s Model for Cultural Competence

Circular Model including the Circular Model including the following macroaspects:following macroaspects:

Global, Community, Family, Person and Global, Community, Family, Person and Conscious CompetenceConscious Competence

Purnell's Model for Cultural CompetencePurnell's Model for Cultural Competence

12 Inner aspects of the model:

Overview, topographyOverview, topography CommunicationCommunication Family OrganizationFamily Organization Workforce IssuesWorkforce Issues Biocultural EcologyBiocultural Ecology High-risk health High-risk health

behaviorsbehaviors

NutritionNutrition PregnancyPregnancy Death RitualsDeath Rituals SpiritualitySpirituality Health-care practicesHealth-care practices Health-care Health-care

practitionerspractitioners

Purnell's Model for Cultural CompetencePurnell's Model for Cultural Competence

Overview, Topography, Inhabited Localities

General overviewGeneral overview Heritage and ResidenceHeritage and Residence Migration reasons, Economic factorsMigration reasons, Economic factors Educational Status, OccupationsEducational Status, Occupations

(Refer to Table 2-1, p. 20)(Refer to Table 2-1, p. 20)

Purnell's Model for Cultural CompetencePurnell's Model for Cultural Competence

Communication

Dominant Language and DialectsDominant Language and Dialects Cultural Communication patternsCultural Communication patterns Temporal RelationshipsTemporal Relationships Format for NamesFormat for Names

(Refer to Table 2-2, p. 24)(Refer to Table 2-2, p. 24)

Purnell's Model for Cultural CompetencePurnell's Model for Cultural Competence

Family Roles and Organization

Gender Roles, Head of HouseholdGender Roles, Head of Household Prescriptive, Restrictive, and Taboo Prescriptive, Restrictive, and Taboo

BehaviorsBehaviors Family Roles, PrioritiesFamily Roles, Priorities Alternative LifestylesAlternative Lifestyles

(Refer to Table 2-3, p. 27)(Refer to Table 2-3, p. 27)

Purnell's Model for Cultural CompetencePurnell's Model for Cultural Competence

Workforce Issues

Culture in the workplaceCulture in the workplace Autonomy IssuesAutonomy Issues

(see Table 2-4, p. 29)(see Table 2-4, p. 29)

Purnell's Model for Cultural CompetencePurnell's Model for Cultural Competence

Biocultural Ecology

Skin color, biologic variationsSkin color, biologic variations Diseases/health conditionsDiseases/health conditions Drug metabolism variationsDrug metabolism variations

(see Table 2-5, p. 30)(see Table 2-5, p. 30)

Purnell's Model for Cultural CompetencePurnell's Model for Cultural Competence

High-risk behaviors

High-risk behaviorsHigh-risk behaviors Health care practicesHealth care practices

(see Table 2-6, p. 31)(see Table 2-6, p. 31)

Purnell's Model for Cultural CompetencePurnell's Model for Cultural Competence

Nutrition

Meaning of foodMeaning of food Common foods/food ritualsCommon foods/food rituals Dietary practices related to health Dietary practices related to health

promotionpromotion Nutritional deficiencies/food limitationsNutritional deficiencies/food limitations

(see Table 2-7, p. 33)(see Table 2-7, p. 33)

Purnell's Model for Cultural CompetencePurnell's Model for Cultural Competence

Pregnancy/Childbearing

Fertility practices/views of pregnancyFertility practices/views of pregnancy Prescriptive, restrictive and taboo practices Prescriptive, restrictive and taboo practices

during pregnancyduring pregnancy

(see Table 2-8, p. 35)(see Table 2-8, p. 35)

Purnell's Model for Cultural CompetencePurnell's Model for Cultural Competence

Death Rituals

Death rituals/expectationsDeath rituals/expectations Responses to death and griefResponses to death and grief

(see Table 2-9, p. 37)(see Table 2-9, p. 37)

Purnell's Model for Cultural CompetencePurnell's Model for Cultural Competence

Spirituality

Dominant religion/use of prayerDominant religion/use of prayer Meaning of life/individual sources of strengthMeaning of life/individual sources of strength Spiritual beliefs and health care practicesSpiritual beliefs and health care practices

(see Table 2-10, p. 38)(see Table 2-10, p. 38)

Purnell's Model for Cultural CompetencePurnell's Model for Cultural Competence

Health-care practices

Health seeking behaviors/beliefsHealth seeking behaviors/beliefs Responsibility for health careResponsibility for health care Folk practicesFolk practices Barriers to health careBarriers to health care Cultural responses to health/illnessCultural responses to health/illness Blood transfusion/organ donation beliefsBlood transfusion/organ donation beliefs

(see Table 2-11, p. 42)(see Table 2-11, p. 42)

Purnell's Model for Cultural CompetencePurnell's Model for Cultural Competence

Health-care Providers

Traditional versus Biomedical careTraditional versus Biomedical care Status of health-care providersStatus of health-care providers

(see Box 2-12, p. 44)(see Box 2-12, p. 44)

Purnell's Model for Cultural CompetencePurnell's Model for Cultural Competence

That’s it!!