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)