Transcultural Health Care

Transcultural Health Care: A Culturally Competent Approach, 4th Edition

Purnell Model for Cultural Competence

Larry Purnell, PhD, RN, FAAN

Transcultural Health Care: A Culturally Competent Approach, 4th Edition

Purnell Model: Assumptions

All healthcare professions need much of the same information about cultural diversity and share the metaparadigm concepts of global society, community, family, person, and health.
One culture is not better than another culture; they are just different.

Transcultural Health Care: A Culturally Competent Approach, 4th Edition

Purnell Model: Assumptions

There are core similarities shared by all cultures.
There are differences within, between, and among cultures.
Cultures change over time, but slowly.
Culture has powerful influences on one’s interpretations and responses to health care.

Transcultural Health Care: A Culturally Competent Approach, 4th Edition

Purnell Model: Assumptions

If clients are co-participants in care and have a choice in health-related goals, plans, and interventions, health outcomes will be improved.
Variant cultural characteristics determine the degree to which people vary from their dominant culture beliefs, values, and practices.

Transcultural Health Care: A Culturally Competent Approach, 4th Edition

Purnell Model: Assumptions

Individuals and families belong to several cultural groups, usually known as subcultures.
Each individual has the right to be respected for his or her unique differences and cultural heritage.
Caregivers who can assess, plan, and intervene in a culturally competent manner will improve the care of clients for whom they care.

Transcultural Health Care: A Culturally Competent Approach, 4th Edition

Purnell Model: Assumptions

Caregivers know themselves better by learning about their own cultures.
Professions, organizations, and associations have their own cultures.
Healthcare teams can benefit from a Model and Organizing Framework that is useable by all healthcare disciplines.

Transcultural Health Care: A Culturally Competent Approach, 4th Edition

Variant Cultural Characteristics

Nationality
Race
Color
Gender
Age
Religious affiliation

Educational status
Socioeconomic status
Occupation
Military experience
Political beliefs
Urban versus rural residence

Transcultural Health Care: A Culturally Competent Approach, 4th Edition

Variant Cultural Characteristics

Marital status
Parental status
Physical characteristics
Sexual orientation
Gender issues

Length of time away from the home country
Reason for immigration—sojourner, immigrant, undocumented status

Transcultural Health Care: A Culturally Competent Approach, 4th Edition

Metaparadigm Concept: Global Society

Seeing the world as one large community of multicultural people
Evidence of global society
What happens in other parts of the world affects each community

Transcultural Health Care: A Culturally Competent Approach, 4th Edition

ClickerCheck

What determines a person’s adherence with his/her dominant culture?

Metaparadigm concepts

Variant characteristics

Global society

Cultural worldview

Transcultural Health Care: A Culturally Competent Approach, 4th Edition

Correct Answer

Correct answer: B

Variant cultural characteristics determine the degree to which a person adheres to his/her dominant cultural beliefs and practices.

Transcultural Health Care: A Culturally Competent Approach, 4th Edition

Metaparadigm concept: Community

A group or class of people having a common interest or identity living in a specified locality but can be an online community as well now
What happens in the community has an effect on the family.

Transcultural Health Care: A Culturally Competent Approach, 4th Edition

Metaparadigm concept: Family

Two or more people who are emotionally involved with each other
They may, but not necessarily, live in close proximity to each other.
What affects the individual, affects the person.

Transcultural Health Care: A Culturally Competent Approach, 4th Edition

Metaparadigm concept: Person

A human being, one who is constantly adapting to his or her environment biologically, physically, socially, or psychologically
Person is defined differently in other cultures.

Transcultural Health Care: A Culturally Competent Approach, 4th Edition

Domain: Overview/Heritage

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