The Cultural Competence Model that interests me the most is Purnell’s model, which is based on concentric social
rings:
The individual person
That person’s family
That person’s community
A specific subgroup discussed within this course that I would like to research more is Amish or Roma Americans.
A Healthy People 2030 topic area and specific health issue that affects your selected subgroup. Immunization and Infectious Diseases.
Based on your selected Cultural Competence Model, subgroup, and the Healthy People 2030 topic area and specific health issue from Module 6, write a 4-5 page post, in which you:
Describe the selected Cultural Competence Model and its components.
Identify a health issue in Healthy People 2030 topic/health issue that particularly affects your selected subgroup.
Apply your selected Cultural Competence Model to how you can provide culturally competent nursing care and education to this sub-group to address the specific health concern.
Prepare a public health communication strategy to reduce disparity, promote health for this subgroup, and address the specific health concern.
Sample Answer
Applying Purnell's Model to Promote Immunization among Amish Americans
This memo will describe Purnell's Cultural Competence Model and apply its framework to address the specific health disparity of low immunization rates within the Amish American subgroup, culminating in a targeted public health communication strategy.
1. Description of Purnell’s Cultural Competence Model
Purnell's Model for Cultural Competence (often referred to simply as the Purnell Model) provides a comprehensive, organizing framework for understanding and integrating cultural knowledge into healthcare practice. The model is based on the idea that all healthcare encounters are cultural encounters and that differences in culture can hinder effective care delivery.
The model is visually represented by a circle with four concentric rings and a central component:
The Outer Ring: The Community: Represents the global society, including the larger environment and population outside the specific subgroup.
The Second Ring: The Family: Represents the core familial unit, including its structure, function, decision-making patterns, and role in health.
The Third Ring: The Person: Represents the individual, including age, gender, race, nationality, and personal beliefs.
The Inner Ring: The World: Represents the 12 primary Domains of Culture that all cultures share. These domains (listed below) organize specific cultural knowledge for the healthcare provider.
The Center: Global Society: The arrow at the top of the model suggests movement from outer to inner, representing an appreciation of global society, which is the most abstract and complex level. The center of the circle represents the ultimate goal: Cultural Competence, the ability to plan and implement effective services that are sensitive to cultural needs.
The 12 Domains of Culture (The Inner Ring)
Purnell identifies 12 domains that a nurse must assess to achieve cultural competence:
Overview, Heritage, and Residence
Communication
Family Roles and Organization
Workforce Issues
Bicultural Ecology
High-Risk Health Behaviors
Nutrition
Pregnancy and Childbearing
Death Rituals
Spirituality
Healthcare Practices
Healthcare Practitioner