Purnell model impact to provide cultural competence health care

Please reply to Research # 1- Glenda

Need to reply with 1 to 2 paragraphs with a minimum of 250 words including 2 different reference with citation

Purnell Model


Globalization has resulted in tremendous changes witnessed in communities across the world (Purnell, 2019). As a result of migration it has resulted to increment in diversity among the patients and this has resulted in the healthcare system is culturally congruent. As a result, there have been several cultural competence models developed and identified to play an integral role to ensure nursing practices are identified as more efficient and effective. Purnell model for cultural competence and assumptions on which the model is governed by its 12 domains describes reference to both primary and secondary characteristics concerning a respective culture (Purnell, 2019). Based on the model it determines variation about practices, values, and beliefs.

Purnell model its framework

The model emphasizes the need to have a proper understanding of different cultures’ attributes (Ruth Burkhart & Cuisine, 2018). Thus, this allows the nurses to have comprehensive patients’ attributes such as notions about healthcare, incitement, and experiences. The model gives aspects regarding global culture, commune, family unit, and individual. The twelve domains in the framework including; family responsibility and institute, outline or heritage, bio-cultural ecology, labour force issue, religion, nutrition, high-risk behaviours, health care professionals, health care custom, death rituals, pregnancy, and communication. All highlighted frameworks need to be examined to determine the personality and description of different ethical collection. According to the framework, the frame can be depicted to give a representation of the global community, the outer circle representing the community, the second circle signify the family, and the innermost the respective individuals (Ruth Burkhart & Cuisine, 2018).

Assumptions by Purnell model

There are several assumptions made by the Purnell Model in its cultural analysis. First, upon studying different cultures no culture can be considered to be superior over others. All cultures are equal but are all different (Ruth Burkhart & Cuisine, 2018). Second, experts must be well up to date on similar information regarding cultural diversity. Third, the experts need to be familiar with how best health care services can be provided in the context of global society, family, and personal health. Four, cultures change slowly over time especially as a result of globalization and this enables the transfer of some shared traditions within, between, and among cultures (Ruth Burkhart & Cuisine, 2018).

Purnell model impact to provide cultural competence health care

The model explains when professionals meet at their place of work they are likely to develop a mutually satisfying relationship if only they are willing to learn of each other culture. Often the differences in race and culture are important to showcase the adaptation to standard interventions (Knight-Forbes, 2019). For example, different patients are from different cultures and it is prudent to understand their cultures before administering treatment. Once the patients are confident their health care professionals acknowledge and appreciate their cultures they are likely to accept the treatment more openly in comparison to if the health care provider does not care. Culture has no border and there is a likelihood how the nurses behave is a result of their cultural settings. Therefore, resulting from cultural awareness it significantly boosts the caregivers’ confidence to administer the correct treatment option for the patient with ease. Treatment of individuals affects families, in turn, affects communities and eventually global society (Knight-Forbes, 2019). Resulting from individualized care and treatment options provided by nurses having acknowledged the cultural differences, how every person is treated plays an important role in how they respond to treatment options provided. In summary, the Purnell Model in its cultural analysis plays a pivotal role in impacting the health care provision in respective communities.




Knight-Forbes, T. (2019). Cultivating Cultural Competence to Address Childhood Obesity in Ethnic Minority Youth.

Purnell, L. (2019). Update: The Purnell theory and model for culturally competent health care. Journal of Transcultural Nursing, 30(2), 98-105.

Ruth Burkhart, D. N. P., & Cuisine, P. (2018). CULTURAL COMPETENCY TRAINING.


Please reply to Research # 2Maydel

Need to reply with 1 to 2 paragraphs with a minimum of 250 words including 2 different reference with citation

Due to the large masses of immigrants that increase daily globally, it is inevitable that every day we see a significant diversity of cultures in our environment of health and patient care. Due to this, which has been seen for a long time, models were created within a theoretical framework for counseling patients from different cultures (Marzilli, 2017). We refer to Purnell’s model of cultural competence in practice, which can be used in various branches and by various healthcare providers. This model adjusts to the education, administration and research for the field of nursing, medicine and other practices for the health and care of patients from different cultures.

The Purnell model is made up of 12 domains for the hospital context, home care or the patient’s community, just as it was used in pediatric obstetrics, surgical medicine and psychiatry. The aforementioned model is based on inductive and deductive reasoning of experiences, observations, clinical practices, teachings and formal research (Fenkl, 2019-). The main objective of care providers should be to create an adequate environment in which to collect the necessary information. Therefore, the model should be implemented for primary, secondary and tertiary prevention. The diagram of the model is basically a circle with a periphery margin which represents society on a global level, a second margin represents community, the third symbolizes the family unit, and the margin inside represents the person itself. The circle is divided into 12 wedges which represent the cultural domains and their concepts. The domains consist of bidirectional arrows which show us that each other is affected by other domains. The mode center was blank, which mentions the unknown of each cultural group. The line highlights which is not linear refers to health care professionals, which in turn can represent an organization (Fenkl, 2019-).

Among the 12 domains we can mention, each of these domains maintain a separate table which gives an argument to a series of suggestions and questions for health care professionals, which can be used as a tool in order to make evaluations of either a specific person or a group in general. Inheritance frames concepts related to the person’s country of origin, his current residence, causes of emigration, educational model, among others (Marzilli, 2017). Communication refers to concepts related to language and dialects, use of and variations of language, such as voice volume, tone, and intonations, feelings. As well as body language and eye contact among others. Roles and Family organization which frames concepts related to the head of the house and the different roles within a family circle, its priorities, and tasks for the care and education of children and adolescents, divorce, sexual orientation. Work which includes concepts on the approach to the economy, assimilation, acculturation and health practices in the country of origin. Biocultural ecology emphasizes variations in ethnic and racial origins such as physical differences, hereditary and genetic aspects, related diseases related to topography. High risk behaviors, such as the use of drugs and cigarettes, physical activities and calorie consumption, risky sexual practices and security measures. Nutrition which values ​​sufficient food to satisfy hunger, rituals, and taboos as well as certain substances and foods for health promotion and disease prevention (Marzilli, 2017). Pregnancy and Birth Practices and fertility birth control methods, prescriptive, restrictive practices, and taboos related to pregnancy. Rituals of Death which gives a vision of how the individual and his culture see death, as well as burial practices. Spirituality and religious practices, the use of prayer, as well as behaviors that give meaning to life, Practice for health care and preventive, traditional beliefs, biomedical and self-care, the response to pain determined by a culture in specific. Health Care Provider which values ​​the use and perceptions of health professionals from a biomedical, traditional, and magical-religious approach. Which is of great importance within cultural groups (Marzilli, 2017).



Fenkl, E. A. (2019-, June 30). The Purnell Model for Cultural Competence. Journal of Transcultural Nursing. doi:https://doi.org/10.1007/978-3-030-21946-8_2

Marzilli, C. (2017, 12 30). A Review of the Theoretical Framework of Culture and Value. Journal of Nursing and Health Science. Retrieved from www.iosrjournail.org