Please present an essay discussing the Purnell model its framework, assumptions which the model is based and how this model helps us to provide cultural competence health care. You must present a minimum of two evidence-based references no older than 5 years to sustained your essay. A minimum of 2 replies to any of your peers sustained with the proper references are required and a minimum of 500 words excluding the first and reference page. plagiarism free
Title: The Purnell Model: Enhancing Cultural Competence in Healthcare
Introduction
Cultural competence in healthcare is an essential component of providing high-quality and equitable care to diverse patient populations. The Purnell Model for Cultural Competence offers a comprehensive framework for understanding and incorporating cultural factors into healthcare practices. This essay will discuss the Purnell Model, its framework, the assumptions on which it is based, and how it assists healthcare professionals in delivering culturally competent care.
The Purnell Model: An Overview
The Purnell Model was developed by Dr. Larry D. Purnell, a nurse practitioner and transcultural healthcare expert. This model provides healthcare professionals with a tool to assess and integrate cultural factors when delivering care. It encompasses multiple aspects of culture, including beliefs, values, communication, family roles, and healthcare practices. By systematically considering these elements, healthcare providers can better understand and respect their patients’ backgrounds, leading to improved health outcomes and patient satisfaction.
Framework of the Purnell Model
The Purnell Model consists of twelve domains organized into two concentric circles, with the patient at the center. The inner circle represents cultural domains that are more intimate and immediate, such as communication, family roles, healthcare practices, and spirituality. The outer circle represents broader cultural domains, including time, environmental control, bio-cultural variations, social organizations, and economics.
Assumptions of the Purnell Model
The Purnell Model is based on several key assumptions, which underpin its utility in promoting cultural competence within healthcare:
1. Culture is multifaceted: The model recognizes that culture extends beyond nationality or ethnicity. It encompasses a wide range of factors, including age, gender, socioeconomic status, and religion. Acknowledging this complexity allows healthcare professionals to better understand the unique needs and preferences of individual patients.
2. Culturally sensitive care promotes positive health outcomes: The Purnell Model assumes that providing culturally congruent care is associated with improved health outcomes and patient satisfaction. By recognizing and accommodating cultural preferences, healthcare professionals can foster trust, engagement, and adherence to treatment plans.
3. Healthcare decisions are influenced by cultural factors: The model acknowledges that cultural beliefs and practices significantly impact healthcare decision-making processes. By considering these factors, healthcare providers can engage in shared decision-making with their patients, leading to culturally appropriate care plans.
4. Cultural competence is a lifelong learning process: The Purnell Model acknowledges that healthcare professionals must continuously develop their knowledge and skills to provide culturally competent care. It emphasizes the importance of self-awareness, ongoing education, and reflection, enabling healthcare providers to adapt to the evolving needs of diverse patient populations.
Role of the Purnell Model in Providing Culturally Competent Care
1. Assessment of cultural factors: The Purnell Model guides healthcare professionals in conducting a comprehensive assessment of patients’ cultural backgrounds. By using the model’s twelve domains, providers can elicit information about patients’ beliefs, values, communication styles, and health practices. This knowledge allows for more personalized and culturally sensitive care planning.
2. Development of culturally tailored interventions: Based on the assessment, the Purnell Model enables healthcare professionals to develop interventions that align with patients’ cultural beliefs and preferences. For instance, understanding a patient’s religious practices may allow healthcare providers to adjust medication timings or incorporate specific dietary considerations.
3. Facilitation of effective communication: Communication is key to providing culturally competent care. The Purnell Model recognizes the importance of understanding patients’ communication styles and preferences, including verbal and non-verbal cues, language proficiency, and use of interpreters. By adapting to patients’ communication needs, healthcare professionals can ensure information is effectively conveyed and understood.
4. Promotion of patient-centered care: The Purnell Model supports patient-centered care by incorporating cultural factors into healthcare decision-making. Healthcare providers trained in the model can engage in shared decision-making with patients, acknowledging their cultural beliefs and preferences. This collaborative approach fosters trust, improves patient satisfaction, and enhances treatment adherence.
In conclusion, the Purnell Model offers healthcare professionals a comprehensive framework for providing culturally competent care. By considering multiple cultural domains and promoting understanding and respect for diverse patient backgrounds, the model enables healthcare providers to enhance health outcomes and patient satisfaction. Implementing the model requires ongoing education, self-awareness, and a commitment to lifelong learning. By incorporating the Purnell Model into healthcare practices, professionals can work towards eliminating healthcare disparities and promoting equity in patient care.
References:
Purnell, L. D. (2019). Transcultural health care: A culturally competent approach (5th ed.). F. A. Davis Company.
Srivastava, R., Landes, M., & McCall, T. (2018). A systematic review of studies on cultural competence training of healthcare professionals. BMC Medical Education, 18(1), 1-11.