Purnells Model for Cultural Competence Circular Model including

Purnell’s Model for Cultural Competence Circular Model including the following macroaspects: Global, Community, Family, Person and Conscious Competence Purnell's Model for Cultural Competence

12 Inner aspects of the model: u Overview, topography u Nutrition u Communication u Pregnancy u Family Organization u Death Rituals u Workforce Issues u Spirituality u Biocultural Ecology u Health-care practices u High-risk health u Health-care behaviors Purnell's Model for Cultural Competence practitioners

Overview, Topography, Inhabited Localities u General overview u Heritage and Residence u Migration reasons, Economic factors u Educational Status, Occupations (Refer to Table 2 -1, p. 20) Purnell's Model for Cultural Competence

Communication u Dominant Language and Dialects u Cultural Communication patterns u Temporal Relationships u Format for Names (Refer to Table 2 -2, p. 24) Purnell's Model for Cultural Competence

Family Roles and Organization u Gender Roles, Head of Household u Prescriptive, Restrictive, and Taboo Behaviors u Family Roles, Priorities u Alternative Lifestyles (Refer to Table 2 -3, p. 27) Purnell's Model for Cultural Competence

Workforce Issues u u Culture in the workplace Autonomy Issues (see Table 2 -4, p. 29) Purnell's Model for Cultural Competence

Biocultural Ecology u u u Skin color, biologic variations Diseases/health conditions Drug metabolism variations (see Table 2 -5, p. 30) Purnell's Model for Cultural Competence

High-risk behaviors u u High-risk behaviors Health care practices (see Table 2 -6, p. 31) Purnell's Model for Cultural Competence

Nutrition Meaning of food u Common foods/food rituals u Dietary practices related to health promotion u Nutritional deficiencies/food limitations u (see Table 2 -7, p. 33) Purnell's Model for Cultural Competence

Pregnancy/Childbearing Fertility practices/views of pregnancy u Prescriptive, restrictive and taboo practices during pregnancy u (see Table 2 -8, p. 35) Purnell's Model for Cultural Competence

Death Rituals u u Death rituals/expectations Responses to death and grief (see Table 2 -9, p. 37) Purnell's Model for Cultural Competence

Spirituality u u u Dominant religion/use of prayer Meaning of life/individual sources of strength Spiritual beliefs and health care practices (see Table 2 -10, p. 38) Purnell's Model for Cultural Competence

Health-care practices Health seeking behaviors/beliefs u Responsibility for health care u Folk practices u Barriers to health care u Cultural responses to health/illness u Blood transfusion/organ donation beliefs (see Table 2 -11, p. 42) u Purnell's Model for Cultural Competence

Health-care Providers u u Traditional versus Biomedical care Status of health-care providers (see Box 2 -12, p. 44) Purnell's Model for Cultural Competence

That’s it!! Purnell's Model for Cultural Competence