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Purnell's cultural domain communication includes

07/01/2021 Client: saad24vbs Deadline: 10 Days

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


Copyright © 2013 F.A. Davis Company


Purnell Model for Cultural Competence


Larry Purnell, PhD, RN, FAAN


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


Copyright © 2013 F.A. Davis Company


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


Copyright © 2013 F.A. Davis Company


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


Copyright © 2013 F.A. Davis Company


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


Copyright © 2013 F.A. Davis Company


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


Copyright © 2013 F.A. Davis Company


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


Copyright © 2013 F.A. Davis Company


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


Copyright © 2013 F.A. Davis Company


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


Copyright © 2013 F.A. Davis Company


*


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


Copyright © 2013 F.A. Davis Company


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


Copyright © 2013 F.A. Davis Company


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


Copyright © 2013 F.A. Davis Company


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


Copyright © 2013 F.A. Davis Company


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


Copyright © 2013 F.A. Davis Company


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


Copyright © 2013 F.A. Davis Company


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


Copyright © 2013 F.A. Davis Company


Domain: Overview/Heritage


Origins

Residence

Topography

Economics

Politics

Education

Occupation

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


Copyright © 2013 F.A. Davis Company


Domain: Communication


Dominant language and dialects

Contextual use of the language

Paralanguage—volume and tone

Temporality—time—and spatial distancing

Use of touch

Eye contact and facial expressions

Greetings and name format

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


Copyright © 2013 F.A. Davis Company


Domain: Family Organization


Head of household

Gender roles

Goals and priorities

Developmental tasks

Roles of the aged and extended family

Social status

Alternative lifestyles

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


Copyright © 2013 F.A. Davis Company


Domain: Workforce Issues


Acculturation

Autonomy

Language barriers

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


Copyright © 2013 F.A. Davis Company


Domain: Biocultural Ecology


Biological variations

Skin color

Heredity

Genetics

Endemics

Drug metabolism

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


Copyright © 2013 F.A. Davis Company


Domain: High-Risk Behaviors


Tobacco

Alcohol

Recreational drugs

Physical activity

Safety

Sexual behavior

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


Copyright © 2013 F.A. Davis Company


Domain: Nutrition


Meaning of food

Common foods

Rituals

Deficiencies

Limitations

Health promotion

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


Copyright © 2013 F.A. Davis Company


Domain: Pregnancy and Childbearing


Fertility practices

Views toward pregnancy

Pregnancy beliefs

Birthing practices

Postpartum

Prescriptive, restrictive, and taboo practices

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


Copyright © 2013 F.A. Davis Company


Domain: Death and Dying


Death rituals during the dying process

Post mortem practices

Bereavement

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


Copyright © 2013 F.A. Davis Company


Domain: Spirituality


Religious practices

Use of prayer

Meaning of life

Individual strength

Spirituality and health

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


Copyright © 2013 F.A. Davis Company


ClickerCheck


Contextual aspect of cultural communication includes


Dominant language


Dialects


Explicit versus implicit communication


Translation versus interpretation

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