Purnell Model for Cultural Competence

Purnell Model for Cultural Competence

Purnell’s model focuses on offering a basic understanding of different nursing cultures’ attributes, allowing them to provide quality care to patients by adequately viewing their notions towards healthcare and illness. The model is presented using a diagram representing a global context, community level, family unit, and individuals. The model includes several domains such as communication, heritage, family roles, nutrition, death rituals, spirituality, and healthcare practices. The model demonstrates the diversity that nurses should consider when offering healthcare. Each culture has a unique view towards various healthcare concepts such as chronic diseases, mental health, and treatment.  This paper will discuss different ideas of dominant cultural practices based on the Purnell Model for Cultural Competence.

Why I do or do not adhere to the dominant cultural practices and beliefs of the ethnic group that I primary identify

I adhere to some dominant cultural practices and beliefs of the ethnic groups I primarily identify with, while in other cases, I fail to comply. The communication concept is one of the dominant practices in my culture. English language I adhere to with its verbal and non-verbal ideas. I maintain eye contact, listen to people talk attentively, and use different tonal variations depending on areas that require varying emphasis (Purnell, 2020). As I communicate with patients, their families, colleagues, and leaders, English language adherence has promoted sufficient sending and reception of messages. The interpersonal skills have improved in my daily interaction with people. In this review, I adhere to the dominant communication practices in English because they enhance my interaction with people, make my work more manageable, and minimizes improper communication.

Spirituality is a dominant practice in my culture, and I adhere to it because it offers meaning to life. It gives a source of strength in difficult times. One of the notable roles of spirituality in my life is the ability to bounce back from a frustrating situation. Believing in a deity who has a higher purpose of life and meaning makes it easier to move past challenging situations. Prayer, gathering believers, and meditating help release emotions and overcome sad problems easily (Purnell, 2020). At work, spirituality allows me to view people as God’s beloved ones, and I treat all people equally. My perception of healthcare practices is improved by the spiritual beliefs I have of achieving a healthy community.

Family roles are dominating concepts of our culture. Women are seen to occupy household spaces and private spheres in delivering family roles. Men settle the family’s financial functions such as a mortgage, bills, and insurance premiums, among others. I don’t adhere to this practice and believe that women should take the family’s lighter roles (Purnell, 2020). This understanding tends to affect people even in the workplace, where women prefer to take up positions less challenging. Even after women are exposed to equal opportunities as men, they tend to comply with gender roles as defined at the family level. Thus, I do not adhere to these beliefs and practices because they limit our abilities and embrace challenging situations even in the workplace.

If you do not wish to self-disclose a specific area from the Organizing Framework, indicate so instead of just not addressing it

Cultural competency is demanding and requires nurses to analyze themselves, their patients, their communities, and colleagues. Personal experiences of cultural beliefs can significantly affect one’s quality of caregiving to patients (Abrishami, 2018). the Purnell Model offers a broad scope where nurses can assess their own culture in the global society. My culture does not promote the use of fertility medication and birth control. The belief system indicates that a deity is in control of births in a community. A barren woman is considered a will from a Creator who saw it right for her to be infertile. The use of birth control is seen as going against the creative purpose of God. Disclosing such an area to the organizing framework could be hard as a nurse. In most cases, nurses will choose to keep quiet and deal with it independently. However, it can be damaging when delivering health care services to people who need help in the area.

During self-assessment papers, one would wish to indicate that they are not comfortable disclosing the area. When using the Purnell Model-based assessment, a question on birth control and fertility medicine may arise. Instead of leaving the question unaddressed, indicate not comfortable to disclose. However, most workplace assessments are kept confidential, and managers cannot share them with others (Debiasi & Selleck, 2017). Failure to disclose should not often happen because the purpose of indicating the assessment question is for the organization to understand the varying perspective of cultural competence in the workplace. Today, cultural competence is part of healthcare culture. Organizations carry assessments to improve the workforce to be competent and sensitive on cultural diversity.

Providing information in the assessment tool gives the organization on the areas that need to be addressed. Training is paramount to ensure cultural competence among nurses. The training opens the workers to understand cultural diversity and the importance of cultural sensitivity when offering care to patients. Purnell Model for Cultural Competence can train nurses to instill cultural knowledge (Abrishami, 2018). Nurses can provide quality care to their patients when their cultural diversity knowledge is high for competence (Purnell, 2020). One can understand why a patient would prefer a woman for a nurse instead of a man without the nurse being offended. Also, some patients will involve their spirituality where their religious leaders will visit them for prayers.  Nurses should be sensitive on the matter by giving their patients room for such cultural practices.


Purnell Model includes varying aspects, and the information is crucial in empowering workers on the need to be culturally competent and sensitive. These concepts provide a holistic global perspective in healthcare and nursing and are useful in education, clinical practice, and social support. Each subgroup should be respected for its unique culture and beliefs. Nursing education should include multicultural diversity teaching in their programs. It promotes co-participation of the patients and nurses when cultural competency is improved. During assessments, healthcare workers should be willing to offer information as the tool requires submitting information for training and decision making in the organization.

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