Purnell_Model_Part1.ppt - Transcultural Health Care A Culturally Competent Approach 3rd Edition Transcultural Health Care Purnell Model for Cultural

Purnell_Model_Part1.ppt - Transcultural Health Care A...

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Unformatted text preview: Transcultural Health Care: A Culturally Competent Approach, 3rd Edition Transcultural Health Care Purnell Model for Cultural Competence— Developed in 1995 as an Organizing Framework Larry Purnell, PhD, RN, FAAN Copyright © 2008 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 3rd Edition Culture The totality of socially transmitted behavior patterns, arts, beliefs, values, customs, lifeways, and all other products of human work and thought characteristics of a population that guides its worldview and decision-making. These patterns may be explicit or implicit, are primarily learned and transmitted within the family, and are shared by the majority of the population. Transcultural Health Care: A Culturally Competent Approach, 3rd Edition Competence Cultural awareness—cultural sensitivity and cultural competence Unconsciously incompetent—consciously incompetent—consciously competent — unconsciously competent Transcultural Health Care: A Culturally Competent Approach, 3rd Edition 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, 3rd Edition 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, 3rd Edition Assumptions Continued If clients are co-participants in care and have a choice in health-related goals, plans, and interventions, health outcomes will be improved. The primary and secondary characteristics of culture determine the degree to which one varies from the dominant culture. Transcultural Health Care: A Culturally Competent Approach, 3rd Edition Assumptions Continued Individuals and families belong to several cultural groups. Each individual has the right to be respected for his or her unique differences and cultural heritage. Transcultural Health Care: A Culturally Competent Approach, 3rd Edition Assumptions Continued Caregivers who can assess, plan, and intervene in a culturally competent manner will improve the care of clients for whom they care. Caregivers need both cultural–general and cultural–specific information to provide culturally competent care. Transcultural Health Care: A Culturally Competent Approach, 3rd Edition Assumptions Continued Learning culture is an ongoing process and develops in a variety of ways, but primarily through cultural encounters (CampinhaBacote). Prejudices and biases can be minimized with cultural understanding. Differences in race and culture require different interventions. Transcultural Health Care: A Culturally Competent Approach, 3rd Edition Assumptions Continued To be effective, health care must reflect the unique values, beliefs, attitudes, and lifeways, and worldviews of diverse populations and individual acculturation patterns. Caregivers know themselves better by learning about their own cultures. Transcultural Health Care: A Culturally Competent Approach, 3rd Edition Assumptions Continued 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, 3rd Edition Primary Characteristics Nationality Race Color Gender Age Religious affiliation Transcultural Health Care: A Culturally Competent Approach, 3rd Edition Secondary Characteristics Educational status Socioeconomic status Occupation Military experience Political beliefs Urban versus rural residence Marital status Transcultural Health Care: A Culturally Competent Approach, 3rd Edition Secondary Characteristics Continued Parental status Physical characteristics Sexual orientation Gender issues Reason for immigration—sojourner, immigrant, undocumented status Transcultural Health Care: A Culturally Competent Approach, 3rd Edition Purnell’s Model for Cultural Competence Transcultural Health Care: A Culturally Competent Approach, 3rd Edition Metaparadigm Concepts Global society Community Family Person Transcultural Health Care: A Culturally Competent Approach, 3rd Edition 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, 3rd Edition 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, 3rd Edition 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, 3rd Edition 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, 3rd Edition Overview/Heritage Origins Residence Topography Economics Politics Education Occupation Transcultural Health Care: A Culturally Competent Approach, 3rd Edition 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, 3rd Edition Family Organization Head of household Gender roles Goals and priorities Developmental tasks Roles of the aged and extended family Social status Alternative lifestyles ...
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