model interrelates various cultural characteristics thus promoting congruence H e a l t h M e d i c a l

model interrelates various cultural characteristics thus promoting congruence H e a l t h M e d i c a l

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Medoit, Daphnee

The Purnell Model for Cultural competence is commonly used to enlighten healthcare providers about intercultural competence. The model was established with the aim of assisting practitioners in fulfilling the needs and demands of the rapidly growing multi-cultural society. The model incorporates twelve domains which are representatives of a person, family, community, and the global society. Some of these domains include communication, pregnancy, nutrition, healthcare practices as well as workforce issues. The crucial distinctiveness that is linked to cultural competencies is color, race, religion, generation, and nationality. At the core of the circle is a dark region that represents underscores the unknown phenomena that the nurse strived to unearth when working with an individual or a community (Purnell, 2019). According to the model, minor characteristics that involve culture include individual-level statuses such as education, social life, and occupation (Purnell and Fenkl, 2019).

Based on the diverse nature of patients in the clinical setting, Advance practice nurses are well-trained to employ cultural competency and sensitivity for the implementation of patient-centered care. The model provides APNs with a foundation for the improvement of their understanding of different attributes of various cultures thus allowing them to adequately view and address patients’ attributes like notions, incitement, and experiences about illness and healthcare (Sharifi et al., 2019). The model enables APNs to adhere to dominant practice as expected by the global society. This is so because the model vies the world as one interconnected community with individuals from various cultural and ethnic backgrounds.

The model is vital to the APNs since it encourages them to integrate the concepts of growing communication technologies and globalization forces in the connected world to offer evidence-based and quality practice. The model enlightens the APNs about the importance of considering the aspect of culture inpatients. The model enables the APNs to consider the aspect of culture when planning and implementing care to the patients thus ensuring that their needs are holistically addressed (Sharifi et al., 2019).

The model is relevant to ANPs since it enlightens them about various domains that are likely to influence the patient’s health. The model offers the ANPs an evidence-based framework to learn the important characteristics and concepts of culture. The model defines the key circumstances that are likely to influence the patient’s cultural worldview and his or her perception and attitude to healthcare. Understanding the patient’s cultural norms, options, and views and their impact on the diet is a key determinant of his or her health.

The model enlightens ANPs about pregnancy and childbearing practices in accordance with different cultures. For instance, a great percentage of cultures believe in the use of fertility control strategies like family planning. Some communities may not have access to such services due to a lack of support from the older members. The model provides the ANPs with a great opportunity to educate the community members about evidence-based practices of pregnancy and childbearing (Purnell and Fenkl, 2019).

The model interrelates various cultural characteristics thus promoting congruence and facilitating the delivery of competent and consciously sensitive health care services to the diverse nature of patients. The model is vital to the ANPs since it offers a good framework that is reflective of human characteristics like intentionality, meaning, and motivation. The Purnell can be applied in various areas of practice where ANPs are involved. Such areas include education, clinical practice, healthcare administration and management, and clinical research. The model provides the ANPs with more insights into important cultural domains that are also likely to influence health and health-seeking behaviors among the community members (Purnell, 2018). Increased cultural awareness and sensitivity enhances the implementation of patient-centered and culture-sensitive care.


Purnell, L. D., & Fenkl, E. A. (2019). The purnell model for cultural competence. In Handbook for Culturally Competent Care (pp. 7-18). Springer, Cham.

Purnell, L. (2018). Update: The Purnell theory and model for culturally competent health care. Journal of Transcultural Nursing, 30(2), 98-105.

Sharifi, N., Adib-Hajbaghery, M., & Najafi, M. (2019). Cultural competence in nursing: A concept analysis. International Journal of Nursing Studies, 99,103386.

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