Culturally Competent Nursing

Culturally Competent Nursingfor This Assignment You Will Interview A

Culturally Competent Nursingfor This Assignment You Will Interview A Culturally Competent Nursingfor This Assignment You Will Interview A Culturally Competent Nursing For this assignment, you will interview a person from a cultural background that is different from your own. Using the twelve domains of culture from the Purnell Model, discuss the health practices of that culture and compose a scholarly paper in a Microsoft Word document of 5–6 pages formatted in APA style. In your paper, you should include the following: Select a person from a cultural group different from your own. You may choose a patient, friend, or work colleague. For the sake of confidentiality, do not reveal the name of the person you interview; use only initials. For the person you select, complete the cultural assessment using questions 1 through 12 from the Purnell Model for Cultural Competence in your textbook, Transcultural Health Care: A Culturally Competent Approach . On a separate page, cite all sources using APA format. Use this APA Citation Helper as a convenient reference for properly citing resources. This handout will provide you the details of formatting your essay using APA style .

Paper For Above instruction

Introduction

Understanding cultural competence in nursing is essential to providing high-quality, patient-centered care. Cultural competence involves recognizing and respecting diverse health beliefs, practices, and cultural nuances that influence health behaviors and outcomes. The Purnell Model for Cultural Competence offers a comprehensive framework that guides healthcare professionals in assessing cultural dimensions across twelve domains. This paper discusses an interview conducted with a person from a different cultural background, applying the Purnell Model to explore their health practices and beliefs. The insights gained contribute to greater cultural awareness and inform culturally sensitive nursing care.

Methodology

The selected individual for interview was a 45-year-old woman from a Hispanic background, referred to by the initials "M." To maintain confidentiality and uphold ethical standards, personal identifiers were omitted. The interview utilized the twelve domains of the Purnell Model: Overview/Heritage, Communication, Family Roles and Organization, Workforce, Biocultural Environment, High-Risk Behaviors, Nutrition, Pregnancy and Childbearing Practices, Death Rituals, Spirituality, Healthcare Practices, and Healthcare Providers. The questions were adapted from the textbook "Transcultural Health Care" to elicit detailed information about M's cultural health practices and beliefs.

Findings

Overview/Heritage: M identified her cultural background as Mexican-American, with deep roots in traditional Hispanic customs. She emphasized strong family ties and respect for elders as central values influencing health decisions.

Communication: Spanish is her primary language, with limited English proficiency. This language barrier sometimes affects her understanding of medical instructions, highlighting the importance of utilizing interpreters and culturally appropriate communication strategies.

Family Roles and Organization: In her culture, family plays a pivotal role. M explained that health decisions are often made collectively, involving elders and extended family members, rather than individually.

Workforce: M works in a community health clinic serving diverse populations. She valued healthcare providers who demonstrate cultural sensitivity and respect for her traditions.

Biocultural Environment: Her diet includes traditional Hispanic foods high in carbohydrates and fats, which influence her health, particularly regarding her risk for diabetes and heart disease.

High-Risk Behaviors: M mentioned occasional consumption of traditional alcoholic beverages during celebrations but does not engage in smoking or drug use.

Nutrition: The emphasis on traditional foods, such as beans, rice, and tortillas, reflects her cultural identity. She follows some dietary restrictions during religious festivals and personal illnesses.

Pregnancy and Childbearing Practices: M values family involvement during pregnancy, prefers home remedies, and respects traditional postpartum practices such as herbal teas and rest.

Death Rituals: Funeral rites involve specific prayers and rituals respecting Catholic beliefs intertwined with cultural customs, such as vigils and family gatherings.

Spirituality: Catholicism plays a significant role in her daily life, influencing her health beliefs and coping mechanisms, including prayer and faith in divine intervention.

Healthcare Practices: While she trusts Western medicine, she also incorporates traditional remedies and consults with herbalists when appropriate.

Healthcare Providers: M appreciates healthcare providers who listen carefully, show respect for her cultural beliefs, and communicate effectively, possibly through bilingual staff or interpreters.

Discussion

Applying the Purnell Model revealed how intertwined cultural beliefs are with health practices in M's life. Her reliance on family decision-making, traditional foods, spiritual practices, and herbal remedies exemplifies the importance of cultural awareness for nurses. Cultural competence enhances trust, improves communication, and leads to better health outcomes. Understanding such cultural dimensions allows nurses to develop individualized, respectful care plans that honor patients' cultural identities while promoting evidence-based health practices.

Furthermore, language barriers underline the need for effective communication strategies, such as bilingual staff or interpreter services. Respecting traditional practices, such as herbal remedies and postpartum rituals, requires an open, nonjudgmental attitude from healthcare providers. Nurses must be culturally sensitive, providing education that aligns with patients' beliefs and values, fostering mutual respect and cooperation.

In conclusion, conducting culturally competent assessments using models like Purnell’s enables nurses to deliver holistic, respectful, and effective care. As healthcare becomes increasingly diverse, cultural competence is not optional but essential to ethical practice and optimal patient outcomes.

Conclusion

The interview with M illuminated the rich complexity of cultural health practices rooted in heritage, spirituality, and social norms. Through the Purnell Model, healthcare providers gain insights into the cultural factors affecting health behaviors, allowing for more personalized and respectful care. Embracing cultural competence helps bridge gaps in understanding, reduces disparities, and enhances the overall quality of healthcare services.

References

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• Jezewski, M. A. (2014). Cultural competence: A framework for understanding health disparities. In M. J. Purnell & E. Paulanka (Eds.), Transcultural health care: A culturally competent approach (4th ed., pp. 235-252). F. A. Davis Company.
• Purnell, L. (2013). The Purnell model for cultural competence. In L. Purnell & B. Paulanka (Eds.), Transcultural health care: A culturally competent approach (4th ed., pp. 3-17). F. A. Davis Company.
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