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Cultural
Competence
Larry D. Purnell
PhD, RN, FAAN
Professor
Department of Nursing
University of Delaware |
The concepts that make up Purnell's
model of cultural competence are not unlike those
found in Leininger's, and Giger and Davidhizar's
models. However, Purnell's model extends some of the
categories under which the concepts are organised.
Purnell's model of cultural competence consists of 2
sets of factors that are described as the macro
aspects and micro aspects. In the diagrammatic
representation of the model, Purnell and Paulanka use
concentric circles to locate the macroaspects and
microaspects. The macroaspects form the wider outer
circles and the microaspects the inner circle, all
constituting segments of the whole.
From the outermost circle moving inwards to the
centre, the concentric circles are made up of the
'global society', the community, the family and the
person. Purnell and Paulanka (1998, p.8-9) suggest
that the model is informed by a range of fields of
inquiry that include 'biology, anthropology,
sociology, economics, geography, history, ecology,
physiology, psychology, political science,
pharmacology, and nutrition as well as communication,
family development, and social support'. They go on to
say that 'the model can be used in clinical practice,
education, research, and the administration and
management of health-care service'.
(Extract from:
Purnell's Model Of Transcultural Health Care.
RCN: Transcultural health care practice: Foundation
module.)
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Books Available HERE from Amazon
Selected Publications:
- Purnell, L. D., & Paulanka, B. J.
(1998). Purnell's Model for Cultural Competence. In
L. D. Purnell & B. J. Paulanka (Eds.), Transcultural
health care: A culturally competent approach (pp.
7-51). Philadelphia: F. A. Davis Company.
- Purnell, L. (2000). A description
of the Purnell model for cultural competence.
Journal of Transcultural Nursing, 11(1), 40-46.
- Purnell, L. (2002). The Purnell
model for cultural competence. Journal of
Transcultural Nursing, 13(3), 193-196.
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