The Purnell Model for Cultural Competence: Cultural Self-Assessment

The Purnell Model for Cultural Competence: Cultural Self-Assessment – Conduct a cultural self-assessment. In order to understand culture and cultural diversity, it is important that you understand your own culture and heritage…

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Paper details

Conduct a cultural self-assessment. In order to understand culture and cultural diversity, it is important that you understand your own culture and heritage. Using the tables that are located throughout Chapter 2 of your textbook (one for each domain of the Purnell Model for Cultural Competence, Table 2-1 to Table 2-12), answer these questions as they relate to you. Remember, you are answering these questions from your personal perspective, so there is no right or wrong response.

Explain why you do or do not adhere to the dominant cultural practices and beliefs of the ethnic group(s) with which you primarily identify. Although the information on this self-assessment paper is strictly confidential, if you do not wish to self-disclose a specific area from the Organizing Framework, indicate so instead of just not addressing it. You are not required to provide citations/references in this paper. Attention should be paid to grammar, spelling, and punctuation. Write a 3-4 page APA essay.

The text needed to be cited is:

• Purnell, L.D. (2013). Transcultural health care: A culturally competent approach (4th ed.). Philadelphia: F.A. Davis

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The Purnell Model for Cultural Competence: Solution

Table 2-1 Overview and Heritage

• Where do you currently live? In the suburban of Cape Coral, Florida.
• What is your ancestry? Irish and Caucasian
• Where were you born? In Cape Coral, Florida.
• How many years you lived in the United States? 35 years
• Were your parents born in the United States? Yes
• What brought you your parents to the United States? Unsure, I can trace 5 generations here.
• Describe the land or countryside where you live? Moderately to densely populated
• Have you lived in other places in the United States? North Carolina, Texas, Ohio,
• What is your income level? 68,000
• Does your income allow you to afford the essentials in life? YES
• Do you have health insurance? Yes
• What is your educational level? BSN
• What is your current occupation? Labor and Delivery Nurse, RN
• Are there any particular health hazards associated with your job? Potential exposure to infectious diseases, toxic substances, back injuries, and radiation. Also subject to hazards such as stress, shift work, and violence in the workplace.
• Have you been in the military? No
• Are you married? Yes
• How many children do you have? 2

2-2 Communication

• What is your full name? Kelly McCloe
• What is your legal name? Kelly McCloe
• By what name do you with to be called? Kelly
• What is your primary language? English
• Do you speak a specific dialect? No
• Do you find it difficult to share your thoughts, feelings, and ideas with family? Friend? Or health care providers? No
• Do you mind being touched by friends? Strangers? No, depend on where they are touching
• How do you wish to be greeted? Handshake
• Are you usually on time for appointments? All the time
• Observe the patient when physical contact is made does he/she withdraw from the touch or become tense? I always ask or notify the patient before I touch them and where I touch them
• How close dose the patient stands when talking with family members with health care providers? Within arms distance beside them
• Does the patient maintain eye contact when talking with the health care provider? Yes

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2-3 Family roles and organizations

• Who makes most of the decisions in your family? I do
• What types of decisions does the female in your family make? Financial, medical, domestic, and kids
• What type of decision do the males in your family make? Financial and long-term decisions
• What are the duties of the women in the family? Cooking, nurturing, providing, and disciplinary
• What are the duties of the males in the family? Provider
• What should children do to make a good impression for themselves and or the family? Be obedient, respectful, and mindful and excel in school
• What should children not do to make a good impression or themselves and for the family? Do drugs, or be disrespectful and non-obedient.
• What are children forbidden to do? Drugs, illegal behavior and immoral actions
• What should young adults do to make a good impression or themselves and for the family? Build trust, be respectful and portray integrity.
• What are adolescents forbidden to do? Engage in drugs or reckless behavior
• What are the priorities for your family? Provide food, clothes, a place to stay, and take care of your children and build a healthy and nurturing family.
• What are the roles of the extended family members in this household? Offer guidance, and be supportive
• What gives you and your family status? Good reputation in the community
• Is it acceptable to you for people to have children out of wedlock? No, it shows disrespect to the existing family set up
• Are you accepting of gay, lesbian, or transgendered people? Yes, am an inclusive individual.
• Is it acceptable to you for people to live together and not be married? Yes,
• What is your sexual preference/orientation? Heterosexual

2-4 Workforce issues

• Do you usually report to work on time? Yes I manage to be at work 10-30 minutes early
• Do you usually report to meetings on time? Yes, I plan early, this allows me to show up in time.
• What concerns do you have about working with someone of the opposite gender? None.
• Do you consider yourself a loyal employee? Yes, and passionate too
• Do you consider yourself to be assertive in your job? No
• What difficulty does English give you in the workforce? None, most of us speak English

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2-5 Biocultural Ecology

• Are you allergic to any medications? No
• What problems do you have when you took over the counter medications? A headache
• What are the major illness and diseases in your family? Diabetes and high blood pressure
• With what race do you identify? Caucasian
• Observe skin coloration and physical characteristics? White
• Observe for and ask about physical handicaps and disabilities? None

2-6 High Risk health behaviors

• How many cigarettes a day do you smoke? None
• Do you smoke a pipe? No
• Do you chew tobacco? No
• How much alcohol do you drink each day? None
• What recreational drugs do you use? None
• Do you exercise each day? No, I do 1 hours of cardio and other muscle endurance exercises 3 days a week
• Do you use seat belt/helmet? Yes
• What precautions do you take to prevent getting a sexually transmitted infection/HIV: I use condoms?

2-7 nutrition

• Are you satisfied with your weight? No
• Which foods do you eat to maintain your health? Vegetables and meat
• Which foods do you avoid to maintain your health? Fats and high carbs
• Do you avoid specific foods? Yes, any fast food delicacy
• Which foods do you eat when you are ill? Chicken soup or mango juice
• Which foods do you avoid when you are ill? Dairy
• Why do you avoid these foods? Dairy because of my intolerance and it sours your stomach
• For what illness do you eat certain food? Cold symptoms chicken soup and mango juice
• Which foods do you eat to balance your diet? Fruit vegetables and meat
• Which foods do you eat every day? Vegetables, fruit and a carb
• Which foods do you eat every week? Hamburger meat, rice, beans and vegetables
• Which food do you eat that are part of your cultural heritage? Seafood, shrimp
• Which food are high status foods in my family? Grouper
• Which food are eaten only by men women children, teenagers and children? Everyone eat the same meal
• How many meals do you eat each day? 2
• What time do you eat each meal? Alternate between breakfast, lunch or dinner
• Do you snack between meals? Yes on pretzels or nuts
• What holiday do you celebrate? Thanksgiving, Christmas, New Years, the Fourth of July and Easter
• Who usually buys the food in your household? I do
• Who does the cooking in your household? I do
• Do you have a refrigerator? Yes
• How do you cook your food? Bake, fry or broil
• How do you prepare meat? I wash it before I cook it then I season it
• How do you prepare vegetables? Clean, then season and cook it
• What do you drink with your meals? Juice diet coke, wine or water
• Do you drink special tea? No
• Do you have any food allergies? No but my son does
• Are there certain foods that cause you problems when you eat them? Spicy food
• How does your diet change with each season? Dependent on how much weight I want to lose

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2-8 pregnancy and childbearing practice

• How many children do you have? 2
• Have you ever had an abortion: Stillbirth, or Miscarriage? No
• What do you use for birth control? Yes
• What does it mean to you and your family when you are pregnant? Happiness
• What special food do you eat when you are pregnant? None
• What foods do you avoid when you are pregnant? Tuna
• Do you do anything special when you are pregnant? No
• Who do you want with you when you deliver your baby? Mom and spouse
• In what position do you want to be when you deliver your baby? Traditional lying down in the lithotomy
• What special food do you want after delivery? Doesn’t matter
• Who will help you with the baby after delivery? Husband and mom
• Do you want to keep the placenta? No
• What do you do to care for the baby’s umbilical cord? Keep the umbilical cord stump clean and dry and give the baby sponge baths

2-9 death ritual

• What special activity need to be performed to prepare for death? None
• Would you want to know about your impending death? Unsure
• What is your preferred burial practice? Funeral
• How soon after death does burial occur? 7 days
• How do men grieve in your culture? Some are stronger and emotions or controlled
• How do women grieve in your culture? Emotionally
• What does death mean to you? I am a Christian I believe there is life after death.
• Do you believe in afterlife? Yes
• Are children included in death rituals? Yes

• What is your religion? Christian
• Do you consider yourself deeply religious? No
• How many times a day do you pray? At night or early in the morning when I wake up
• What do you need to day in your prayers? Protection and favor
• Do you meditate? Yes, sometimes
• What gives strength and meaning to your life? Family
• In what spiritual practices do you engage for your physical and emotional health? Prayer

2-10 spirituality

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2-11 health care practice

• In what prevention activities do you engage to maintain your health? Exercise and dieting
• Who in your family takes responsibility for the family’s health? I do since I am the nurse
• What over the counter medicine do you use? Tylenol cold medicine and vitamins
• What herbal teas and folk medicines do you use? None
• What do you usually do when you are in pain? Take Tylenol depending on the pain
• How do you express your pain? Inform someone I am in pain, or meditate
• How are people with physical disabilities treated in your culture? Respectfully and keenly
• What do you do when you are sick? Inform my supervisor, receive treatment and rest at home till am better
• What are your beliefs about rehabilitation? It is needed to give individuals a second chance in life.
• How are people with chronic illness viewed or treated in your culture? No different than any other illness
• Are you averse to blood transfusion? No
• Is organ donation acceptable to you? Yes
• Would you consider having an organ transplant if needed? Yes

2-11 Health Care Practices

• Are health care services readily available to you? Yes I am active duty and insured
• Do you have transportation problems accessing needed health care services? No
• What traditional health care practices do you use? Massage, physical therapy and occupational therapy

2-12 health care providers

• What health care providers do you see when you are ill? Physicians, physician assistants and nurse practitioners
• Do you prefer a same sex health care providers? Yes when I am getting a well woman exam only because of an experience I had but otherwise no
• What healers do you use besides physicians and nurses? None
• Explain why you do or do not adhere to the dominant cultural practices and beliefs of the ethnic group(s) with which you primarily identify
• I do not adhere to the dominant cultural practice and beliefs of the Caucasian ethnic group. This is based on the belief I have in inclusion and the possibility of having biases towards people with a different background by following dominant cultural practices. As a nurse working with diverse colleagues and patients, I have taken my time to learn and acknowledge, and respect other ethnic backgrounds. As a result, I consistently examine my actions, words and interactions with others to ensure that I can understand the cultural difference and develop an awareness on different cultures. This has helped me understand the various perspectives of other cultures, and ethnicities and learned to respect them

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Reference

• Purnell, L. (2013). Transcultural health care: A culturally competent approach (4th ed.). Philadelphia: F.A. Davis.

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