Peer Respond Discussion Board

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Hello writer please see instructions attached for a peer respond – Diversity in ADV HLTH Practice

Instructions to writer: this is a peer respond, please respond to Gabriella and Olga with a minimum of 150 words to each peer and at least 1 academic resource to
each peer.

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Must meet the following:

You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. 

All replies must be constructive and use literature where possible.

I need this in
APA Style. Thank you!

This’s Gabriella Discussion Post ↓

The Purnell model for cultural competency is considered a model to improve comprehension on cultural competence for individuals within the healthcare community. The Model’s efficiency has been well-rooted in the globally, informing and bringing awareness, to the client’s culture using assessments, health-care planning, interventions, and evaluations (Purnell, 2013). Members of the healthcare field are acquainted to people from distinct backgrounds, cultures, beliefs, and values daily. The population is growing nationwide and is becoming more assorted. Therefore, nurses and other medical professionals need to become more familiar with cultural diversity or it might have a negative impact on the population. Purnell’s model aims at preventing this from happening by making nurses more culturally knowledgeable and catering to their needs regardless of a patient’s culture and background.

            Purnell’s model of cultural competence is an ethnographic model that provides a cultural understanding of people in the process of health protection, development, and coping with diseases (Yalçın Gürsoy, & Tanrıverd, 2020). Purnell’s model is characterized as a model with a focus on four essential concepts which includes person, community, global society, and family. The most outer part of the diagram or model consists of the global society which emphasizes the obligation for healthcare workers to view the world and society as allied and not separate items. The model discusses how globalization and communication skills are effective in the influence of society and the method that individuals depict others based on their cultural background. Nonetheless, the model applies the community as a means of getting healthcare members involved and have the want to explore it as a way of comprehending one’s ethics and viewpoints. The way a certain community is seen, impacts decision making and goals to understand them can provide better care. In communities, family is also very important, as a patient may want a member to be included in any decision-making process. Additionally, professionals within the healthcare community must comprehend that a patient’s cultural tendencies, values and beliefs may revolve around familial connections. Finally, one of the most important concepts of the Purnell model is the person. When a medical professional is providing care to a patient, they must treat them as an individual who has their own morals and values. The four concepts of Purnell’s model, family, person, community, and global society have different ways that an individual interrelates, which may influence the treatment they receive and some of the decisions that are made.

Purnell’s model of competency also integrates the twelve domains of culture which are essential in analyzing the ethnicity and characteristics of individuals, family member or groups. The twelve cultural domains include heritage, bicultural ecology, pregnancy and childbearing, death rituals, spirituality, communication, family roles and organization, workforce issues, high-risk behaviors, nutrition, healthcare practices and healthcare practitioners (Aksoy Derya et al., 2021). Health professionals in all specialties and practices are capable and should incorporate this model, which is essential in healthcare.

Advanced Practice Nurses (APRN’s) have numerous roles, such as a caregiver, manager, nurse educator, nurse navigator and research. Purnell’s cultural competence model is important and essential for APRN’s, as it permits them to apply their knowledge and skills to administer high quality care to all. Every APRN will encounter someone who is from a different culture with different beliefs; however, Purnell’s model helps them defeat any biased or judgmental feelings they may experience towards an individual. For APRN’s to provide adequate patient care to an individual, one must become educated on different cultures. This model is also vital for APRN’s as it relays the importance of effective communication which promotes cultural competence. Effective communication will defeat barriers, advance access to services and support better health outcomes for clients.


Aksoy Derya, Y., Altıparmak, S., Karakayalı Ay, Ç., & Özşahin, Z. (2021). Determining the Cultural Care Needs of Infertile Couples in Turkey: A Qualitative Study Guided by the Cultural Competence Model. Journal of religion and health, 10.1007/s10943-021-01445-w. Advance online publication.
Links to an external site.

Purnell, L. (2013). Transcultural Health Care: A Culturally Competent Approach (4th ed.). F.A. Davis.

Yalçın Gürsoy, M., & Tanrıverdi, G. (2020). Evaluation of Violence Against Elderly People of Different Cultures by Using The “Purnell Model for Cultural Competence”. Florence Nightingale journal of nursing, 28(1), 83–96.


This’s Olga Discussion Post ↓

The Purnell Model for Cultural Competence and its relevance for advanced practice nurse. 

The Purnell Model for Cultural Competence places strong emphasis on providing healthcare professionals with the basis to understand the numerous characteristics of different cultures, aiding advanced nursing practitioners to properly comprehend patient characteristics, such as motivation, experiences and beliefs about healthcare and illness. This ethnographic method is important because it promotes cultural appreciation and awareness of diverse backgrounds while providing patient care, as nurses usually interact with patients from all distinct parts of the world. The concept is presented as a diagram containing parallel circles representing the community, family, and individual, and other facets of global society. One of the model’s strongest traits is flexibility, which improves its usability in a variety of healthcare contexts, and helps nurses become familiar with various aspects of cultural diversity (Purnell, 2018).  

The Purnell model has been categorized as a holographic and complexity theory because it can be used as an organizational structure that can be applied within different healthcare disciplines. The model consists of a circle with an inner rim representing the individual, and outer rims that illustrate the local communities, families, and global society. The inside part of the circle is divided into 12 wedges forming a pie, which represent a variety of cultural realms and their notions. These domains contain bidirectional arrows that indicate how each domain is affected by others, and there are multiple concepts under each domain. In the inner center of the Purnell model is an empty, dark circle, which stands for unidentified behavior and customs of the person or group. This circle can widen or narrow for healthcare professionals depending on their cultural self-awareness and the knowledge for culturally diverse patients, their families, and communities. In the bottom of the model, a saw-toothed line is displayed, representing the non-linear concept of cultural consciousness, and this line is pertinent to health care providers and organizations (Purnell & Fenkl, 2019). 

Within the realm of healthcare, cultural sensitivity is essential for advanced nurse practitioners to develop rapport with their patients, as they play a particularly key role in achieving positive outcomes by appropriately handling the concerns of individuals as well as families. Transcultural nursing is a term that refers to aspects of care delivery that are culture-related, and its main objective is to promote care that is meaningful, culturally compatible, and safe for patients belonging to distinct cultures. Cultural competence is an essential requirement for advanced nursing practitioners because it helps improve the care provided by considering differences in age, gender, religion, and socioeconomic status. Understanding a patient’s religious and cultural background is beneficial and it helps healthcare professionals evaluate their own beliefs, which in turn can influence their practice. The framework of the Purnell model is useful in incorporating transcultural competence into nursing practice, as it is often used in health assessment programs. Additionally, the model’s structure simplifies the process of analyzing cultural data, which in turn provides nursing professionals with the tools necessary to better serve the needs of individuals and their families, such as using appropriate communication strategies (Im & Lee, 2018).



Im, E.-O., & Lee, Y. (2018). Transcultural Nursing: Current trends in theoretical works. 
Asian Nursing Research
12(3), 157–165. 
Links to an external site.

Purnell, L. (2018). Update: The Purnell theory and model for culturally competent health care. 
Journal of Transcultural Nursing
30(2), 98–105. 
Links to an external site.

Purnell, L. D., & Fenkl, E. A. (2019). 
Handbook for Culturally Competent Care. Springer.

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