Premium Essay

Cultural Assessment Purnell Model: Cultural Assessment

In: Social Issues

Submitted By campbellfamily
Words 1118
Pages 5
Cultural Assessment
Purnell Model: Cultural Assessment

Ashley Bell
Western New Mexico University
August 29, 2010
Cultural Assessment
Purnell Model
Overview and Heritage S. R. is a 31-year old soft spoken Filipino female. Her primary language is English. Her family dialect of Tagalog is understood, but not spoken fluently. Tagalog is the national language in the Philippine society, and English is the second official language. (McBride, 2001) Presently she resides in Pearland Texas with her husband and 20 month old daughter. Born and raised in Webster Texas she is of Filipino ancestry, and considers herself “Asian American” (personal communication, August 20, 2010). Her father and mother were born in the Philippines. They came to the United States two years prior to her birth seeking educa-tion and career opportunities (personal communication, August 20, 2010). S. R. is of middle class income, allowing her to afford the essentials of life without difficulties; providing her family with full health benefits through her employer. She is a Registered Nurse, with a bachelors in nursing and early education. S. R. worked as a first grade teacher for two years prior to going obtaining her BSN. Current working conditions expose her to anesthetic agents, communicable diseases, radiation and germicidal chemicals (personal communication, August 20, 2010).
Biocultural Ecology S. R. identifies herself with the Filipino race. She has light brown skin, a round face, large round eyes, straight black hair and short in stature (4’10”). Known drug allergies are to Sulfa, Theophylline and Keflex. S. R. states “prescription medications are taken only when absolutely necessary”; “over-the-counter medications are taken as a last resort” (personal communication, August 20, 2010). At this time over-the-counter medications have not caused any known adverse...

Similar Documents

Premium Essay

Heritage Assessment

...Heritage Assessment NRS-429V | Culture and Cultural Competency in Health Promotion John Thomas 3/24/13 The Heritage Assessment tool is primarily used as a device to evaluate health maintenance, health protection, and health restoration of a person’s cultural beliefs and values (Spector, 2006). This assessment helps aid in providing quality patient care in that it helps to meet and respect the needs of different types of people and their respective backgrounds (Spector, 2002). This particular paper serves to compare and contrast the ethnicities of Indian, Caucasian, and Arabic families using health maintenance, health protection, and health restoration as evaluation markers. The purpose was to identify and isolate different groups of people and their unique health practices and traditions that were based off their heritage or background. An assessment of these ethnicities led to several discoveries that I believe could truly improve our methods of health care. Cultural awareness is an essential part of life, especially in this country that is considered to be the melting pot of the world. Cultural awareness can be defined as understanding and appreciation the difference between oneself and people of other backgrounds and cultural beliefs (Shen, 2004). Cultural competence is a term used to refer to awareness and skill acquired to be able to care for people of different ethnicities and cultures (Purnell, 2002). The heritage assessment tool serves as a questionnaire of......

Words: 1093 - Pages: 5

Premium Essay

Native American Nursing Theory Paper

...lifetime career. Cultural competence is vital in caring for a person from another culture. Leininger’s Cultural Care Diversity and Universality Theory (McEwen & Wills, 2014, p. 233) states “demonstrating to nurses the importance of considering the impact of culture on health and healing.” McEwen & Wills, (2014, p.233) reports “the goal for application of Leininger’s theory is to provide culturally congruent nursing care to persons of diverse cultures.” Purnell (2013) explains if the care plan doesn’t include the patient’s own health cultural viewpoints; the plan will more than likely not be followed. Native American people place high importance on their culture and heritage. Interacting with this unique group of people, becoming more knowledgeable, and culturally sensitive to their needs is the basis for this paper. By increasing knowledge and appreciating the Native American culture, nurses may improve communication to better care for their Native American patients. Even though the Native American population in Colorado is a mere 56,000, according to the 2010 United States Census Bureau, it has grown from 1.1 percent to 1.6 percent of...

Words: 1102 - Pages: 5

Premium Essay

Practies of Nursing

...and Larry Purnell J Transcult Nurs 2011 22: 317 DOI: 10.1177/1043659611412965 The online version of this article can be found at: Published by: On behalf of: Transcultural Nursing Society Additional services and information for Journal of Transcultural Nursing can be found at: Email Alerts: Subscriptions: Reprints: Permissions: Citations: >> Version of Record - Sep 26, 2011 What is This? Downloaded from by Marty Douglas on September 27, 2011 412965 ouglas et al.Journal of Transcultural Nursing TCN22410.1177/1043659611412965D Commentary Journal of   ranscultural Nursing T 22(4) 317­–333 © The Author(s) 2011 Reprints and permission: DOI: 10.1177/1043659611412965 Standards of Practice for Culturally Competent Nursing Care: 2011 Update Marilyn K. Douglas, DNSc, RN, FAAN1, Joan Uhl Pierce, PhD, RN, FAAN2, Marlene Rosenkoetter, PhD, RN, CNS, FAAN3, Dula Pacquiao, EdD, RN, CTN4, Lynn Clark Callister, PhD, RN, FAAN5, Marianne Hattar-Pollara, DNSc, RN, FAAN6, Jana Lauderdale, PhD, RN7, Jeri Milstead, PhD, RN, FAAN8, Deena Nardi, PhD, PMHCNS-BC, FAAN9, and Larry Purnell,......

Words: 12731 - Pages: 51

Premium Essay

Organizational Barriers to Healthcare

...Organizational Barriers to Mental Health Care Alex Nimako Aspen University Dr. Nina Beaman May 2, 2015 The health care environment relevant for this assignment is the state mental hospital at Norristown, Pennsylvania. The closest minority group to this facility will be immigrant Mexicans. In order to examine the potential barriers that might exist for a Mexican seeking mental health at the facility, an assessment of barriers to health care as noted by Purnell (2013) will be provided. This paper will therefore discuss the identified barrier issues relating to language, availability, accessibility, affordability, appropriateness, accountability, and adaptability. Other issues regarding acceptability, awareness, attitudes, approachability, alternative practices and practitioners, and additional services will also be discussed. This paper will further discuss ways to decrease barriers to mental health care for this minority group to assist the facility strive for cultural competency. Acosta (2003) noted in his project on a model mental health program for Hispanics that language barriers and lack of health insurance are the two major barriers to receiving mental health care for Latinos. There are no nurses, social workers, physicians, and psychologists at this facility who speak Spanish. However there are several Spanish speaking patients at both the civil side and forensic unit. The facility has to rely on interpreters whose services can only be obtained through a state......

Words: 1323 - Pages: 6

Premium Essay

Heritage Assessment

...Heritage Assessment Mary DeCastro Grand Canyon University NUR 429V Lori James July 7, 2014 Heritage Assessment Health care professionals deliver cultural competent care on a daily basis. In 1969 Campinha-Bacote was pursuing an undergraduate degree in nursing. At the same time relationships between the Caucasians and Blacks were strained. Parties of either side felt compelled to identify with ethnic background. It was at this time that Campinha-Bacote laid the developmental stages of her model, The Process of Cultural Competence in the Delivery of Healthcare Services (Campinha-Bacote, 2002). Cultural competence requires the health care deliverers to value diversity, be able to assess culture, be conscious of the interactions of cultures, have cultural knowledge, and develop a deliver system that reflects and understanding of diversity (Cross, Bazron, Dennis, and Isaacs, 1998). Heritage Assessment Tool Since Campinha-Bacote introduce the idea of cultural competency in the delivery of nursing care healthcare, professionals have developed many tools to help identify the cultural beliefs of patients and how culture affect patient’s medical beliefs (Campinha-Bacote, 2002). Questionaries’ such as the Heritage Assessment Tool ( have been key to identifying a patient’s cultural need. The Heritage Assessment Tool was used to assess three families: Family A, Family B, and Family C cultural needs. ......

Words: 1122 - Pages: 5

Premium Essay

Personal Prejudices and Biases

...Personal Predjuges and Biases One personal bias I have would be in relationship to some of the beliefs of the Mormons. Although I infrequently come in contact with individuals of this belief, I have had some exposure to them in my work history and have done some reading about their beliefs. In less than 70 years, the number of Mormons has grown from less than a million to more than 6 million in the United States and 14 million worldwide. Their visibility and influence at all levels and walks of life have increased accordingly (Bohlen et al., 2010). The Church of Jesus Christ of Latter-day Saints (LDS), reflects the cultural impact of basic beliefs and traditions of church members practices and activities. The culture is geographically concentrated in the Western North American area, but is present to a lesser extent in many areas of the world where LDS live. Church members are encouraged to marry and have children, and as a result, LDS families tend to be larger than average. All sexual activity, both heterosexual and homosexual, outside of marriage is considered a serious sin. Same-sex marriages are not performed or supported by the LDS Church. When youth are in their late teens to early twenties they must put everything in their life on pause and go out for 18 to 24 months to spread the gospel. At least a tenth of a Mormon’s income must be given to tithing in order to contribute to the church’s growth.  Sunday, the......

Words: 3903 - Pages: 16

Premium Essay

Culturally Competent Care

...Running Head: CUTURALLY COMPETENT CARE Introduction Globalization has changed the way we live. The population demographic of United States is changing at a fast pace as every year people from different cultural and ethnic background are immigrating to the United States. By 2020, the number of ethnic minority in the United States will grow up to 35%. Immigration is an ongoing process and has brought a variety of culture and knowledge to the United States. The diversity of population is affecting the healthcare delivery system in the country. Nurses play a major role in the delivery of healthcare. Nurses are the direct caregivers to patients and spend maximum time with the patients and their family. “As the demographic composition of Western industrialized countries continues to diversify, the need for nurses to practice with cultural competence becomes essential” (Canales & Barbara, 2001, p. 103). Culturally Competent care Culturally competent care values diversity and respect individual differences regardless of one’s own race, beliefs, and cultural background. Culture can be defined as beliefs, values, customs and lifeway of a group of people that influence their choices in choosing health care practices. These behaviors are primarily learned in the family and are transmitted in the family. Culture is mostly unconscious and has strong influence on health practices. Subcultures, ethnic groups differ from the dominant culture and may......

Words: 2876 - Pages: 12

Premium Essay

Nursing Capstone - Nurse as Educator

...Running Head: ADVANCED PRACTICE ROLE INDEPENDENT STUDY NU 499: Nursing Capstone Carmen Ragusa February 4, 2010 The Nurse as Educator Abstract This paper explores the nurse educator as a profession. It delineates the responsibilities of the educator as a gatekeeper for the nursing profession and emphasizes its paramount role in the academic world of nursing education and health care delivery. There is an exciting perspective to the educator’s role in nursing and the opportunity to mentor the next generation of nurses. Teaching the novice clinician about the profession and the dedication to serving people is self fulfilling and vital to the preparation of future nurses. This paper examines the diversified roles of the educator as well as the challenges and ethical dilemmas that are congruent to the profession. The articles and nursing journals depict how the role of the educator substantially affects the health care delivery system and how the philosophy of nursing practice is implemented to promote holistic client centered care. The Clinical Nurse Educator The history of nursing education is tied to nursing's quest for a professional identity. Nursing is serious about education, placing major emphasis on lifelong learning as well as initial preparation. Nurse educators are critical players in assuring quality educational experiences that prepare novice nursing students for a diverse health care environment. They are responsible for designing,......

Words: 2878 - Pages: 12

Premium Essay


...HLTHIR403C. Work effectively with culturally diverse clients and co-workers Author John Bailey Copyright Text copyright © 2008 by John N. Bailey. Illustration, layout and design copyright © 2008 by John N. Bailey. Under Australia's Copyright Act 1968 (the Act), except for any fair dealing for the purposes of study, research, criticism or review, no part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by any means without prior written permission from John N. Bailey. All inquiries should be directed in the first instance to the publisher at the address below. Copying for Education Purposes The Act allows a maximum of one chapter or 10% of this book, whichever is the greater, to be copied by an educational institution for its educational purposes provided that that educational institution (or the body that administers it) has given a remuneration notice to JNB Publications, Disclaimer All reasonable efforts have been made to ensure the quality and accuracy of this publication. JNB Publications assumes no responsibility for any errors or omissions and no warranties are made with regard to this publication. Neither JNB Publications nor any authorised distributors shall be held responsible for any direct, incidental or consequential damages resulting from the use of this publication. To Order this Publication This publication can be ordered in a wire......

Words: 39856 - Pages: 160

Free Essay

Ma Dissertation

...Interviews…………………………………………………………... 15 2.3 Desk Research……………………………………………………… 19 Chapter 3- Research……………………………………………………………. 20 3.1 Philanthropy-A Very Brief Start 3.1.a-U.S.-Avoiding Triviality and Inadequacies of the Federal Government 3.1.b- England-Strategic Beginnings Give Birth to a State of Reticence………………………………………………… 22 3.2 Current Motivations for Individual Giving in the U.S. and England...24 3.2.a Non-profit Individual Giving Percentages…………………. 27 3.3 Deterrents to Individual Giving in England………………………….. 28 3.4 Case Study Interviews:………………………………………………. 30 3.4.a-„Suck It Up‟-Holly Oliver/The John F. Kennedy Center 3.4.b-One Hand Can‟t Clap-Shipra Ogra/London Bubble……….. 33 Chapter 4-Conclusion…………………………………………………………….. 36 4.1 A Concise Model of Practical Individual Giving for London Bubble... 39 4.2 Further Recommendations……………………………………………. 40 Appendix (ces)……………………………………………………………………. 42 References/Bibliography…………………………………………………………. 59 1 The...

Words: 17672 - Pages: 71

Premium Essay

Strategic Management

...This article was downloaded by: [Academy of Management] On: 11 February 2014, At: 16:20 Publisher: Routledge Informa Ltd Registered in England and Wales Registered Number: 1072954 Registered office: Mortimer House, 37-41 Mortimer Street, London W1T 3JH, UK The Academy of Management Annals Publication details, including instructions for authors and subscription information: An Aspirational Framework for Strategic Human Resource Management Susan E. Jackson , Randall S. Schuler & Kaifeng Jiang a b a a School of Management and Labor Relations, Rutgers University b Mendoza College of Business, University of Notre Dame Accepted author version posted online: 04 Dec 2013.Published online: 04 Dec 2013. To cite this article: Susan E. Jackson, Randall S. Schuler & Kaifeng Jiang (2014) An Aspirational Framework for Strategic Human Resource Management, The Academy of Management Annals, 8:1, 1-56, DOI: 10.1080/19416520.2014.872335 To link to this article: PLEASE SCROLL DOWN FOR ARTICLE Taylor & Francis makes every effort to ensure the accuracy of all the information (the “Content”) contained in the publications on our platform. However, Taylor & Francis, our agents, and our licensors make no representations or warranties whatsoever as to the accuracy, completeness, or suitability for any purpose of the Content. Any opinions and views expressed in this publication are the opinions and......

Words: 23604 - Pages: 95

Premium Essay

Bp and Its Accountability

...100010779 Exploring Justice, Fairness and Organizational sustainability in the international environment: The case of 2010 Gulf of Mexico Exploring Justice, Fairness and Organizational sustainability in the international environment: The case of 2010 Gulf of Mexico Abstract This study leverages insights from the literature of organizational sustainability, stakeholder theory as well as the notion of organizational justice and fairness to help answer the question as to how companies should morally prioritize corporate social responsibility, corporate accountability and stakeholder claims. In this paper, I also utilized the concept of corporate social responsibility as well as the triple bottom line in order to form my own model of sustainability. This model is used to analyze the case of the 2010 Gulf of Mexico oil spills which was claimed as the responsibility of British Petroleum. I also addressed the strong relationship between organizational justice and organization sustainability with the conclusion that by enhancing organizational justice and fairness, organizations will be able to obtain its sustainable development in the long terms. Moreover, it is important to note that this article mostly focus on the sustainability regarding to three dimensions of economic, environmental and social, analyzing the real-world problems in order to emphasize the importance of philosophical roots of sustainability. Perhaps the result came out from this study will be seen as a......

Words: 19408 - Pages: 78

Free Essay


...GOVERNMENT AND POLITICS AS LEVEL UNIT TWO GOVERNING THE UK “Never, never, never give up” Winston S Churchill 1874-1965 1 GOVERNING THE UK 50% of AS [25% of A2] UNIT TWO SAMPLE QUESTION Answer one question from Section A and one question from Section B in 80 minutes. Spend 40 minutes on Section A and 40 minutes on Section B SECTION A QUESTION ONE PRIME MINISTERIAL POWER “For too long the big political decisions in this country have been made in the wrong place. They are not made around the Cabinet table where they should be, but they are taken on the sofa in Tony Blair’s office. No notes are kept and no one takes the blame when things go wrong. That arrogant style of government must come to an end. I will restore the proper process of government. I want to be Prime Minister of this country not a President (Source: David Cameron, The Times, 5th October 2006) “The Cabinet is the committee at the centre of the British political system. Every Thursday during Parliament, Secretaries of State from all departments as well as other ministers meet in the Cabinet Room in Downing Street to discuss the big issues of the day. The Prime Minister chairs the meeting, selects its members and also recommends their appointment as ministers to the monarch. The present Cabinet has 23 members (21 MPs and two peers). The secretary of the Cabinet is responsible for preparing records of its discussions and decisions”. (Source: From a modern textbook) (a)......

Words: 68254 - Pages: 274