...Purnell (2008) defines cultural competence as the adaptation of care in a manner that is consistent with the culture of the client and is, therefore, a conscious process and nonlinear. The Purnell Model for Cultural Competence consists of seven categories (macro aspects) and twelve sub categories (also known as domains), which introduce and detail the major realms of miscommunications in the health field. The model includes the following concepts: a global society, community, family, person, and conscious competence. The theory and model are conceptualized from biology, anthropology, sociology, economics, geography, history, ecology, physiology, psychology, political science, pharmacology, nutrition, communications, family development, and...
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...Transcultural HealthCare February 28, 2016 Applying Purnell’s Model What is cultural competence? To be culturally competent healthcare provider one needs to understand their own world outlook and those of their patients, at the same time avoiding stereotyping and their own biases. Cultural competence is obtaining cultural data and then relating that knowledge. Cultural competence is a conscious ongoing process. Cultural awareness allows a healthcare provider to see the entire picture and improves the quality of care and health outcomes. Familiarizing ones self to different cultural beliefs and practices requires flexibility and a respect for others view points. Cultural competence requires the ability to listen to the patient, to learn about the patient’s beliefs of health and illness. The Purnell Model for Cultural Competence is a framework having detailed questions and a format that could be used to assess culture in healthcare setting. The Purnell Model for Cultural Competence in a healthcare setting place an importance on effective communication as well as the need to know the cultural views of patients. Purnell’s definition of cultural competence is, the totality of socially transmitted behavioral patterns, arts, beliefs, values, customs, lifeways, and all other products of human work and thought characteristics of a population of people that guide their worldview and decision making (Purnell, 2002,pg6-7). In other words culture is mainly learned in a family...
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...HLT 324V WEEK 1 COMPLETE LATEST To purchase this tutorial visit here: http://wiseamerican.us/product/hlt-324v-week-1-complete-latest/ contact us at: SUPPORT@WISEAMERICAN.US HLT 324V WEEK 1 COMPLETE LATEST HLT 324V Week 1 Discussion 1 Describe the concept of “variant characteristics of culture.” Which characteristics can change and which cannot? Is equality for variant cultures typically supported in the United States? Provide examples to support your statement. HLT 324V Week 1 Discussion 2 How does cultural competency occur? What can one do to become culturally aware? Describe an effective approach to using The Purnell Model when working with subcultures (immigration status, gender, political beliefs, socioeconomic status, sexual orientation, educational status, etc.). HLT 324V Week 1 Allied Health Community Media Scenario Details: The ability to communicate, interact with different cultures, and think critically is essential in the medical field. The interactive media scenario you will use for this assignment illustrates a situation that could easily arise when working in health care. To complete this assignment: 1. Go to the “Allied Health Community” media link: http://lc.gcumedia.com/hlt307v/allied-health-community/allied-health-community-v1.1.html 2. Click “Enter” to begin. 3. Click on the box that says “SCENARIOS.” 4. Click on “View Scenario” for the “Critical Decision Making for Providers.” 5. Examine how the described problem might happen in your facility...
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...This model requires nurses to perceive themselves in the process of enhancing culturally competent and not as assuming that they are being culturally competent, and it involves the integration of cultural desire, cultural awareness, cultural knowledge, cultural skill, and cultural encounters (see Figure 1). The Process of Cultural Competence in the Delivery of Healthcare Services (Campinha-Bacote, 1998a) is a model that views cultural competence as the ongoing process in which the healthcare provider continuously attempts to achieve the capacity to productively work within the cultural context of the client (individual, family, community). This model requires health care providers to see themselves as growing culturally competent rather than already being culturally competent. This process involves the integration of cultural awareness, cultural knowledge, cultural skill,...
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...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 Sabbath...
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...Cultural Sensitivity and the Health Practices in Dominican Republic Manoucheka Chery Grand Canyon University: NUR-502 May 7, 2014 Cultural Sensitivity and the Health Practices in Dominican Republic The demographics of the United States is changing to one that is multicultural, multiethnic, and multilingual. Culture is a vital component in the health and wellness of individuals. Culture affects individuals' beliefs, definition of health, treatments, and interaction with healthcare providers. These beliefs may affect the patient’s compliance with medication or therapy. In order to address the diverse beliefs of today’s population the advance practice nurse must be culturally competent. Barker and DeNisco (2013) defined cultural competence as a “compilation of the clinical skills and professional behavior of a healthcare provider focused on the cultural values, beliefs, and perceptions of the consumer while both are engaged in the therapeutic relationship” (p.486). According to Higgins and Learn (1999), the Hispanic population includes a diversity of subgroups. Although each subgroup shares a common language, “they differ in traditions and customs” (Higgins & Learn p. 1105). This paper will focus on Hispanics residing in rural Dominican Republican. According to Schumacher (2010), the number of Hispanics immigrating and living in the United States is rapidly increasing. “Between 1990 and 2000, the number of foreign-born Hispanics from the Dominican Republic (DR) in the...
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...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 sorts...
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...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...
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...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 have...
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...it is critical to address the needs of community members where the care is being delivered, regardless of their culture. As such, cultural competence encompasses providing care that is consistent with the culture of the patient. The key point is that developing cultural competence is a continuing process, and by no means an endpoint. The word “culture” does not limit itself to ethnicity or race, but addresses disability, income level, profession, gender, age, sexual orientation, or geographic location. The key to cultural competence is to show the utmost respect and response to beliefs and practices related to health, culture and language, and diverse population groups....
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...and Larry Purnell J Transcult Nurs 2011 22: 317 DOI: 10.1177/1043659611412965 The online version of this article can be found at: http://tcn.sagepub.com/content/22/4/317 Published by: http://www.sagepublications.com On behalf of: Transcultural Nursing Society Additional services and information for Journal of Transcultural Nursing can be found at: Email Alerts: http://tcn.sagepub.com/cgi/alerts Subscriptions: http://tcn.sagepub.com/subscriptions Reprints: http://www.sagepub.com/journalsReprints.nav Permissions: http://www.sagepub.com/journalsPermissions.nav Citations: http://tcn.sagepub.com/content/22/4/317.refs.html >> Version of Record - Sep 26, 2011 What is This? Downloaded from tcn.sagepub.com 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: sagepub.com/journalsPermissions.nav DOI: 10.1177/1043659611412965 http://tcn.sagepub.com 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, PhD, RN...
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...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 (http://wps.prenhall.com/wps/media/objects/663/679611/box_6_1.pdf) 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. Family A is a second-generation American family with great grandparents...
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...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, implementing...
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...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 bound...
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...anTien Nguyen Amna Qureshi Rina Marie Abantao “Jotun - All the Colours in the World” Date: 04.06.2009 Program: Bachelor in International Marketing Fudan University & Norwegian School of Management “This paper is written as a part of the undergraduate program at BI Norwegian School of Management. This does not entail that BI Norwegian School of Management has cleared the methods applied, the results presented, nor the conclusions drawn” Jotun China – All the Colours in the World Executive summary Jotun Kemisk Fabrik A/S was founded in March 1926, operating only in Norway until 1962 when it began to expand internationally. Today Jotun operates in more than 70 countries, and is one of the world’s leading manufacturers of paints and coatings. Jotun has been in the Chinese market since 1983, initially focusing only on marine coatings and protective coatings where the brand became very successful. Encouraged by this, Jotun China decided to enter the Chinese decorative paint market in 2001 with the long term goal of becoming the market’s leading brand. However, after 8 years in the Chinese decorative paint market, Jotun China has not been able to replicate its previous successes. Therefore, we the authors of this thesis, working in collaboration with Jotun China staff, set out first to determine the viability of Jotun’s latest strategy for the Chinese decorative paint market, and second to suggest concrete steps to follow if and when executing this strategy. Our findings...
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