The Purnell Model of Cultural Competence provides a framework for understanding 12 domains that comprise different aspects of a culture, including concepts like health care practices, high-risk behaviors, pregnancy and childbearing practices, spirituality, and death rituals. The model aims to help nurses understand diverse cultures and provide culturally competent care. It identifies reasons for migration like family, economy, personal development, and security issues. Economic factors driving migration include poor economic situations, lack of employment and professional opportunities. The model makes an important contribution to transcultural nursing by organizing cultural concepts across different domains.

1. Purnell Model
of
Cultural
Competence

2. OBJECTIVES:
• TOPROVIDEANOVERVIEWOFPURNELLMODELFORCULTURAL
COMPETENCE.
• TOIDENTIFYTHE DIFFERENTDOMAINSCOMPRISINGTHE
ORGANIZINGFRAMEWORKANDITSCHARACTERISTICS.
• TOUNDERSTANDTHEMODELONITSIMPORTANT
CONTRIBUTIONTOTRANSCULTURALNURSING.

4. REASONS FOR MIGRATION
AND
ASSOCIATED ECONOMIC
FACTORS
According to the study the
most frequent emigration
reasons were:
• Family
• Economy
• Personal Development
• Cultural Conditions
• Insecurity

5. Economic Factors:
• Poor Economic Situations
• Lack of employment
• Lack of professional development/opportunities
• Lack of beneficial works or policies for the general
populations.

6. Domain: High-Risk Behaviors
• Tobacco
• Alcohol
• Recreationaldrugs
• Physicalactivity
• DegreeofSedentaryLifestyles
• ConsumptionofUnhealthyfoods
• UseofSafetyEquipments
• Sexualbehavior

7. PREGNANCY and CHILDBEARING PRACTICES
• Fertility practices
• Labor and delivery practices
• Practices that are considered taboo,
prescriptive or restrictive during
pregnancy
• Labor and postpartum

8. HEALTH CARE PRACTICES
• Focus of Health care
• Magicoreligious and healthcare beliefs
• Traditional practices
• Individual responsibility for health
• Self medicating practices
• Views towards issues such as: Organ donations,
mental illness and rehabilitation
• How pain is expressed
• Chronicity
• Blood transfusion
• Transplant

9. SPIRITUALITY
•
• MEANING OF LIFE
• RELIGIOUS PRACTICES
• HOWPRAYERISUSED
• INDIVIDUALSTRENGTH

10. DEATH RITUALS
• How death is viewed
• Preparation for Death
• Burial practices/Post mortem
• Bereavement practices

11. QUESTIONS:
• In your own opinion out of all three models Leininger, Giger
and Daidhizar, and Purnell is there any particular model that
was deemed superior to the others or all three have made and
can make significant contributions to nursing education and
practices?

12. Reference:
• TRANSCULTURAL HEALTH CARE:
CULTURALLY COMPETENT APPROACH, 4TH
EDITION
• HTTPS:WWW. NASN.ORG PURNELL MODEL
• INTERNATIONAL ARCHIVES OF NURSING
AND HEALTH CARE
• JOURNALS.SAGEPUB.COM
• WWW.RESEARCHGATE.NET PURNELL
MODEL OF CULTURAL COMPETENCE