Get a person from a cultural group different from your own. You may choose a patient, friend, or work colleague.

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The Purnell Model for Cultural Competence consists of 12 domains that are used to assess an individual’s culture. These domains are:

  1. Overview/heritage
  2. Communication
  3. Organization and family roles
  4. Issues affecting the work force
  5. Biocultural ecology
  6. High-risk behaviors
  7. Nutrition
  8. The pregnancy and birth of a child
  9. Spirituality
  10. Health care practices
  11. Funeral rituals
  12. Health care practitioners

You will need information about each domain to conduct a culture assessment using the Purnell Model. This can be done through open-ended questions, observation, and reviewing the individual’s medical history. You should approach this assessment with humility, respect, and sensibility.

Once the assessment is complete, the information gathered can be used to inform health practices and interventions that are culturally appropriate and respectful of the individual’s beliefs, values, and practices. Recognize and accept cultural differences in healthcare practices as they can have an impact on patient satisfaction and health outcomes. Communication and cooperation with patients from various cultural backgrounds is key to improving health outcomes, and increasing cultural competence in the delivery of healthcare.

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