1. Discussion 1 (Lindsay)
Module 1 Discussion
Cultural competence is having the capability to effectively
interact with individuals belonging to different cultures. Being
culturally competent is essential in the nursing profession.
Specifically, because advanced practice nurses (APN) care for
many different cultural groups in the community. Cultural
competence plays a significant role in eliminating and
decreasing health care disparities. Therefore, APNs must have
the ability to communicate appropriately with different cultural
backgrounds to effectively treat patient’s health concerns in a
manner that is acceptable to the patient.
The Purnell model defines culture as behavioral patterns,
beliefs, values, lifestyles, and all other factors that influence
the human work and thought characteristics of a group of people
that guide their worldview and decision making (Purnell, 2005).
The Purnell model was a framework designed to use across all
disciples and practice settings to assess different cultures .
Every healthcare discipline values communication and must
know their patients ethnocultural beliefs. Healthcare providers
are more effective in caring for patients when they understand
ethnocultural diversity. The model is a circle with three rims,
the outlying rim represents global society, a second rim
representing community, a third rim representing family, and
the inner rim representing the person (Purnell, 2005). The
interior of the circle is split into 12 parts representing cultural
domains and their concepts. The 12 cultural domains construct
the framework of the model. The Purnell model was developed
for multiple purposes. These include providing a framework to
learn concepts and characteristics of culture; define instances
that affect an individual’s worldview; provide a tool that links
the most significant relationships of culture; interrelate
characteristics of culture that promote congruence to deliver
sensitive and competent care; provide a structure for analyzing

2. cultural data; and view individuals, families, and communities
within their unique ethnocultural environment (Purnell, 2005).
Communicating in a culturally sensitive way can minimize
prejudices and biases.
Culturally competent communication means communicating
with mindfulness and knowledge of health disparities and
understanding that sociocultural influences have important
effects on beliefs, behaviors, and the skills used to manage
these factors appropriately (Taylor & Lurie, 2004). It is also
important to recognize and understand different communication
needs and styles. For example, identifying patient language
preferences, literacy levels, and level of English proficiency.
Promoting culturally competent communication in the health
care setting reflects high quality care and a holistic approach.
Good patient-provider communication is associated with
increased adherence to treatment plans, higher patient
satisfaction, and improved health outcomes (Taylor & Lurie,
2004). Having awareness of cultural differences aids in
decreasing assumptions made during care and gives patients a
voice to adequately express their concerns. Clear
communication encourages dialogue between the patient and
provider which builds a trusting relationship. The way in which
we communicate and deliver care to patients is an important
aspect in conveying our respect for their cultural values. APNs
stand out from any other health care provider in the way in
which we communicate and develop a trusting relationship with
our patients. Therefore, an essential part of our profession is
developing cultural awareness and cultural
competence.References
Purnell, L. (2005). The Purnell model for cultural
competence. The Journal of Multicultural Nursing and Health,
11(2).
https://files.midwestclinicians.org/sharedchcpolicies/Poli cies_F
orms/Cultural%20Competency/PURNELL%27S%20MODEL.pdf

3. Discussion 2 (Adiana)
Cultural Competence
The Purnell Model for Cultural Competence and its relevance
The Purnell Model for Cultural Competence is a
conceptual model that describes the multidimensional nature of
cultural competence. It is a framework for understanding,
analyzing, and integrating the various cultural, social, and
professional skills needed for successful interactions with
people from different cultural backgrounds (Purnell, 2016). The
Purnell Model for Cultural Competence is a model that was
created to help nurses learn how to be culturally competent. The
model is based on the idea that everyone has different cultural
backgrounds and should be treated as such. According to
Abrishami (2018), the Purnell Model contains five components:
awareness, understanding, use, adaptation, and recognition.
The first component, awareness, is the ability to be
aware of one's cultural background (Purnell, 2016). This
includes understanding what culture is, what it means to
different people, and how it affects their lives. It also involves
being aware of how cultures are portrayed in the media and how
these representations can impact one's views of culture. The
second component, understanding, is the ability to understand
why different cultures are the way they are. This includes being
able to understand how history has shaped different cultures, as
well as the role that culture plays in current events. It also
involves understanding how certain beliefs and practices are
rooted in cultural traditions. The third component, use, is the
ability to use one's cultural background to advantage (Purnell,
2016). This includes communicating effectively in a cultural
context and understanding the cultural customs and norms that
are important to most people in that culture. The fourth
component, adaptation, is the ability to identify oneself with
different cultures. This includes understanding and appreciating
the unique aspects of different cultures and adopting the
cultural norms and values that are important to those cultures.

4. The fifth component, recognition, is the ability to recognize and
appreciate another person's culture. This includes being able to
understand their customs and beliefs, as well as their way of
life.
The Purnell Model for Cultural Competence is
relevant to advanced practice nurses because it provides a
framework for understanding and managing cultural diversity. It
helps advanced practice nurses understand their cultural values
and how those may influence their interactions with patients and
colleagues from other cultures (Purnell, 2019). This knowledge
can help advanced practice nurses be more sensitive to the
needs of patients and colleagues from diverse cultures and
better manage interactions in a culturally competent manner.
The Purnell Model for Cultural Competence can help advanced
practice nurses develop effective communication and
collaboration skills with patients, colleagues, and other health
care professionals from diverse cultures.
Importance of Effective Communication That Promotes Cultural
Competence.
Effective communication in cultural competence is the
recognition of the benefits of understanding different cultures to
effectively and respectfully interact with people from those
cultures. Cultural competence aims to create a positive and
respectful relationship between people from different cultures
(Shen, 2015). Cultural competence is communicating effectively
with people from diverse cultural backgrounds. It is essential
for individuals working in any field, especially in the areas of
tourism, business, and education. Cultural competence is not a
superficial knowledge of cultural traits or an ability to mimic
behaviors associated with certain cultures. It is understanding
how people from different cultures think, feel, and behave.
References
Abrishami, D. (2018). The need for cultural competency in
health care. Radiologic Technology, 89(5), 441-448.
Purnell, L. (2019). Update: The Purnell theory and model for

5. culturally competent health care. Journal of Transcultural
Nursing, 30(2), 98-105.
2-1 Discussion: Mission and Vision
Discussion Topic
Top of Form
Bottom of Form
Research a company that has posted its mission and vision
statement online. Include the following in your initial post:
· Identify the company and share its mission and vision
statement.
· Review what the company is actually doing including
innovations, initiatives, product development, marketing, and so
on. How sincerely and effectively do you feel the mission and
vision statements reflect the company's actions? Provide an
example.
· Explain if the company's mission and vision statement have
helped or hindered its overall