Implementing cultural competence programs
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The model (illustrated in Figure 2.3) is a circle in which an outlying rim represents global society, a second rim represents community, a third rim represents family, and an inner rim represents the person. Table 2.3 lists the four rings with their related definitions. The interior of the circle is divided into 12 pie-shaped wedges that depict cultural domains and their concepts. The dark center of the circle represents unknown phenomena. Along the bottom of the model is a jagged line that represents the nonlinear concept of cultural consciousness. The 12 cultural domains
(constructs) provide the organizing framework of the model. Health care providers can use this same process to understand their own cultural beliefs, attitudes, values, practices, and behaviors.
FIGURE 2.3 The Purnell model for cultural competence. Source: Reprinted with permission from Dr. Larry Purnell, University of Delaware.
TABLE 2.3 The Rings of the Purnell Model for Cultural Competence
Source: Reprinted with permission from Dr. Larry Purnell, University of Delaware.
Promoting Cultural Competence Promoting cultural competence within organizations is increasingly becoming a higher priority in the health care industry. The rationale for this includes the existence of health disparities, existing differences in access to care and quality of care among minorities, concerns about providing quality of care and legal actions, and credentialing. Ways to promote and assess your own level of cultural competence and that of your organization are the focus of this section.
Implementing cultural competence programs is a nonlinear, multilevel, complex process. The paths to progression are varied. Areas for promoting cultural competence are related to policies, human resource development, and services. Two tools are used to assess cultural competence: one at an individual level and the other at an organizational level. These types of assessments are a good place to start, and they will help you identify areas in need of improvement.
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