Norfolk State University
Twelve Domains in Purnell Model
Cultural competence is the ability to interact well with people of different cultural backgrounds (Rundle, 2002). It provides the best ways of meeting the needs of diverse patient population which is always on the increase, as well as ways of effectively advocating for them. This means that cultural competence has the benefit of enabling nurses to deliver services that respect and effectively respond to health beliefs and practice needs of diverse patients. Through the process of globalization, nurses are moving to places of nursing shortage to offer their knowledge and skills beyond their home country (Campbell, 2003). In this case, information about culture, ethnicity and race becomes important to nursing profession and health care. This paper examines the culture of Latino’s under the guidelines of Purnell’s Model of cultural competency. It looks at issues relating to health promotion, disease prevention and management factors affecting health which are basically the aims of community health nursing. The Purnell model is a model that was developed to provide and organize framework for nurses to use as cultural assessment tool. The model is a concept where all people have been represented at various levels. They range from global society, community, family and the individual and I will utilize this model to explore the Latino community. Heritage/Culture selected
Latino includes any person of Mexican, Puerto Rican, Cuban, South American, Central American or other Spanish culture regardless of race (Crouch, 2004). Their origin can be viewed in different perspectives including country of birth of the person or person’s parents before their emigration, heritage, nationality group or lineage. Latino may be of any race, including Black, White, Asian and Native American. The reason for their migration to new places include availability of work, housing from friends and families which had already settled in new places, availability of bilingual education, better living conditions, and a better quality of life. Some of the occupations that have been associated with Latino include restaurants, construction, and factories. Communication
Language is considered the most important characteristic of any culture and within the Latino community the dominant language that is spoken is Spanish, although it has been found that the younger Latino population has made English their preferred language of use. As such, Spanish speakers are scarce among the general population and this could be a barrier to the success of immigrants who do not speak English well. As regards nonverbal communication, maintaining eye contact can be interpreted as intimidating. Latino social norms give emphasis to the importance of communication in interpersonal relationships. Latino’s tend to have an indirect communication style. Respect is highly valued and shown by using formal titles and by being very polite and all members of the family take part in this. Family roles and organization
The culture of Latinos is socialistically characterized by dominant cooperative group activities. While working in a group not all are expected to do equal share and not working is not looked at as an offensive behavior. Responsibilities are shared among the community and the whole group is held accountable for its actions. Harmony and cooperation have been emphasized and there is little room for individual function. The father or the oldest male relative is given the greatest power. The women, on the other hand, are expected to submit to these men. As for child rearing, grandparents play a vital role in this process in imparting moral values to children, for instance, regarding good marriage practices. Divorce is unacceptable and the petitioners could be treated as outcasts....