SU_NSG4074_W2_Projet_Julio Martinez

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Miami Dade College, Miami *

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4074

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Nursing

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Nov 24, 2024

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1 Culturally Competent Nursing Julio Martinez South University NSG4074: Health Promotion and Clinical Prevention Professor Theresa Mcclelland December 9, 2023

2 Culturally Competent Nursing In 1995, Betty J. Paulanka and Larry D. Purnell created the Purnell model. The framework for cultural competency aimed to identify and categorize the factors influencing an individual's culture. By applying the ethnographic technique, it promotes cultural awareness and understanding and connects it to healthcare (Silva, 2019) . This essay investigates D.A., a high school classmate of mine,'s cultural background. She started as a nurse lately in a new medical institution. Due to her cultural background being different from mine, she has had difficulty adjusting to the new surroundings. She is from another country, thus she is not a native of the one she presently calls home. The Purnell model is composed of twelve sections, including a historical overview, communication, family roles and organization, workforce challenges, bio- cultural ecology, high-risk behaviors, nutrition, pregnancy, death rituals, spirituality, healthcare practices, and healthcare professionals. The Purnell model's twelve worlds are interrelated, strangely common, and all-encompassing. The cultural environment may be examined with the use of insightful research questions. To comprehend how the client's values, beliefs, ideas, and experiences with their health, including their pain, disease, wellness, and even death, are impacted, an assessment of the client's culture and its features is essential (Purnell, 2020) . She addressed the aforementioned twelve Purnell model sections by interviewing D.A. Overview or heritage The Purnell model's overview/heritage domain is concerned with a person's ancestry and how it affects how they see themselves and their patients. I'm from India, but I currently reside in California. India's topography is characterized by a vast array of geographical characteristics, including rivers, valleys, mountains, plains, coastlines, deserts, and tablelands. In contrast are

3 California's expansive shoreline, towering mountains, and desert regions. India is thought to have a developing market economy, whereas California has the largest economy in the United States. Both India's and California's federal political systems are dominated by Democrats. I came to California in search of cultural independence, more exposure, and better career prospects since the male-chauvinistic Indian society restricts women's rights and freedoms, particularly those related to decision-making and attire (Purnell, 2020) . I hold a bachelor of science in nursing (BSN) and am a good nurse, but the healthcare system in India does not enable me to fully utilize my abilities like I can at my job in California. Communication The language I speak is Hindu. However, I can converse with most individuals in this state and at work since I speak English fluently. I'm also trying to learn Spanish because it's a language that's spoken here a lot. In Hindi and English, I can converse. It doesn't really affect my speech, though, because I attended high school in the United States. It has been difficult since different cultures have distinct facial expressions and body language, particularly when engaging with patients. Apart from the tone, greetings differ. Unlike Indian culture, which has set social times and uses different titles to indicate respect depending on age, Californians attend gatherings and activities whenever they choose (Purnell, 2020) . While public touching and embracing are taboo in India, they are accepted in Californian society. Family and Role Organization In Indian culture, the family is highly valued and preserved as a close-knit unit. Men are frequently the head of the household, the ones in charge, and the dominating members of the community. In contrast, the unit is often larger and both males and females provide care for

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4 families in this setting. In India, getting married is expected and often planned in order to start a family and take care of the ancestors. Several families living under one roof and choosing the marriages and occupations of their offspring together create the patrilineal family unit and broader kinship groupings that are the main foundations of Indian society (TK & Chandran, 2018) . In California, it's common for people to live alone and have children without being married. Work force Issues Adults of both genders are employed in the economy. A household is more likely to hire servants and avoid manual work if they have more money and status. Educated women stigmatize and detest working outside the house, even in urban areas. In the nation, women labor in the fields performing the simpler jobs, while males take on the more difficult ones. While high-status persons and students in California can work any job, low-status families are forced to perform menial labor (TK & Chandran, 2018) . Bio-cultural ecology The skin tones of the Melaniids ranged from light brown to black, and they possessed huge noses, thick lips, and extended skulls. Most people are no taller than five feet six inches. Among the several illnesses that are quite common in India are cancer, lactose intolerance, dental issues, rheumatic heart disease, filariasis, TB, malaria, sickle cell anemia, and respiratory conditions (TK & Chandran, 2018) . Antidepressants, neuroleptics, and large dosages of lithium are all bad for you, but drinking alcohol is very bad. High risk behaviors

5 Indians, particularly men, suffer from health problems associated with drinking alcohol and smoking cigarettes. Nutrition Religion influences the preparation of food, customary eating practices, and the choice of food. The regional diet categorization includes groups that eat bread and rice, as well as vegetarian and non-vegetarian dietary categories. Northern India's indigenous religion encourages eating beef. Some examples of the staple foods include rice, millet, corn, jute, oilseeds, wheat, jowar, peanuts, bajra, mustard, coconut, sugarcane, and peas (TK & Chandran, 2018) . Although they are not allowed to cook while they are menstruating and typically dine alone, women serve the meal rather frequently. Pregnancy and child bearing In India, the use of contraceptive techniques such as condoms, IUDs, withdrawal and rhythm, among others, is recommended. Moms, mom-in-laws, and grandparents are familiar with the postpartum and pregnancy cures. Because they take care of their parents as they age and bear the family name, sons are seen as a blessing in the family. The customs and dowry linked with girl birth make it uncommon to rejoice, as they might affect the family's financial situation. Since males are frequently absent when a child is delivered, it is expected of women to control their emotions both throughout labor and during giving birth. Pregnancy should be avoided when consuming certain "hot" meals to prevent abortions. On the eleventh day of childbirth, a "cradle ceremony" is performed, after which purification rites are performed (Silva, 2019) . The mother and kid develop a closer bond as a result of the woman's ten-day imprisonment and seclusion. Death Rituals

6 Because death is viewed as a rebirth, the soul endures beyond death. Priests bless the deceased's corpse by pouring water into their lips as part of Indian funeral rites. When the prayers are over, the oldest son puts a thread around his neck and wrist. Before burning the dead, the male heirs give him rice balls. Pile ash into sacred waterways. Women whine over being abandoned while pounding their chests. Spirituality In India, Hinduism is the most widely practiced religion, and it predates the old customs. Hindus believe in the following: the existence of a Supreme God, the immortality of the soul, life after death, the veracity of the Vedas, which are revered as the sacred writings of the ancient sages, reincarnation and karma, four Purusarthas, and four stages of life. The Brahmin, Kshatriya, Vaisya, and Sudra social groups comprise the caste system in traditional Hinduism. Wives fast once a week in order to save their families' and husbands' health. The house is filled with shrines that bear the emblems of the deities (Silva, 2019) . Healthcare Practices Women experience distress during physicals because they are not well-versed in health matters. Diseases cause harm to the body, mind, and soul and are linked to excessive concern, sexual activity, and other issues. Worshiping goddesses and participating in religious ceremonies helps heal the sick. The traditional healthcare system places a high value on wellness and illness preventive education. Herbs, roots, and pharmaceuticals are used by people as treatments. Donating blood and organs is accepted, and mental health conditions are seen as serving a divine purpose (McNaughton et al., 2020) . Healthcare professionals

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7 When obtaining excellent treatment from American doctors, family talks are appropriate. God heals via the practitioners, which is why they are considered omnipotent. Indians are not accustomed to challenging medical professionals' diagnosis or courses of care. Women dislike having gynecological care performed on them (McNaughton et al., 2020) . Conclusion Indians place a high value on their health and well-being, as do their families. Family relationships and religion usually have a good effect on one's health and wellness. Tribal relationships to one another are strengthened by the combination of these three characteristics.

8 References McNaughton, N., Knickle, K., LaMarra, D. E., & Clark, L. (2020). Human simulation beyond healthcare: Experience, reputation, and relationship building. Comprehensive Healthcare Simulation: Implementing Best Practices in Standardized Patient Methodology , 241- 261. https://doi.org/10.1007/978-3-030-43826-5_13 Purnell, L. D. (2020). The Purnell model and theory for cultural competence. Textbook for Transcultural Health Care: A Population Approach , 19-59. https://doi.org/10.1007/978- 3-030-51399-3_2 Silva, A. (2019). Evaluation of the culturally competent nursing modules. https://doi.org/10.28971/532011sa62

9 TK, A., & Chandran, S. (2018). Larry D Purnell: Purnell's model for cultural competence. Application of Nursing Theories , 219- 219. https://doi.org/10.5005/jp/books/13072_27

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