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View attached explanation and answer. Let me know if you have any questions.1Cultural Competence in Health CareStudent’s NameInstitutional AffiliationCourseDate of Submission2The Purnell’s Model for Cultural CompetenceIntroductionPurnell’s model for cultural competence is designed to analyze the elements thataffect a particular individual’s culture. Purnell’s framework contains twelve domains of culturethat assess the cultural attributes of individuals, groups of people, and families (Purnell,2005). Health care practitioners and organizations continuously tackle multicultural diversityand ethnic differences in various domains such as religious diversity, values, beliefs, andcommunication barriers. This paper examines how specific domains of culture highlighted inPurnell’s model affect healthcare delivery to Black Americans. It will also highlight the bestteaching strategies for ensuring cultural competence in nursing students and then end byunderlining the personal application and contribution of the Purnell Model in providingcultural competence education to Black Americans.Assessment of the Domains of CultureOverview, Topography, and Inhabited LocalitiesAccording to Purnell (2005), this domain is concerned with the concepts related to anindividual’s current residence, country of origin, state of country’s economy, politics,education, and reasons for individual’s emigration. Most Black Americans emigrated fromAfrican countries due to political instability, ethnic clashes, and poverty. They believe thatthey are victims of racial discrimination and isolate themselves, thus failing to assess qualitymedical care. Understanding these factors is vital for a nurse because such patients aresometimes violent and unwilling to cooperate during the treatment process.Communication DomainCommunication involves all aspects of languages and non-verbal cues that might actas a barrier between a nurse and the patient. It is vital to understand the patient’s dominantlanguage and dialect and how they use nonverbal expressions. The majority of BlackAmericans have the specific pronunciation of words and are not fluent in English. A nurse3should be friendly enough to create a good communication atmosphere that will enable suchpatients to communicate without fear.Biocultural Ecology DomainAs examined by Purnell, this domain is biocultural ecology, which entails theexistence of biological variations of an individual’s diverse cultural backgrounds. Suchvariations may include skin color and body size. It is important to appreciate all humansirrespective of their appearances. Black Americans have been victims of racial discriminationbased on their skin color. Nurses should ensure such patients feel valued and respectedirrespective of their racial origins.Family Roles and OrganizationThis domain examines the family structures and leadership hierarchies that are keyto how family members behave and communicate. With the Black American family setups,men ar…
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