NR 501 Culture and Caring Theories

Sample Answer for NR 501 Culture and Caring Theories Included After Question

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Which of the culture and caring theories most resonates with you for your practice as an NP? How does the theory integrate the nursing paradigm?  What parts of the theory do you identify with? How does the theory help to meet CLAS standards to advance health equity?

A Sample Answer For the Assignment: NR 501 Culture and Caring Theories

Title: NR 501 Culture and Caring Theories

Purnell Model for Cultural Competence 

The cultural nursing theory that most resonates with my practice as a future NP is The Purnell Model for Cultural Competence. Similar to other nursing theories, The Purnell Model places focus on the importance of provider understanding of cultural practices and preferences of the patient for optimal treatment outcomes. The Purnell Model is composed of 12 domains which provide an organized framework for the model and include, overview or heritage, communication, family roles and organization, workforce issues, bio-cultural ecology, high-risk behaviors, nutrition, pregnancy, death rituals, spirituality, healthcare practices, and healthcare professionals (Purnell, 2019).

By analyzing common health disparities of groups and considering these 12 domains, providers can better understand health care practices, beliefs, cultural norms, and preferences of our patients. According to Purnell (2018), the model provides guidance that urges nurse practitioners to consider their personal and cultural beliefs and values in relation to those we are caring for. By assessing our own attitudes toward cultural practices, we are better able to care for patients, families, communities, and society as a whole. By considering and managing our own thoughts and beliefs, NPs are better able to provide respectful, dignified, care that helps patients to feel comfortable, confident, and recognized in their healthcare. 

A nursing paradigm is a fundamental idea that guides development of the practice. According to Deliktas et al. (2019), paradigms that shape the education, research, and practice aspects of a discipline are defined as metaparadigms. Metaparadigms are composed of core issues of a discipline. Jacqueline Fawcettt defined person, health, and environment in nursing as the four main concepts that need to be explored (Nikfarid et al., 2018). The Purnell model is a theory that can be generalized and utilized in all areas of health practice.

The Purnell Model of Cultural Competence is significant in the nursing paradigm because it enhances patient care by considering the person as a human being by reflecting on their cultural preferences as a core aspect of the provision of care. The theory has the metaparadigm concepts of global society, community, family, and person; and can be generalized for use in other professions (Purnell, 2019). 

I believe I can identify with the Purnell Model because I understand the importance of providing fair, respectful, and dignified health care. I have traveled to many countries and have been fortunate enough to live in and learn about the various cultural beliefs and norms that guide health decision making in those areas. As an example, I lived in Nicaragua where there were high rates of adolescent pregnancies. Through learning about the country’s health disparities and norms, I found that the reason for this was the Machismo culture, beliefs against birth control, and overall, lack of sex education.

A primary community effort through the use of international volunteers was sex education and prenatal care. It is crucial that as health care providers, we utilize the Purnell Model to consider communities we treat, their group’s health disparities, and beliefs surrounding health care. I feel that this mutual respect, and knowledge that I have gained has helped me to become a better, more culturally competent and sensitive provider. I also work in an ER that is culturally diverse. By enhancing my knowledge of varying cultures, I can provide better care that best serves the individual. 

National Standards for Culturally and Linguistically Appropriate Services (CLAS) were developed in 2000 by the US Department for Health & Human Services Office of Minority Health (OMH) to create systems of care that acknowledge the need to address culture and cross-cultural relationships among individuals, health care providers, and communities (Gomez et al., 2016). The theory focuses directly on improving health care, patient-provider communication, health equity, and cultural competence.

When healthcare providers aim to meet CLAS standards, and utilize theory-based practices such as Purnell’s Model, providers are able to implement better healthcare that acknowledges and respects the culture of a patient, and reaches mutual decisions that validates and includes the preferences of the individual. When culturally competent care is provided, patient-provider relations are enhanced, compliance to care plans is met, and health care goals are achieved. As a future NP, I plan to continue to increase my cultural competence through continued education to better serve my patients and their families. 

References

     Deliktas, A., Korukcu, O., Aydin, R., & Kabukcuoglu, K. (2019). Nursing students’ perceptions of nursing metaparadigms: A phenomenological study. Journal of Nursing Research, 27(5). https://doi.org/10.1097/jnr.0000000000000311 Links to an external site.

     Gómez, M. , Charnigo, R. , Harris, T. , Williams, J. & Pfeifle, W. (2016). Assessment of National CLAS Standards in Rural and Urban Local Health Departments in Kentucky. Journal of Public Health Management and Practice, 22 (6), 576-585. doi: 10.1097/PHH.0000000000000410.

     Nikfarid, L., Hekmat, N., Vedad, A., & Rajabi, A. (2018). The main nursing metaparadigm concepts in human caring theory and Persian mysticism: a comparative study. Journal of medical ethics and history of medicine, 11, 6.

     Purnell, L. (2018). Models and theories focused on culture. In J. B. Butts & K. L. Rich, Philosophies and theories for advanced nursing practice, 3rd ed. (pp. 565-599). Jones & Bartlett

Purnell, L. (2019). Update. Journal of Transcultural Nursing, 30 (2), 98-105. doi: 10.1177/1043659618817587.

A Sample Answer 2 For the Assignment: NR 501 Culture and Caring Theories

Title: NR 501 Culture and Caring Theories

I absolutely feel that nursing care provided for patients from nurses, is innately biased, whether that is to the benefit of the patient or not depends on the values and theories the nurse aims at implementing throughout care. My only personal fear would be feeding into a health disparity the patient is at risk of being affected by. Groves, Bunch, & Sabin (2021) outline healthcare disparities as including quality of care provided to the patient, even going so far as to state that pain management treatment quality dependent on race or ethnicity being a type of disparity.

Choosing a theory that could be detrimental for a patient before evaluating their cultural background or personal needs would put them at greater risk of experiencing a negative outcome. I believe that most nurses are able to dissolve these concerns with bedside manner and appropriate techniques to establish a solid nurse-patient relationship with trust and non-judgment.

Groves, Bunch, J. L., & Sabin, J. A. (2021). Nurse bias and nursing care disparities related to patient characteristics: A scoping review of the quantitative and qualitative evidence. Journal of Clinical Nursing30(23-24), 3385–3397. https://doi.org/10.1111/jocn.15861

A Sample Answer 3 For the Assignment: NR 501 Culture and Caring Theories

Title: NR 501 Culture and Caring Theories

Implicit, unconscious biases influence everyone. Implicit bias can be based on virtually any factor: body size, speech patterns, age, income, sexual orientation, hair color, etc. It has been proven scientifically that people’s brains react differently to images of people who look different than dissimilar people (Burch, 2022). All healthcare workers are unconsciously influenced by implicit bias, which can affect attitudes, diagnoses, and treatment decisions.

A study by Fitzgerald and Hurst showed how healthcare professionals exhibit the same implicit bias as the wider population and influence clinician-patient interaction (FitzGerald & Hurst, 2017). However, the more we learn about it, we are capable of making conclusions and helping our patients better.

Works Cited

Burch, Kelly. (3/24/2022). Everyone has unconscious biases — here’s how to identify, address, and overcome them. Implicit Bias: Definition, Examples, and Unconscious Bias Training (insider.com)Links to an external site.

FitzGerald & Hurst, S. (2017). Implicit bias in healthcare professionals: a systematic review. BMC Medical Ethics18(1), 19–19. https://doi.org/10.1186/s12910-017-0179-8