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The twelve domains of culture from the Purnell Model A  look into the twelve domains of culture from the Purnell Model

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The Purnell Model for Cultural Competence is a framework used in healthcare to understand and provide culturally sensitive care to patients from diverse backgrounds. The model identifies 12 domains of culture that influence healthcare beliefs and practices. These domains are:

  1. Overview/heritage: This domain includes an individual’s cultural identity, ancestry, and heritage.
  2. : This domain refers to the language(s) spoken by the individual and the preferred style of communication.
  3. Family roles and organization: This domain includes the roles and relationships within a family, as well as the extended family and community.
  4. Workforce issues: This domain refers to the individual’s occupation and how it influences their health beliefs and practices.
  5. Biocultural ecology: This domain includes an individual’s physical environment, including geography, climate, and access to healthcare resources.

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  1. High-risk behaviors: This domain includes behaviors such as drug use, unprotected sex, and violence that may have negative health consequences.
  2. Nutrition: This domain includes an individual’s dietary practices and beliefs about food.
  3. Pregnancy and childbearing practices: This domain includes an individual’s beliefs and practices related to pregnancy, childbirth, and child-rearing.
  4. Death rituals: This domain includes an individual’s beliefs and practices related to death and mourning.
  5. Spirituality: This domain includes an individual’s religious and spiritual beliefs and practices.
  6. Healthcare practices: This domain includes an individual’s beliefs about health, illness, and healthcare, as well as their use of alternative and complementary therapies.
  7. Healthcare access: This domain includes an individual’s ability to access healthcare resources and their experiences with the healthcare system.

Each domain explores different aspects of cultural beliefs, values, and practices that can impact an individual’s health and wellbeing. Understanding and respecting these domains can lead to better cultural competence and improved healthcare outcomes.