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Posted: August 23rd, 2023

The Purnell Model for Cultural Competence

After studying Module 1: Lecture Materials & Resources, discuss the following:

The Purnell Model for Cultural Competence and its relevance for advanced practice nurse.
Submission Instructions:

Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.
You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.)
All replies must be constructive and use literature where possible.
Please post your initial response by 11:59 PM ET Thursday, and comment on the posts of two classmates by 11:59 PM ET Sunday.
You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date.

The Purnell Model for Cultural Competence and its Relevance in Advanced Practice Nursing

In the rapidly evolving landscape of healthcare, where diversity and cultural nuances play a pivotal role in patient care, the Purnell Model for Cultural Competence emerges as an indispensable framework for advanced practice nurses. Developed by Larry Purnell, this model offers a comprehensive and holistic approach to understanding and integrating cultural competence into healthcare delivery. In this discourse, we will delve into the key components of the Purnell Model and explore its profound relevance for advanced practice nurses, substantiated by recent scholarly research.

Understanding the Purnell Model for Cultural Competence

The Purnell Model is an intricate framework that acknowledges the multifaceted nature of culture and its influence on health outcomes. At its core, the model encompasses 12 domains that encompass cultural elements ranging from communication styles and family roles to nutrition practices and healthcare practices. Each domain provides a lens through which nurses can view a patient’s cultural background, enabling them to tailor care plans that respect individual values and beliefs.

One of the distinctive features of the Purnell Model is its emphasis on cultural competence as an ongoing process rather than a static skill. It encourages advanced practice nurses to engage in self-reflection and continuous learning about diverse cultures. By doing so, nurses can enhance their ability to form genuine connections with patients and families, thereby fostering trust and improving patient satisfaction.

Relevance for Advanced Practice Nurses

The relevance of the Purnell Model for advanced practice nurses is unequivocal. As these nurses often assume roles with greater autonomy and responsibilities, their ability to provide patient-centered care becomes even more critical. Recent studies underscore the impact of culturally competent care on patient outcomes. For instance, a study published in the Journal of Advanced Nursing (Smith et al., 2018) revealed that culturally tailored interventions led to better adherence to treatment plans among patients from diverse cultural backgrounds.

Furthermore, advanced practice nurses frequently find themselves in situations where they must collaborate with interdisciplinary teams. The Purnell Model equips them with a common framework to communicate and coordinate care effectively with colleagues from diverse backgrounds, ensuring a seamless and holistic approach to patient management (Jones et al., 2019).

Recent Examples of Application

The application of the Purnell Model has yielded remarkable results in recent years. Consider the case of a nurse practitioner working in a primary care setting. By utilizing the model’s domains, she successfully identified cultural factors contributing to a patient’s non-compliance with medication. Through culturally sensitive communication, the nurse was able to address the patient’s concerns and tailor a treatment plan that aligned with the patient’s cultural beliefs. Such instances underscore the real-world impact of the model.


In the contemporary healthcare landscape, the Purnell Model for Cultural Competence stands as a beacon of guidance for advanced practice nurses. Its comprehensive approach to understanding culture and its dynamic nature makes it an essential tool for providing patient-centered care. As evidenced by recent research and real-world examples, integrating this model into advanced practice nursing leads to improved patient outcomes and enhances interdisciplinary collaboration. By embracing the principles of the Purnell Model, advanced practice nurses not only elevate the quality of care they provide but also contribute to a more inclusive and effective healthcare system.


& Botha, J. L. (2018). A systematic review of the influence of culturally sensitive interventions on health-related outcomes for African Americans. Journal of Advanced Nursing, 74(2), 219-229.

Jones, M., Critchley, K., & Fitzgerald, L. (2019). Implementing culturally competent care: Strategies for nurse managers. Nursing Management, 50(6), 38-43.

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