The Purnell Model for Cultural Competence

Community
ly
Fami

cal va
riatio
Skin
color ns
Here
di
Gene ty
tics
Ec
Drug ology
meta
bolis
m

Biocu
ltural
e
Biolo cology
gi

ily

Pe
rs

sic on o
a a l
Sa l ac l dr
fe tiv ug
ty
ity s

on

H
be igh
h
To av -ris
Re
b io k
c
Ph rea Alco acc rs
y ti
h o

y
ie
t
oc
lS

Gl
ob
a

y
Person

Fami
ly

s
healt
T rad
h
Fa
Magi itional pr care
actic
m
corel
e
igiou
ily
s relig s
P
H
ious
er
Respo beliefs
ce pr ea
nsibil
pt ac lth
t
y
f
o
T ran
Ge Fol ion titi -c
splan r health
nd k p s of on are
tat
R eha
blilita ion
er rac pr ers
t
i
o
& tit ac
n
chro
/
he io tit
Self-m nicity
al ne ion
edica
th rs e
rs
t
Pain/
i
ca
sick r on
r
e
ole
Ment
al hea
Barrie lth
rs

on
Pe
rs

h-c
Focu are pract
s on
ice

Healt

t
ie
oc

Fami
ly

on

rs
Pe

Fa
m

oc
ie
lS
ob
a
Gl

ily

lS

ba

d
of foo
g
n
i
n
Mea on foods
m
Com uals
Rit
es
ienci
Defic tions
a
Limit motion
h pro
Healt

ly
Fami

Community

Unconsciously
incompetent

Consciously
incompetent

Model created by Larry D. Purnell, PhD, RN, FAAN. Reprinted with permission.

Consciously
competent

Unconsciously
competent

Community

ls

m
Fa

o
Gl

on

ncy
Fer
V iew tility prac
s tow
tices
Pregn ard pregn
ancy
ancy
b
Birth eliefs
Postp ing
artum

tion

Nutri

Person

Person

issue

uality

ua ls
rit a t
h itu n
at th r me
De a ve
De rea
Be

on

rs
Pe

Pregn
a

Pe
rs

ly
Fami

force

Fami
ly

ty

son

Spirit

ly
Fami

ious
Relig
ices
pract
er
f pray
Use o g of life
in
Mean l strength
lth
idua
Indiv lity & hea
ua
Spirit

Community

on

k
r
r
ion
o
W
Pe
lturat
Accu
nomy
Auto arriers
ily
b
m
uage
Fa
Lang
nd
sa n d
le io ol
ro zat seh s
ily ni u le s s
m ga ho ro itie sk
Fa or d of der rior l ta
a n p ta d
He Ge ls & en age ily
a pm f am
Go elo es o ed f tus
v ol d
ta ve
De R ten ial s ati s
Ex oc ern tyle
t
S
Al ifes
l

ns
Origi e
enc
Resid phy
gra
Topo
s
omic
Econ cs
Politi n
atio
Educ tion
pa
Occu

inant ation
lan
Diale guage
c
ts
Cont
extua
l
use
V olu
Spati me/tone
al dis
Eye c tancing
ont
Facia
l exp act
re
Gree ssions
tings
Temp
oralit
T ime y
Nam
es
Touc
h

ie
oc

Ove

Pe
rs

unic

Dom

lS

r
Pe

Com
m

ritag

/he
rview

a
ob

ty

Person

Gl

son

Fami
ly