Update: The Purnell Theory and Model for Culturally Competent Health Care.

Area of Science:

• Nursing Theory
• Cultural Competence in Healthcare

Background:

• The Purnell model and theory were established in 1998.
• Initial development involved faculty from the University of Delaware for clarity and parsimonious assumptions.
• Early applications focused on education and clinical practice settings.

Purpose of the Study:

• To further develop and assess the usefulness of the Purnell model.
• To incorporate additional assumptions and variant characteristics of culture.
• To create an extensive assessment guide for health professionals.

Main Methods:

• Iterative refinement of the Purnell model and theory.
• Incorporation of feedback from educational and clinical settings.
• Development of a comprehensive assessment guide.

Main Results:

• The Purnell model has evolved since its inception in 1998.
• Additional assumptions and cultural variant characteristics have been integrated.
• An extensive assessment guide is now available.

Conclusions:

• The Purnell model is a dynamic framework continuously improved for healthcare.
• The model's utility is enhanced through updated assumptions and cultural considerations.
• The assessment guide supports its application by all health professionals.