Purnell / Fenkl Handbook for Culturally Competent Care

1. Auflage 2019
ISBN: 978-3-030-21946-8
Verlag: Springer International Publishing
Format: PDF
Kopierschutz: 1 - PDF Watermark

E-Book, Englisch, 361 Seiten, eBook

This concise, easy-to-read book tackles the potentially awkward subject of culture in a direct, non-intimidating style. It prepares all health professionals in any clinical setting to conduct thorough assessments of individual from culturally specific population groups, making it especially valuable in today's team-oriented healthcare environment. The book is suitable for healthcare workers in all fields, particularly nurses who interact with the patients 24 hours a day, every day of the week. Based on the Purnell Model for Cultural Competence, it explores 26 different cultures and the issues that healthcare professionals need to be sensitive to. For each group, the book includes an overview of heritage, communication styles, family roles and organization, workforce issues, biocultural ecology, high-risk health behaviors, nutrition, pregnancy and child bearing, death rituals, spirituality, healthcare practices, and the views of healthcare providers. It also discusses the variant characteristics of culture that determine the diversity of values, beliefs, and practices in an individual's cultural heritage in order to help prevent stereotyping. These characteristics include age, generation, nationality, race, color, gender, religion, educational status, socioeconomic status, occupation, military status, political beliefs, urban versus rural residence, enclave identity, marital status, parental status, physical characteristics, sexual orientation, gender issues, health literacy, and reasons for migration. Each chapter offers specific instructions, guidelines, tips, intervention strategies, and approaches specific to a particular cultural population.


Dr. Larry D. Purnell is Emeritus Professor from the University of Delaware where he coordinated the graduate programs in nursing and healthcare administration and taught culture. His Model, the Purnell Model for Cultural Competence has been translated into Arabic, Czech, Flemish, Korean, French, German, Japanese, Persian, Portuguese, Spanish, and Turkish. His textbook on Transcultural Health Care won the Brandon Hill and American Journal of Nursing Book Awards. Dr. Purnell has over 100 refereed journal publications, 100 book chapters, and 14 textbooks, including updated editions. He has made presentations throughout the United States as well as in Australia, Colombia, Costa Rica, England, Denmark, Italy, Korea, Panama, Russia, Scotland, Spain, and Turkey. He is the U.S. Representative to the European Union's Commission on Intercultural Communication resulting from the Salamanca, Sorbonne, Bologna, and WHO Declarations. He has been on the International Editorial Board, for six journals. Dr. Purnell is a Fellow in the American Academy of Nursing, a Transcultural Nursing Scholar, Luther Christman Fellow, and is on the Rosa Parks Wall of Fame for Teaching Tolerance. Dr. Eric A. Fenkl, an Associate Professor of Nursing, received his PhD in Nursing from the University of Wisconsin.  Dr. Fenkl's research interests include the cultural aspects of HIV/HPV prevention and related disease among LGBT populations with a particular emphasis on MSM and ethnically diverse populations. Dr. Fenkl has been the Co-PI on two large grants from the Center for Substance Abuse Prevention, SAMHSA. One to develop a program focusing on HIV/STD and substance abuse prevention for minority LGBT students on campus and a second one to implement a program for outreach in the greater Miami metropolitan area specifically for at-risk minority MSM. Dr. Fenkl has presented at numerous national and international conferences and has published widely in peer-reviewed journals globally. Dr. Fenkl's teaching is focused on the facilitation of cultural competence in advanced practice nursing.

Zielgruppe

Professional/practitioner

Autoren/Hrsg.

Purnell, Larry D.

Fenkl, Eric A.

Inhaltsverzeichnis

1;Preface;5
2;Contents;7
3;Introduction;18
4;Chapter 1: Transcultural Diversity and Health Care;20
4.1;1.1 The Need for Culturally Competent Health Care;20
4.2;1.2 Variant Characteristics of Culture;22
4.3;1.3 Reflective Exercises;24
4.4;Bibliography;25
5;Chapter 2: The Purnell Model for Cultural Competence;26
5.1;2.1 The Purnell Model;27
5.1.1;2.1.1 Assessment Guide;27
5.1.2;2.1.2 Domains and Concepts;28
5.1.2.1;2.1.2.1 Overview and Heritage;28
5.1.2.2;2.1.2.2 Communications;29
5.1.2.3;2.1.2.3 Family Roles and Organization;29
5.1.2.4;2.1.2.4 Workforce Issues;29
5.1.2.5;2.1.2.5 Biocultural Ecology;29
5.1.2.6;2.1.2.6 High-Risk Health Behaviors;30
5.1.2.7;2.1.2.7 Nutrition;30
5.1.2.8;2.1.2.8 Pregnancy and Childbearing Practices;30
5.1.2.9;2.1.2.9 Death Rituals;30
5.1.2.10;2.1.2.10 Spirituality;30
5.1.2.11;2.1.2.11 Health-Care Practices;30
5.1.2.12;2.1.2.12 Health-Care Practitioners;31
5.2;2.2 Purnell Cultural Assessment Tool;31
5.3;2.3 Reflective Exercise;36
6;Chapter 3: Barriers to Culturally Competent Health Care;38
6.1;3.1 Language and Health Literacy;39
6.2;3.2 Availability;40
6.3;3.3 Accessibility;41
6.4;3.4 Affordability;41
6.5;3.5 Appropriateness;41
6.6;3.6 Organizational Accountability;42
6.7;3.7 Adaptability;42
6.8;3.8 Acceptability;42
6.9;3.9 Awareness;43
6.10;3.10 Attitudes;43
6.11;3.11 Approachability;43
6.12;3.12 Alternative Practices;44
6.13;3.13 Additional Services;44
6.14;3.14 Reflective Exercises;44
6.15;Bibliography;45
7;Chapter 4: People of African American Heritage;46
7.1;4.1 Overview and Heritage;46
7.1.1;4.1.1 Communications;46
7.1.2;4.1.2 Family Roles and Organization;47
7.1.3;4.1.3 Workforce Issues;48
7.1.4;4.1.4 Biocultural Ecology;49
7.1.5;4.1.5 High-Risk Health Behaviors;51
7.1.6;4.1.6 Nutrition;51
7.1.7;4.1.7 Pregnancy and Childbearing Practices;52
7.1.8;4.1.8 Death Rituals;53
7.1.9;4.1.9 Spirituality;54
7.1.10;4.1.10 Health-Care Practices;55
7.1.11;4.1.11 Health-Care Providers;56
7.2;4.2 Reflective Exercises;57
7.3;Bibliography;58
8;Chapter 5: People of American Indian/Alaskan Native Heritage;59
8.1;5.1 Overview and Heritage;59
8.1.1;5.1.1 Communications;60
8.1.2;5.1.2 Family Roles and Organization;61
8.1.3;5.1.3 Workforce Issues;62
8.1.4;5.1.4 Biocultural Ecology;62
8.1.5;5.1.5 High-Risk Behaviors;63
8.1.6;5.1.6 Nutrition;64
8.1.7;5.1.7 Pregnancy and Childbearing Practices;64
8.1.8;5.1.8 Death Rituals;65
8.1.9;5.1.9 Spirituality;65
8.1.10;5.1.10 Health-Care Practices;65
8.1.11;5.1.11 Health-Care Providers;66
8.2;5.2 People of Navajo Heritage;66
8.2.1;5.2.1 Communications;67
8.2.2;5.2.2 Family Roles and Organization;68
8.2.3;5.2.3 Workforce Issues;69
8.2.4;5.2.4 Biocultural Ecology;70
8.2.5;5.2.5 High-Risk Health Behaviors;71
8.2.6;5.2.6 Nutrition;72
8.2.7;5.2.7 Pregnancy and Childbearing Practices;72
8.2.8;5.2.8 Death Rituals;73
8.2.9;5.2.9 Spirituality;75
8.2.10;5.2.10 Health-Care Practices;76
8.2.11;5.2.11 Health-Care Provider;77
8.3;5.3 Reflective Exercises;78
8.4;Bibliography;79
9;Chapter 6: The Amish;80
9.1;6.1 Overview and Heritage;80
9.1.1;6.1.1 Communications;81
9.1.2;6.1.2 Family Roles and Organization;82
9.1.3;6.1.3 Workforce Issues;82
9.1.4;6.1.4 Biocultural Ecology;83
9.1.5;6.1.5 High-Risk Health Behaviors;84
9.1.6;6.1.6 Nutrition;84
9.1.7;6.1.7 Pregnancy and Childbearing Practices;84
9.1.8;6.1.8 Death Rituals;85
9.1.9;6.1.9 Spirituality;85
9.1.10;6.1.10 Health-Care Practices;86
9.1.11;6.1.11 Health-Care Providers;87
9.2;6.2 Reflective Exercises;88
9.3;Bibliography;88
10;Chapter 7: People of Appalachian Heritage;89
10.1;7.1 Overview and Heritage;89
10.1.1;7.1.1 Communications;90
10.1.2;7.1.2 Family Roles and Organization;91
10.1.3;7.1.3 Workforce Issues;91
10.1.4;7.1.4 Biocultural Ecology;92
10.1.5;7.1.5 High-Risk Health Behaviors;93
10.1.6;7.1.6 Nutrition;93
10.1.7;7.1.7 Pregnancy and Childbearing Practices;94
10.1.8;7.1.8 Death Rituals;95
10.1.9;7.1.9 Spirituality;95
10.1.10;7.1.10 Health-Care Practices;96
10.1.11;7.1.11 Health-Care Providers;97
10.2;7.2 Reflective Exercises;98
10.3;Bibliography;98
11;Chapter 8: People of Arab Heritage;99
11.1;8.1 Overview and Heritage;99
11.1.1;8.1.1 Communications;100
11.1.2;8.1.2 Family Roles and Organization;100
11.1.3;8.1.3 Workforce Issues;102
11.1.4;8.1.4 Biocultural Ecology;103
11.1.5;8.1.5 High-Risk Health Behaviors;104
11.1.6;8.1.6 Nutrition;104
11.1.7;8.1.7 Pregnancy and Childbearing Practices;105
11.1.8;8.1.8 Death Rituals;106
11.1.9;8.1.9 Spirituality;107
11.1.10;8.1.10 Health-Care Practices;108
11.1.11;8.1.11 Health-Care Providers;110
11.2;8.2 Reflective Exercises;110
11.3;Bibliography;110
12;Chapter 9: People of Brazilian Heritage;112
12.1;9.1 Overview and Heritage;112
12.1.1;9.1.1 Communications;113
12.1.2;9.1.2 Family Roles and Organization;114
12.1.3;9.1.3 Workforce Issues;115
12.1.4;9.1.4 Biocultural Ecology;115
12.1.5;9.1.5 High-Risk Health Behaviors;116
12.1.6;9.1.6 Nutrition;117
12.1.7;9.1.7 Pregnancy and Childbearing Practices;118
12.1.8;9.1.8 Death Rituals;118
12.1.9;9.1.9 Spirituality;119
12.1.10;9.1.10 Health-Care Practices;119
12.1.11;9.1.11 Health-Care Providers;121
12.2;9.2 Reflective Exercises;121
12.3;Bibliography;122
13;Chapter 10: People of Chinese Heritage;123
13.1;10.1 Overview and Heritage;123
13.1.1;10.1.1 Communications;124
13.1.2;10.1.2 Family Roles and Organization;125
13.1.3;10.1.3 Workforce Issues;126
13.1.4;10.1.4 Biocultural Ecology;127
13.1.5;10.1.5 High-Risk Health Behaviors;128
13.1.6;10.1.6 Nutrition;128
13.1.7;10.1.7 Pregnancy and Childbearing Practices;129
13.1.8;10.1.8 Death Rituals;130
13.1.9;10.1.9 Spirituality;130
13.1.10;10.1.10 Health-Care Practices;131
13.1.11;10.1.11 Health-Care Providers;132
13.2;10.2 Reflective Exercises;132
13.3;Bibliography;133
14;Chapter 11: People of Cuban Heritage;134
14.1;11.1 Overview and Heritage;134
14.1.1;11.1.1 Communications;134
14.1.2;11.1.2 Family Roles and Organization;135
14.1.3;11.1.3 Workforce Issues;136
14.1.4;11.1.4 Biocultural Ecology;137
14.1.5;11.1.5 High-Risk Health Behaviors;137
14.1.6;11.1.6 Nutrition;138
14.1.7;11.1.7 Pregnancy and Childbearing Practices;139
14.1.8;11.1.8 Death Rituals;140
14.1.9;11.1.9 Spirituality;140
14.1.10;11.1.10 Health-Care Practices;141
14.1.11;11.1.11 Health-Care Providers;143
14.2;11.2 Reflective Exercises;144
14.3;Bibliography;144
15;Chapter 12: People of European American Heritage;145
15.1;12.1 Overview and Heritage;145
15.1.1;12.1.1 Communications;145
15.1.2;12.1.2 Family Roles and Organization;146
15.1.3;12.1.3 Workforce Issues;147
15.1.4;12.1.4 Biocultural Ecology;148
15.1.5;12.1.5 High-Risk Health Behaviors;148
15.1.6;12.1.6 Nutrition;149
15.1.7;12.1.7 Pregnancy and Childbearing Practices;149
15.1.8;12.1.8 Death Rituals;150
15.1.9;12.1.9 Spirituality;150
15.1.10;12.1.10 Health-Care Practices;151
15.2;12.2 Reflective Exercises;152
15.3;Bibliography;153
16;Chapter 13: People of Filipino Heritage;154
16.1;13.1 Overview and Heritage;154
16.1.1;13.1.1 Communications;154
16.1.2;13.1.2 Family Roles and Organization;156
16.1.3;13.1.3 Workforce Issues;157
16.1.4;13.1.4 Biocultural Ecology;158
16.1.5;13.1.5 High-Risk Health Behaviors;159
16.1.6;13.1.6 Nutrition;159
16.1.7;13.1.7 Pregnancy and Childbearing Practices;160
16.1.8;13.1.8 Death Rituals;161
16.1.9;13.1.9 Spirituality;162
16.1.10;13.1.10 Health-Care Practices;162
16.1.11;13.1.11 Health-Care Providers;164
16.2;13.2 Reflective Exercises;164
16.3;Bibliography;165
17;Chapter 14: People of German Heritage;166
17.1;14.1 Overview and Heritage;166
17.1.1;14.1.1 Communications;166
17.1.2;14.1.2 Family Roles and Organization;168
17.1.3;14.1.3 Workforce Issues;169
17.1.4;14.1.4 Biocultural Ecology;169
17.1.5;14.1.5 High-Risk Health Behaviors;169
17.1.6;14.1.6 Nutrition;170
17.1.7;14.1.7 Pregnancy and Childbearing Practices;170
17.1.8;14.1.8 Death Rituals;171
17.1.9;14.1.9 Spirituality;171
17.1.10;14.1.10 Health-Care Practices;172
17.1.11;14.1.11 Health-Care Providers;173
17.2;14.2 Reflective Exercises;173
17.3;Bibliography;173
18;Chapter 15: People of Guatemalan Heritage;174
18.1;15.1 Overview and Heritage;174
18.1.1;15.1.1 Communications;174
18.1.2;15.1.2 Family Roles and Organization;176
18.1.3;15.1.3 Workforce Issues;176
18.1.4;15.1.4 Biocultural Ecology;177
18.1.5;15.1.5 High-Risk Behaviors;178
18.1.6;15.1.6 Nutrition;178
18.1.7;15.1.7 Pregnancy and Childbearing Practices;179
18.1.8;15.1.8 Death Rituals;179
18.1.9;15.1.9 Spirituality;180
18.1.10;15.1.10 Health-Care Practices;180
18.1.11;15.1.11 Health-Care Providers;182
18.2;15.2 Reflective Exercises;183
18.3;Bibliography;183
19;Chapter 16: People of Haitian Heritage;184
19.1;16.1 Overview and Heritage;184
19.1.1;16.1.1 Communications;184
19.1.2;16.1.2 Family Roles and Organization;186
19.1.3;16.1.3 Workforce Issues;187
19.1.4;16.1.4 Biocultural Ecology;188
19.1.5;16.1.5 High-Risk Health Behaviors;189
19.1.6;16.1.6 Nutrition;189
19.1.7;16.1.7 Pregnancy and Childbearing Practices;190
19.1.8;16.1.8 Death Rituals;192
19.1.9;16.1.9 Spirituality;192
19.1.10;16.1.10 Health-Care Practices;193
19.1.11;16.1.11 Health-Care Providers;195
19.2;16.2 Reflective Exercises;196
19.3;Bibliography;196
20;Chapter 17: People of Hindu Heritage;197
20.1;17.1 Overview and Heritage;197
20.1.1;17.1.1 Communications;197
20.1.2;17.1.2 Family Roles and Organization;198
20.1.3;17.1.3 Workforce Issues;199
20.1.4;17.1.4 Biocultural Ecology;200
20.1.5;17.1.5 High-Risk Health Behaviors;200
20.1.6;17.1.6 Nutrition;201
20.1.7;17.1.7 Pregnancy and Childbearing Practices;202
20.1.8;17.1.8 Death Rituals;203
20.1.9;17.1.9 Spirituality;205
20.1.10;17.1.10 Health-Care Practices;205
20.1.11;17.1.11 Health-Care Providers;207
20.2;17.2 Reflective Exercises;208
20.3;Bibliography;208
21;Chapter 18: People of Hmong Heritage;209
21.1;18.1 Overview and Heritage;209
21.1.1;18.1.1 Communications;210
21.1.2;18.1.2 Family Roles and Organization;212
21.1.3;18.1.3 Workforce Issues;213
21.1.4;18.1.4 Biocultural Ecology;213
21.1.5;18.1.5 High-Risk Health Behaviors;215
21.1.6;18.1.6 Nutrition;215
21.1.7;18.1.7 Pregnancy and Childbearing Practices;216
21.1.8;18.1.8 Death Rituals;216
21.1.9;18.1.9 Spirituality;216
21.1.10;18.1.10 Health-Care Practices;217
21.1.11;18.1.11 Health-Care Providers;217
21.2;18.2 Reflective Exercises;218
21.3;Bibliography;218
22;Chapter 19: People of Iranian Heritage;219
22.1;19.1 Overview and Heritage;219
22.1.1;19.1.1 Communications;220
22.1.2;19.1.2 Family Roles and Organization;221
22.1.3;19.1.3 Workforce Issues;223
22.1.4;19.1.4 Biocultural Ecology;223
22.1.5;19.1.5 High-Risk Health Behaviors;224
22.1.6;19.1.6 Nutrition;224
22.1.7;19.1.7 Pregnancy and Childbearing Practices;225
22.1.8;19.1.8 Death Rituals;226
22.1.9;19.1.9 Spirituality;227
22.1.10;19.1.10 Health-Care Practices;227
22.1.11;19.1.11 Health-Care Providers;229
22.2;19.2 Reflective Exercises;229
22.3;Bibliography;230
23;Chapter 20: People of Japanese Heritage;231
23.1;20.1 Overview and Heritage;231
23.1.1;20.1.1 Communications;231
23.1.2;20.1.2 Family Roles and Organization;233
23.1.3;20.1.3 Workforce Issues;234
23.1.4;20.1.4 Biocultural Ecology;234
23.1.5;20.1.5 High-Risk Health Behaviors;235
23.1.6;20.1.6 Nutrition;235
23.1.7;20.1.7 Pregnancy and Childbearing Practices;236
23.1.8;20.1.8 Death Rituals;237
23.1.9;20.1.9 Spirituality;238
23.1.10;20.1.10 Health-Care Practices;238
23.1.11;20.1.11 Health-Care Providers;240
23.2;20.2 Reflective Exercises;240
23.3;Bibliography;240
24;Chapter 21: People of Jewish Heritage;242
24.1;21.1 Overview and Heritage;242
24.1.1;21.1.1 Communications;243
24.1.2;21.1.2 Family Roles and Organization;244
24.1.3;21.1.3 Workforce Issues;244
24.1.4;21.1.4 Biocultural Ecology;245
24.1.5;21.1.5 High-Risk Health Behaviors;246
24.1.6;21.1.6 Nutrition;246
24.1.7;21.1.7 Pregnancy and Childbearing Practices;248
24.1.8;21.1.8 Death Rituals;249
24.1.9;21.1.9 Spirituality;251
24.1.10;21.1.10 Health-Care Practices;253
24.1.11;21.1.11 Health-Care Providers;254
24.2;21.2 Reflective Exercises;254
24.3;Bibliography;255
25;Chapter 22: People of Irish Heritage;256
25.1;22.1 Overview and Heritage;256
25.1.1;22.1.1 Communications;256
25.1.2;22.1.2 Family Roles and Organization;257
25.1.3;22.1.3 Workforce Issues;258
25.1.4;22.1.4 Biocultural Ecology;258
25.1.5;22.1.5 High-Risk Health Behaviors;259
25.1.6;22.1.6 Nutrition;259
25.1.7;22.1.7 Pregnancy and Childbearing Practices;260
25.1.8;22.1.8 Death Rituals;260
25.1.9;22.1.9 Spirituality;261
25.1.10;22.1.10 Health-Care Practices;261
25.1.11;22.1.11 Health-Care Providers;262
25.2;22.2 Reflective Exercises;263
25.3;Bibliography;263
26;Chapter 23: People of Korean Heritage;264
26.1;23.1 Overview and Heritage;264
26.1.1;23.1.1 Communications;264
26.1.2;23.1.2 Family Roles and Organization;265
26.1.3;23.1.3 Workforce Issues;266
26.1.4;23.1.4 Biocultural Ecology;267
26.1.5;23.1.5 High-Risk Health Behaviors;267
26.1.6;23.1.6 Nutrition;268
26.1.7;23.1.7 Pregnancy and Childbearing Practices;268
26.1.8;23.1.8 Death Rituals;269
26.1.9;23.1.9 Spirituality;270
26.1.10;23.1.10 Health-Care Practices;270
26.1.11;23.1.11 Health-Care Practitioners;270
26.2;23.2 Reflective Exercises;271
26.3;Bibliography;271
27;Chapter 24: People of Mexican Heritage;272
27.1;24.1 Overview and Heritage;272
27.1.1;24.1.1 Communications;272
27.1.2;24.1.2 Family Roles and Organization;273
27.1.3;24.1.3 Workforce Issues;274
27.1.4;24.1.4 Biocultural Ecology;274
27.1.5;24.1.5 High-Risk Health Behaviors;275
27.1.6;24.1.6 Nutrition;275
27.1.7;24.1.7 Pregnancy and Childbearing Practices;276
27.1.8;24.1.8 Death Rituals;277
27.1.9;24.1.9 Spirituality;278
27.1.10;24.1.10 Health-Care Practices;278
27.1.11;24.1.11 Health-Care Providers;280
27.2;24.2 Reflective Exercises;280
27.3;Bibliography;281
28;Chapter 25: People of Polish Heritage;282
28.1;25.1 Overview and Heritage;282
28.1.1;25.1.1 Communications;283
28.1.2;25.1.2 Family Roles and Organization;284
28.1.3;25.1.3 Workforce Issues;285
28.1.4;25.1.4 Biocultural Ecology;285
28.1.5;25.1.5 High-Risk Behaviors;286
28.1.6;25.1.6 Nutrition;286
28.1.7;25.1.7 Pregnancy and Childbearing Practices;287
28.1.8;25.1.8 Death Rituals;288
28.1.9;25.1.9 Spirituality;288
28.1.10;25.1.10 Health-Care Practices;288
28.1.11;25.1.11 Health-Care Providers;290
28.2;25.2 Reflective Exercises;290
28.3;Bibliography;291
29;Chapter 26: People of Puerto Rican Heritage;292
29.1;26.1 Overview and Heritage;292
29.1.1;26.1.1 Communications;292
29.1.2;26.1.2 Family Roles and Organization;294
29.1.3;26.1.3 Workforce Issues;295
29.1.4;26.1.4 Biocultural Ecology;296
29.1.5;26.1.5 High-Risk Health Behaviors;296
29.1.6;26.1.6 Nutrition;297
29.1.7;26.1.7 Pregnancy and Childbearing Practices;302
29.1.8;26.1.8 Death Rituals;303
29.1.9;26.1.9 Spirituality;303
29.1.10;26.1.10 Health-Care Practices;304
29.1.11;26.1.11 Health-Care Providers;305
29.2;26.2 Reflective Exercises;306
29.3;Bibliography;306
30;Chapter 27: People of Russian Heritage;308
30.1;27.1 Overview and Heritage;308
30.1.1;27.1.1 Communications;308
30.1.2;27.1.2 Family Roles and Organization;309
30.1.3;27.1.3 Workforce Issues;310
30.1.4;27.1.4 Biocultural Ecology;310
30.1.5;27.1.5 High-Risk Health Behaviors;311
30.1.6;27.1.6 Nutrition;311
30.1.7;27.1.7 Pregnancy and Childbearing Practices;312
30.1.8;27.1.8 Death Rituals;312
30.1.9;27.1.9 Spirituality;313
30.1.10;27.1.10 Health-Care Practices;313
30.1.11;27.1.11 Health-Care Providers;314
30.2;27.2 Reflective Exercises;315
30.3;Bibliography;315
31;Chapter 28: People of Somali Heritage;316
31.1;28.1 Overview and Heritage;316
31.1.1;28.1.1 Communications;317
31.1.2;28.1.2 Family Roles and Organization;318
31.1.3;28.1.3 Workforce Issues;319
31.1.4;28.1.4 Biocultural Ecology;319
31.1.5;28.1.5 High-Risk Health Behaviors;320
31.1.6;28.1.6 Nutrition;321
31.1.7;28.1.7 Pregnancy and Childbearing Practices;322
31.1.8;28.1.8 Death Rituals;322
31.1.9;28.1.9 Spirituality;323
31.1.10;28.1.10 Health-Care Practices;323
31.1.11;28.1.11 Health-Care Providers;325
31.2;28.2 Reflective Exercises;325
31.3;Bibliography;326
32;Chapter 29: People of Turkish Heritage;327
32.1;29.1 Overview and Heritage;327
32.1.1;29.1.1 Communications;328
32.1.2;29.1.2 Family Roles and Organization;329
32.1.3;29.1.3 Workforce Issues;330
32.1.4;29.1.4 Biocultural Ecology;331
32.1.5;29.1.5 High-Risk Health Behaviors;332
32.1.6;29.1.6 Nutrition;332
32.1.7;29.1.7 Pregnancy and Childbearing Practices;334
32.1.8;29.1.8 Death Rituals;335
32.1.9;29.1.9 Spirituality;335
32.1.10;29.1.10 Health-Care Practices;336
32.1.11;29.1.11 Health-Care Providers;337
32.2;29.2 Reflective Exercises;338
32.3;Bibliography;338
33;Chapter 30: People of Vietnamese Heritage;339
33.1;30.1 Overview and Heritage;339
33.1.1;30.1.1 Communications;339
33.1.2;30.1.2 Family Roles and Organization;341
33.1.3;30.1.3 Workforce Issues;342
33.1.4;30.1.4 Biocultural Ecology;343
33.1.5;30.1.5 High-Risk Health Behaviors;344
33.1.6;30.1.6 Nutrition;345
33.1.7;30.1.7 Pregnancy and Childbearing Practices;346
33.1.8;30.1.8 Death Rituals;348
33.1.9;30.1.9 Spirituality;349
33.1.10;30.1.10 Health-Care Practices;349
33.1.11;30.1.11 Health-Care Providers;352
33.2;30.2 Reflective Exercises;353
33.3;Bibliography;354
34;Glossary;355

Preface

Introduction

Chapter 1: Transcultural Diversity and Health Care

Chapter 2: The Purnell Model for Cultural Competence

Chapter 3: Barriers to Culturally Competent health Care

Chapter 4: People of African American Heritage

Chapter 5: People of American Indian/Alaskan Native Heritage  

Chapter 6: The Amish

Chapter 7: People of Appalachian Heritage

Chapter 8: People of Arab Heritage

Chapter 9: People of Brasilian Heritage

Chapter 10: People of Chinese Heritage

Chapter 11: People of Cuban Heritage

Chapter 12: People of European American Heritage

Chapter 13: People of Filipino Heritage

Chapter 14: People of German Heritage

Chapter 15: People of Guatemalan Heritage

Chapter 16: People of Haitian Heritage

Chapter 17: People of Hindu Heritage

Chapter 18: People of Hmong Heritage

Chapter 19: People of Iranian Heritage

Chapter 20: People of Japanese Heritage

Chapter 21: People of Jewish Heritage

Chapter 22: People of Irish Heritage

Chapter 23: People of Korean Heritage

Chapter 24: People of Mexican Heritage

Chapter 25: People of Polish Heritage

Chapter 26; People of Puerto Rican Heritage

Chapter 27: People of Russian Heritage

Chapter 28: People of Somali Heritage

Chapter 29: People of Turkish Heritage

Chapter 30: People of Vietnamese Heritage

Glossary 

Über Autor(innen)

Dr. Larry D. Purnell is Emeritus Professor from the University of Delaware where he coordinated the graduate programs in nursing and healthcare administration and taught culture. His Model, the Purnell Model for Cultural Competence has been translated into Arabic, Czech, Flemish, Korean, French, German, Japanese, Persian, Portuguese, Spanish, and Turkish. His textbook on Transcultural Health Care won the Brandon Hill and American Journal of Nursing Book Awards. Dr. Purnell has over 100 refereed journal publications, 100 book chapters, and 14 textbooks, including updated editions. He has made presentations throughout the United States as well as in Australia, Colombia, Costa Rica, England, Denmark, Italy, Korea, Panama, Russia, Scotland, Spain, and Turkey. He is the U.S. Representative to the European Union’s Commission on Intercultural Communication resulting from the Salamanca, Sorbonne, Bologna, and WHO Declarations. He has been on the International Editorial Board, for six journals. Dr. Purnell is a Fellow in the American Academy of Nursing, a Transcultural Nursing Scholar, Luther Christman Fellow, and is on the Rosa Parks Wall of Fame for Teaching Tolerance.

Dr. Eric A. Fenkl, an Associate Professor of Nursing, received his PhD in Nursing from the University of Wisconsin.  Dr. Fenkl’s research interests include the cultural aspects of HIV/HPV prevention and related disease among LGBT populations with a particular emphasis on MSM and ethnically diverse populations. Dr. Fenkl has been the Co-PI on two large grants from the Center for Substance Abuse Prevention, SAMHSA. One to develop a program focusing on HIV/STD and substance abuse prevention for minority LGBT students on campus and a second one to implement a program for outreach in the greater Miami metropolitan area specifically for at-risk minority MSM. Dr. Fenkl has presented at numerous national and international conferences and has published widely in peer-reviewed journals globally. Dr. Fenkl's teaching is focused on the facilitation of cultural competence in advanced practice nursing.