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Biomedical subjects

L Purnell

Publications and source records attributed to L Purnell.

11 recordsLinked to original sources
PubMed2001

Guatemalans' practices for health promotion and the meaning of respect afforded them by health care providers.

This descriptive study, the second part of a multinational study of Central Americans and Mexicans, describes Guatemalans' practices for health promotion and wellness, disease and illness prevention, and the meaning of respect afforded them by health care providers. Understanding a person's beliefs and values when planning nursing and health care interventions helps the caregiver provide culturally acceptable care that improves clients' satisfaction and health status. Culturally respectful, acceptable, and appropriate care conserves the utilization of human, material, and financial resources. There were 25 participants in this sample. This study uses selected primary and secondary characteristics of culture and selected domains from the Purnell model for cultural competence as guides for questionnaire development, review of the literature, data analysis, and discussion of the findings.

Adolescent↗
PubMed2000

A description of the Purnell Model for Cultural Competence.

To meet the needs of a multicultural society, health care in the new millennium stresses teamwork in providing culturally sensitive and competent care to improve client outcomes. Publications addressing the future predict an increasingly diverse workforce. Accordingly, care providers can benefit from a conceptual model of cultural competence that can be used by all health disciplines in all practice settings. The Purnell Model for Cultural Competence, developed in 1995, is applicable to all health care providers. This article (a) describes the development of the model; (b) provides a description of the model; (c) lists the major assumptions on which the model is based; (d) describes the model's use in practice, education, administration, and research across disciplines; and (e) includes a brief evaluation of the model. Important cultural domains missing from other transcultural and cross-cultural models, which are found in the Purnell Model, are biocultural ecology and workforce issues.

Clinical Competence↗
PubMed1999

Panamanians' practices for health promotion and the meaning of respect afforded them by health care providers.

This study describes and compares Panamanians' and Panamanian Americans' practices for health promotion and wellness, disease and illness prevention, and the meaning of respect afforded them by health care providers. Understanding a person's beliefs and values when planning nursing and health care interventions helps the caregiver provide culturally acceptable care that improves clients' satisfaction and health status. Culturally respectful, acceptable, and appropriate care conserves the utilization of human, material, and financial resources. This sample comprised 70 subjects: 50 in the Republic of Panama and 20 from the DelMarVa Peninsula in the United States. This study uses selected primary and secondary characteristics of culture and selected domains from the Purnell Model for Cultural Competence as guides for questionnaire development, data analysis, and discussion of the findings.

Adult↗
PubMed1995

What to do if called upon to testify.

There are fundamental differences in the healthcare delivery systems, cultural ideologies, and legal procedures for malpractice litigation among the US, UK and Australia. Nursing malpractice litigation is definitely on the increase in the US. Evidence shows that this same trend is beginning in Australia and the UK. This article addresses some of the reasons for this increase in litigation, and identifies actions that a nurse can undertake to prepare for a deposition or court testimony if called upon to do so.

Australia↗
PubMed1995

Reducing waiting time in emergency department triage.

A survey of 390 hospitals across the United States indicated that extended waiting times in emergency departments lead to general over-crowding that results in increased nursing care time and client dissatisfaction. Several successful strategies for reducing both waiting and turnaround time are suggested.

Emergency Service, Hospital↗
PubMedDate not supplied

Outcomes of a university-based registered nurse refresher course. A 5-year follow-up.

Registered Nurse Refresher Courses are not uncommon in university, community college, and hospital settings. Most are costly to the organization in terms of money and human resources--especially when students choose not to practice once they have completed the course. In this study, the author reports the findings of a survey conducted on graduates of a university-based refresher course during a 5-year period. The issues include a retrospective evaluation of the course, mean age at the time of taking the course, time away from active practice before taking the course, number who returned to the workforce after the course, the number who left the workforce, and identification of respective clinical practice area. Statistical follow-up on the Registered Nurses completing the course and descriptors of personal frustrations, rewards, and overall concerns related to the refresher course are described in this article.

Adult↗
PubMedDate not supplied

A survey of the qualifications, special training, and levels of personnel working emergency department triage.

Emergency department triage is a challenging position for the Registered Nurse, and one that requires special qualifications, training, and skills to adequately assess, prioritize, and intervene in a variety of client presentations. This survey, conducted throughout the United States in 1991, reports the varied qualifications and special training required by hospitals for nurses to work triage. The categories of personnel who work triage are also reported. The reasons for the variability and diversity in qualifications and training between geographical zones are discussed, along with some creative suggestions for providing additional education and training.

Certification↗