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NSG 4074 Week 2 Project-Culturally Competent Nursing

NSG 4074 Week 2 Project-Culturally Competent Nursing

NSG 4074 Week 2 Project-Culturally Competent Nursing

In this week’s assignment, we will interview someone from a different cultural background. We are to use the Purnell Model and its twelve domains. Along with the Purnell Model, we are to utilize the assigned assessment questions to discuss the health practices of that particular culture. The person I chose is a longtime childhood friend of Nicaraguan descent. Her initials are W. Z., and she resides in St. Augustine, FL.

My longtime friend and I met in high school. We share a couple of similar classes, and a friendship started when we realized we had much in common. My friend and most of her family also practice Jehovah’s Witnesses. While in high school, my aunt took my siblings and me to the weekly assemblies of the Jehovah’s Witnesses while my mother worked. It was a coincidence when we both saw each other at church services. After high school, we lost touch for quite some time and ended up reconnecting through Facebook.

W.Z. and I have known each other for over 20 years, sharing many similarities and differences. We are similar because we both are of Hispanic origin. We are from different countries, even though we share the same language. My family originated from Puerto Rico and moved to Massachusetts in the early 1980’s.

As far as religion is concerned, my mother never gave much thought. She was too busy working that since my Aunt took care of us while she worked, we ended up going with her. Religion is a big part of W.Z…, and because of this, her decisions are derived from religious beliefs. W.Z. does not believe she is receiving any blood transfusions, nor does she partake in receiving certain things due to her religious preferences. She and her family are very conservative.

The other aspects of her life, partly from Nicaraguan culture, make her opt for a more natural approach to her healthcare. She is a minimalist regarding her health, opting for a more nutritionally balanced approach. She would instead care for her and her family’s needs through preventative maintenance. She also says this is also due to the health care in Nicaragua. In Nicaragua, the residents do not have to pay for health care. There are some costs, but it is relatively inexpensive. The downside to the healthcare in Nicaragua is the lack of specialized equipment. If a resident needs more specialized care, they are told to head to the U.S. Most Nicaraguans pay for an insurance called MedEvac, which allows for air transportation in an emergency. According to International Living, “Without question, Nicaragua offers high-quality healthcare with several specialized healthcare centers/hospitals in the greater Managua area.” (International Living, 2018)

NSG 4074 Week 2 Project-Culturally Competent Nursing

On the website Gundersen Health, they write, “Hispanics tend to have a broad definition of health, which can be best described as a continuum of body, mind and spirit. Religion also plays an important component to daily lives.” (Gundersen Health, 2018) Health and wellness play a massive role in Hispanics and their families. Along with health and wellness, for the most part, so does religion and family dynamics. These three components go hand in hand and contribute to the close ties between Hispanics and their relationships.

Cultural Assessment Interview

  1. Where do you currently live? St. Augustine,
  2. What is your ancestry? My family is of Hispanic descent, and we are from
  3. Where were you born? I was born in Boston,
  4. How many years have you lived in the United States (or another country, as appropriate)? I have lived in the U.S. for most of my life. After high school, my parents and I relocated to Miami. After a few years, we decided to move back to Nicaragua. I stayed in Nicaragua for about two years when we decided to move back. I got married shortly after, and my husband and his family are also from Nicaragua.
  5. Were your parents born in the United States (or another country, as appropriate)? No, both my mother and father were initially from
  6. What brought you (your parents/ancestors) to the United States (or another country, as appropriate)? My family moved from Nicaragua in the 1980s after there were some political conflicts in the
  7. Describe the land or countryside where you live. Is it mountainous or swampy? My husband and I, and our children, reside in St. Augustine, FL. My husband travels for work, and we have moved a few times.
  8. Have you lived in other places in the United States/world? I have lived in Managua, Nicaragua, as well as several states in the U.S. I have lived in Massachusetts, Florida, and
  9. What is your income level? We are upper-middle.
  10. Does your income allow you to afford the essentials of life? Yes, we live comfortably and can travel often with our Cultural Assessment Interview cont.
  11. Do you have health insurance? Yes, we have insurance through my husband’s
  12. Are you able to afford health insurance on your salary? The cost is reasonable, and it is far less expensive than my employer


Purnell, L. D. (2013). Transcultural health care: A culturally competent approach. Philadelphia: F.A. Davis. Pg. 20

Healthcare in Nicaragua – International Living Countries. (2018). Retrieved April 13, 2018, from

Nicaragua. (2018). Retrieved April 13, 2018, from


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NSG 4074 Week 2 Project-Culturally Competent Nursing

In a Microsoft Word document, you will describe an interview of a person from a cultural background that is different from your own.

Select a person from a cultural group different from your own. You may choose a patient, friend, or work colleague. For confidentiality, do not reveal the name of the person you interview; use only initials.

In your paper, include the following:

A complete cultural assessment using the 12 Purnell Model for Cultural Competence domains in your textbook, Transcultural Health Care: A Culturally Competent Approach.

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