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Integrating Cultural Competence in Nursing: A Scoping Review of Purnell’s Model in Clinical Practice and Education With Data Mining Analytics

Introduction: Purnell’s Model for Cultural Competence outlines that cultural competence is essential for bridging the gap between health care providers and patients from diverse cultural backgrounds.’ Methodology: This study followed PRISMA-ScR guidelines, focusing on studies involving nurses, nursing students, and educators using Purnell’s Model.


Authors

Caruso, Rosario - Terzoni, Stefano - Lusignani, Maura - Varano, Ester - Pittella, Francesco - Xharra, Viktorija - Carrodano, Sara - Ghizzardi, Greta - Conte, Gianluca - Magon, Arianna - De Maria, Maddalena - Rocco, Gennaro - Stievano, Alessandro

Abstract

Introduction: Purnell’s Model for Cultural Competence outlines that cultural competence is essential for bridging the gap between health care providers and patients from diverse cultural backgrounds.’ Methodology: This study followed PRISMA-ScR guidelines, focusing on studies involving nurses, nursing students, and educators using Purnell’s Model. Literature was searched across six databases up to July 2024. Results: From 834 records, 20 studies met the inclusion criteria. The primary themes identified were “Cultural competence in health care” and “Nursing interventions and patient relationships.” Subtopics included Cultural health care practices, Patient-centric nursing, holistic and culturally sensitive care, and integrated care and education. These subtopics provide a nuanced understanding of cultural competence application across various settings. Discussion: Findings highlight the importance of integrating cultural competence training to reduce health care disparities, improve patient–provider communication, and enhance the efficacy of nursing interventions in diverse populations. Incorporating these aspects into education and practice is crucial for achieving cultural competence in nursing. © The Author(s) 2025

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