In getting to know Dr. Guerrero and her cultural history the “Purnell Model for Cultural Competence” is being used. This model provides a framework on which health-care providers learn about different cultures by asking appropriate questions and how to use this information to provide culturally congruent healthcare to their clients. (Purnell, 2013, p. 15)
During our interview, with Dr. Guerrero, there were 35 people in the regular classroom including three men, and 32 women. The ages of the students were between 20 to 48 years of age, not including Dr. Guerrero. The room was relaxed, everyone was seated, and as each interviewer asked their particular questions of their specific domain and time was allowed for Dr. Guerrero to answer each question fully. Based on how Dr. Guerrero answered the questions each student would tailor there next question to her specific answer to glean more information. All of the questions were open ended allowing for Dr. Guerrero to elaborate on her answers and to give more complete responses. The interview started at approximately 1115 and ended around 1430.
Our domain questions involved health care providers and how culture affected the choice of health care providers chosen, what influenced those choices and how that choice impacted the health care that Dr. Guerrero received. It also addressed how she obtained medical care prior to coming to America and once she arrived in America how that changed.
Our domain also looked at how her culture and her family’s decision to move to America impacted her choice to become a nurse. It also looked at how her decision would have been different if she had stayed in Chile and how that might have limited her choices to become a nurse, and how nursing differs in her native country than it does in America.
According to Dr. Guerrero the health care in Chile is increasingly more medically based because of the Western influence on Chile. However, Chile still incorporates beliefs into the healthcare system and is better at taking the beliefs of Chileans into account when they come in for care.
In Dr. Guerrero’s family both traditional beliefs and more medically based health care are practiced/utilized. When Dr. Guerrero was a child she had asthma, and was not effectively treated by the traditional medical treatments, so her mother sought out care from another family member and used a more traditional Chilean remedy. Her mother took a bladder of a sheep, added Dr. G’s urine, put it in the attic and allowed it to dry. Once it dried it was supposed to clear up her asthma. Dr. G’s asthma eventually got better, but as to whether the bladder helped or the traditional Chilean remedy helped, one does not know, Dr. G was unsure.
Health care growing up in Chile for Dr. G involved going to the doctor for her immunizations. That was about the only thing she went in for with the exception of when she was ill. Then only when her illness could not be fixed with home remedies. One was looked upon...