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Purnell's
Model
Overview/Heritage:
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5 Communication
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Family
roles & organization
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Workforce
issues
Biocultural
ecology
High-risk
behaviors
Nutrition
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Pregnancy
Death
rituals
Spirituality
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Health
care practices
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Health
care practitioners
References
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Gender roles are strictly defined.
For example, in healthcare, nurses are women, and
physicians are men.29
Women are
expected to fulfill gender specific roles. For example a Haitian
man may expect his American female colleague to get him coffee
without hesitation. Similarly, Haitian nurses
may be hesitant to confront male physicians, even when
necessary.
The physician in Haiti is expected to be an authority, and is
trusted to do what needs to be done.29
A Haitian physician in the U. S. may have difficulty with
understanding the rationale behind informed consent.
Since Haitian immigrants tend to be present oriented
and may not understand the U.S. concept of time, 15, 29, 30, 35 Haitian
employees may have difficulty being on time to jobs.
Conflict may be experienced
because female Haitian immigrants often find jobs easier than their
mates. This
leads to role reversal and perhaps conflict within the traditional
family.35
Jobs that are commonly
acquired by Haitian immigrants include low level
service industry (hotel) employees, restaurant employees, or
low-skilled laborers.4, 47
If a
Haitian immigrant cannot find work due to immigration status or
other reasons, they have been known to create their own jobs such as
tailor or childcare worker in the informal sector. This job is usually
temporary, the preference being wage labor.32, 47
New
immigrants usually rely on advice from more settled Haitians on how
to find a job. This may include tips or actual interviews set up
with people who are known to employ Haitians. Sometimes churches
also help with job searches.32
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