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Cultural Competence Frameworks and Cultural Context: The Dutch Culture

Cultural Competence

Diverse cultures are associated with a variety of different ideas and practices that help them to define themselves (Purnell & Fenkl, 2019). Patients’ attitudes and perceptions of healthcare and sickness may be influenced by these activities. Purnell’s paradigm emphasizes various components of cultural ideas and behaviors in different ways. Every culture has its own set of rules for how things should be done. The inhabitants of the Samoan Islands have a distinct culture that is worth mentioning. This article will examine the demographics of this group in relation to several Dutch cultural aspects.

Family Roles & Organization in the Dutch Culture

Head of Household

In the Dutch culture, parents are the head of the family with a man having the neutralizing idea. Only parents and children live together in the Netherlands. For the most part, they do not live with their relatives. When Dutch families sit down to eat, they often talk about their day’s activities. Everyone in the family helps out with tasks in Dutch households. Also, the king addressed as his majesty is the is the head of the royal family.

Gender Roles

The Dutch recognize three distinct genders: male, female, and those who exist in both gender. Males’ responsibilities were to provide for themselves and their loved ones through tiling and crop cultivation. Additionally, men are more inclined to ensure that their homes are well-protected. Women are responsible for children care, keeping sanitary conditions in the house, and cooking for the family. However, the Dutch community have become much free to shear gender roles; they promote gender equality (Ruitenberg, 2015).

Goals & Priorities

Dutch cultural diplomacy involves three things that focuses on creative enterprises and common cultural heritage. These include a firm Dutch culture, cultural diplomacy, and secure, fair, and future-proof planet with greater place for the arts. As their main source of income, the Dutch focus on the agriculture, engineering and metal products, oil and natural gas, petroleum, chemicals, and fishing among others (Ruitenberg, 2015).

Developmental Tasks

According to the World Economic Forum, the Netherlands is the most competitive economy in Europe and the fourth most competitive economy in the world. In the 2020 IMD rankings, the Netherlands is the fourth most competitive country and the fifth most innovative nation.

Roles of Aged

The elders of the family are revered for their wisdom and experience. As a result, they play an important role in passing on cultural knowledge to the next generation. They are also responsible for teaching discipline in the family’s children and providing them with a sense of purpose. The elderly may also assist in resolving domestic disputes.

Extended Family

In most cases, members of one’s extended family live apart, yet in close proximity. The Netherlands, on the other hand, is becoming more accepting of a wide range of family structures. Nowadays, single-person homes, families with a single parent, and couples without children are all too frequent. In addition, there has been an increase in the acceptability of same-sex couples raising children. This shows that Dutch society is open to a wide range of family structures.

Social Status

Individuals’ social standing in society is determined by their wealth. Some advantages are available only to the richer members, while others are unavailable to the less fortunate. Agriculture and commerce are the primary means of accumulating wealth in the Dutch community. It is also influenced by one’s status and influence in the community. Those who are more powerful in the family, like the Matai, have a greater social standing than those who are weaker in the family. Security and housing allowances are among the perks that political leaders enjoy.

Workforce Issues construct of Purnell’s model

Workforce issues according to Purnell Model include assimilation, autonomy, acculturation, gender roles, native healthcare practices, and ethnic communication styles. Workforce concerns refer to how workplace factors such as language barriers might impact an individual’s feeling of self and belonging. When it comes to modern industrialized cultures, the workplace serves as a central notion for numerous entities: the worker and their family, the employing business and society (Cramm & Nieboer, 2019). Consequently, technological advancements have led to the emergence of new working strategies: the “virtual” or “remote” workplace.


The process of acculturation involves adopting the language, values, traditions, beliefs, and mannerisms of the new nation immigrants and their family are living in, as well as health-related behaviors including dietary habits, exercise levels and drug use (Cramm & Nieboer, 2019).


A culture is said to be autonomous when it completely expresses the individuals’ past, present, and future ambitions. Many contemporary culture including the Dutch are autonomous. The Netherlands has a vibrant and diverse cultural scene. The Dutch are very proud of their rich cultural legacy, and as a result, the government invests extensively in supporting the arts while avoiding direct involvement in creative decisions made by cultural institutions.

Language barriers

The Dutch have a warm tone of voice and use short phrases in their communication. Overtly apologetic behavior might be seen by some as dishonest, since it suggests a lack of directness in communication. As a rule, the Dutch avoid exaggeration and tend to tone down their praises and remarks.

Biocultural Ecology construct of Purnell’s model

When studying foreign cultures, it is important to take into account differences in ethnic and cultural groupings, such as biological variances, which may help us obtain a deeper knowledge of the many peoples that inhabit the world.

Biological variations

Individuals in every nation and region have distinctive physical characteristics, but the Dutch DNA is particularly convoluted and interlaced in this regard. Furthermore, not everyone in the Netherlands seems to be a twin. Nederlanders have a long history of mixing with people from a wide range of ethnic backgrounds.

Skin color

To be Dutch is to be white. However, during the Spanish conquest of the Netherlands, many of the darker skin tones were the result of marriages or out-of-wedlock births with Spanish troops. These “Black Dutch” are still living in New York today, while other families have migrated to other states in the south and west.


Specific systems through which features or qualities are inherited from generation to generation via genes are called heredity. The information encoded in a person’s genes is responsible for determining their unique characteristics. The Dutch are a people and a country who have their roots in the Netherlands. They have Dutch heritage and culture, as well as the ability to communicate in Dutch (Lao et al., 2013). Anglo-Dutch migrants and their descendants can be found all over the world, particularly in Guyana, Suriname, Aruba, and Curaçao. They are also found in Argentina and Brazil.


The term “Dutch” was formerly used to describe individuals from Germany, and Netherlands but it is currently used exclusively to identify people from the Netherlands. As a result of its widespread usage, the phrase “Kingdom of the Netherlands” was coined after the Netherlands declared its independence from the United Kingdom in 1815 (Lao et al., 2013). DNA testing companies have it that Dutch DNA is mostly Germanic French, which seems to be a larger stroke of DNA than other frequent and evident Dutch features.


The Dutch government is committed to protecting and enhancing the country’s natural environment and wildlife. Plants, animals, and other organisms, as well as their environments, are all examples of biological diversity. Every living organism in a given region and their interactions make form an ecosystem.

Pregnancy construct of Purnell’s model

Fertility practices

The Netherlands’ fertility has never been as low as in other European nations. The Netherlands’ comparatively high fertility in a European perspective seems paradoxical due to the lack of formal family policy and a strongly secular culture (Altena et al., 2019). The Dutch government offers generous social payments, but has not developed explicit initiatives to increase reproduction. In Dutch culture, dads are valued as key breadwinners, while moms care for children at home.

Views toward pregnancy

Pregnancy before marriage especially to the teenage girls is a disgrace to most communities including the Dutch. However, with childbearing as the main duty of mothers, they are advised to visit midwives as soon as conception is noticed (Altena et al., 2019). While some deliveries happen at home, hospitals are the popular places for delivery.

Pregnancy beliefs

Pregnancy is never a disease in Dutch culture and women are advised not to seek medication under some circumstances. In this period, they are to limit themselves from some duties, foodstuffs, and even walking without a proper reason.


Natural delivery is seen as the norm in the Netherlands, rather than a medical issue. Given that most pregnancies occur in a hospital; expectant mothers are likely to visit many midwives during their pregnancy unless they expressly schedule with a single practitioner.

Post-partum (including child rearing)

Post-partum transition is seen as profound in the Dutch, and they rise to meet it. Home maternity nurse (Kraamverzorgster), visits the parents’ home for a minimum of three hours a day during the first ten days following the birth of a child in the Netherlands. The nurse can assist first-time parents in learning the fundamentals, such as how to breastfeed and change a baby’s diapers, as well as how to bathe an infant for the first time.


Purnell, L. D., & Fenkl, E. A. (2019). Transcultural diversity and health care. In Handbook for culturally competent care (pp. 1-6). Springer, Cham.

Ruitenberg, J. (2015). Resilience of the Childhood Origins of Dutch Mothers’ Gender Role Attitudes. Journal of Adult Development23(1), 11–26.

Lao, O., Altena, E., Becker, C., Brauer, S., Kraaijenbrink, T., van Oven, M., Nürnberg, P., de Knijff, P., & Kayser, M. (2013). Clinal distribution of human genomic diversity across the Netherlands despite archaeological evidence for genetic discontinuities in Dutch population history. Investigative Genetics4(1).

Cramm, J. M., & Nieboer, A. P. (2019). Acculturation is associated with older Turkish immigrants’ self-management abilities. BMC Public Health19(1).

Altena, E., Smeding, R., van der Gaag, K. J., Larmuseau, M. H. D., Decorte, R., Lao, O., Kayser, M., Kraaijenbrink, T., & de Knijff, P. (2019). The Dutch Y-chromosomal landscape. European Journal of Human Genetics28(3), 287–299.


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