Competência para prestar cuidado de enfermagem transcultural à pessoa com deficiência: instrumento de autoavaliação

Abstract

849Rev Bras Enferm, Brasília 2012 set-out; 65 (5)

Cultura de segurança do paciente e cuidado cultural de enfermagem

“…In this model, acts of cultural care, which are congruent with the patient's beliefs and values, are considered the most significant, unifying and dominant concept for knowing, understanding and predicting popular therapeutic care. 16 Its flexibility for use with individuals, families, groups, communities and [17][18] It is observed that the Culturally Competent Care, the first concept described in this model, consists of the knowledge of the components of cultural nursing care and requires, at the nurse, attitudes that respond to the cultural needs of their patients. Cultural competence requires that nurses reflect on their own culture and prejudices so that they then become aware of other cultures and can then assess and understand the cultural variations that involve caring for the other.…”

“…Therefore, the tone of voice employed, the environment where the action is occurring and the inherent aspects of the language directly affect nursing care. 18 It is possible for nurses to communicate effectively with patients from different cultures, intervening in their health problems, and allowing patients to participate actively in their care, helping institutions and professionals to provide the best possible care, since, to be effective, this care must be understood as a duty of each person and not an exclusive activity of health professionals. 17 It is noted that the goal of Transcultural Nursing is to pay careful attention to the cultural values of individuals, and the behaviors adopted in health/illness in different social groups are translated into intercultural communication.…”

Aspectos culturais e históricos na produção do cuidado em um serviço de atenção à saúde indígena

“…Disease requires an interpretation and performance in the socio-cultural environment and is not a static situation 13 . Considering that each individual has a unique vision of the world, cultural under-standing enables the exposure of differences and specificities, and the appreciation of individual autonomy in the care setting 26 . Building a relativized / sensitive glance at these issues in indigenous health care is fundamental 17 , mainly due to existing cultural differences, for example at CASAI, a place where the caregiver is usually not indigenous.…”

Pessoas com deficiências e tipos de barreiras de acessibilidade aos serviços de saúde - revisão integrativa / Disabled people and types of barriers to the accessibility of health services – integrative review

“…Care is the essence of work for Nursing, requiring a set of knowledge built in order to produce a way for reflection on the purpose, expression and process for its development. 7 Thus, it is important to build knowledge for the realization of care through the theoretical and reflective basis. In this context, during the practical classes of the internship and the practical experiences of nursing in the health services, I noticed the low number of admissions and care for people with disabilities.…”