Competencia cultural de enfermeras en salud pública con población indígena

Abstract

Objetivo: identificar elementos de competencia cultural (CC) en las enfermeras en salud pública (ESP) cuando cuidan a población indígena emberá-chamí.Metodología: etnografía interpretativa con observación participante y entrevistas en profundidad a diez colaboradores.Análisis de datos basado en la propuesta de Leininger con apoyo de los programas ATLAS.ti y Excel.Resultados: el patrón cultural permite identificar la capacidad de las esp para analizar su propia cultura, conocer, comprender e interactuar con la cultura del indígena y mediar a través de comunicación caracterizada por empatía, adaptación del lenguaje verbal y no verbal que evidencian respeto por la singularidad indígena, en un contexto de armonía con laspolíticas institucionales basadas en la cultura indígena.Conclusión: la CC de esp es un proceso amplio, tanto de ESP con la comunidad como de la articulación con políticasinstitucionales para atender la cosmovisión indígena.

Changing Home: Experiences of the Indigenous when Receiving Care in Hospital

“…For health professionals and especially for those in nursing, the challenge consists in enhancing the processes leading to developing and strengthening the cultural capacity and based on it, carrying out necessary actions in the clinical and community settings to generate the best possible conditions to care for the indigenous. The results of this study and of others that have analyzed health care of the indigenous from public health,( 33 ) in Embera ( 8 , 21 , 26 ) or Wayúu communities,( 9 , 16 ) ratify the commitment by nursing of incorporating the concepts of trans-culturalism to ensure safe access of the indigenous to health services. According to McKonkey,( 11 ) the strategy of cultural security may contribute to increasing awareness on the access barriers confronted by the indigenous when seeking health services, reason for proposing the creation of health care sessions in dispersed rural zones, among others.…”

Personal and professional characteristics of the primary care nurse in the cultural care of migrant populations

“…A study carried out in an indigenous context defines empathy as the process of understanding, respecting and verifying the meaning of the patient's observations, being identified as a quality of the nurse that is linked to respect for beliefs, lifestyles, tastes and needs (18), to this it is added that the nurse sees the need to have a humanized approach with the indigenous, which favors communication, also helps them to be more receptive to care and improve their attitude towards the indications that must meet..…”

Conduct of nursing technician in primary health care: integrative review / Condutas do técnico em enfermagem na atenção primária à saúde: revisão integrativa

“…In addition, it is necessary to have a cultural knowledge of the population/patient for whom the care is being provided, informing about customs, housing, beliefs, art, and culture, assisting the individual away from discrimination, judgment, and providing guidance/care consistent with the reality of each individual. 25 It is worth mentioning that in this process of patient evaluation, the verbal and nonverbal language of the client must be considered in order to understand all the indications of the health-illness process and not to provoke mistrust, frustration, and inadequate management. 26 As for the participation and creation of support groups in PHC for disease prevention, this strategy has a unique character, recommended as a health promotion activity, allowing the sharing of experiences and knowledge among the patients who attend, as well as establishing a greater bond and trust between the nursing technician and the population.…”