El Equilibrio Inestable: El caso de los Chamibida de Cristianía en Antioquia, Colombia

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.…”

“…The context in which the indigenous live, the activities they carry out in their daily living, their transit from their habitual place of residence to the hospital, and the difficulties they experience to receive health care, comprise a scenario marked principally by adversity, inasmuch as the onset of the disease disrupts their daily lives and, in case of not being able to solve the problems with the resources offered by the traditional medicine man, they must travel to the hospital. Similarly, Arias and de la Cuesta( 21 ) coined the category of unstable equilibrium to describe and analyze the of the internal and external context of the members of an indigenous community in the southeast of Antioquia, which as with the participants in this study, had conditions of insecurity, marginality, poverty, and exclusion, as conditioning factors of the lifestyle and the possibilities of access to health services.…”