scholarly journals Beliefs and practices of culture care in colombian Wayúu pregnant women

2019 ◽  
pp. 8-18
Author(s):  
Ariadna María Angarita Navarro ◽  
Martha Patricia Bejarano Beltrán
Keyword(s):  
Pregnant Women ◽  
Indigenous Communities ◽  
Structured Interview ◽  
Indigenous Community ◽  
Transcultural Nursing ◽  
Culture Care ◽  
Beliefs And Practices ◽  
Palabras Clave ◽  
Expectant Mothers ◽  
Care Practices

TITULOS ESPAÑOL: Creencias y prácticas de cuidado genérico en gestantes Wayúu colombianas INGLÉS: Beliefs and practices of culture care in colombian Wayúu pregnant women PORTUGUÉS: Crenças e práticas de cuidado genérico em mulheres grávidas colombianas do povo Wayuu   RESUMENES ESPAÑOL: Objetivo: Conocer las creencias y prácticas de cuidado de las gestantes de la comunidad indígena wayuu en las rancherías de Sapalou y Sutalu, La Guajira.  Metodología: Estudio cualitativo con enfoque etnográfico, el cual se llevó a cabo con once gestantes de dicha comunidad indígena. La información se obtuvo mediante la observación participativa y una entrevista semiestructurada. Para el análisis de los datos, se utilizó la guía de análisis de cuatro fases propuesta por Leininger. Resultados: Las gestantes wayuu describieron las prácticas de cuidado prenatal heredadas por su cultura. Durante la gestación, las wayuu se cohíben de comer algunos alimentos, como camarón, cangrejo, conejo o tortuga, para evitar complicaciones en el parto y en el hijo por nacer. No tienen contacto con personas que hayan cometido homicidio, manipulado cadáveres o asistido a funerales, pues según sus creencias esto puede generar sangrados durante el parto. La partera se convierte en un miembro significativo en la comunidad durante el proceso de gestación, trabajo de parto y parto de las gestantes.  Conclusiones: Es imperativo que la enfermería conozca los rasgos culturales de las comunidades indígenas para brindar cuidados holísticos y de calidad. Así mismo, es indispensable continuar con estudios que indaguen las creencias y prácticas de cuidado durante el parto y el puerperio de este tipo de población. INGLÉS: Objective: Understand the beliefs and care practices of the expectant mothers of the Wayuu indigenous community in the rancherias Sapalou and Sutalu, La Guajira. Methodology: Qualitative study with an ethnographic focus, which was performed on eleven expectant mothers of the mentioned indigenous community. The information was obtained through participative observation and a semi-structured interview. For the analysis of the data, the analysis guide of four tenets by Leininger was used.   Results: The Wayuu expectant mothers described the practices of prenatal care inherited from their culture. During pregnancy, Wayuu mothers are not allowed to eat some foods such as shrimp, crab, rabbit or turtle, to prevent complications at birth and in the child to be born. They do not have contact with people that have committed murder, manipulated corpses or have assisted to funerals, since according to their beliefs this can cause bleeding at birth. The midwife becomes a significant member of the community during the pregnancy and labor process. Conclusions: It is imperative that nursing understands the cultural traits of the indigenous communities to bring holistic and quality nursing. Also, it is indispensable to continue with studies that explore the beliefs and practices of care during labor and postpartum of this populations. PORTUGUÉS: Objetivo: Conhecer as crenças e práticas de cuidado das mulheres grávidas da comunidade indígena Wayuu ou uaiús em ranchos de Sapalou e Sutalu, Estado de “La Guajira”, na Colômbia.  Metodologia: Estudo qualitativo com uma abordagem etnográfica, o qual foi realizado com onze mulheres grávidas da referida comunidade indígena. A informação se obteve através da observação participativa e uma entrevista semiestruturada. Para a análise dos dados, utilizou-se a guia da análise de quatro fases proposta por Leininger. Resultados: As mulheres grávidas Wayuu descreveram as práticas de cuidado pré-natal herdadas por sua cultura. Durante a gestação, as wayuu são inibidas de comer alguns alimentos como: camarão, caranguejo, coelho ou tartaruga, para evitar complicações no parto e no filho que está por nascer. Não têm contato com pessoas que tenham cometido homicídio, manipulado cadáveres ou ter participado de funerais, pois segundo suas crenças isto pode gerar sangramentos durante o parto. A parteira se converte num membro significativo na comunidade durante o processo de gestação, trabalho de parto e parto das grávidas.  Conclusões: é imperativo que a enfermagem conheça as características culturais das comunidades indígenas para fornecer cuidados holísticos e de qualidade. Assim mesmo, é indispensável continuar com estudos que indaguem as crenças e práticas de cuidado durante o parto e o puerpério deste tipo de população.   PALABRAS CLAVE ESPAÑOL: Atención de enfermería, gestación, características culturales, enfermería transcultural. INGLÉS: nursing care, pregnancy, cultural characteristics, transcultural nursing. PORTUGÉS: Atendimento de enfermagem, características culturais, enfermagem transcultural, gestação.    

El derecho de los indígenas a conservar un sistema político propio y su brecha de implementación: el caso de Santa María Peñoles

2013 ◽  
Vol 7 (2) ◽  
pp. 70 ◽  
Author(s):  
Juan Carlos Martínez Martínez
Keyword(s):  
Political System ◽  
Indigenous Communities ◽  
Indigenous Community ◽  
Political Rights ◽  
Political Systems ◽  
Implementation Gap ◽  
Palabras Clave ◽  
Santa Maria

El texto analiza las posibilidades de realización de los derechos políticos electorales reconocidos a las comunidades indígenas en la Constitución Mexicana. A propósito del caso de Santa María Peñoles, Oaxaca, el autor analiza tanto el contenido de los derechos específicos reconocidos a las colectividades indígenas para proteger sus sistemas políticos propios, como las vicisitudes que enfrentan ante las instancias del Estado para hacerlos efectivos. Así mismo, se plantea un análisis sobre las condiciones que pueden favorecer la justiciabilidad de estos derechos. Palabras clave: Sistema político, de la comunidad indígena, de los derechos políticos.---O direito dos povos indígenas de preservar seu próprio sistema político e do seu défice de implementação: o caso de Santa Maria PeñolesEste artigo examina as possibilidades de atingir os direitos políticos eleitorais concedidos às comunidades indígenas na Constituição mexicana. Sobre o caso de Santa María Peñoles, Oaxaca, o autor analisa tanto o conteúdo dos direitos específicos atribuídos às comunidades indígenas para proteger seu próprio sistema político, como as vicissitudes enfrentadas perante as autoridades do Estado. Além disso, o artigo analisa as condições que podem favorecer a justiciabilidade desses direitos.Palavras-chave: sistema político, comunidade indígena, direitos políticos.---Indigenous people's rights to preserve their own political system and its implementation gap: the case of Santa María PeñolesThe article explores the possibilities of materializing electoral political rights recognized to indigenous communities in the Mexican Constitution. On the case of Santa María Peñoles, Oaxaca, the author analyzes both the content of specific rights granted to indigenous communities to protect their own political systems, as well as the vicissitudes these communties have to deal with in face of State authorities, when trying to implement them. Furthermore, he proposes an analysis of the conditions that may favor the justiciability of these rights.Keywords: political system, indigenous community, political rights.

Culturally Congruent Care From the Perspectives of Judaism, Christianity, and Islam

2020 ◽  
pp. 104365961990000
Author(s):  
Hiba Wehbe-Alamah ◽  
Linda Sue Hammonds ◽  
David Stanley
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Culturally Competent ◽  
Transcultural Nursing ◽  
Culture Care ◽  
World Religions ◽  
Beliefs And Practices ◽  
Culturally Sensitive Care ◽  
Culturally Congruent ◽  
Nursing Health

Introduction: Judaism, Christianity, and Islam are three world religions that occupy much of the world stage in health care, journalism, and media. Nurses frequently provide care for representatives of these groups. Culturally competent nurses recognize that there are differences and similarities within and between these religions. Methodology: This article incorporates findings from a scholarly review of the literature and transcultural nursing/health care principles and is guided by Leininger’s Culture Care Diversity and Universality Theory. It discusses the roots from which these religions emerged, and the similarities and differences in religious beliefs and practices as pertained to health care. Conclusion: Nurses and other health care professionals may use knowledge presented in this article to conduct individualized cultural assessments and provide culturally congruent health care to Jewish, Christian, and Muslim populations. Leininger’s three culture care modes of decisions and actions offer a creative approach to providing meaningful and helpful culturally sensitive care.

Effect of An Educational Intervention on Pregnant Women’s Knowledge and Self-Care Practices Regarding Urinary Tract Infection

2021 ◽  
Vol 2 (4) ◽  
pp. 11
Author(s):  
Hemmat M. El-bana ◽  
Hanan A. Ali
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Pregnant Women ◽  
Educational Intervention ◽  
Self Care ◽  
Post Intervention ◽  
Care Practices ◽  
Women's Knowledge ◽  
Women’S Knowledge

Contents: The most prevalent type of infection during pregnancy is urinary tract infections (UTIs). It affects up to ten percent of pregnant women and may cause serious adverse pregnancy outcomes for both mother and fetus. Aim:  The research aimed to evaluate the effect of an educational intervention on pregnant women’s knowledge and self-care practices regarding urinary tract infection.  Methods: A quasi-experimental (pre/post-test) design was adopted to fulfill this study's aim. The study was conducted at the Obstetrics and Gynaecological outpatient clinic in Benha university hospital on a purposive sample of 68 pregnant women among those attending the setting mentioned above. Two key instruments were used to collect data: A structured interviewing questionnaire, self-care practices checklist. Results: revealed a highly statistically significant difference in pregnant women's knowledge and self-care practices related to urinary tract infection at post-intervention compared to their pre-intervention phase (p-values < 0.001). A highly significant positive correlation was illustrated between studied women's total knowledge and total practice scores at pre (p=0.04) and post-intervention (p=0.000) phases. Conclusion: The study concluded that the research hypothesis is supported, and pregnant women exhibited better knowledge and self-care practices regarding (UTI) during pregnancy after implementing an educational intervention than before. The study recommended that knowledge and self-care concepts regarding UTI through antenatal screening programs in early pregnancy should be empowered as an essential part of all women's health care levels and strategies.

scholarly journals Determinants of preconception care among pregnant women in an urban and a rural health facility in Kenya: a qualitative study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
J. K. Okemo ◽  
D. Kamya ◽  
A. M. Mwaniki ◽  
M. Temmerman
Keyword(s):  
Child Health ◽  
Pregnant Women ◽  
Preconception Care ◽  
Healthcare Providers ◽  
Preventive Health Care ◽  
Structured Interview ◽  
University Hospital ◽  
Rural Setting ◽  
Rural Settings ◽  
And Child Health

Abstract Background Preconception care (PCC) is a form of preventive health care that is offered to women and couples before conception, with the aim of improving their health status and mitigating various risk factors that could contribute to poor maternal and child health outcomes. The levels of PCC utilization are still low globally, especially in developing countries and in rural areas. Little is known regarding PCC use in Kenya that could help in addressing this shortfall. This study aimed to qualitatively assess the determinants of PCC in urban and rural settings in Kenya. Methods A qualitative approach was employed to assess determinants of PCC using a semi-structured interview guide. The study was conducted from May to October 2017. Selected pregnant women seeking antenatal care (ANC) were recruited by quota sampling, at the Mother and Child Health (MCH) clinics in Aga Khan University Hospital, Nairobi (AKUH, N-urban) and Maragua Level Four Hospital (MLFH-rural). The interviews were thereafter transcribed verbatim and analyzed thematically. Findings A total of 26 women were invited, of whom 21 accepted to participate in in-depth interviews (IDIs). Saturation of themes occurred with 13 interviews (7 at AKUH and 6 at MLFH). Transcription, coding and thematic analysis of the IDIs yielded 12 themes. Eleven of these themes were identified as determinants of PCC. The twelfth theme contained suggested strategies of increasing PCC awareness and utilization, such as using the media, setting up PCC clinics and integrating PCC into other clinics. The dominant themes were awareness about PCC and attitudes towards PCC and pregnancy. The broad determinants of PCC were similar in urban and rural settings – with a few notable exceptions. For example, in the rural setting, women’s level of education and a pervasive history of poor interactions with healthcare providers were major determinants of PCC. Conclusion From this study we conclude that women’s lack of awareness about PCC, in conjunction with attitudes towards PCC and pregnancy impact strongly on its utilization. This lack of awareness could be addressed through health education programs for both the public and for healthcare providers, as well as integrating PCC in the curricula of the later.

scholarly journals Barriers to eHealth adoption in routine antenatal care practices: Perspectives of expectant mothers in Uganda – A qualitative study using the unified theory of acceptance and use of technology model

2021 ◽  
Vol 7 ◽  
pp. 205520762110644
Author(s):  
Hasifah Kasujja Namatovu ◽  
Tonny Justus Oyana ◽  
Henk Gerard Sol
Keyword(s):  
Maternal Health ◽  
Antenatal Care ◽  
Technology Acceptance ◽  
Unified Theory ◽  
Health Providers ◽  
Use Of Technology ◽  
Expectant Mothers ◽  
Care Practices ◽  
Facilitating Conditions ◽  
Routine Antenatal Care

Current empirical evidence suggests that successful adoption of eHealth systems improves maternal health outcomes, yet there are still existing gaps in adopting such systems in Uganda. Service delivery in maternal health is operating in a spectrum of inadequacy, hence eHealth adoption cannot ensue. This study set out to explore the challenges that impede eHealth adoption in women's routine antenatal care practices in Uganda. A qualitative approach using semi-structured interviews was employed to document challenges. These challenges were classified based on a unified theory of acceptance and use of technology constructs. One hundred and fifteen expectant mothers, aged between 18 and 49 years, who spoke either English or Luganda were included in the study that took place between January to May 2019. Thematic analysis using template analysis was adopted to analyse qualitative responses. Challenges were categorised based on five principal unified theories of acceptance and use of technology constructs namely: performance expectancy, effort expectancy, social influence, facilitating conditions and behavioural intention. Facilitating conditions had more influence on technology acceptance and adoption than the other four constructs. Specifically, the lack of training prior to using the system, technical support, computers and smart phones had a downhill effect on adoption. Subsequently, the cost of data services, internet intermittency, and the lack of systems that bridge the gap between mothers and health providers further hindered technology uptake. In conclusion, strategies such as co-development, training end-users, garnering support at the national and hospital levels should be advocated to improve user acceptance of technology.

scholarly journals Towards a Clearer Definition and Understanding of "Indigenous Community" for the Purposes of the Intellectual Property Laws Amendment Bill, 2010: En Exploration of the Concepts "Indigenous" and "Traditional"

2017 ◽  
Vol 13 (4) ◽  
pp. 126
Author(s):  
Sunelle Geyer
Keyword(s):  
Intellectual Property ◽  
United Nations ◽  
South African ◽  
Indigenous Communities ◽  
Indigenous Community ◽  
Key Concepts ◽  
The United Nations ◽  
Definition Of

Although "indigenous" and "traditional" are key concepts in the Intellectual Property Laws Amendment Bill of 2010, they are not defined therein. The Bill does, however, provide a definition of "indigenous community" that is very clear as to where one should look for indigenous communities for the purposes of this Bill, and that there is likely to be a plurality of such communities, but is very vague as to which groups exactly will qualify as being indigenous.  It is uncertain whether or not the current vague wording of the definition would be strong enough to widen the much narrower understanding of indigenousness prevailing in other South African legislation, the legislation of selected other jurisdictions, and the United Nations. Recommendations are made as to how the definition of an "indigenous community" may be rephrased to address these uncertainties more clearly.

scholarly journals MEANINGS OF WATER FOR THE FAKCHA LLAKTA INDIGENOUS COMMUNITY OF OTAVALO, ECUADOR

2018 ◽  
Vol 21 (0) ◽  
Author(s):  
CARMEN AMELIA TRUJILLO ◽  
JOSÉ ALÍ MONCADA RANGEL ◽  
JESÚS RAMÓN ARANGUREN CARRERA ◽  
KENNEDY ROLANDO LOMAS TAPIA
Keyword(s):  
Participant Observation ◽  
Indigenous Communities ◽  
Qualitative Approach ◽  
Indigenous Community ◽  
Ethnographic Study ◽  
Cultural Objects ◽  
Sustainable Resource Management ◽  
Close Relationship ◽  
Andean Highlands ◽  
Depth Interviews

Abstract Water is a multidimensional element for the indigenous communities of the Andean highlands. The Kichwa community Fakcha Llakta, of Otavalo, Ecuador has a close relationship with the existing water bodies in their territory. However, traditional knowledge associated with these resources is fading, giving way to new forms of use. The purpose of this research is to reveal the meanings of water for this indigenous community, in order to propose guidelines for sustainable resource management. It is an ethnographic study with a qualitative approach. The information was collected through in-depth interviews, participant observation by the research team, and the gathering of cultural objects. The findings were organized and sub-grouped according to four recurring elements: vital and sacred; diversity of use and value; a threatened natural resource; and the sustainability of water from the ancestral perspective.

scholarly journals Término del embarazo de las adolescentes atendidas en el Hospital Verdi Cevallos Balda

2019 ◽  
Vol 3 (3) ◽  
pp. 12
Author(s):  
Betzabhé Pico Franco ◽  
Olga Pamela Cadena Orellana ◽  
Víctor Miguel Castro Bravo ◽  
Nicole Elizabeth Puga Miranda ◽  
Gustavo Iván Zambrano Intriago ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Teenage Pregnancy ◽  
Public Health Problem ◽  
Global Public Health ◽  
Cephalopelvic Disproportion ◽  
Postterm Pregnancy ◽  
Palabras Clave ◽  
First Time ◽  
The City ◽  
Global Public Health Problem

  El embarazo en adolescentes es un problema de salud pública mundial que altera la salud física, emocional, la condición educativa y económica de los futuros padres; asimismo, frecuentemente se afecta también al producto de la gestación. La investigación fue de tipo retrospectiva, correlacional y cuantitativa. La muestra fue 461 embarazadas adolescentes atendidas en el Hospital “Verdi Cevallos Balda” de la ciudad de Portoviejo durante el 2016. Los resultados de este estudio mostraron que la mayor tasa de embarazo en adolescentes se produjo en primigestas (88,72 %) de 18 años. La desproporción céfalo-pélvica fue el factor materno-fetal que ocupó el primer lugar como causa de cesárea, seguida de factores fetales como distocia de presentación y ruptura prematura de membranas.   Palabras clave: Parto espontáneo, cesárea, pretérmino, postérmino, embarazo.   Abstract Teenage pregnancy is a global public health problem that alters the physical, emotional, educational and economic condition of future parents; likewise, the gestation product is frequently affected. The research was retrospective, correlational and quantitative. The sample was 461 adolescent pregnant women treated at the Hospital "Verdi Cevallos Balda" of the city of Portoviejo during 2016. The results of this study showed that the highest rate of adolescent pregnancy occurred in first-time pregnant women (88.72 %) of 18 years. Cephalopelvic disproportion was the maternal-fetal factor that ranked first as a cause of caesarean section, followed by fetal factors such as presenting dystocia and premature rupture of membranes.   Keywords: Spontaneous delivery, cesarean section, preterm, postterm, pregnancy.

scholarly journals Pregnancy-Related Information Seeking and Sharing in the Social Media Era Among Expectant Mothers: Qualitative Study (Preprint)

2019 ◽  
Author(s):  
Chengyan Zhu ◽  
Runxi Zeng ◽  
Wei Zhang ◽  
Richard Evans ◽  
Rongrong He
Keyword(s):  
Social Media ◽  
Pregnant Women ◽  
Information Seeking ◽  
Chinese Culture ◽  
Instant Messaging ◽  
Media Usage ◽  
Related Information ◽  
Expectant Mothers ◽  
Media Channels ◽  
The Impact

BACKGROUND Social media has become the most popular communication tool used by Chinese citizens, including expectant mothers. An increasing number of women have adopted various forms of social media channels, such as interactive websites, instant messaging, and mobile apps, to solve problems and obtain answers to queries during pregnancy. Although the use of the internet by pregnant women has been studied extensively worldwide, limited research exists that explores the changing social media usage habits in China, where the 1 child policy ended in 2015. OBJECTIVE This study aimed to (1) present the status quo of pregnancy-related information seeking and sharing via social media among Chinese expectant mothers, (2) reveal the impact of social media usage, and (3) shed light on pregnancy-related health services delivered via social media channels. METHODS A qualitative approach was employed to examine social media usage and its consequences on pregnant women. A total of 20 women who had conceived and were at various stages of pregnancy were interviewed from July 20 to August 10, 2017. Thematic analysis was conducted on the collected data to identify patterns in usage. RESULTS Overall, 80% (16/20) of participants were aged in their 20s (mean 28.5 years [SD 4.3]). All had used social media for pregnancy-related purposes. For the seeking behavior, 18 codes were merged into 4 themes, namely, gravida, fetus, delivery, and the postpartum period; whereas for sharing behaviors, 10 codes were merged into 4 themes, namely, gravida, fetus, delivery, and caretaker. Lurking, small group sharing, bad news avoidance, and cross-checking were identified as the preferred patterns for using social media. Overall, 95% (19/20) of participants reported a positive mental impact from using social media during their pregnancy. CONCLUSIONS It is indisputable that social media has played an increasingly important role in supporting expectant mothers in China. The specific seeking and sharing patterns identified in this study indicate that the general quality of pregnancy-related information on social media, as well as Chinese culture toward pregnancy, is improving. The new themes that merge in pregnancy-related social media use represent a shift toward safe pregnancy and the promotion of a more enjoyable pregnancy. Future prenatal care should provide further information on services related to being comfortable during pregnancy and reducing the inequality of social media–based services caused by the digital divide.

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