scholarly journals O cuidar da saúde para a mulher indígena haliti-paresí

2018 ◽  
Vol 12 (3) ◽  
pp. 729 ◽  
Author(s):  
Érica Baggio ◽  
Vagner Ferreira do Nascimento ◽  
Ana Cláudia Pereira Terças ◽  
Thalise Yuri Hattori ◽  
Marina Atanaka ◽  
...  
Keyword(s):  
Cultural Values ◽  
Indigenous Health ◽  
Disease Process ◽  
Family Health ◽  
Indigenous Women ◽  
Indigenous Populations ◽  
Structured Interviews ◽  
New Paradigm ◽  
Biomedical Knowledge ◽  
Las Mujeres

RESUMOObjetivo: verificar como as mulheres indígenas definem e promovem saúde. Método: estudo qualitativo, descritivo-exploratório, com 12 mulheres indígenas Haliti-Paresí. Os dados foram produzidos a partir de entrevistas semiestruturadas. Para análise dos dados, utilizou-se a técnica de Análise de Conteúdo na modalidade Análise Temática, fundamentada na Teoria da Diversidade e Universalidade do Cuidado Cultural. Resultados: identificou-se que as indígenas definem saúde como algo primordial que dá sentido ao viver e que vai além da dimensão biológica. Além disso, há uma articulação entre os saberes populares e biomédicos, com preferência aos saberes indígenas aplicados no interior da comunidade. Elas reconhecem que hábitos não saudáveis estão presentes no cotidiano indígena e demonstram preocupação buscando meios para promover a saúde da família. Conclusão: os valores culturais necessitam ser integrados à assistência para melhoria da saúde indígena, em uma perspectiva de construção de um novo paradigma para abordagem do processo saúde-doença. Descritores: Saúde da Mulher; Saúde de Populações Indígenas; Processo Saúde-Doença; Enfermagem Transcultural.ABSTRACTObjective: to verify how indigenous women define and promote health. Method: qualitative, descriptive-exploratory study with 12 Haliti-Paresí indigenous women. Data were produced through semi-structured interviews. The thematic Content Analysis technique was used to analyze the data, based on the Theory of Diversity and Universality of Cultural Care. Results: it was found that the natives define health as something primordial that gives meaning to life and goes beyond the biological dimension. In addition, there is a link between popular and biomedical knowledge, with a preference for indigenous knowledge applied within the community. They recognize that unhealthy habits are present in their daily life and show concern and seek ways to promote family health. Conclusion: cultural values need to be integrated into the assistance to improve indigenous health, from the perspective of building a new paradigm to approach the health-disease process. Descriptors:  Women's Health; Health of Indigenous Populations; Health-Disease Process; Cross-Cultural Nursing.RESUMEN Objetivo: verificar como las mujeres indígenas definen y promueven la salud. Método: estudio cualitativo, descriptivo-exploratorio, con 12 mujeres indígenas Haliti-Paresí. Los datos fueron producidos a partir de entrevistas semi-estructuradas. Para análisis de los datos, se utilizó la técnica de Análisis de Contenido en la modalidad Análisis Temático, fundamentada en la Teoría de la Diversidad y Universalidad del Cuidado Cultural. Resultados: se identificó que las indígenas definen la salud como algo primordial que da sentido al vivir y que va más allá de la dimensión biológica. Además, hay una articulación entre los saberes populares y biomédicos, con preferencia a los saberes indígenas aplicados en el interior de la comunidad. Ellas reconocen que hábitos no saudables están presentes en el cotidiano indígena y demuestran preocupación buscando medios para promover la salud de la familia. Conclusión: los valores culturales necesitan ser integrados a la asistencia para mejorar la salud indígena, en una perspectiva de construcción de un nuevo paradigma para enfoque del proceso salud-enfermedad. Descriptores: Salud de la Mujer; Salud de las Poblaciones Indígenas; Proceso Salud-Enfermedad; Enfermería Transcultural.

Territórios da saúde: memórias para o cuidado cultural

2018 ◽  
Vol 3 (4) ◽  
Author(s):  
Nádile Juliane Costa de Castro
Keyword(s):  
Cultural Values ◽  
National Health ◽  
Indigenous Health ◽  
National Health System ◽  
Indigenous Populations ◽  
Way Of Life ◽  
Cultural Conditions ◽  
Basic Care ◽  
Indigenous Territories ◽  
The Village

Sinopse:Trago um conjunto de imagens que representam os territórios de saúde às populações indígenas pela narrativa fotoetnográfica. As imagens apresentam um dos territórios indígenas onde há atuação de equipes multidisciplinares de saúde pelo Sistema Único de Saúde (SUS) no âmbito do Ministério da Saúde, por meio de um modelo que prioriza a ação dos profissionais e dos programas de saúde no território das aldeias, afirmando as políticas de incentivo a atenção básica. Esse registro foi realizado na aldeia da etnia Anambé do estado do Pará.O objetivo do registro é resgatar memórias e sensibilizar para as singularidades inerentes a esses espaços quando da atuação técnica profissional e dentro das perspectivas da antropologia da saúde. Ao observar as imagens é possível identificar condições sociais e culturais, representadas por casas regionais de madeira, arborização e rios. Na sequência das imagens é possível observar animais livres nos limites do território e os caminhos (rio) percorridos pelos profissionais de saúde para acessar a aldeia.Considerar estes fatos é importante, pois, desde a primeira Conferência Nacional de Saúde aos povos indígenas realizada em 1986, as representações vêm questionando o déficit dos profissionais quanto as habilidades e competências para atuar na área de saúde indígena. Essas assertivas e necessidades visam diminuir as iniquidades em saúde por meio de uma atuação técnica que apresente princípios que resguardem os valores culturais, saberes e o modo de vida desses povos de acordo com cada etnia. sinopsis:I bring a set of images that represent the territories of health to the indigenous populations by the photoetnographic narrative. The images present one of the indigenous territories where multidisciplinary health teams work under the National Health System (SUS) within the scope of the Ministry of Health, through a model that prioritizes the action of professionals and health programs in the territory of the villages, affirming policies to encourage basic care. This record was made in the village of the Anambé ethnic group in the state of Pará.The purpose of the registry is to rescue memories and sensitize the singularities inherent to these spaces when performing professional techniques and within the perspectives of health anthropology. It is possible, by observing the images, to identify social and cultural conditions, represented by regional houses of wood, afforestation and rivers. Following the images it is possible to observe free animals in the limits of the territory and the paths (river) traveled by the health professionals to access the village.It is important to consider these facts because, since the first National Health Conference to indigenous peoples held in 1986, the representations have been questioning the professionals' deficit regarding the abilities and competencies to act in the subject of indigenous health. These assertions and needs aim to reduce inequities in health through a technical action that presents principles that safeguard the cultural values, knowledge and way of life of these peoples according to each ethnic group.Palabras-chave:populações vulneráveis; enfermagem; saúde coletiva; comunidadeKey-words:vulnerable populations; nursing; collective health; communityFicha técnica:Autora:Nádile Juliane Costa de CastroFotografias: Nádile Juliane Costa de CastroDireção, Edição de Imagem e Texto: Nádile Juliane Costa de CastroFicha técnica:Autora:Nádile Juliane Costa de CastroFotografía:Nádile Juliane Costa de CastroDirección:Nádile Juliane Costa de Castro

ArohaandManaakitanga—That’s What It Is About: Indigenous Women, “Love,” and Interpersonal Violence

2019 ◽  
pp. 088626051987229 ◽  
Author(s):  
Denise Wilson ◽  
Alayne Mikahere-Hall ◽  
Debra Jackson ◽  
Karina Cootes ◽  
Juanita Sherwood
Keyword(s):  
Decision Making ◽  
Cultural Values ◽  
Interpersonal Violence ◽  
Indigenous Women ◽  
Structured Interviews ◽  
Structural Racism ◽  
Violent Relationships ◽  
Cultural Concepts ◽  
Kaupapa Māori ◽  
Seeking Help

Māori women (Aotearoa New Zealand’s Indigenous women) experience a high burden of harm and homicide associated with intergenerational family violence, complicated by the ongoing effects of colonialism. Also, the historical, social, and cultural complexities, such as poverty and structural racism, challenge further Māori women seeking help. In this project, we sought to answer two questions: What are Māori women’s sociocultural constructions of “love” within relationships with violent partners? What roles do traditional cultural values play in their relationships? Using Kaupapa Māori (by Māori, for Māori) methodology, we conducted in-depth semi-structured interviews with 27 Māori women and analyzed them using thematic analysis. We identified three core themes that explain how Māori women enter into, stay in, and leave a relationship with a violent partner: (a) it begins with a connection, (b) downplaying the signs, and (c) needing to leave. We found that Māori women’s compassion and caring for their partner was underpinned by their recognition that partners had the potential to be nonviolent and resembled Māori cultural concepts of aroha (compassion, empathy, and respect) and manaakitanga (hospitality, sharing, and caring for others). Through sharing their stories, these women revealed the strength of cultural imperatives that include the importance of whakapapa (genealogy) and whanaungatanga (connections) of which aroha and manaakitanga are integral parts. Our findings highlight the complexity and competing tensions underpinning Māori women’s decision-making when entering and exiting violent relationships. These cultural imperatives are essential for understanding how these influence the decision-making of Māori women, which can position them at odds with those who would tell them they must walk away and not look back.

scholarly journals Transcultural theory in nursing care of women with infections

2020 ◽  
Vol 73 (suppl 4) ◽  
Author(s):  
Jéssica Lima Soares ◽  
Ingrid Grangeiro Bringel Silva ◽  
Maria Regilânia Lopes Moreira ◽  
Álissan Karine Lima Martins ◽  
Vitória de Cássia Félix Rebouças ◽  
...  
Keyword(s):  
Sexually Transmitted Infections ◽  
Cultural Values ◽  
Family Health ◽  
Structured Interviews ◽  
Sexually Transmitted ◽  
Health Strategy ◽  
Beliefs And Values ◽  
Family Health Strategy ◽  
Life Context ◽  
Provision Of Care

ABSTRACT Objective: To analyze how nurses consider, in their practice of healthcare, the sociocultural context of women with sexually transmitted infections. Method: Qualitative research, carried out in October 2017, with ten nurses working in teams of the Estratégia de Saúde da Família (Family Health Strategy). The data were collected through semi-structured interviews, subsequently transcribed, and submitted to the organization supported by the Discourse of the Collective Subject method and analyzed according to Madeleine Leininger’s transcultural theory. Results: Nurses identified the sociocultural aspects of women with sexually transmitted infections and recognized the presence of influencing factors: technological, religious, economic, political, and legal, kinship and social, cultural values, and lifeways. Final Considerations: The study found that the provision of care by nurses in Primary Health Care is close to the sociocultural aspects of these women when considering the beliefs and values of each individual, especially regarding the life context and their care experiences.

scholarly journals Processo de trabalho da enfermeira na atenção à saúde da gestante

2020 ◽  
Vol 10 (32) ◽  
pp. 71-80
Author(s):  
Caroline De Paula do Nascimento ◽  
Juliana Alves Leite Leal
Keyword(s):  
Health Care ◽  
Pregnant Woman ◽  
Pregnant Women ◽  
Family Health ◽  
Postpartum Women ◽  
Analysis Method ◽  
Structured Interviews ◽  
Work Process ◽  
Management Actions ◽  
Las Mujeres

Estudo qualitativo desenvolvida em unidades de saúde da família de Feira de Santana-Bahia com objetivo de analisar o trabalho da enfermeira na atenção à saúde da mulher gestante para alcance da resolubilidade, descrever como ocorre o processo de trabalho das enfermeiras voltado às mulheres gestantes nestas unidades, e identificar facilidades/avanços, dificuldades/dilemas para o alcance da resolubilidade na atenção à saúde da gestante. Participaram enfermeiras e mulheres gestantes ou puérperas que utilizaram essas unidades no período gestacional para atenção à saúde. Para coleta de dados utilizou-se entrevista semi-estruturada e o método de análise foi a análise de conteúdo. Observa-se reconhecimento quanto as atividades da enfermeira. Entre as próprias enfermeiras, identificam que desenvolvem ações assistenciais e gerenciais. As enfermeiras organizam o serviço garantindo acesso às consultas à serviços demandados pela gestante na própria unidade. As gestantes mostraram-se satisfeitas com a assistência, com acolhimento e criação do vínculo, como dispositivos do cuidado.Descritores: Trabalho, Enfermeira, Atenção à Saúde, Gravidez. Work process of nurses in the care of pregnant womenAbstract: Qualitative study developed in family health units in Feira de Santana-Bahia with the objective of analyzing the work of nurses in the care of pregnant women to achieve resolution, describing how the work process of nurses aimed at pregnant women in these units occurs and to identify facilities/advances, difficulties/dilemmas for the attainment of resolvability in the health care of pregnant women. Participating nurses and pregnant or postpartum women who used these units during pregnancy for health care. For data collection we used semi-structured interviews and the analysis method was content analysis. There is recognition regarding the nurse's activities. Among the nurses themselves, they identify that they develop care and management actions. The nurses organize the service ensuring access to consultations to services demanded by the pregnant woman in the unit itself. The pregnant women were satisfied with the care, with welcoming and bonding, as care devices.Descriptors: Work, Nurse, Health Care, Pregnancy. Proceso de trabajo de las enfermeras en el cuidado de mujeres embarazadasResumen: Estudio cualitativo realizado en unidades de salud familiar en Feira de Santana-Bahía con el objetivo de analizar el trabajo de las enfermeras en el cuidado de mujeres embarazadas para lograr una resolución, describiendo cómo se produce el proceso de trabajo de las enfermeras centradas en las mujeres embarazadas en estas unidades y identificar instalaciones/avances, dificultades/dilemas para lograr la resolubilidad en el cuidado de la salud de las mujeres embarazadas. Enfermeras participantes y mujeres embarazadas o madres que usaron estas unidades durante el embarazo para recibir atención a la salud. Para la recolección de datos, utilizamos entrevistas semiestructuradas y el método de análisis fue el análisis de contenido. Hay reconocimiento con respecto a las actividades de la enfermera. Entre las propias enfermeras, identifican que desarrollan acciones de atención y gestión. Las enfermeras organizan el servicio asegurando el acceso a consultas a los servicios que demanda la mujer embarazada en la propia unidad. Las mujeres embarazadas estaban satisfechas con la atención, con la bienvenida y la vinculación, como dispositivos de atención.Descriptores: Trabajo, Enfermeíra, Atencíon a la Salud, Embarazo.

scholarly journals Multiculturalidad y derechos humanos: Aportes de las mujeres indígenas en Mexico.

2004 ◽  
Vol 24 ◽  
pp. 111-140
Author(s):  
Laura R. Valladares de la Cruz
Keyword(s):  
Human Rights ◽  
Indigenous Communities ◽  
Short Description ◽  
Indigenous Women ◽  
Indigenous Populations ◽  
Knowledge And Skills ◽  
Derechos Humanos ◽  
Las Mujeres ◽  
Women's Role

Short description: The article is dedicated to the study of women’s role in the process of promoting human rights among members of indigenous communities. The author describes the project “Voces Diferentes y Voces Discordantes” [Different and Discordant Voices]. A number of indigenous women were taught about human rights problems, then they used the knowledge and skills to promote human rights through a number of workshops for the indigenous populations. Short description by Michal Gilewski  

scholarly journals Primary care mental health: nurses’ activities in the psychosocial care network

2020 ◽  
Vol 73 (suppl 1) ◽  
Author(s):  
Vanessa Veloso Nunes ◽  
Lucíola Galvão Gondim Corrêa Feitosa ◽  
Márcia Astrês Fernandes ◽  
Camila Aparecida Pinheiro Landim Almeida ◽  
Carmen Viana Ramos
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Disease Process ◽  
Psychosocial Care ◽  
Family Health ◽  
Structured Interviews ◽  
Health Strategy ◽  
Expert Nurses ◽  
Family Health Strategy ◽  
Basic Network

ABSTRACT Objective: to describe and analyze the role of expert nurses in mental health in the Family Health Strategy. Method: a qualitative study, with 20 Basic Health Units nurses of Teresina, Piauí. The information was collected through semi-structured interviews from March to May 2017 and analyzed using the content analysis method. Results: it was found that the conceptions of the mental health disease process were based on the biological model, there was little communication between mental health and basic network, nurses did not feel qualified to work mental health and there were few mental health actions in Primary Care. Final considerations: it becomes urgent to implement public policies that articulate mental health and Primary Care, raising awareness and continuing education for nurses.

Identifying Communities’ Perspectives on their Health Needs in Impoverished Villages to Guide Non-government Organizations’ Health Promotion Efforts in Guatemala

2020 ◽  
Vol 7 (5) ◽  
pp. 9-20
Author(s):  
Claudia Bale
Keyword(s):  
Health Promotion ◽  
Community Health ◽  
Health Care Access ◽  
Family Health ◽  
Community Based Participatory Research ◽  
Health Needs ◽  
Health Conditions ◽  
Personal Health ◽  
Structured Interviews ◽  
Non Profit

Objective: The aim of this mixed-methods study is to capture and understand impoverished Guatemalan community members’ perspectives of their own health needs on a community level in order to guide Hope of Life (HOL) Non-Profit organization’s health promotion interventions in the villages they serve. Methods: A modified health needs assessment survey was conducted with 96 participants from four impoverished villages in the department of Zacapa, Guatemala. Survey responses were analyzed for significant differences in 4-item individual, family, and community health scores across demographic variables and significant correlations with reported personal health conditions and children’s health conditions. Five semi-structured interviews were also conducted with community leaders from three of the villages surveyed. Interviews were audio recorded and responses were transcribed verbatim and translated from Spanish to English. Thematic analysis using HyperRESEARCH qualitative analysis software version 4.5.0. was conducted to identify major themes. Results: The mean age of the 96 participants surveyed was 40.4 years and the majority were women, married or in Union, and have children. Women reported a significantly lower individual and family health score than men. The most rural village included in the study had significantly lower family health scores than the three sub-urban villages in the study. Among the personal health problems reported by participants, alcohol consumption, dental problems, and malnutrition were significant predictors of lower individual health scores. Themes that emerged from the interview analysis included the greatest community health needs, perceived negative community health behaviors, barriers to health care access, HOL’s impact, and suggestions for community health promotion.   Conclusion: The results of this study reveal many unmet health needs and barriers to healthcare that Guatemalan village communities face. Community-based participatory research using a mixed approach voices communities’ perspective on their perceived needs and is an important tool to guide non-profit aid and intervention serving impoverished communities.

Telemedicine for Patients with Inflammatory Bowel Disease (TELE-IBD) Clinical Trial: Qualitative Assessment of Participants’ Perceptions of the TELE-IBD Intervention (Preprint)

2019 ◽  
Author(s):  
Charlene C Quinn ◽  
Sarah Chard ◽  
Erin G Roth ◽  
J. Kevin Eckert ◽  
Katharine M Russman ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Disease Activity ◽  
Remote Monitoring ◽  
Standard Care ◽  
Disease Process ◽  
The United States ◽  
Qualitative Assessment ◽  
Structured Interviews ◽  
Treatment Groups ◽  
Inflammatory Bowel

BACKGROUND Inflammatory bowel diseases (IBD), comprising Crohn’s disease and ulcerative colitis, affects 1 to 3 million people in the United States. Telemedicine has shown promise in IBD. The objective of the parent study, TELE-IBD, was to compare disease activity and quality of life (QoL) in a one-year randomized clinical trial of IBD patients receiving telemedicine versus standard care. Treatment groups experienced improvements in disease activity and QoL but there was not significant differences between groups. Study adherence to the text-based intervention was less than the 80% of the targeted goal. OBJECTIVE To understand adherence to remote monitoring, the goal of this qualitative assessment was to obtain TELE-IBD trial participants’ perceptions of the TELE-IBD system, including their recommendations for future TELE-IBD monitoring. METHODS In the parent study, patients attending three tertiary referral centers with worsening IBD symptoms in the previous two years were eligible for randomization to remote monitoring via texts every other week (EOW), weekly (W) or standard care. Participants (n=348) were evenly enrolled in the treatment groups and 259 (74.4%) completed the study. For this study, a purposive sample of adherent (N=15) and non-adherent (N=14) patients was drawn from the TELE-IBD trial population. Adherence was defined as the completion of 80% or more of the W or EOW self-assessments. Semi-structured interviews conducted by phone surveyed 1) the strengths and benefits of TELE-IBD; 2) challenges associated with using TELE-IBD; and 3) how to improve the TELE-IBD intervention. Interviews were recorded, professionally transcribed, and coded based on a priori concepts and emergent themes with the aid of ATLAS.ti qualitative data analysis software. RESULTS Participants' discussions centered on three elements of the intervention: 1) self-assessment questions, 2) action plans, and 3) educational messages. Participants also commented on: text-based platform, depression and adherence, TELE-IBD system in place of office visit, and their recommendations for future TELE-IBD systems. Adherent and non-adherent participants prefer a flexible system that is personalized, including targeted education messages, and they perceive TELE-IBD as effective in facilitating IBD self-management. CONCLUSIONS Participants identified clear benefits to the TELE-IBD system, including obtaining a better understanding of the disease process, monitoring their symptoms, and feeling connected to their health care provider. Participants' perceptions obtained in this qualitative study will assist in improving the TELE-IBD system to be more responsive to patients with IBD. CLINICALTRIAL NCT01692743

scholarly journals Telling Our Stories: Resilience during Resettlement for African Skilled Migrants in Australia

2021 ◽  
Vol 18 (8) ◽  
pp. 3954
Author(s):  
Lillian Mwanri ◽  
Leticia Anderson ◽  
Kathomi Gatwiri
Keyword(s):  
Cultural Values ◽  
South Australia ◽  
Qualitative Inquiry ◽  
Structured Interviews ◽  
Face To Face ◽  
Health And Wellbeing ◽  
African Migrants ◽  
Cultural Expectations ◽  
The Social ◽  
Resilience Factors

Background: Emigration to Australia by people from Africa has grown steadily in the past two decades, with skilled migration an increasingly significant component of migration streams. Challenges to resettlement in Australia by African migrants have been identified, including difficulties securing employment, experiences of racism, discrimination and social isolation. These challenges can negatively impact resettlement outcomes, including health and wellbeing. There has been limited research that has examined protective and resilience factors that help highly skilled African migrants mitigate the aforementioned challenges in Australia. This paper discusses how individual and community resilience factors supported successful resettlement Africans in Australia. The paper is contextualised within a larger study which sought to investigate how belonging and identity inform Afrodiasporic experiences of Africans in Australia. Methods: A qualitative inquiry was conducted with twenty-seven (n = 27) skilled African migrants based in South Australia, using face-to-face semi-structured interviews. Participants were not directly questioned about ‘resilience,’ but were encouraged to reflect critically on how they navigated the transition to living in Australia, and to identify factors that facilitated a successful resettlement. Results: The study findings revealed a mixture of settlement experiences for participants. Resettlement challenges were observed as barriers to fully meeting expectations of emigration. However, there were significant protective factors reported that supported resilience, including participants’ capacities for excellence and willingness to work hard; the social capital vested in community and family support networks; and African religious and cultural values and traditions. Many participants emphasised their pride in their contributions to Australian society as well as their desire to contribute to changing narratives of what it means to be African in Australia. Conclusions: The findings demonstrate that despite challenges, skilled African migrants’ resilience, ambition and determination were significant enablers to a healthy resettlement in Australia, contributing effectively to social, economic and cultural expectations, and subsequently meeting most of their own migration intentions. These findings suggest that resilience factors identified in the study are key elements of integration.

scholarly journals Overview: The international group for indigenous health measurement and COVID-19

2021 ◽  
pp. 1-6
Author(s):  
Michele Connolly ◽  
Kalinda Griffiths ◽  
John Waldon ◽  
Malcolm King ◽  
Alexandra King ◽  
...  
Keyword(s):  
New Zealand ◽  
Total Population ◽  
Indigenous Health ◽  
Health Data ◽  
Indigenous Populations ◽  
Health Measurement ◽  
Country Group ◽  
International Group ◽  
The Us ◽  
The Impact

The International Group for Indigenous Health Measurement (IGIHM) is a 4-country group established to promote improvements in the collection, analysis, interpretation and dissemination of Indigenous health data, including the impact of COVID-19. This overview provides data on cases and deaths for the total population as well as the Indigenous populations of each country. Brief summaries of the impact are provided for Canada and New Zealand. The Overview is followed by. separate articles with more detailed discussion of the COVID-19 experience in Australia and the US.

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