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Desafios do enfermeiro de família no cuidar de famílias imigrantes
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| 4.81 MB | Adobe PDF |
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Abstract(s)
Introdução: A crescente diversidade cultural coloca novos desafios ao exercício profissional do Enfermeiro de Família, particularmente no cuidado a famílias imigrantes. Estas famílias enfrentam múltiplas barreiras no acesso e utilização dos serviços de saúde, o que exige dos Enfermeiros uma resposta culturalmente competente, sensível e centrada no indivíduo e família.
Objetivo: Mapear a evidência científica sobre os desafios do Enfermeiro de Família no cuidar de famílias imigrantes, em contexto de Cuidados de Saúde Primários.
Metodologia: Scoping review realizada conforme as recomendações do Joanna Briggs Institute. Pesquisa realizada nas bases de dados PubMed, CINAHL Complete, Nursing & Allied Health Collection: Comprehensive, MEDLINE Complete, B-On, Web of Science e no Repositório Científico de Acesso Aberto de Portugal. Os estudos identificados foram organizados no Rayyan®. Foram incluídos estudos publicados em português, espanhol e inglês e sem limite temporal. Dos 1383 estudos elegíveis, 13 foram incluídos na revisão.
Resultados: Da análise dos estudos emergiram dois temas: barreiras aos cuidados de Enfermagem transcultural (barreira linguística; barreira cultural, religiosa e social; abordagem etnocêntrica dos Enfermeiros; desconhecimento da legislação associada ao acesso aos cuidados de saúde pelos Enfermeiros; baixa competência cultural dos Enfermeiros e falta de recursos humanos e materiais) e fatores facilitadores aos cuidados de Enfermagem transcultural (competências de comunicação; relação interpessoal Enfermeiro-família; práticas de Enfermagem orientadas para a família; desenvolvimento de competências culturais em Enfermagem; visão positiva da imigração; documentar os cuidados prestados em sistemas informatizados e presença de instituições de saúde culturalmente recetivas).
Conclusão: A prestação de cuidados culturalmente competentes a famílias imigrantes representa um desafio crescente para o Enfermeiro de Família. É essencial investir na formação contínua em Enfermagem transcultural e na criação de ambientes de cuidados inclusivos e culturalmente sensíveis.
Palavras-chave: Emigrantes e Imigrantes; Família; Enfermagem Familiar; Enfermagem Transcultural; Cuidados de Saúde Primários.
Abstract Introduction: Growing cultural diversity poses new challenges to the professional practice of the Family Nurse, particularly in caring for immigrant families. These families face multiple barriers in accessing and using health services, which requires Nurses to respond in a culturally competent, sensitive and individual- and family-centered way. Objective: To map the scientific evidence on the challenges faced by Family Nurse in caring for immigrant families in a Primary Healthcare setting. Methodology: Scoping review carried out according to the recommendations of the Joanna Briggs Institute. The search was carried out in the PubMed, CINAHL Complete, Nursing & Allied Health Collection: Comprehensive, MEDLINE Complete, B-On, Web of Science and Repositório Científico de Acesso Aberto de Portugal. The studies identified were organized in Rayyan®. Studies published in Portuguese, Spanish and English and with no time limit were included. Of the 1383 eligible studies, 13 were included in the review. Results: Two themes emerged from the analysis of the studies: barriers to transcultural Nursing care (language barrier; cultural, religious and social barrier; ethnocentric approach of Nurses; lack of knowledge of legislation associated with access to healthcare by Nurses; low cultural competence of Nurses and lack of human and material resources) and facilitating factors for transcultural Nursing care (communication skills; interpersonal Nurse-family relationship; family-oriented Nursing practices; development of cultural competencies in Nursing; positive view of immigration; documenting the care provided in computerized systems and the presence of culturally receptive health institutions). Conclusion: Providing culturally competent care to immigrant families represents a growing challenge for the Family Nurse. It is essential to invest in continuous training in transcultural Nursing and in creating inclusive and culturally sensitive care environments. Keywords: Emigrants and Immigrants; Family; Family Nursing; Transcultural Nursing; Primary Health Care.
Abstract Introduction: Growing cultural diversity poses new challenges to the professional practice of the Family Nurse, particularly in caring for immigrant families. These families face multiple barriers in accessing and using health services, which requires Nurses to respond in a culturally competent, sensitive and individual- and family-centered way. Objective: To map the scientific evidence on the challenges faced by Family Nurse in caring for immigrant families in a Primary Healthcare setting. Methodology: Scoping review carried out according to the recommendations of the Joanna Briggs Institute. The search was carried out in the PubMed, CINAHL Complete, Nursing & Allied Health Collection: Comprehensive, MEDLINE Complete, B-On, Web of Science and Repositório Científico de Acesso Aberto de Portugal. The studies identified were organized in Rayyan®. Studies published in Portuguese, Spanish and English and with no time limit were included. Of the 1383 eligible studies, 13 were included in the review. Results: Two themes emerged from the analysis of the studies: barriers to transcultural Nursing care (language barrier; cultural, religious and social barrier; ethnocentric approach of Nurses; lack of knowledge of legislation associated with access to healthcare by Nurses; low cultural competence of Nurses and lack of human and material resources) and facilitating factors for transcultural Nursing care (communication skills; interpersonal Nurse-family relationship; family-oriented Nursing practices; development of cultural competencies in Nursing; positive view of immigration; documenting the care provided in computerized systems and the presence of culturally receptive health institutions). Conclusion: Providing culturally competent care to immigrant families represents a growing challenge for the Family Nurse. It is essential to invest in continuous training in transcultural Nursing and in creating inclusive and culturally sensitive care environments. Keywords: Emigrants and Immigrants; Family; Family Nursing; Transcultural Nursing; Primary Health Care.
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Competência profissional Cuidados primários de saúde Diversidade cultural Emigrantes e imigrantes Enfermagem de família Enfermagem de saúde comunitária Família Revisão scoping Community health nursing Cultural diversity Emigrants and immigrants Family Family nursing Primary health care Professional competence Scoping review
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