Cuidado transcultural de enfermagem à mulher imigrante no ciclo gravídico-puerpural em um município de fronteira
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Biblioteca Digital de Teses e Dissertações do UNIOESTE |
Texto Completo: | https://tede.unioeste.br/handle/tede/6932 |
Resumo: | The puerperal pregnancy cycle is a unique period of intense transformation and women from different cultures can experience this period differently. Values, beliefs and habits are influenced by culture and can have an impact on women's experience and health during this period, as well as on the care provided. Driven by the process of globalization, the large influx of immigrants has influenced health professionals' ways of caring and the organization of health services. In border regions, the growing demand from a culturally diverse population is a reality in health services. Considering the transcultural care proposed by Madeleine Leininger and the multiculturalism of the research setting, the aim of the study was to understand the experience and nursing care of immigrant women in the pregnancypuerperal cycle. This is a qualitative and exploratory study, based on Madeleine Leininger's Theory of Diversity and Universality of Cultural Care. The research was conducted in Foz do Iguaçu, a municipality in a triple border with unique cultural diversity. Data were collected through in-depth interviews, face-to-face and using Google Meet software, with eight immigrant puerperae from different cultures and 18 nurses working in primary and hospital care, between February and September 2022. The interpretation of meanings proposed by Romeu Gomes was used to analyze the data. The results were presented in two articles: Cultural care for immigrant women in the pregnancy-puerperal cycle and Pregnancy and childbirth in an immigrant situation: experiences, care and vulnerabilities. The experiences shared by immigrants from different cultures point to socio-economic difficulties and access to work, lack of family and social support, cultural differences and the health system in Brazil, revealing the vulnerabilities that immigrant women experience in the pregnancy-puerperal cycle. Cultural differences were more evident for women who immigrated from more distant countries. The experiences still point to the satisfactory and quality care received by health service professionals, as well as the appreciation of professional knowledge, with an emphasis on the multi-professional team. In the provision of care, barriers of access and language were identified, as well as a lack of planning of the demand for care, resulting in fragmented and discontinuous care. Nurses recognize that cultural aspects can facilitate or hinder the provision of care and that welcoming, preserving, negotiating and restructuring care that is legitimized by cultural care facilitates care for immigrant women in the pregnancy-puerperal cycle. Strengthening public policies for the immigrant population and building protocols and educational actions focused on cultural competence are necessary ways to achieve culturally congruent care and ensure that all women have access to quality care, regardless of their cultural origin. |
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Silva, Rosane Meire Munhak dahttp://lattes.cnpq.br/0570877095871679Baggio, Maria Aparecidahttp://lattes.cnpq.br/2992418583503546Gamarra, Carmen Justinahttp://lattes.cnpq.br/7259012321554226http://lattes.cnpq.br/4729054765387599Vaz, Maryelen Dornelles Zarth2023-12-05T14:59:51Z2023-09-01Vaz, Maryelen Dornelles Zarth. Cuidado transcultural de enfermagem à mulher imigrante no ciclo gravídico-puerpural em um município de fronteira. 2023. 103 f. Dissertação (Programa de Pós-Graduação em Saúde Pública em Região de Fronteira) - Universidade Estadual do Oeste do Paraná, Foz do Iguaçu - PR.https://tede.unioeste.br/handle/tede/6932The puerperal pregnancy cycle is a unique period of intense transformation and women from different cultures can experience this period differently. Values, beliefs and habits are influenced by culture and can have an impact on women's experience and health during this period, as well as on the care provided. Driven by the process of globalization, the large influx of immigrants has influenced health professionals' ways of caring and the organization of health services. In border regions, the growing demand from a culturally diverse population is a reality in health services. Considering the transcultural care proposed by Madeleine Leininger and the multiculturalism of the research setting, the aim of the study was to understand the experience and nursing care of immigrant women in the pregnancypuerperal cycle. This is a qualitative and exploratory study, based on Madeleine Leininger's Theory of Diversity and Universality of Cultural Care. The research was conducted in Foz do Iguaçu, a municipality in a triple border with unique cultural diversity. Data were collected through in-depth interviews, face-to-face and using Google Meet software, with eight immigrant puerperae from different cultures and 18 nurses working in primary and hospital care, between February and September 2022. The interpretation of meanings proposed by Romeu Gomes was used to analyze the data. The results were presented in two articles: Cultural care for immigrant women in the pregnancy-puerperal cycle and Pregnancy and childbirth in an immigrant situation: experiences, care and vulnerabilities. The experiences shared by immigrants from different cultures point to socio-economic difficulties and access to work, lack of family and social support, cultural differences and the health system in Brazil, revealing the vulnerabilities that immigrant women experience in the pregnancy-puerperal cycle. Cultural differences were more evident for women who immigrated from more distant countries. The experiences still point to the satisfactory and quality care received by health service professionals, as well as the appreciation of professional knowledge, with an emphasis on the multi-professional team. In the provision of care, barriers of access and language were identified, as well as a lack of planning of the demand for care, resulting in fragmented and discontinuous care. Nurses recognize that cultural aspects can facilitate or hinder the provision of care and that welcoming, preserving, negotiating and restructuring care that is legitimized by cultural care facilitates care for immigrant women in the pregnancy-puerperal cycle. Strengthening public policies for the immigrant population and building protocols and educational actions focused on cultural competence are necessary ways to achieve culturally congruent care and ensure that all women have access to quality care, regardless of their cultural origin.O ciclo-gravídico puerperal é um período único de intensa transformação e as mulheres de diferentes culturas podem vivenciar esse período diferentemente. Valores, crenças e hábitos são influenciados pela cultura e podem ter um impacto na experiência e na saúde das mulheres durante esse período, bem como no atendimento prestado. Impulsionado pelo processo de globalização, o grande fluxo imigratório influenciou as formas de cuidar dos profissionais de saúde e a organização dos serviços de saúde. Em regiões de fronteira internacional, a demanda crescente de uma população culturalmente diversificada é uma realidade nos serviços de saúde. Considerando o cuidado transcultural proposto por Madeleine Leininger e a multiculturalidade do cenário da pesquisa, o objetivo do estudo foi compreender a experiência e o cuidado de enfermagem com a mulher imigrante no ciclo gravídico-puerperal. Trata-se de estudo com abordagem qualitativa, exploratória, fundamentada na Teoria da Diversidade e Universalidade do Cuidado Cultural de Madeleine Leininger. A pesquisa foi realizada em Foz do Iguaçu, um município de tríplice fronteira com diversidade cultural ímpar. Os dados foram coletados por meio de entrevistas em profundidade, presenciais e utilizando o software Google Meet, com oito puérperas, imigrantes de diferentes culturas e 18 enfermeiros que atuam na atenção primária e hospitalar, entre fevereiro e setembro de 2022. A interpretação dos significados proposta por Romeu Gomes foi utilizada para analisar os dados. Os resultados foram apresentados em dois artigos: Cuidados culturais para mulheres imigrantes no ciclo gravídico-puerperal e Gravidez e parto em situação de imigração: experiências, cuidados e vulnerabilidades. As experiências compartilhadas por imigrantes de diferentes culturas apontam para as dificuldades socioeconômicas e de acesso ao trabalho, a falta de apoio familiar e social, as diferenças culturais e o sistema de saúde no Brasil, revelando as vulnerabilidades que as mulheres imigrantes vivenciam no ciclo gravídico-puerperal. As diferenças culturais foram mais evidentes para as mulheres que imigraram de países mais distantes. As experiências ainda apontam para um atendimento satisfatório e de qualidade recebido pelos profissionais dos serviços de saúde, bem como a valorização do saber profissional, com ênfase na equipe multiprofissional. Na prestação de cuidados, foram identificadas barreiras de acesso e de idioma, bem como a falta de planejamento da demanda por atendimentos, resultando em um cuidado fragmentado e descontínuo. Os enfermeiros reconhecem que os aspectos culturais podem facilitar ou dificultar a prestação de cuidados e que o acolhimento, a preservação, a negociação e a reestruturação dos cuidados legitimados pelo cuidado cultural facilitam o cuidado a mulher imigrante no ciclo gravídico-puerperal. O fortalecimento das políticas públicas para a população imigrante e a construção de protocolos e ações de educação com foco na competência cultural são caminhos necessários para atingir um cuidado culturalmente congruente e garantir que todas as mulheres tenham acesso aos cuidados de qualidade, independente de sua origem cultural.Submitted by Katia Abreu (katia.abreu@unioeste.br) on 2023-12-05T14:59:51Z No. of bitstreams: 1 Maryellen_Dornelles_Zarth_Vaz_2023.pdf: 976845 bytes, checksum: f076bbbf070344866691c663685abf33 (MD5)Made available in DSpace on 2023-12-05T14:59:51Z (GMT). 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dc.title.por.fl_str_mv |
Cuidado transcultural de enfermagem à mulher imigrante no ciclo gravídico-puerpural em um município de fronteira |
dc.title.alternative.eng.fl_str_mv |
Transcultural nursing care for immigrant women during the pregnancy-puerpural cycle in a border municipality |
title |
Cuidado transcultural de enfermagem à mulher imigrante no ciclo gravídico-puerpural em um município de fronteira |
spellingShingle |
Cuidado transcultural de enfermagem à mulher imigrante no ciclo gravídico-puerpural em um município de fronteira Vaz, Maryelen Dornelles Zarth Cuidado transcultural Ciclo gravídico puerperal Enfermagem Imigrantes Fronteira Transcultural care Pregnancy-puerperium cycle Nursing Immigrants Border SAUDE COLETIVA::SAUDE PUBLICA |
title_short |
Cuidado transcultural de enfermagem à mulher imigrante no ciclo gravídico-puerpural em um município de fronteira |
title_full |
Cuidado transcultural de enfermagem à mulher imigrante no ciclo gravídico-puerpural em um município de fronteira |
title_fullStr |
Cuidado transcultural de enfermagem à mulher imigrante no ciclo gravídico-puerpural em um município de fronteira |
title_full_unstemmed |
Cuidado transcultural de enfermagem à mulher imigrante no ciclo gravídico-puerpural em um município de fronteira |
title_sort |
Cuidado transcultural de enfermagem à mulher imigrante no ciclo gravídico-puerpural em um município de fronteira |
author |
Vaz, Maryelen Dornelles Zarth |
author_facet |
Vaz, Maryelen Dornelles Zarth |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Silva, Rosane Meire Munhak da |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/0570877095871679 |
dc.contributor.referee1.fl_str_mv |
Baggio, Maria Aparecida |
dc.contributor.referee1Lattes.fl_str_mv |
http://lattes.cnpq.br/2992418583503546 |
dc.contributor.referee2.fl_str_mv |
Gamarra, Carmen Justina |
dc.contributor.referee2Lattes.fl_str_mv |
http://lattes.cnpq.br/7259012321554226 |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/4729054765387599 |
dc.contributor.author.fl_str_mv |
Vaz, Maryelen Dornelles Zarth |
contributor_str_mv |
Silva, Rosane Meire Munhak da Baggio, Maria Aparecida Gamarra, Carmen Justina |
dc.subject.por.fl_str_mv |
Cuidado transcultural Ciclo gravídico puerperal Enfermagem Imigrantes Fronteira |
topic |
Cuidado transcultural Ciclo gravídico puerperal Enfermagem Imigrantes Fronteira Transcultural care Pregnancy-puerperium cycle Nursing Immigrants Border SAUDE COLETIVA::SAUDE PUBLICA |
dc.subject.eng.fl_str_mv |
Transcultural care Pregnancy-puerperium cycle Nursing Immigrants Border |
dc.subject.cnpq.fl_str_mv |
SAUDE COLETIVA::SAUDE PUBLICA |
description |
The puerperal pregnancy cycle is a unique period of intense transformation and women from different cultures can experience this period differently. Values, beliefs and habits are influenced by culture and can have an impact on women's experience and health during this period, as well as on the care provided. Driven by the process of globalization, the large influx of immigrants has influenced health professionals' ways of caring and the organization of health services. In border regions, the growing demand from a culturally diverse population is a reality in health services. Considering the transcultural care proposed by Madeleine Leininger and the multiculturalism of the research setting, the aim of the study was to understand the experience and nursing care of immigrant women in the pregnancypuerperal cycle. This is a qualitative and exploratory study, based on Madeleine Leininger's Theory of Diversity and Universality of Cultural Care. The research was conducted in Foz do Iguaçu, a municipality in a triple border with unique cultural diversity. Data were collected through in-depth interviews, face-to-face and using Google Meet software, with eight immigrant puerperae from different cultures and 18 nurses working in primary and hospital care, between February and September 2022. The interpretation of meanings proposed by Romeu Gomes was used to analyze the data. The results were presented in two articles: Cultural care for immigrant women in the pregnancy-puerperal cycle and Pregnancy and childbirth in an immigrant situation: experiences, care and vulnerabilities. The experiences shared by immigrants from different cultures point to socio-economic difficulties and access to work, lack of family and social support, cultural differences and the health system in Brazil, revealing the vulnerabilities that immigrant women experience in the pregnancy-puerperal cycle. Cultural differences were more evident for women who immigrated from more distant countries. The experiences still point to the satisfactory and quality care received by health service professionals, as well as the appreciation of professional knowledge, with an emphasis on the multi-professional team. In the provision of care, barriers of access and language were identified, as well as a lack of planning of the demand for care, resulting in fragmented and discontinuous care. Nurses recognize that cultural aspects can facilitate or hinder the provision of care and that welcoming, preserving, negotiating and restructuring care that is legitimized by cultural care facilitates care for immigrant women in the pregnancy-puerperal cycle. Strengthening public policies for the immigrant population and building protocols and educational actions focused on cultural competence are necessary ways to achieve culturally congruent care and ensure that all women have access to quality care, regardless of their cultural origin. |
publishDate |
2023 |
dc.date.accessioned.fl_str_mv |
2023-12-05T14:59:51Z |
dc.date.issued.fl_str_mv |
2023-09-01 |
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info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/masterThesis |
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Vaz, Maryelen Dornelles Zarth. Cuidado transcultural de enfermagem à mulher imigrante no ciclo gravídico-puerpural em um município de fronteira. 2023. 103 f. Dissertação (Programa de Pós-Graduação em Saúde Pública em Região de Fronteira) - Universidade Estadual do Oeste do Paraná, Foz do Iguaçu - PR. |
dc.identifier.uri.fl_str_mv |
https://tede.unioeste.br/handle/tede/6932 |
identifier_str_mv |
Vaz, Maryelen Dornelles Zarth. Cuidado transcultural de enfermagem à mulher imigrante no ciclo gravídico-puerpural em um município de fronteira. 2023. 103 f. Dissertação (Programa de Pós-Graduação em Saúde Pública em Região de Fronteira) - Universidade Estadual do Oeste do Paraná, Foz do Iguaçu - PR. |
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https://tede.unioeste.br/handle/tede/6932 |
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Universidade Estadual do Oeste do Paraná Foz do Iguaçu |
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bitstream.checksumAlgorithm.fl_str_mv |
MD5 MD5 |
repository.name.fl_str_mv |
Biblioteca Digital de Teses e Dissertações do UNIOESTE - Universidade Estadual do Oeste do Paraná (UNIOESTE) |
repository.mail.fl_str_mv |
biblioteca.repositorio@unioeste.br |
_version_ |
1811723478832775168 |