Oliveira Mauricio Viana Gomes, Abreu Ângela Maria Mendes, Welch James R, Coimbra Carlos E A
Departamento de Enfermagem, Universidade Federal de Rondônia, Porto Velho 76801-059, Brazil.
Escola de Enfermagem Anna Nery, Universidade Federal de Rio de Janeiro, Rio de Janeiro 20211-130, Brazil.
Nurs Rep. 2021 Nov 16;11(4):942-954. doi: 10.3390/nursrep11040086.
Our objective is to critically review the literature addressing the strategic role of nurses in the daily primary care of arterial hypertension in Indigenous communities in Brazil. We selected studies based on an initial keyword search of major bibliographic indexing databases for the years 2000 to 2020 and manual search. Further selection was based on topical, methodological, and thematic relevance, as well as evaluation of scholarship quality and pertinence to our chosen narrative. The literature demonstrates Indigenous peoples do not receive health services that measure up to national standards in large part due to a marked lack of academic and employer preparation for nurses operating in transcultural settings. Inequities were apparent in recurrent reports of victim-blaming, deficient clinical communication with patients, clinical malpractice, devaluation of hypertension as a problem for Indigenous peoples, insufficient intercultural training for nurses, and discrimination against Indigenous students in nursing education programs. This systemic problem needs to be addressed by universities and the Indigenous Health Care Subsystem in Brazil.
我们的目标是批判性地审视有关护士在巴西土著社区原发性高血压日常初级护理中的战略作用的文献。我们通过对2000年至2020年主要书目索引数据库进行初步关键词搜索和人工搜索来选择研究。进一步的筛选基于主题、方法和主题相关性，以及对学术质量的评估和与我们所选叙述的相关性。文献表明，土著人民没有得到符合国家标准的卫生服务，这在很大程度上是由于在跨文化环境中工作的护士明显缺乏学术和雇主培训。在反复出现的指责受害者、与患者的临床沟通不足、医疗事故、将高血压视为土著人民问题的轻视、护士跨文化培训不足以及护理教育项目中对土著学生的歧视等报告中，不平等现象明显。巴西的大学和土著医疗保健子系统需要解决这个系统性问题。
