Nurses' perception about their role in reducing health inequalities in community contexts.

IF 1.5 4区 医学 Q3 NURSING Revista Latino-Americana De Enfermagem Pub Date : 2024-08-30 eCollection Date: 2024-01-01 DOI:10.1590/1518-8345.7245.4299
Jorge Sotelo-Daza, Yaneth Esperanza Jaramillo, Martha Vivas Chacón
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Abstract

Objective: to understand nurses' perception about their role in reducing health inequalities in community contexts.

Method: a qualitative study with a phenomenological approach addressed from Heidegger's Interpretive Theory and the health inequality settings. A total of 18 in-depth interviews were conducted with nurses working in health institutions devoted to community interventions. The following five-phase process was adopted for the qualitative data analysis: Accumulation; Disassembling; Reassembling; Interpretation; and Conclusion.

Results: four main topics that nurses mobilize to mitigate health inequalities in community settings were identified, namely: Competences to create, operationalize, monitor and assess health policies; Leadership and management for health and care processes at the individual and collective levels; Professionals that devise care strategies; and Care approach based on characteristics of the territory.

Conclusion: nurses perceive that their role contributes significantly to reducing health inequalities in community settings based on the creation, operationalization, monitoring and assessment of health policies. From the sociocultural, economic and political characteristics of the territory, they prioritize actions in disadvantaged human groups in order to improve access, opportunities, continuity and quality in health.

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护士对其在社区环境中减少健康不平等方面的作用的看法。
方法:根据海德格尔的解释学理论和健康不平等的背景,采用现象学方法进行定性研究。共进行了 18 次深入访谈,访谈对象是在专门从事社区干预的医疗机构工作的护士。定性数据分析分为以下五个阶段:结果:确定了护士在社区环境中为缓解健康不平等而动员的四个主要议题,即结论:护士认为,在制定、实施、监测和评估卫生政策的基础上,她们的作用对减少社 区环境中的卫生不平等现象做出了重大贡献。从当地的社会文化、经济和政治特点出发,他们优先考虑对弱势群体采取行 动,以增加获得保健服务的机会,提高保健服务的连续性和质量。
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来源期刊
自引率
11.10%
发文量
142
期刊介绍: A Revista Latino-Americana de Enfermagem constitui-se no órgão oficial de divulgação científica da Escola de Enfermagem de Ribeirão Preto da Universidade de São Paulo e do Centro Colaborador da OMS para o Desenvolvimento da Pesquisa em Enfermagem. Foi criada em abril de 1992 sendo sua primeira edição publicada em janeiro de 1993. No período de 1993 a 1997 tinha periodicidade semestral, de 1997 a 2000 trimestral e, a partir de janeiro de 2001, tem periodicidade bimestral. Caracteriza-se como periódico de circulação internacional, abrangendo predominantemente os países da América Latina e Caribe, embora seja também divulgado para assinantes dos Estados Unidos, Portugal e Espanha.
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