M. Zanchetta, Rafaella Queiroga Souto, Kateryna Metersky, Alana Ferguson, Gleicy Karine Nascimento de Araújo Monteiro, Bianka Nóbrega Fernandes
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引用次数: 1
摘要
【摘要】目的:分析加拿大-巴西社区卫生护理的特点、不协调、和谐及其实践。方法:在初级卫生保健诊所(巴西jo o Pessoa市)进行人种学研究。数据收集从2018年7月到9月展开，包括对集体社会和专业客户互动的直接、非结构化的参与者观察，以及研究人员观察结果的结构化个人数字日志和报告，以及社区环境中的社会沉浸。对实地考察日志进行专题分析，构建比较护理实践的意义。结果:对观察报告的分析确定了促进可持续变革和创造支持性环境的挑战和机遇。护士促进健康的能力与概念、政治和伦理观点一致。在观察到的独特做法中，在巴西，处方做法已经确立，因为从法律上讲，注册护士被允许在初级卫生保健方案中开处方。在加拿大，注册护士在接受特定培训和在一定范围的高级实践后，被授予这样做的权力。专题分析揭示了巴西-加拿大社区卫生护理掌握信息的独特性、社区卫生护理实践之间的不一致性和情境实践之间的协调性构成了实证证据。结论:本研究揭示了加拿大和巴西实践的兼容性以及巴西社区卫生护士的复杂特征。毫无疑问，证据表明巩固了巴西-加拿大在初级保健领域建立已久的合作。这一证据涉及全球卫生合作的政治观点。
CANADIAN-BRAZILIAN INSIGHTS FOR TRANSCULTURAL NURSING: AN EXPLORATION OF COMMUNITY HEALTH NURSING CONTEXTS
ABSTRACT Objective: to analyze the distinct features, incongruencies, and harmony between the features of Canadian-Brazilian community health nursing as well their practices. Method: ethnographic research conducted in primary healthcare clinics (city of João Pessoa, Brazil). Data collection unfolded from July to September 2018 and included direct, unstructured participant observation of collective social and professional-clientele interactions, with a structured personal digital log and reports of the researcher's observations, as well as social immersion in community settings. The fieldwork log was thematically analyzed to build the meaning of the comparative nursing practice. Results: analysis of observations’ reports identified challenges and opportunities to promote sustainable changes and create a supportive environment. Nurses’ competencies to promote health are in consonance with conceptual, political, and ethical sounding perspectives. Among the distinctive practices observed was that in Brazil, the prescribing practice has been well-established because legally the registered nurses are allowed to prescribe within the primary healthcare programs. In Canada, registered nurses have been granted authority to do so, upon receipt of specific training and under certain scope of advanced practice. Thematic analysis revealed uniqueness of the grasped information, incongruence between community health nursing practices and harmony between contextual practices of Brazil-Canada community health nursing composed the empirical evidence. Conclusions: this research uncovered the compatibility between Canadian and Brazilian practice as well as intricate features of Brazilian community health nurses. Unquestionably, the evidence sums up to the consolidation of the well-established Brazil-Canada cooperation in the field of primary health care. This evidence addresses the political perspective of cooperation for global health.
期刊介绍：
Texto & Contexto Enfermagem provides space for reflection and deepening of knowledge about issues of practice, teaching and research in health and nursing, at national and international levels.
The journal is published quarterly in the rolling pass or Continuous flow mode, accepting manuscripts in Portuguese, English or Spanish, in the categories original article, reflection, experience report and review. Contributions designated to the dissemination of unpublished original research results are prioritized for publication. Special issues are published at the discretion of the Board of Directors and Associate Editors. All manuscripts are published in two versions, one of which is English, aiming to cover the largest number of readers worldwide.
The editorial policy of Texto & Contexto Enfermagem is based on rigorous quality criteria for indexing and publishing (including technical and normative aspects, graphic and textual quality and excellence in scientific content); on responsibility for shared management between the Board of Directors, Editorial Board and Internal and External Editors Associates; and on the rigorous and constructive peer review, preserving the anonymity of authors and reviewers (double blinded).
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