Barriers Present in the Process of Construction of the Cultural Family Care to the Child in the Hospital: Transcultural Approach
DOI:
https://doi.org/10.5294/aqui.2019.19.1.2Keywords:
Child care, hospitalized child, family, culture, cultural anthropology, cross-cultural nursingAbstract
Barreras presentes en el proceso de construcción del cuidado familiar cultural al niño en el hospital: enfoque transcultural
Barreiras presentes no processo de construção do cuidado familiar cultural à criança no hospital: abordagem transcultural
Objective: To know the barriers in the process of building family cultural care for the child in the hospital. Methodology: This is a qualitative study with a cross-cultural theoretical reference of Madeleine Leininger, called Theory of Diversity and Cultural Universality of Care, and with a methodological reference of the ethno-inference. It was developed in 2017 at the pediatric unit of a university hospital in the south of Brazil, through non-participant observation, participant observation and interview with 15 family caregivers of hospitalized children. The data was coded, classified and scrutinized to identify the saturation of ideas and similar or different patterns; also, it was re-coded and the theoretical formulations and recommendations were performed. Ethical aspects were followed, according to the Resolution of the National Research Ethics Council 466/2012. Results: The data showed as a barrier the need for hospitalization as a factor of family vulnerability, control of the unit’s health team members, hospital norms and routines, and the need to transgress as a manifestation of family care. Conclusion: Cultural care is a process that aggregates knowledge and can be considered a new paradigm for the accomplishment of nursing care by providing the mutual growth and construction of new knowledge, an affective, reflexive, human and empathic relationship between the nurse, the child and the family.
Para citar este artigo / Para citar este artículo / To reference this article
Farias DHR, Gomes GC, Almeida MFF, Lunardi VL, Xavier DM, Queiroz MVO. Barriers Present in the Process of Construction of the Cultural Family Care to the Child in the Hospital: Transcultural Approach. Aquichan 2019; 19(1): e1912. DOI: 10.5294/aqui.2019.19.1.2
Received: 07/02/2018
Accepted: 10/07/2018
Downloads
References
Santos DR, Bonfim CS, Mazza VA, Wall ML, Alves M. Processo de brincar da criança hospitalizada guiado pelo modelo lúdico. Cogitare Enferm. 2014;14(3):617-20. DOI: 10.5380/ce.v19i3.36669
Nascimento WG, Silva G, Oliveira JMS, Moura MGM, Santos RVO. Humanização da equipe de enfermagem no contato com a criança e a família através do lúdico: um relato de experiência. Revista da Universidade Vale do Rio Verde. 2016;14(1):113-21. DOI: 10.5892/ruvrd.v14i1.2438
Côa TF, Pettengill MAM. The vulnerability experienced by the family of children hospitalized in a pediatric intensive care unit. Rev. Esc. Enferm. USP. 2011;45(4):825-32. DOI: 10.1590/S0080-62342011000400005
Valderrama SML, Muñoz de RL. Needs of Parents in Caring for Their Children in a Pediatric Intensive Care Unit. Invest Educ Enferm. 2016;34(1):29-37. DOI: 10.17533/udea.iee.v34n1a04
Xavier DM, Gomes GC, Santos SSC, Lunardi VL, Pintanel AC, Erdmann AL. A família na Unidade de Pediatria: convivendo com normas e rotinas hospitalares. Rev Bras de Enferm. 2014;67(2):181-6. DOI: 10.5935/0034-7167.20140023
Andrade R, Marques A, Leite A, Martimiano R, Santos B, Pan R et al. Necessidades dos pais de crianças hospitalizadas: evidências para o cuidado. Rev Eletr de Enferm. 2015;17(2):379-94. DOI: 10.5216/ree.v17i2.30041
Cabral PF de A, Oliveira BE de, Anders JC, Souza AIJ de, Rocha PK. Percepção da criança e do adolescente em estar dependente de tecnologia: aspectos fundamentais para o cuidado de enfermagem. Texto contexto enferm. [internet]. 2013;22(2):343-51. DOI: 10.1590/S0104-07072013000200010
Machado A, Sousa M, Silva M, Coutinho S, Reichert A, Collet N. Dificuldades para a efetivação do acolhimento hospitalar durante a internação de crianças com doença crônica. Rev Enferm UERJ. 2015;23(4):556-61. DOI: 10.12957/reuerj.2015.5960
Leininger M. Culture care diversity and universality: a worldwide nursing theory. 2ª ed. Toronto: Jones and Bartle; 2006.
Vasli P, Salsali M. Parents’ participation in taking care of hospitalized children: A concept analysis with hybrid model. Iran.J Nurs Midwifery Res. 2014;19(2):139-44. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4020022/
Leininger M. Culture diversity and universality: a theory of nursing. Nova York: National League for Nursing Press; 1991.
Martins PAF, Alvim NAT. Plano de Cuidados Compartilhado: convergência da Proposta Educativa Problematizadora com a Teoria do Cuidado Cultural de Enfermagem. Rev Bras Enferm. 2012;65(2):368-73. DOI: 10.1590/S0034-71672012000200025
Pennafort VPS, Queiroz MVO, Jorge MSB. Children and adolescents with chronic kidney disease in an educational-therapeutic environment: support for cultural nursing care. Rev Esc Enferm USP. 2012;46(5):1057-65. DOI: 10.1590/S0080-62342012000500004
Souza TV, Oliveira ICS. Interação familiar/acompanhante e equipe de enfermagem no cuidado à criança hospitalizada: perspectivas para a enfermagem pediátrica. Esc Anna Nery. 2010;14(3):551-9. DOI: 10.1590/S1414-81452010000300017
Collins-Mcneil J, Edwards CL, Lote BC, Benbow D, McDougald CS, Sharpe D. A culturally targeted self-management program for African Americans with type 2 diabetes mellitus. Can J Nurs Res. 2012;44(4):126-41. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3667585/
SorilLD, Lahoz NR. Hospitalización en Pediatría: ansiedad de los padres y apoyo recibido del personal sanitario. Metas Enferm. 2015;18(10):70-5. Disponível em: https://www.enfermeria21.com/revistas/metas/article/80845/hospitalizacion-en-pediatria-ansiedad-de-los-padres-y-apoyo-recibido-del-personal-sanitario/
Cameron KS, Quinn RE. Diagnosing and changing organizational culture: based on competing values framework. 3ª ed. San Francisco: Jossey-Bass; 2011.
Geertz C. A interpretação das culturas. Rio de Janeiro: Guanabara Koogan; 1989.
Boehs AE, Ribeiro EM, Grisotti M, Saccol AP, Rumor PCF. A percepção dos profissionais de saúde sobre os cuidados das mães de crianças entre 0 a 6 anos usuárias da Estratégia de Saúde da Família. Physis [online]. 2011;21(3):1005-21. DOI: 10.1590/S0103-73312011000300013
Oliveira EAR, Rocha SS. O cuidado cultural às crianças na dinâmica familiar: reflexões para a Enfermagem. R Interd. 2015;8(1):227-33. Disponível em: https://revistainterdisciplinar.uninovafapi.edu.br/index.php/revinter/article/view/302
Vieira RFC, Souza TV de, Oliveira ICS, Morais RCM de, Macedo IF de, Gois JR de. Mães/acompanhantes de crianças com câncer: apreensão da cultura hospitalar. Esc Anna Nery. 2017;21(1):1-7. DOI: 10.5935/1414-8145.20170019
Bell J, Condren M. Communication strategies for empowering and protecting children. J Pediatr Pharmacol Ther. 2016;21(2):176-84. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4869776/
Silva P, Silva MM da, Alcantara LM, Silva ÍR, Leite JL. Estabelecendo estratégias de ação/interação para o cuidado à criança com condição crônica hospitalizada. Esc Anna Nery. 2015;19(2):279-85. DOI: 10.5935/1414-8145.20150037
Stuart M, Melling S. Understanding nurses’ and parents’ perceptions of family-centred care. Nurs Child Young People. 2014;26(7):16-20. Disponível em: https://www.ncbi.nlm.nih.gov/pubmed/25200238
Alves CA, Deslandes SF, Mitre RMA. The management of nursing work in a pediatric ward of medium and high complexity: a discussion about co-management and humanization. Interfac. Comum. Saúde Educ. 2011;15(37):351-61. DOI: 10.1590/S1414-32832011005000008
Downloads
Published
How to Cite
Issue
Section
License
1. Proposed Policy for Journals That Offer Open Access
Authors who publish with this journal agree to the following terms:
- The journal and its papers are published with the Creative Commons License Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0). You are free to share copy and redistribute the material in any medium or format if you: give appropriate credit, provide a link to the license, and indicate if changes were made; don’t use our material for commercial purposes; don’t remix, transform, or build upon the material.


