Coping with Hypertension among Indigenous Peoples in Brazil and the Role of the Primary Care Nurse: A Critical Review from a Transcultural Perspective

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...

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Main Authors: Mauricio Viana Gomes Oliveira, Ângela Maria Mendes Abreu, James R. Welch, Carlos E. A. Coimbra
Format: Article
Language:English
Published: MDPI AG 2021-11-01
Series:Nursing Reports
Subjects:
Online Access:https://www.mdpi.com/2039-4403/11/4/86
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author Mauricio Viana Gomes Oliveira
Ângela Maria Mendes Abreu
James R. Welch
Carlos E. A. Coimbra
author_facet Mauricio Viana Gomes Oliveira
Ângela Maria Mendes Abreu
James R. Welch
Carlos E. A. Coimbra
author_sort Mauricio Viana Gomes Oliveira
collection DOAJ
description 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.
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spelling doaj.art-a1043937d9cd4ae899ad91ed9ca90b752023-11-23T09:54:08ZengMDPI AGNursing Reports2039-439X2039-44032021-11-0111494295410.3390/nursrep11040086Coping with Hypertension among Indigenous Peoples in Brazil and the Role of the Primary Care Nurse: A Critical Review from a Transcultural PerspectiveMauricio Viana Gomes Oliveira0Ângela Maria Mendes Abreu1James R. Welch2Carlos E. A. Coimbra3Departamento de Enfermagem, Universidade Federal de Rondônia, Porto Velho 76801-059, BrazilEscola de Enfermagem Anna Nery, Universidade Federal de Rio de Janeiro, Rio de Janeiro 20211-130, BrazilEscola Nacional de Saúde Pública, Fundação Oswaldo Cruz (FIOCRUZ), Rio de Janeiro 21041-210, BrazilEscola Nacional de Saúde Pública, Fundação Oswaldo Cruz (FIOCRUZ), Rio de Janeiro 21041-210, BrazilOur 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.https://www.mdpi.com/2039-4403/11/4/86primary care nursingindigenous people’s healthtranscultural healthcarehypertensionBrazil
spellingShingle Mauricio Viana Gomes Oliveira
Ângela Maria Mendes Abreu
James R. Welch
Carlos E. A. Coimbra
Coping with Hypertension among Indigenous Peoples in Brazil and the Role of the Primary Care Nurse: A Critical Review from a Transcultural Perspective
Nursing Reports
primary care nursing
indigenous people’s health
transcultural healthcare
hypertension
Brazil
title Coping with Hypertension among Indigenous Peoples in Brazil and the Role of the Primary Care Nurse: A Critical Review from a Transcultural Perspective
title_full Coping with Hypertension among Indigenous Peoples in Brazil and the Role of the Primary Care Nurse: A Critical Review from a Transcultural Perspective
title_fullStr Coping with Hypertension among Indigenous Peoples in Brazil and the Role of the Primary Care Nurse: A Critical Review from a Transcultural Perspective
title_full_unstemmed Coping with Hypertension among Indigenous Peoples in Brazil and the Role of the Primary Care Nurse: A Critical Review from a Transcultural Perspective
title_short Coping with Hypertension among Indigenous Peoples in Brazil and the Role of the Primary Care Nurse: A Critical Review from a Transcultural Perspective
title_sort coping with hypertension among indigenous peoples in brazil and the role of the primary care nurse a critical review from a transcultural perspective
topic primary care nursing
indigenous people’s health
transcultural healthcare
hypertension
Brazil
url https://www.mdpi.com/2039-4403/11/4/86
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