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Advisor(s)
Abstract(s)
O cuidar na multiculturalidade revela-se um desafio para a enfermagem face à situação mundial de mobilidade humana e à presença de grande número de imigrantes em Portugal. Com a realização desta investigação pretendemos identificar: as necessidades de cuidados de saúde sentidas pelos imigrantes ucranianos; a influência das crenças culturais e de saúde na procura dos cuidados de saúde pelos imigrantes ucranianos; a acessibilidade de pessoas culturalmente diferentes aos serviços de saúde; os contributos dos cuidados de enfermagem na procura desses cuidados.
Para concretizar estes objetivos, desenvolvemos um estudo exploratório, descritivo com triangulação intramétodos, através da aplicação de um questionário, a 212 ucranianos residentes na região Metropolitana do Porto e duma entrevista semiestruturada a onze desses elementos, tendo como referência os doze domínios da Cultura de Purnell.
Os resultados apontaram para dificuldades prevalentes no acesso aos cuidados decorrentes de comunicação ineficaz, resultante das barreiras linguísticas e, ou de diferentes interpretações, e pela desarticulação entre os diversos serviços de apoio aos imigrantes, associadas ao desconhecimento da legislação que regulamenta o acesso, nomeadamente dos imigrantes ilegais. Verificamos ainda que a acessibilidade aos cuidados parece ser comprometida pelo desconhecimento quer dos imigrantes, quer dos profissionais, das estruturas de apoio para estas situações, agravada pelas crenças de saúde e pelos costumes dos ucranianos. Assim, com base nesta investigação foi possível implementar estratégias para a promoção da prestação de cuidados dirigidos aos imigrantes, considerando a diversidade e a vulnerabilidade no acesso à saúde. Em suma, esperamos assim contribuir para ampliar e consolidar o conhecimento desta população neste âmbito, visando um plano inclusivo e esclarecedor dirigido à imigração e aos cuidados de saúde.
To take care within multiculturalism is shown to be a challenge for nursing considering the worldwide situation of human mobility, and due to the presence of a large number of immigrants in Portugal. With the accomplishment of this research, we intend to identify: needs for health cares felt by Ukrainian immigrants; influence of cultural and health believes in the search for medical cares by Ukrainian immigrants; access of culturally different people to their health services; contributes of nursing cares in the search for those cares. To fulfil these purposes, we develop an exploratory study, descriptive with intramethod triangulation, through the application of a questionnaire to 12 Ukrainians living in the Oporto metropolitan area and also through a semi-structured interview to 11 of those people, bearing in mind the twelve domains of the Purnell Culture. The results pointed out for prevailing difficulties in the medical access resulting from ineffective communication, due to linguistic barriers and/or to different interpretations and also from the disarticulation between the several immigrant support services, in association with not knowing the legislation that regulates the access, particularly of illegal immigrants. We also noticed that the access to medical care seems to be compromised because both immigrants and health professionals aren’t aware of the existing support structures for these situations, aggravated by Ukrainians health believes and costumes. Therefore, based on this research it was possible to implement strategies for the promotion of health cares as far as immigrants are concerned, considering the diversity and vulnerability in the health access. Summing up, we hope to contribute to enlarge and consolidate these people knowledge on this field, aiming an inclusive and enlightening plan specifically directed to immigration and health cares.
To take care within multiculturalism is shown to be a challenge for nursing considering the worldwide situation of human mobility, and due to the presence of a large number of immigrants in Portugal. With the accomplishment of this research, we intend to identify: needs for health cares felt by Ukrainian immigrants; influence of cultural and health believes in the search for medical cares by Ukrainian immigrants; access of culturally different people to their health services; contributes of nursing cares in the search for those cares. To fulfil these purposes, we develop an exploratory study, descriptive with intramethod triangulation, through the application of a questionnaire to 12 Ukrainians living in the Oporto metropolitan area and also through a semi-structured interview to 11 of those people, bearing in mind the twelve domains of the Purnell Culture. The results pointed out for prevailing difficulties in the medical access resulting from ineffective communication, due to linguistic barriers and/or to different interpretations and also from the disarticulation between the several immigrant support services, in association with not knowing the legislation that regulates the access, particularly of illegal immigrants. We also noticed that the access to medical care seems to be compromised because both immigrants and health professionals aren’t aware of the existing support structures for these situations, aggravated by Ukrainians health believes and costumes. Therefore, based on this research it was possible to implement strategies for the promotion of health cares as far as immigrants are concerned, considering the diversity and vulnerability in the health access. Summing up, we hope to contribute to enlarge and consolidate these people knowledge on this field, aiming an inclusive and enlightening plan specifically directed to immigration and health cares.
Description
Keywords
Imigrante ucraniano Necessidades Cuidados de enfermagem Crenças Espiritualidade e interculturalidade Ukrainian immigrant Needs Nursing cares Believes Spirituality and interculturality