Changing home : Experiences of the indigenous when receiving care in hospital
ABSTRACT: Objective. To understand the meaning of the experience of the indigenous when receiving care in a low-complexity hospital. Methods. Qualitative study with ethnographic approach conducted in a hospital of Antioquia, Colombia. The study had 12 indigenous participants who underwent semi-struc...
- Autores:
-
Rojas, Juan Guillermo
Herrero Hahn, Raquel
- Tipo de recurso:
- Article of investigation
- Fecha de publicación:
- 2020
- Institución:
- Universidad de Antioquia
- Repositorio:
- Repositorio UdeA
- Idioma:
- eng
- OAI Identifier:
- oai:bibliotecadigital.udea.edu.co:10495/24514
- Acceso en línea:
- http://hdl.handle.net/10495/24514
- Palabra clave:
- Salud de poblaciones indígenas
Health of Indigenous Peoples
Hospitalización
Hospitalization
Atención de Enfermería
Nursing Care
Antropología Cultural
Anthropology, Cultural
- Rights
- openAccess
- License
- http://creativecommons.org/licenses/by-nc-sa/2.5/co/
id |
UDEA2_b519816b54f37a2f4d78c7328bccee5b |
---|---|
oai_identifier_str |
oai:bibliotecadigital.udea.edu.co:10495/24514 |
network_acronym_str |
UDEA2 |
network_name_str |
Repositorio UdeA |
repository_id_str |
|
dc.title.spa.fl_str_mv |
Changing home : Experiences of the indigenous when receiving care in hospital |
dc.title.alternative.spa.fl_str_mv |
Cambiar de casa : Experiencias de los indígenas al recibir atención en el hospital Mudança de casa : Experiências de indígenas atendidos no hospital |
title |
Changing home : Experiences of the indigenous when receiving care in hospital |
spellingShingle |
Changing home : Experiences of the indigenous when receiving care in hospital Salud de poblaciones indígenas Health of Indigenous Peoples Hospitalización Hospitalization Atención de Enfermería Nursing Care Antropología Cultural Anthropology, Cultural |
title_short |
Changing home : Experiences of the indigenous when receiving care in hospital |
title_full |
Changing home : Experiences of the indigenous when receiving care in hospital |
title_fullStr |
Changing home : Experiences of the indigenous when receiving care in hospital |
title_full_unstemmed |
Changing home : Experiences of the indigenous when receiving care in hospital |
title_sort |
Changing home : Experiences of the indigenous when receiving care in hospital |
dc.creator.fl_str_mv |
Rojas, Juan Guillermo Herrero Hahn, Raquel |
dc.contributor.author.none.fl_str_mv |
Rojas, Juan Guillermo Herrero Hahn, Raquel |
dc.subject.decs.none.fl_str_mv |
Salud de poblaciones indígenas Health of Indigenous Peoples Hospitalización Hospitalization Atención de Enfermería Nursing Care Antropología Cultural Anthropology, Cultural |
topic |
Salud de poblaciones indígenas Health of Indigenous Peoples Hospitalización Hospitalization Atención de Enfermería Nursing Care Antropología Cultural Anthropology, Cultural |
description |
ABSTRACT: Objective. To understand the meaning of the experience of the indigenous when receiving care in a low-complexity hospital. Methods. Qualitative study with ethnographic approach conducted in a hospital of Antioquia, Colombia. The study had 12 indigenous participants who underwent semi-structured interviews. Observation was carried out in hospitalization wards, emergency, and outpatient services of the institution during 40 hours. The analysis process was performed descriptively. The methodological rigor was maintained by applying criteria of confirmability, credibility, transferability, and consistency. The study was approved by the Ethics Committee and authorized by the indigenous authorities to enter the field. Results. Five themes emerged: the context of caring for the indigenous, the need to consult the hospital, changes experienced by the indigenous in the hospital, experiences in relation with treatments, and relations established within the hospital. The meaning is constructed from a dichotomous perspective based on the favorable or unfavorable aspects of the situations and experiences, which for the indigenous is like “changing home”. Conclusion. The meaning of the experience of receiving care in hospital for the indigenous is constructed from the context in which they live and receive health services, the changes they live in the dimension of space by virtue of their traveling from their vital space to another space that, due to their physical characteristics, results strange and different, even not healing. Upon the difficulties, the indigenous develop strategies and actions to overcome limitations, whether through adaptation and learning. |
publishDate |
2020 |
dc.date.issued.none.fl_str_mv |
2020 |
dc.date.accessioned.none.fl_str_mv |
2021-12-02T00:30:28Z |
dc.date.available.none.fl_str_mv |
2021-12-02T00:30:28Z |
dc.type.spa.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.coarversion.fl_str_mv |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
dc.type.hasversion.spa.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.coar.spa.fl_str_mv |
http://purl.org/coar/resource_type/c_2df8fbb1 |
dc.type.redcol.spa.fl_str_mv |
https://purl.org/redcol/resource_type/ART |
dc.type.local.spa.fl_str_mv |
Artículo de investigación |
format |
http://purl.org/coar/resource_type/c_2df8fbb1 |
status_str |
publishedVersion |
dc.identifier.citation.spa.fl_str_mv |
Rojas JG, Herrero Hahn R. Changing home: Experiences of the indigenous when receiving care in hospital. Invest. Educ. Enferm. [Internet]. 2020Nov.9; 38(3). Available from: https://revistas.udea.edu.co/index.php/iee/article/view/344389 |
dc.identifier.issn.none.fl_str_mv |
0120-5307 |
dc.identifier.uri.none.fl_str_mv |
http://hdl.handle.net/10495/24514 |
dc.identifier.doi.none.fl_str_mv |
10.17533/udea.iee.v38n3e08 |
dc.identifier.eissn.none.fl_str_mv |
2216-0280 |
identifier_str_mv |
Rojas JG, Herrero Hahn R. Changing home: Experiences of the indigenous when receiving care in hospital. Invest. Educ. Enferm. [Internet]. 2020Nov.9; 38(3). Available from: https://revistas.udea.edu.co/index.php/iee/article/view/344389 0120-5307 10.17533/udea.iee.v38n3e08 2216-0280 |
url |
http://hdl.handle.net/10495/24514 |
dc.language.iso.spa.fl_str_mv |
eng |
language |
eng |
dc.relation.ispartofjournalabbrev.spa.fl_str_mv |
Invest. Educ. Enferm. |
dc.rights.spa.fl_str_mv |
info:eu-repo/semantics/openAccess |
dc.rights.uri.*.fl_str_mv |
http://creativecommons.org/licenses/by-nc-sa/2.5/co/ |
dc.rights.accessrights.spa.fl_str_mv |
http://purl.org/coar/access_right/c_abf2 |
dc.rights.creativecommons.spa.fl_str_mv |
https://creativecommons.org/licenses/by-nc-sa/4.0/ |
eu_rights_str_mv |
openAccess |
rights_invalid_str_mv |
http://creativecommons.org/licenses/by-nc-sa/2.5/co/ http://purl.org/coar/access_right/c_abf2 https://creativecommons.org/licenses/by-nc-sa/4.0/ |
dc.format.extent.spa.fl_str_mv |
18 |
dc.format.mimetype.spa.fl_str_mv |
application/pdf |
dc.publisher.spa.fl_str_mv |
Universidad de Antioquia, Facultad de Enfermería |
dc.publisher.group.spa.fl_str_mv |
Emergencias y Desastres |
dc.publisher.place.spa.fl_str_mv |
Medellín, Colombia |
institution |
Universidad de Antioquia |
bitstream.url.fl_str_mv |
http://bibliotecadigital.udea.edu.co/bitstream/10495/24514/1/RojasJuan_2020_IndigenousCareHospital.pdf http://bibliotecadigital.udea.edu.co/bitstream/10495/24514/2/license_rdf http://bibliotecadigital.udea.edu.co/bitstream/10495/24514/3/license.txt |
bitstream.checksum.fl_str_mv |
e26617eb2c1d035501af9c6bc75da6fa e2060682c9c70d4d30c83c51448f4eed 8a4605be74aa9ea9d79846c1fba20a33 |
bitstream.checksumAlgorithm.fl_str_mv |
MD5 MD5 MD5 |
repository.name.fl_str_mv |
Repositorio Institucional Universidad de Antioquia |
repository.mail.fl_str_mv |
andres.perez@udea.edu.co |
_version_ |
1812173232788209664 |
spelling |
Rojas, Juan GuillermoHerrero Hahn, Raquel2021-12-02T00:30:28Z2021-12-02T00:30:28Z2020Rojas JG, Herrero Hahn R. Changing home: Experiences of the indigenous when receiving care in hospital. Invest. Educ. Enferm. [Internet]. 2020Nov.9; 38(3). Available from: https://revistas.udea.edu.co/index.php/iee/article/view/3443890120-5307http://hdl.handle.net/10495/2451410.17533/udea.iee.v38n3e082216-0280ABSTRACT: Objective. To understand the meaning of the experience of the indigenous when receiving care in a low-complexity hospital. Methods. Qualitative study with ethnographic approach conducted in a hospital of Antioquia, Colombia. The study had 12 indigenous participants who underwent semi-structured interviews. Observation was carried out in hospitalization wards, emergency, and outpatient services of the institution during 40 hours. The analysis process was performed descriptively. The methodological rigor was maintained by applying criteria of confirmability, credibility, transferability, and consistency. The study was approved by the Ethics Committee and authorized by the indigenous authorities to enter the field. Results. Five themes emerged: the context of caring for the indigenous, the need to consult the hospital, changes experienced by the indigenous in the hospital, experiences in relation with treatments, and relations established within the hospital. The meaning is constructed from a dichotomous perspective based on the favorable or unfavorable aspects of the situations and experiences, which for the indigenous is like “changing home”. Conclusion. The meaning of the experience of receiving care in hospital for the indigenous is constructed from the context in which they live and receive health services, the changes they live in the dimension of space by virtue of their traveling from their vital space to another space that, due to their physical characteristics, results strange and different, even not healing. Upon the difficulties, the indigenous develop strategies and actions to overcome limitations, whether through adaptation and learning.RESUMEN: Objetivo. Comprender el significado de la experiencia de los indígenas al recibir atención en un hospital de baja complejidad. Métodos. Estudio cualitativo con enfoque etnográfico desarrollado en un hospital de Antioquia, Colombia. Participaron doce indígenas a quienes se les realizaron entrevistas semiestructuradas. Se hizo observación en salas de hospitalización, urgencias y servicios ambulatorios de la institución durante 40 horas. El proceso de análisis se hizo de manera descriptiva. El rigor metodológico se mantuvo con la aplicación de los criterios de confirmabilidad, credibilidad, transferibilidad y consistencia. Se contó con aval del Comité de Ética de Investigación de la Facultad de Enfermería de la Universidad de Antioquia y autorización de las autoridades indígenas para entrar al campo. Resultados. Emergieron cinco temas: el contexto de la atención de los indígenas, la necesidad de consultar al hospital, los cambios experimentados por los indígenas en el hospital, las experiencias en relación con los tratamientos y las relaciones establecidas dentro del hospital. El significado se construye desde una perspectiva dicotómica con base en los aspectos favorables o desfavorables de las situaciones y experiencias, que para los indígenas es como “cambiar de casa”. Conclusión. Para los indígenas, el significado de la experiencia de recibir atención en el hospital se construye a partir del contexto en el que viven y reciben los servicios de salud, los cambios que viven en la dimensión del espacio en virtud de que transitan desde su espacio vital a otro que, por sus características físicas, resulta extraño y diferente, incluso no curativo. Ante las dificultades, los indígenas desarrollan estrategias y acciones para superar las limitaciones, bien sea mediante la adaptación y el aprendizaje.COL002380418application/pdfengUniversidad de Antioquia, Facultad de EnfermeríaEmergencias y DesastresMedellín, Colombiainfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://purl.org/coar/resource_type/c_2df8fbb1https://purl.org/redcol/resource_type/ARTArtículo de investigaciónhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/openAccesshttp://creativecommons.org/licenses/by-nc-sa/2.5/co/http://purl.org/coar/access_right/c_abf2https://creativecommons.org/licenses/by-nc-sa/4.0/Changing home : Experiences of the indigenous when receiving care in hospitalCambiar de casa : Experiencias de los indígenas al recibir atención en el hospitalMudança de casa : Experiências de indígenas atendidos no hospitalSalud de poblaciones indígenasHealth of Indigenous PeoplesHospitalizaciónHospitalizationAtención de EnfermeríaNursing CareAntropología CulturalAnthropology, CulturalInvest. Educ. Enferm.Investigación y Educación en Enfermería118383ORIGINALRojasJuan_2020_IndigenousCareHospital.pdfRojasJuan_2020_IndigenousCareHospital.pdfArtículo de investigaciónapplication/pdf763468http://bibliotecadigital.udea.edu.co/bitstream/10495/24514/1/RojasJuan_2020_IndigenousCareHospital.pdfe26617eb2c1d035501af9c6bc75da6faMD51CC-LICENSElicense_rdflicense_rdfapplication/rdf+xml; charset=utf-81051http://bibliotecadigital.udea.edu.co/bitstream/10495/24514/2/license_rdfe2060682c9c70d4d30c83c51448f4eedMD52LICENSElicense.txtlicense.txttext/plain; charset=utf-81748http://bibliotecadigital.udea.edu.co/bitstream/10495/24514/3/license.txt8a4605be74aa9ea9d79846c1fba20a33MD5310495/24514oai:bibliotecadigital.udea.edu.co:10495/245142021-12-01 19:30:29.29Repositorio Institucional Universidad de Antioquiaandres.perez@udea.edu.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 |