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...

Full description

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/
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oai_identifier_str oai:bibliotecadigital.udea.edu.co:10495/24514
network_acronym_str UDEA2
network_name_str Repositorio UdeA
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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
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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
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eu_rights_str_mv openAccess
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dc.format.extent.spa.fl_str_mv 18
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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
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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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