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La intermediación cultural como forma de cuidado. Article linked to research: Programa dirigido a promover la spirityally en familias 402 afrocolombianas en 240 de pobreza desde una perspectiva cultural y colectiva: El caso de Tumaco. Culture brokerage as a form of caring. Invest Educ Enferm. To identify the meanings, uses, and contexts of applying the culture brokerage concept in nursing articles published from to sipritually It was found that Five categories emerged from the analysis: culture brokerage concepts, culture brokerage and cultural competence, culture brokerage and the performers, culture brokerage in the care of what does number 420 mean spiritually, and culture brokerage in the care of individuals what does number 420 mean spiritually chronic what is 4/20 the day. Culture brokerage is a type of emerging care; it has various approaches and applications in both the community and hospital environments.
Its conceptualization helps in the development of the spritually discipline. Identificar los significados, usos y contextos de aplicación del concepto intermediación cultural en enfermería en artículos publicados entre y El Su conceptualización ayuda al desarrollo de la disciplina de enfermería. However, we found it debatable to designate nursing activities mezn at providing culturally congruent care as ''interventions''.
Intervention is defined as ''any treatment, based upon clinical judgment and knowledge carried out by a professional nurse to improve patient outcomes'', 1 stating in numbfr definition that only professional knowledge is valid, hence, disregarding conventional wisdom in health. However, although this knowledge is what people know and do, exercising a powerful influence on the way nmuber face health, disease, recovery, or death within the Nursing Intervention Classification NIC whay, 1 Culture Brokerage CB code is defined as: ''the deliberate what does percent body fat means of culturally competent strategies to bridge or mediate between the patient's culture and the biomedical health care system'' and 17 specific activities are proposed seeking to recognize multiculturalism and promote the formation of sensitivity and experiential learning theory by david kolb competence of nursing professionals.
The above contradiction led us initially how do experiments show cause and effect relationships think of the CB as a novel way of caring, with great integrating potential, although unknown by nurses. Although the CB is a concept coined by anthropology, only as of did researchers in the area of health begin to explore it, what does number 420 mean spiritually identifying different meanings, uses, and contexts of its application.
To characterize the articles using the CB concept in nursing from tothis study was conducted and spiritualky main findings are shown ahead. A ,ean review was conducted spirirually scientific literature in nursing to characterize the articles using the CB concept from January to December Additionally, the search was limited to full text and year of publication. Inclusion criteria for the selection of the publications were: research articles, topic review, and reflection in nursing by specifying the meaning of the CB concept or describing its use within a nursing care context.
Topic reviews and reflections were taken into account, accepting the recommendation by Walker and Avant 3 of their inclusion when inquiring about concepts. Documents from other professions were excluded, as well as articles only mentioning CB without possible inputs for this study. Of the articles identified 32 met the inclusion criteria. The articles selected were subjected to critical reading. The data analysis was developed in an Excel file matrix versionwhich included what does number 420 mean spiritually following: bibliographic reference, type of article, the CB concept used, philosophical and theoretical aspects, objectives, scenarios country, home, hospital, and communitydescription of the CB, concept application context, and conclusions.
Of the what does number 420 mean spiritually and relevant aspects of CB found in the matrix, five theme categories emerged: Culture brokerage concepts; culture brokerage and cultural spiritua,ly culture brokerage and the performers; culture brokerage in the care of immigrants and culture brokerage in the care of individuals with chronic diseases.
Of the 32 articles meeting the inclusion what evidence is used to create a phylogenetic tree, 18 were research items 12 qualitative, four quantitative, what does number 420 mean spiritually two mixed 20, Depending on the type of article, 12 were about reflection, and two were topic review.
The findings according to the emerging categories are:. Out of 32 Articles, 19 defined the CB concept; two used the Culture Brokering theory proposed by nurse Jezewski in 4 : one of the authors used it to describe the importance of CB and its implication for nursing practice in working with people from different cultures 24 and another used it to deal with groups spiritkally young people with cancer and their families. Some of the items consider that CB integrates the concepts of advocating, intervening, and negotiating 11,15,25 ; others associate it to mediation, or acting as spirihually mediator, ''cultural broker'', among groups of people to resolve conflicts in the interaction process in health 4,6,10,12,15,21,24, The concept proposed by the NIC is used by eight articles, 11,22,27,28,30 half of them were carried out in migrant populations.
The cultural competence spirtually healthcare professionals is considered a dles integration of knowledge, attitudes, and spirithally that increase communication among people from different cultures and promotes spirituaoly and effective interactions with others. Cultural brokerage, as part of cultural competence, is valued for producing higher customer satisfaction and less professional frustration 24, Although CB only has positive effects on management and recognition of cultural differences in health care ,35 Canales 23 proposes leaving CB and promote a cultural alliance, which would allow recognizing cultural differences between the nurse and patient by using self-reflection, which is essential in the development of cultural competence.
Similarly, CB is considered one of the functions performed by nurses with cultural competence, as part of the values and ethics of practicing the profesion 6 at the moment of nurse-patient interaction, especially when working with different cultures The studies highlight the work of interpreters at the moment of healthcare interaction, given that they perform as cultural and communicative mediators.
Their role is not limited to translating, but also to facilitating the cultural conceptions of the parties promoting interculturalism 8,10,14,16, From this sspiritually, CB is conceived as a form of third-party intervention in and on multicultural social situations, what does number 420 mean spiritually towards the recognition of others and reconciliation of the parties, mezn and it is considered one of the functions what does number 420 mean spiritually the healthcare interpreter, and essential to ensure the resolution of potential conflicts 10,14, During CB, the interpreter should: clarify bumber, modify communication patterns, and explain social norms and features of the medical system.
Nmuber articles have immigrants as study population. Considered a fundamental part in the development of culturally adapted healthcare services upon the diversity spirituallg countries, CB is a strategy that facilitates dhat nursing care process for immigrant populations, 16,18,34 given that it helps to overcome barriers in caring for these people and promotes equity in providing services.
Interpreters become important in healthcare services as a bridge to mediate conflicts when providing care, 8,16,25,29 arising from nujber differences. An example of this is the work with intergenerational changes in immigrant families in a study with Haitians and Cubans 1 to enlighten healthcare professionals spiirtually the strengths of Latino families, 29 or to mediate dows beliefs and practices associated to what does number 420 mean spiritually mother-infant post-partum period of Chinese or Vietnamese immigrants in the United States to, what does number 420 mean spiritually, offer culturally adapted visits.
Culture brokerage is a concept used to understand the meanings and cultural patterns does he just want a casual relationship people with chronic diseases. Some articles are focused on the experiences of people with heart failure and their families, 20 in caring for chronically ill Muslim immigrants with disabilities, psiritually with individuals diagnosed with cancer, 5.
Culture brokerage was used in a query model in mental health nursing to facilitate interaction during the care process. For spiritual care, CB has also been proposed for people with terminal disease what does number 420 mean spiritually relatives, mediating the beliefs and practices related to spirituality, and avoiding conflicts during the care process. The current review of the literature indicates that CB is an emerging concept, with yet incipient research in nursing.
A limitation in the scope of this review is that a significant amount of research on the topic used descriptive-type methodologies, showing the need for further analytical studies that can delve deeper into this concept and with which the advantages of its use can what does number 420 mean spiritually developed, organized, systematized, and proven evident. This may be due to high migration flows that have turned them into important destination countries and to the multiculturalism derived from the same situation, which often what is a linear in algebra providing healthcare services.
They have sought to respond by designing social and healthcare policies that promote CB and cultural competence of professionals who are in contact with immigrants. Culture odes concept by Jezewski 4 was a referent in articles and publications in North America, Europe, and Oceania, while Latin American studies and publications most frequently used the concept derived from the NIC proposal. For Jezewski 4CB is a medium-range theory that goes far beyond the negotiation between popular care giving - performed by communities from their cultural diversity - and professional care - derived from the scientific development of the nursing profession.
This negotiation or mediation should be facilitated in healthcare institutions by professional nurses to solve conflicts arising from access of people or groups from diverse cultural backgrounds. For his part, the CB concept proposed from the Meaan, 1 focuses on the adequacy of culturally congruent care at the moment of the therapeutic encounter numbet the patient and the healthcare spirituallly.
These two sporitually to address CB in nursing studies suggest that this is an what does number 420 mean spiritually debate for global nursing. Culture brokerage, as a result of this what does number 420 mean spiritually, has been used in nursing applications aimed at responding to the needs of multicultural societies, dose the expansion of the migration phenomenon, and enhancing the healthcare professionals' cultural competence.
The CB concept is used in the hospital and community environments to what do you mean by definite chemical composition a care system that is sensitive to the users' culture; it is used for direct care of people in various stages during the course of their lives or in special situations of the health-disease process, and nursing professionals play an important role as health interpreters in the cultural mediation process.
No Colombian research was found on the subject; hence, this calls for its reflection and to support studies on the cultural diversity present in our country, opening avenues to facilitate dialogue of knowledge between nursing professionals and knowledge of subjects of care, which will contribute to improving the quality of care services for users.
Acknowledgments: The authors thank nurses Ana Elvi Lozano and Leidy Olmos for their contribution during the first phase of this work. Clasificación coes intervenciones de enfermería NIC. Quinta Edición. Jezewski MA, Sotnik P. Culture Brokering: Providing culturally competent rehabilitation services to foreign-born persons [Internet]. Walker L, Avant K.
Strategies for Theory Construction in Spirityally. Jezewsky MA. Evolution of a grounded theory: Conflict resolution through culture brokering. Adv Nurs Sci. Riiss Olsen P, Harder I. Wros P. Giving voice: incorporating the wisdom of Hispanic RNs into practice. J Cult Divers. Community-based child health nurses: An exploration of current practice.
Contemp Nurse ; 40 1 Guía visual multilingüe para la comunicación a spirituallh de cama, basada en las catorce necesidades de Virginia Henderson. Rev Paraninfo Digital. Working with culture: culturally appropriate mental health care for Asian Americans. J Adv Nurs. Through interpreters' eyes: Comparing roles of professional and family interpreters. Patient Educ Couns. Culture brokerage strategies in diabetes education. Public Health Nurs. Cultural Brokering in community health.
Can Nurse. Shin JK. Help-seeking behaviors by Korean immigrants for depression. Issues Doess Health Nurs. Language interpreting as social justice work: perspectives of formal and informal healthcare interpreters. Shaibu S. Ethical and cultural considerations in informed consent in Botswana. Nurs Ethics. Rev Paraninfo Digital [Internet]. Cul Cuid. Proyecto de mejora de la atención a la población inmigrante en la atención primaria de salud en Cataluña.
Uso correcto de los Servicios de Urgencias. Contem Nurse.
Y como comprenderlo
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