Cultural Competence of Nurses in the Field of Public Health: A Meta-Synthesis/Competencia cultural de las enfermeras en el área de salud publica: una meta-síntesis/Competencia cultural dos enfermeiros na area da saude publica: uma meta-sintese

• Published in: Revista gerencia y políticas de salud Vol. 17; no. 34
• Main Authors: Gomez, Villerland Rodriguez, Campos, Eliana Andrea Olaya, Reina-Leal, Liliana Marcela, Murcia, Saidy Eliana Arias, Quinones, Estefani Celen Benavides, Murillo, Deicy Carolina Hernandez, Lopez-Diaz, Lucero
• Format: Journal Article
• Language: Spanish
• Published: Pontificia Universidad Javeriana 01-01-2018
• Subjects: Colombia
• ISSN: 1657-7027

Objective: To explore the experiences and life events regarding the cultural competence in the public health practice. Methods: A qualitative meta-synthesis covering the databases Medline, OvidNursing, OvidJournal, Embase and BVS-LILACS, including papers in English, Spanish and Portuguese between 2009 and 2014. Ten studies were included and assessed by using the Critical Appraisal Skills Programme in Spanish (CASPe). The three stages of the meta-aggregation programme were applied to do the obtaining and synthesis of findings. Results: The findings were aggregated in six categories and two types of results: 1) paradoxes when providing public health care to people from different culture and 2) going beyond the barriers--the daring by the public health nurses. Conclusion: The nurses experienced and expressed their cultural competence from the paradoxical situation produced when encountering another culturally different people. They showed a stance open to both understand and make sense of the other's culture, even though it was hard to produce culturally competent interventions. Keywords: review, cultural competence, cross-cultural nursing, public health, public health nurses, health care with cultural competence. Objetivo: explorar las experiencias y vivencias sobre la competencia cultural de enfermeras en salud publica. Metodologia: metasintesis cualitativa. Las bases utilizadas fueron: Medline, OvidNursing, OvidJournal, Embase y BVS-LILACS, publicados en ingles, espanol o portugues, entre 2009 y 2014. Se incluyeron diez estudios y fueron valorados usando el Critical Appraisal Skills Programme en espanol (CASPe). Se implementaron las tres fases del proceso de metaagregacion en la extraccion y sintesis de hallazgos. Resultados: los hallazgos fueron agregados en seis categorias y dos resultados: 1) paradojas en la atencion de salud publica a personas de diversas culturas; 2) sobrepasando barreras: la osadia de las enfermeras de salud publica. Conclusion: las enfermeras vivenciaron y expresaron la competencia cultural desde lo paradojico que resulta el encuentro con el otro culturalmente diferente, manifestaron apertura a comprender y dar sentido a la cultura, aunque fue dificil generar intervenciones culturalmente competentes. Palabras clave: revision, competencia cultural, enfermeria transcultural, salud publica, enfermeras de salud publica, atencion en salud con competencia cultural. Objetivo: explorar as experiencias e vivencias sobre competencia cultural de enfermeiras em saude publica. Metodologia: metasintese qualitativa. As bases utilizadas foram: Medline, OvidNursing, OvidJournal, Embase e BVS-LILACS, publicados em ingles, espanhol ou portugues, entre 2009 e 2014. Dez estudos foram incluidos e valorados usando o Critical Appraisal Skills Programme em espanhol (CASPe). As tres fases do processo de meta-agregacao na extracao e sintese de achados foram implementados. Resultados: os achados foram agregados em seis categorias e dois resultados: 1) paradoxos no atendimento de saude publica a pessoas de diversas culturas; 2) ultrapassando barreiras: a ousadia das enfermeiras de saude publica. Conclusoes: as enfermeiras vivenciaram e expressaram a competencia cultural desde o paradoxal que resulta o encontro com um outro culturalmente diferente, manifestaram apertura para compreender e dar sentido a cultura, embora fosse dificil gerar intervencoes culturalmente competentes. Palavras-chave: revisao, competencia cultural, enfermagem transcultural, saude publica, enfermeiras de saude publica, atencao em saude com competencia cultural.