Care as a commitment of all: a study in a rural settlement

Abstract

This study aims to understand the perceptions of care of families living in a rural settlement in the northwestern area of Rio Grande do Sul. It is an ethnographical based qualitative field research, which has used the Observation-Participation-Reflection Model for data collection, performed between February and March, 2011. The data analysis went through four steps: raw data collection and documentation, describers and indexes identification, contextual and current patterns analysis, and identification of research themes and relevant findings. The study has shown that, for the settlers who participated in the study, care is bound to their vision of world, meaning a commitment of everybody, under the collective and individual premise of improvement of their lives. It is concluded that Nursing needs to understand cultural behaviors in order to enable a congruent and holistic care.

Integrative literature review: access to primary healthcare services

“…In Brazil, two studies on settlers (11,14) analyzed the lifestyles, the meanings attributed to health and their relationships with work, identifying the strategies developed by workers to maintain and / or promote health. Problems of health access were highlighted by the settlers, referring to the need to travel to neighboring cities where services are offered, and the challenges and lack of care in these places.…”

“…Problems of health access were highlighted by the settlers, referring to the need to travel to neighboring cities where services are offered, and the challenges and lack of care in these places. Medicinal plants are used individually or by families, and are sometimes the first choice for disease treatment due to the difficult access to health services (11,14) .…”

“…After reviewing the literature, the access to health care in international scenarios was analyzed, in terms of ensuring or not the access to PHC by specific populations (10)(11)(12)(13)(14) ; some studies show the access through health plans (15)(16)(17)(18)(19) ; or address possibilities or proposals to improve the access to services either through restructuring (23)(24)(25)(26)(27)29) or strategies implemented for this purpose (7,(20)(21)(22)28,30) .…”

“…Considering the theme of access to PHC, popular health care practices and beliefs, such as medicinal plants, healers, among others, are still the first alternative to health issues in rural communities in some countries, especially in Ecuadorians rural communities, and settlements and quilombola communities in Brazil (11)(12)(13)(14) . Ethnic-racial and economic differences are still sources of social inequities in studied populations (13) .…”

Estado da arte da produção stricto sensu da enfermagem brasileira sobre saúde da população rural

“…28 Thus, the care present in the lives of rural families is conceived as cultural care, since the sociocultural structure and appropriate worldviews influence their health care practices. 29 In this perspective, from the rural family's point of view, health does not mean only the absence of pain, but is related to daily practices, and health care is associated mainly with food and family care, which is mostly the responsibility of the women who make up these families, and their care rituals involve the use of prescribed drugs as well as medicinal plants and practices focused on religiosity. 30 Nursing production on rural health Silva BN, Araújo VKG, Felix RS, Rebouças DGC, Silva SYB, Pinto ESG Therefore, in order to provide care to rural families, nurses need to understand the cultural context of the community they accompany, understand and value local knowledge, along with their behaviors, practices and care dynamics that integrate their health care system.…”