NURSING CARE FOR THE HEALTH OF INDIGENOUS POPULATIONS: SCOPING REVIEW

this is a scoping review, whose search was conducted in September 2022 in the following databases: Nursing Database (BDENF), CAPES Theses and Dissertations Catalog, Google Scholar, Latin American and Caribbean Literature on Health Sciences (LILACS), Pan American Health Organization (PAHO), National Library of Medicine and National Institutes of Health (PUBMED) and Scientific Electronic Library Online (SCIELO). The results were evaluated by summarizing the selected articles.

Results:

the main actions directed to the indigenous population were nursing consultations and health promotion and prevention activities. The main difficulty encountered in relation to indigenous peoples is the language barrier.

Conclusion:

the nursing team encounters difficulties, such as: the difficult location of the villages; high work overload due to the lack of medical professionals; language barrier; and inadequate conditions.

DESCRIPTORS:
Indigenous Peoples; Health of Indigenous Peoples; Nursing Care; Health Care; Comprehensive Health Care

PCC	MeSH
Population	Indigenous Peoples OR Health Services, Indigenous
	AND
Concept	Nursing OR Nursing Care OR Management, Nursing Care
	AND
Context	Delivery of Health Care OR Comprehensive Health Care

Sources of data	Syntax
PubMed Central	(“Indigenous Peoples” [All Fields] OR “Health Services, Indigenous” [All Fields]) AND (Nursing [All Fields] OR “Nursing Care” [All Fields] OR “Management, Nursing Care” [All Fields]) AND (“Delivery of Health Care” [All Fields] OR “Comprehensive Health Care” [All Fields])
LILACS	“Povos Indígenas” OR “Saúde de Populações Indígenas” [Words] and Enfermagem OR “Cuidado de Enfermagem” [Words] and “Atenção à Saúde” OR “Assistência Integral à Saúde” [Words]
SciELO	(”* Indigenous Peoples” OR “Health Services, Indigenous”) AND (Nursing OR “Nursing Care” OR “Management, Nursing Care”) AND (“Delivery of Health Care” OR “Comprehensive Health Care)
BDENF	“Povos Indígenas” OR “Saúde de Populações Indígenas” [Words] and Enfermagem OR “Cuidado de Enfermagem” [Words] and “Atenção à Saúde” OR “Assistência Integral à Saúde” [Words]
PAHO	“Povos Indígenas” OR “Saúde de Populações Indígenas” [Words] and Enfermagem OR “Cuidado de Enfermagem” [Words] and “Atenção à Saúde” OR “Assistência Integral à Saúde” [Words]
Google Scholar	(“Indigenous Peoples” OR “Health Services, Indigenous”) AND (Nursing OR “Nursing Care” OR “Management, Nursing Care” AND “Delivery of Health Care”) OR (“Comprehensive Health Care”)
CAPES Thesis and Dissertation Catalog	“Indigenous Peoples” OR “Health of Indigenous Peoples” AND Nursing OR “Nursing Care” AND “Health Care” OR “Integral Health Care”

ID*	Country/ Year/ Type of study	Objectives of the study	Health actions performed	Difficulties experienced in the assistance
E1¹⁰10 Maia AS, Nascimento EM do, Carvalho TP de, Sousa CG de. Os desafios da enfermagem na atenção integral à saúde dos povos indígenas. Enferm Foco. [Internet]. 2021 [cited in 2022 Sept. 15];12(2):333-8. Available in: https://doi.org/10.21675/2357-707X.2021.v12.n2.4166. https://doi.org/10.21675/2357-707X.2021....	Brazil /2021/ Descriptive study	To analyze the challenges faced by nursing professionals in the health care of indigenous peoples in the Rio Tapajós Special Indigenous Health District.	Acting in vaccination campaigns directed to this population, nursing consultation, and activities recommended by the Ministry of Health.	Language barrier, location of the villages, lack of sanitation, difficulty for the indigenous people to develop trust in the professionals. Added to this is the lack of training and unpreparedness of professionals to deal with interculturality.
E2¹¹11 Rodrigues GASC, Terra MF. Nursing assistance to the indigenous population: a bibliographic study. Arq Med Hosp Fac Cienc Med Santa Casa São Paulo [Internet]. 2018 [cited in 2022 Sept. 15];63(2):100-4. Available in: https://doi.org/10.26432/1809-3019.2018.63.2.100. https://doi.org/10.26432/1809-3019.2018....	Brazil /2018/ Bibliographic study	Identify the nursing actions in the assistance to the indigenous population and point out the importance of nurses in collective health practices directed to indigenous populations.	Health education, promotion and prevention activities in the community and nursing consultation.	Language barrier, lack of knowledge about the rituals and beliefs of this population, and geographical location of the villages.
E3 ¹²	Brazil /2018/ Bibliographic study	Describe, through key points of indigenous health care, what has changed after the implementation of the National Policy for Health Care for Indigenous Peoples.	Consultations, immunization of children, prescription of general treatments.	Lack of preparation of the team, difficulty in communication and identifying problems, lack of standardization in the flow of reference and counter-reference and prejudice of the team itself, precarious infrastructure.
E4 ¹³	Brazil/2018/ Exploratory study	To characterize the profile of nurses who work with the indigenous and non-indigenous populations of Alto Rio Negro, Amazonas State.	Health promotion and prevention activities and primary care services in indigenous villages.	Language barrier, communication deficit between indigenous people and professionals. Difficulties in forming bonds. High workload, lower than expected remuneration and professional undervaluation.
E5 ¹⁴	Brazil/2017/Descriptive study	To analyze the experience of health care work within the indigenous territory as a potential learning space for nurses to qualify their professional practice aimed at working in this intercultural context.	Nursing consultation and activities of promotion, prevention, and control of diseases.	Lack of structure, housing conditions, geographical characteristics, difficulties in forming and bonding, language barrier, and eating habits.
E6 ¹⁵	Brazil/2014/Ethnographic study	Describe the reflexes of organizing the primary health care, primary health care service for indigenous health care to the elderly Kaingang in the perception of Kaingang, elderly in the perception of health professionals working in the area.	Consultation with the multidisciplinary team, health promotion, protection, and recovery, as well as other activities recommended by the Ministry of Health.	Language barrier, lack of an efficient information system, difficulty of articulation with the SUS reference network, lack of recruitment of trained staff, high turnover of professionals.
E7 ¹⁶	Brazil/2012/Descriptive study	To identify the difficulties encountered by nurses in assisting the indigenous population in Grajaú-MA.	Adult and childcare nursing consultation.	They report the difficult location of the villages because they are far from civilization and from equipped hospitals. Added to this are the myths, customs, and beliefs that attribute illnesses to spells. In addition, the inadequate working conditions, such as: lack of water, energy, equipment to check vital signs, scales to weigh children, and the language barrier.
E8 ¹⁷	Brazil/2010/Reflective study	Stimulate a reflection on the contradictions that have arisen within the indigenous health policy in Brazil, whose norms fail to contribute to the structuring of new approaches that value diversity from the ethnic and cultural point of view.	Nursing consultations, vaccinations, and activities recommended by the Ministry of Health.	Difficulty in making themselves understood, precariousness of the services and structure, prejudice for professionals, and lack of understanding of the indigenous beliefs and myths.

Universidade Federal do Paraná Av. Prefeito Lothário Meissner, 632, Cep: 80210-170, Brasil - Paraná / Curitiba, Tel: +55 (41) 3361-3755 - Curitiba - PR - Brazil
E-mail: cogitare@ufpr.br

Acompanhe os números deste periódico no seu leitor de RSS

[1] Corresponding author: Marcelo Anderson Cavalcante Monteiro Universidade da Integração da Lusofonia Afro-Brasileira, Redenção - CE, Brasil Avenida da abolição, 3 - centro, Redenção CE E-mail: marcelo_enfer_2013@hotmail.com