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Volume 11
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Review

Coping with Hypertension among Indigenous Peoples in Brazil and the Role of the Primary Care Nurse: A Critical Review from a Transcultural Perspective

by
Mauricio Viana Gomes Oliveira
1,*,
Ângela Maria Mendes Abreu
2,
James R. Welch
3 and
Carlos E. A. Coimbra, Jr.
3
1
Departamento de Enfermagem, Universidade Federal de Rondônia, Porto Velho 76801-059, Brazil
2
Escola de Enfermagem Anna Nery, Universidade Federal de Rio de Janeiro, Rio de Janeiro 20211-130, Brazil
3
Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz (FIOCRUZ), Rio de Janeiro 21041-210, Brazil
*
Author to whom correspondence should be addressed.
Nurs. Rep. 2021, 11(4), 942-954; https://doi.org/10.3390/nursrep11040086
Submission received: 14 October 2021 / Revised: 9 November 2021 / Accepted: 11 November 2021 / Published: 16 November 2021
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Abstract

Our objective is to critically review the literature addressing the strategic role of nurses in the daily primary care of arterial hypertension in Indigenous communities in Brazil. We selected studies based on an initial keyword search of major bibliographic indexing databases for the years 2000 to 2020 and manual search. Further selection was based on topical, methodological, and thematic relevance, as well as evaluation of scholarship quality and pertinence to our chosen narrative. The literature demonstrates Indigenous peoples do not receive health services that measure up to national standards in large part due to a marked lack of academic and employer preparation for nurses operating in transcultural settings. Inequities were apparent in recurrent reports of victim-blaming, deficient clinical communication with patients, clinical malpractice, devaluation of hypertension as a problem for Indigenous peoples, insufficient intercultural training for nurses, and discrimination against Indigenous students in nursing education programs. This systemic problem needs to be addressed by universities and the Indigenous Health Care Subsystem in Brazil.
Keywords: primary care nursing; indigenous people’s health; transcultural healthcare; hypertension; Brazil primary care nursing; indigenous people’s health; transcultural healthcare; hypertension; Brazil

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MDPI and ACS Style

Oliveira, M.V.G.; Abreu, Â.M.M.; Welch, J.R.; Coimbra, C.E.A., Jr. Coping with Hypertension among Indigenous Peoples in Brazil and the Role of the Primary Care Nurse: A Critical Review from a Transcultural Perspective. Nurs. Rep. 2021, 11, 942-954. https://doi.org/10.3390/nursrep11040086

AMA Style

Oliveira MVG, Abreu ÂMM, Welch JR, Coimbra CEA Jr. Coping with Hypertension among Indigenous Peoples in Brazil and the Role of the Primary Care Nurse: A Critical Review from a Transcultural Perspective. Nursing Reports. 2021; 11(4):942-954. https://doi.org/10.3390/nursrep11040086

Chicago/Turabian Style

Oliveira, Mauricio Viana Gomes, Ângela Maria Mendes Abreu, James R. Welch, and Carlos E. A. Coimbra, Jr. 2021. "Coping with Hypertension among Indigenous Peoples in Brazil and the Role of the Primary Care Nurse: A Critical Review from a Transcultural Perspective" Nursing Reports 11, no. 4: 942-954. https://doi.org/10.3390/nursrep11040086

APA Style

Oliveira, M. V. G., Abreu, Â. M. M., Welch, J. R., & Coimbra, C. E. A., Jr. (2021). Coping with Hypertension among Indigenous Peoples in Brazil and the Role of the Primary Care Nurse: A Critical Review from a Transcultural Perspective. Nursing Reports, 11(4), 942-954. https://doi.org/10.3390/nursrep11040086

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