# Experiences in the care of Indigenous people in hospital settings: challenges for clinical management

## TL;DR

This study explores challenges faced by hospital staff in providing care to Indigenous people, emphasizing the need for culturally sensitive approaches and intercultural training.

## Contribution

The study highlights the importance of aligning clinical management with cultural specificities to improve care for Indigenous populations.

## Key findings

- Cultural and linguistic barriers hinder effective communication and continuity of care for Indigenous patients.
- Lack of intercultural training among hospital professionals compromises clinical management implementation.
- Integrating cultural sensitivity into clinical management can lead to more equitable and responsive care for Indigenous communities.

## Abstract

to analyze the experiences of hospital care professionals in providing care to Indigenous individuals, from the perspective of clinical management.

a qualitative, descriptive-exploratory study using interviews guided by the Critical Incident Technique, conducted with 18 professionals from a federal university hospital in the Central-West region of Brazil. Data were analyzed using IRaMuTeQ® software and thematic content analysis.

five semantic classes emerged, organized into two categories, highlighting challenges such as cultural and linguistic barriers and the lack of intercultural training. These factors compromise continuity of care and communication with patients, weakening the implementation of clinical management.

clinical management, when aligned with cultural specificities, proves to be a strategic approach to improving hospital care for Indigenous populations. The study contributes to the field of Nursing by emphasizing the importance of intercultural training and care coordination, promoting integrated, equitable, responsive, and culturally sensitive approaches that address the real needs of these communities.

analisar a experiência de profissionais de saúde da atenção hospitalar no cuidado à pessoa indígena, sob a perspectiva da gestão da clínica.

estudo qualitativo, descritivo-exploratório, com entrevistas orientadas pela Técnica do Incidente Crítico, com 18 profissionais de um hospital universitário federal da região Centro-Oeste do Brasil. Os dados foram analisados com auxílio do software IRaMuTeQ® e análise de conteúdo temática.

emergiram cinco classes semânticas organizadas em duas categorias, evidenciando desafios como barreiras culturais, linguísticas e falta de formação intercultural que comprometem a continuidade do cuidado e a comunicação com o paciente, fragilizando a implementação da gestão da clínica.

a gestão da clínica, aliada às especificidades culturais, mostra-se estratégica para qualificar o cuidado hospitalar à população indígena. O estudo contribui à Enfermagem, destacando a importância da formação intercultural e da coordenação do cuidado, favorecendo abordagens integradas, equitativas, responsivas e culturalmente sensíveis às reais necessidades desses povos.