Health Sciences Students: Witnesses of Discrimination in the Care of Foreign Patients in Chile.
Objective. This work sought to inquire on the perception of Health Sciences students about the health care provided to patients of foreign origin in clinical environments. Methods. Phenomenological approach with multiple case study design. Health Sciences students from three Chilean universities par...
| Published in: | Investigación & Educación en Enfermería Vol. 43; no. 1; pp. 1 - 18 |
|---|---|
| Main Authors: | , , , |
| Format: | Article |
| Published: |
Universidad de Antioquia, Facultad de Enfermeria
Jan-Apr2025
|
| Subjects: | |
| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=lth&AN=185112778&site=ehost-live header: @attributes: shortDbName: lth uiTerm: 185112778 longDbName: MedicLatina uiTag: AN controlInfo: bkinfo: jinfo: jid: 01205307 Z0F jtl: Investigación & Educación en Enfermería issn: 01205307 maglogo: N pubinfo: dt: Jan-Apr2025 vid: 43 iid: 1 pid: 27382 pub: Universidad de Antioquia, Facultad de Enfermeria artinfo: ui: 185112778 10.17533/udea.iee.v43n1e09 ppf: 1 ppct: 17 formats: fmt: @attributes: type: P size: 1MB tig: atl: Health Sciences Students: Witnesses of Discrimination in the Care of Foreign Patients in Chile. aug: au: Álvarez-Cruces, Debbie Jeinnisse Aneas Álvarez, Assumpta Nocetti-de-la-Barra, Alejandra Mansilla Sepúlveda, Juan affil: Nurse and Dental Surgeon, PhD. Associate Professor, Universidad de Concepción, Chile Pedagogist, PhD. Full Professor, Universidad de Barcelona, Spain Biology Professor, PhD. Associate Professor, Universidad Católica de la Santísima Concepción, Chile Professor of History, Geography, and Civic Education, PhD. Associate Professor, Universidad Católica de Temuco, Chile su: Evaluation of medical care Immigrants Power (Social sciences) Diversity & inclusion policies Prejudices Occupational roles Qualitative research Institutional racism Health occupations students Interviewing Culture Descriptive statistics Age distribution Emotions Xenophobia Patient-professional relations Social skills Research methodology Discrimination (Sociology) Health equity Student attitudes Phenomenology Case studies Data analysis software Psychosocial factors Apathy Chile sug: subj: Chile Evaluation of medical care Immigrants Power (Social sciences) Diversity & inclusion policies Prejudices Occupational roles Qualitative research Institutional racism Health occupations students Interviewing Culture Descriptive statistics Age distribution Emotions Xenophobia Patient-professional relations Social skills Research methodology Discrimination (Sociology) Health equity Student attitudes Phenomenology Case studies Data analysis software Psychosocial factors Apathy keyword: ciências da saúde ciencias de la salud discriminação percebida discriminación percibida disparidades em assistência à saúde disparidades en atención de salud disparities in health care formação profissional formación profesional Health Sciences migrantes migrants perceived discrimination professional training ciencias de la salud discriminación percibida disparidades en atención de salud formación profesional migrantes ciências da saúde discriminação percebida disparidades em assistência à saúde formação profissional ab: Objective. This work sought to inquire on the perception of Health Sciences students about the health care provided to patients of foreign origin in clinical environments. Methods. Phenomenological approach with multiple case study design. Health Sciences students from three Chilean universities participated with intensity sampling. Semi-structured interviews were conducted via Zoom after the consent was signed. Data analysis included open and axial coding axial with the aid of the ATLAS.ti 24 software. Results. The study had the participation of 106 students, who identified different types of discrimination, besides diverse exclusion manifestations that take place during the care process, such as: apathy, prejudice/stereotyping, derogatory comments, evading, underestimating, normalizing discrimination, infantilizing, and scoffing. Some of the participants normalized these behaviors due to the overload health system. Conclusion. The Health Sciences students witnessed several types of discrimination and exclusion manifestations occurring during the care process, highlighting apathy and evading as characteristic of the clinical environment, which could favor negative vicarious learning that perpetuates discriminatory conducts against foreign patients. Objetivo. Indagar en la percepción del estudiantado de Ciencias de la Salud sobre la atención sanitaria proporcionada a los pacientes de origen extranjero en los ambientes clínicos. Métodos. Enfoque fenomenológico con diseño Estudio de Caso Múltiple. Participaron estudiantes de Ciencias de la Salud de tres universidades chilenas seleccionados con muestreo por intensidad. Se realizaron entrevistas semiestructuradas por Zoom luego de firmar el consentimiento. El análisis de los datos incluyó codificación abierta y axial con la asistencia del software ATLAS.ti 24. Resultados. Participaron 106 estudiantes, quienes identificaron diferentes tipos de discriminación, además de diversas manifestaciones de exclusión que ocurren durante el proceso de atención, como: desidia, prejuicio/estereotipo, comentarios despectivos, eludir, menospreciar, normalizar la discriminación, infantilizar y burlarse. Algunos de los participantes normalizaron estos comportamientos debido a la sobrecarga del sistema sanitario. Conclusión. El estudiantado de Ciencias de la Salud fue testigo de varios tipos de discriminación y manifestaciones de exclusión que ocurren durante el proceso de atención, destacaron la desidia y eludir como propias del ambiente clínico, lo cual podría favorecer un aprendizaje vicario negativo que perpetúe conductas discriminatorias a pacientes extranjeros. Objetivo. Investigar a percepção de estudantes de Ciências da Saúde sobre o atendimento à saúde de pacientes de origem estrangeira em ambientes clínicos. Métodos. Abordagem fenomenológica com delineamento de estudo de caso múltiplo. Participaram estudantes de Ciências da Saúde de três universidades chilenas, selecionados por amostragem de intensidade. Entrevistas semiestruturadas foram conduzidas via Zoom após assinatura do termo de consentimento. A análise de dados incluiu codificação aberta e axial com o auxílio do software ATLAS.ti 24. Resultados. Participaram 106 estudantes, que identificaram diferentes tipos de discriminação, bem como diversas manifestações de exclusão que ocorrem durante o processo de cuidado, tais como: apatia, preconceito/estereótipo, comentários depreciativos, evitação, menosprezo, discriminação normalizadora, infantilização e deboche. Alguns participantes normalizaram esses comportamentos devido à sobrecarga do sistema de saúde. Conclusão. Os estudantes de Ciências da Saúde testemunharam vários tipos de discriminação e manifestações de exclusão que ocorrem durante o processo de cuidado, destacando a apatia e a evitação como típicas do ambiente clínico, o que pode favorecer a aprendizagem vicária negativa que perpetua o comportamento discriminatório em relação aos pacientes estrangeiros. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: Y custom: Copyright of Investigación & Educación en Enfermería is the property of Universidad de Antioquia, Facultad de Enfermeria and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. item: Investigación & Educación en Enfermería holder: Universidad de Antioquia, Facultad de Enfermeria dt: @attributes: year: 2025 holdings: @attributes: islocal: N |
|---|