<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2664-3243</journal-id>
<journal-title><![CDATA[Vive Revista de Salud]]></journal-title>
<abbrev-journal-title><![CDATA[Vive Rev. Salud]]></abbrev-journal-title>
<issn>2664-3243</issn>
<publisher>
<publisher-name><![CDATA[CET-BOLIVIA]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2664-32432025000100142</article-id>
<article-id pub-id-type="doi">10.33996/revistavive.v8i22.367</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Cuidado de enfermería en entornos ambientales y culturales]]></article-title>
<article-title xml:lang="en"><![CDATA[Nursing care in environmental and cultural settings]]></article-title>
<article-title xml:lang="pt"><![CDATA[Cuidados de enfermagem em contextos ambientais e culturais]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rebolledo Malpica]]></surname>
<given-names><![CDATA[Dinora]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Muñiz Granoble]]></surname>
<given-names><![CDATA[Gloria]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez Orozco]]></surname>
<given-names><![CDATA[Cinthya]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vargas Aguilar]]></surname>
<given-names><![CDATA[Germania]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ramírez Perez]]></surname>
<given-names><![CDATA[Taycia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Guayaquil  ]]></institution>
<addr-line><![CDATA[Guayaquil ]]></addr-line>
<country>Ecuador</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2025</year>
</pub-date>
<volume>8</volume>
<numero>22</numero>
<fpage>142</fpage>
<lpage>153</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.bo/scielo.php?script=sci_arttext&amp;pid=S2664-32432025000100142&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.bo/scielo.php?script=sci_abstract&amp;pid=S2664-32432025000100142&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.bo/scielo.php?script=sci_pdf&amp;pid=S2664-32432025000100142&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN El cuidado de enfermería en entornos ambientales y culturales implica un enfoque integral que considera los factores sociales, culturales y ambientales como determinantes clave en la salud de las comunidades. Como objetivo se plantea analizar el papel del cuidado de enfermería en la salud colectiva, considerando los factores culturales y ambientales que influyen en las prácticas de atención en comunidades de Guayaquil, Ecuador. Materiales y Métodos: El estudio se desarrolló utilizando un enfoque cualitativo, caracterizada por una reflexión de tipo social, epistémica y axiológica sobre los cuidados de enfermería en contextos ambientales y culturales. Este enfoque permitió analizar la realidad desde una perspectiva transformadora, promoviendo un entendimiento crítico de las prácticas de cuidado. Resultados: El estudio destaca. En este sentido que el cuidado ambiental es reconocido por su relevancia por el 100% de los participantes, el 75% reconocen realizar actividades educativas en la comunidad y el 85% asumen un compromiso activo. El 90% de los participantes enfatizan la importancia del respeto cultural, lo cual se pone en práctica en el respeto hacia la diversidad y las creencias y valores culturales. Además, el 80% aplican competencias interculturales en su práctica y el 70% fomentan la autogestión en salud. Conclusiones: El cuidado desde una perspectiva ambiental y cultural implica comprender las tradiciones, valores y prácticas de la población a la que se atiende, para adaptar las intervenciones de salud de manera respetuosa y efectiva. En este sentido, los profesionales de enfermería no solo deben ser expertos en los aspectos clínicos de la salud, sino también en las dinámicas sociales y culturales que impactan la vida de las personas.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT O cuidado de enfermagem em ambientes ambientais e culturais envolve uma abordagem abrangente que considera fatores sociais, culturais e ambientais como determinantes-chave na saúde das comunidades. O objetivo é analisar o papel do cuidado de enfermagem na saúde coletiva, considerando os fatores culturais e ambientais que influenciam as práticas de cuidado em comunidades de Guayaquil, Equador. Materiais e Métodos: O estudo foi desenvolvido por meio de uma abordagem qualitativa, caracterizada pela reflexão de cunho social, epistêmico e axiológico sobre o cuidado de enfermagem em contextos ambientais e culturais. Essa abordagem permitiu analisar a realidade sob uma perspectiva transformadora, promovendo uma compreensão crítica das práticas de cuidado. Resultados: O estudo destaca que, neste sentido, o cuidado ambiental é reconhecido por sua relevância por 100% dos participantes, 75% reconhecem a realização de atividades educativas na comunidade e 85% assumem um compromisso ativo. Noventa por cento dos participantes enfatizam a importância do respeito cultural, que é colocado em prática no respeito à diversidade e às crenças e valores culturais. Além disso, 80% aplicam habilidades interculturais em sua prática e 70% promovem a autogestão em saúde. Conclusões: Cuidar de uma perspectiva ambiental e cultural envolve compreender as tradições, valores e práticas da população atendida, a fim de adaptar as intervenções de saúde de forma respeitosa e eficaz. Nesse sentido, o profissional de enfermagem deve ser especialista não apenas nos aspectos clínicos da saúde, mas também nas dinâmicas sociais e culturais que impactam a vida das pessoas.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[RESUMO O cuidado de enfermagem em ambientes ambientais e culturais envolve uma abordagem abrangente que considera os fatores sociais, culturais e ambientais como determinantes fundamentais na saúde das comunidades. Os profissionais de enfermagem desempenham um papel fundamental no empoderamento das pessoas para que possam modificar suas condições de vida e prevenir doenças, adequando sua prática às realidades locais. Materiais e Métodos: O estudo utilizou uma metodologia sociocrítica qualitativa e uma abordagem etnográfica para analisar a assistência de enfermagem em Guayaquil, envolvendo 16 enfermeiros por meio de grupos focais. Para analisar os dados, utilizou-se o software Atlas ti 9, identificando padrões e temas emergentes relacionados aos contextos culturais e ambientais da prática. Resultados: O estudo destaca o papel essencial da enfermagem no cuidado ambiental e cultural das comunidades, reconhecendo que a saúde coletiva depende de um ambiente limpo e que respeite as diversas culturas. Os enfermeiros promovem a educação da comunidade para cuidar do meio ambiente e da saúde, respeitando as crenças locais e promovendo a participação de todos os envolvidos. Conclusões: O cuidado de enfermagem em ambientes culturais e ambientais é essencial para enfrentar as desigualdades em saúde. Essa abordagem promove o bem-estar das comunidades, integrando práticas culturais e conhecimentos locais no desenho das intervenções. A educação e o empoderamento são fundamentais para transformar a saúde pública e promover mudanças positivas.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Ambiente]]></kwd>
<kwd lng="es"><![CDATA[Cuidado de enfermería]]></kwd>
<kwd lng="es"><![CDATA[Cultura]]></kwd>
<kwd lng="es"><![CDATA[Empoderamiento]]></kwd>
<kwd lng="es"><![CDATA[Salud comunitaria]]></kwd>
<kwd lng="en"><![CDATA[Community health]]></kwd>
<kwd lng="en"><![CDATA[Culture]]></kwd>
<kwd lng="en"><![CDATA[Empowerment]]></kwd>
<kwd lng="en"><![CDATA[Environment]]></kwd>
<kwd lng="en"><![CDATA[Nursing care]]></kwd>
<kwd lng="pt"><![CDATA[Ambiente]]></kwd>
<kwd lng="pt"><![CDATA[Cuidado de enfermagem]]></kwd>
<kwd lng="pt"><![CDATA[Cultura]]></kwd>
<kwd lng="pt"><![CDATA[Empoderamento]]></kwd>
<kwd lng="pt"><![CDATA[Saúde comunitária]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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