Interprofessional care for Indigenous women during pregnancy and childbirth in light of Complexity Theory
OBJECTIVE: To reflect, in light of complexity theory, on the dynamics of interprofessional healthcare for indigenous women during pregnancy and the postpartum period. METHOD: A theoretical-reflective study, using Edgar Morin's complexity framework, through the tetragram to reveal the encounters...
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2026
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| author | Julieli Rosso LUANA PIZARRO MENEGHELLO Silvia Naujorks Janet Mercedes Arévalo-Ipanaqué Dirce Stein Backes Juliana Silveira Colomé |
| author_browse | Dirce Stein Backes Janet Mercedes Arévalo-Ipanaqué Juliana Silveira Colomé Julieli Rosso LUANA PIZARRO MENEGHELLO Silvia Naujorks |
| author_facet | Julieli Rosso LUANA PIZARRO MENEGHELLO Silvia Naujorks Janet Mercedes Arévalo-Ipanaqué Dirce Stein Backes Juliana Silveira Colomé |
| author_sort | Julieli Rosso |
| collection | Producción científica |
| description | OBJECTIVE: To reflect, in light of complexity theory, on the dynamics of interprofessional healthcare for indigenous women during pregnancy and the postpartum period. METHOD: A theoretical-reflective study, using Edgar Morin's complexity framework, through the tetragram to reveal the encounters, tensions, and possibilities present in interprofessional care in intercultural contexts. RESULTS: Interprofessional care emerges as a crucial strategy for overcoming the fragmentation of the hegemonic biomedical model. The application of the tetragram has demonstrated that: order resides in traditional practices and biomedical protocols; disorder manifests itself in cultural ruptures and conflicts; interaction occurs in experiences of articulation between different types of knowledge; and organization indicates the construction of more inclusive and adaptive care arrangements. CONCLUSION: Complexity theory offers a fruitful lens for rethinking and (re)orienting attention to indigenous women's health, highlighting the imperative of active listening, valuing traditional knowledge, and building culturally safe, contextualized, and transformative interprofessional practices. |
| format | Article |
| id | oai:cris.upeu.edu.pe:20.500.15037/883 |
| institution | UPeU |
| language | English |
| publishDate | 2026 |
| publishDateRange | 2026 |
| publishDateSort | 2026 |
| record_format | dspace |
| spelling | oai:cris.upeu.edu.pe:20.500.15037/8832026-10-30T16:14:56ZInterprofessional care for Indigenous women during pregnancy and childbirth in light of Complexity TheoryJulieli RossoLUANA PIZARRO MENEGHELLOSilvia NaujorksJanet Mercedes Arévalo-IpanaquéDirce Stein BackesJuliana Silveira ColoméIndigenousNursingHealth careChildbirthMultidisciplinary approachHegemonyTransformative learningArticulation (sociology)PregnancySociologyPsychologyHealthcare systemMedicineNursing theoryEmpowermentPrenatal careIndigenousHealth careChildbirthMultidisciplinary approachHegemonyTransformative learningFemaleFemaleHealth Services, Indigenous organization & administrationHealth Services, Indigenous organization & administrationHumansHumansInterprofessional RelationsInterprofessional RelationsPatient Care Team organization & administrationPatient Care Team organization & administrationPregnancyPregnancyParturitionParturitionHealth Sciences Health Professions General Health Professions Maternal and Neonatal HealthcareHealth Sciences Health Professions General Health Professions Indigenous Health and EducationHealth Sciences Health Professions General Health Professions Health, Nursing, Elderly CareOBJECTIVE: To reflect, in light of complexity theory, on the dynamics of interprofessional healthcare for indigenous women during pregnancy and the postpartum period. METHOD: A theoretical-reflective study, using Edgar Morin's complexity framework, through the tetragram to reveal the encounters, tensions, and possibilities present in interprofessional care in intercultural contexts. RESULTS: Interprofessional care emerges as a crucial strategy for overcoming the fragmentation of the hegemonic biomedical model. The application of the tetragram has demonstrated that: order resides in traditional practices and biomedical protocols; disorder manifests itself in cultural ruptures and conflicts; interaction occurs in experiences of articulation between different types of knowledge; and organization indicates the construction of more inclusive and adaptive care arrangements. CONCLUSION: Complexity theory offers a fruitful lens for rethinking and (re)orienting attention to indigenous women's health, highlighting the imperative of active listening, valuing traditional knowledge, and building culturally safe, contextualized, and transformative interprofessional practices.Articlehttps://pubmed.ncbi.nlm.nih.gov/42113800https://www.scielo.br/j/reeusp/a/fWVJxCwbfrptmFQFkX3bdyc/?lang=en&format=pdfhttps://doi.org/10.1590/1980-220x-reeusp-2025-0504en10.1590/1980-220x-reeusp-2025-0504enhttps://hdl.handle.net/20.500.15037/883W7160853149enRevista da Escola de Enfermagem da USP0080-62341980-220X2026-01-012026-06-13T09:39:31Z2026-06-13T09:39:31Z |
| spellingShingle | Indigenous Nursing Health care Childbirth Multidisciplinary approach Hegemony Transformative learning Articulation (sociology) Pregnancy Sociology Psychology Healthcare system Medicine Nursing theory Empowerment Prenatal care Indigenous Health care Childbirth Multidisciplinary approach Hegemony Transformative learning Female Female Health Services, Indigenous organization & administration Health Services, Indigenous organization & administration Humans Humans Interprofessional Relations Interprofessional Relations Patient Care Team organization & administration Patient Care Team organization & administration Pregnancy Pregnancy Parturition Parturition Health Sciences Health Professions General Health Professions Maternal and Neonatal Healthcare Health Sciences Health Professions General Health Professions Indigenous Health and Education Health Sciences Health Professions General Health Professions Health, Nursing, Elderly Care Julieli Rosso LUANA PIZARRO MENEGHELLO Silvia Naujorks Janet Mercedes Arévalo-Ipanaqué Dirce Stein Backes Juliana Silveira Colomé Interprofessional care for Indigenous women during pregnancy and childbirth in light of Complexity Theory |
| title | Interprofessional care for Indigenous women during pregnancy and childbirth in light of Complexity Theory |
| title_full | Interprofessional care for Indigenous women during pregnancy and childbirth in light of Complexity Theory |
| title_fullStr | Interprofessional care for Indigenous women during pregnancy and childbirth in light of Complexity Theory |
| title_full_unstemmed | Interprofessional care for Indigenous women during pregnancy and childbirth in light of Complexity Theory |
| title_short | Interprofessional care for Indigenous women during pregnancy and childbirth in light of Complexity Theory |
| title_sort | interprofessional care for indigenous women during pregnancy and childbirth in light of complexity theory |
| topic | Indigenous Nursing Health care Childbirth Multidisciplinary approach Hegemony Transformative learning Articulation (sociology) Pregnancy Sociology Psychology Healthcare system Medicine Nursing theory Empowerment Prenatal care Indigenous Health care Childbirth Multidisciplinary approach Hegemony Transformative learning Female Female Health Services, Indigenous organization & administration Health Services, Indigenous organization & administration Humans Humans Interprofessional Relations Interprofessional Relations Patient Care Team organization & administration Patient Care Team organization & administration Pregnancy Pregnancy Parturition Parturition Health Sciences Health Professions General Health Professions Maternal and Neonatal Healthcare Health Sciences Health Professions General Health Professions Indigenous Health and Education Health Sciences Health Professions General Health Professions Health, Nursing, Elderly Care |
| topic_facet | Indigenous Nursing Health care Childbirth Multidisciplinary approach Hegemony Transformative learning Articulation (sociology) Pregnancy Sociology Psychology Healthcare system Medicine Nursing theory Empowerment Prenatal care Indigenous Health care Childbirth Multidisciplinary approach Hegemony Transformative learning Female Female Health Services, Indigenous organization & administration Health Services, Indigenous organization & administration Humans Humans Interprofessional Relations Interprofessional Relations Patient Care Team organization & administration Patient Care Team organization & administration Pregnancy Pregnancy Parturition Parturition Health Sciences Health Professions General Health Professions Maternal and Neonatal Healthcare Health Sciences Health Professions General Health Professions Indigenous Health and Education Health Sciences Health Professions General Health Professions Health, Nursing, Elderly Care |
| url | https://pubmed.ncbi.nlm.nih.gov/42113800 https://www.scielo.br/j/reeusp/a/fWVJxCwbfrptmFQFkX3bdyc/?lang=en&format=pdf https://doi.org/10.1590/1980-220x-reeusp-2025-0504en https://hdl.handle.net/20.500.15037/883 |
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