Bridging Culture and Care: The Role of Ethnographic Inquiry in Contemporary Nursing Practice
DOI:
https://doi.org/10.56294/cid2025151Keywords:
Anthropolgy, Cultural, Etnography, Qualitative Research, NursingAbstract
Introduction: Ethnography has gained increasing relevance in nursing research by enabling the understanding of cultural meanings attributed to health, illness, and care. This study aims to analyze the application of ethnography in the nursing discipline, with a particular focus on ethnonursing as a theoretical and practical field that supports culturally congruent care. Methods: A literature analysis was conducted, focusing on studies and theoretical contributions that explore the integration of ethnographic approaches in nursing. Emphasis was placed on the epistemological foundations of ethnography, participant observation techniques, interviews, and documentary research, as well as on the identification of ethical and methodological challenges. Results: The findings reveal that ethnonursing provides a robust framework for understanding cultural contexts in healthcare. The literature highlights its relevance in promoting care practices that respect cultural diversity and improve the nurse-patient relationship. Key methodological tools such as participant observation and cultural interviews are central to its implementation. However, challenges such as researcher positioning, ethical dilemmas, and the complexity of cultural interpretation remain. Conclusions: Integrating ethnonursing into clinical practice enhances the delivery of interculturally competent care that upholds human dignity. In a global context marked by increasing cultural diversity and migratory flows, ethnographic approaches contribute significantly to tailoring care to patients' cultural needs, reinforcing the central role of nursing in promoting equitable and respectful healthcare.
References
(1) Gaspar AMFCC, Branco CB, Pedro CFS, Nunes DF, Alves NSA, Reis A. As estratégias de enfermagem adotadas para ultrapassar as barreiras culturais e linguísticas com pessoas culturalmente diversas: scoping review. Revista UIIPS. 2020;8(1):215–22.
(2) Rosa NG, Lucena AF, Crossetti MGO. Etnografia e etnoenfermagem: métodos de pesquisa em enfermagem. Rev Gaúcha Enferm. 2003;24(1):14–22.
(3) Lenardt MH, Michel T, Melo LP. As pesquisas etnográficas em enfermagem nas sociedades complexas. Columb Met.2011;42(1):70-7.
(4) Correia MCB. Observação participante enquanto técnica de investigação. Rev Pensar Enferm. 2009;13(2):30-6. https://doi.org710.56732/pensarenf.v13i2.32
(5) McAuliffe, M. and L.A. Oucho (eds.). World Migration Report 2024. Geneva; International Organization for Migration (IOM), Geneva, 2024
(6) AIMA I.P. - DPEE – Direção de Planeamento, Estudos e Estatística. Relatório de Migrações e Asilo 2023. Lisboa: AIMA I.P. – Agência para a Integração, Migrações e Asilo, 2024.
(7) Leininger MM. Culture care diversity and universality: a theory of nursing. New York: National League for Nursing Press; 1991.
(8) Wehbe-Alamah H, McFarland M. Leininger's Ethnonursing Research Method: Historical Retrospective and Overview. J Transcult Nurs. 2020;31(4):337-349. https://doi.org/10.1177/1043659620912308
(9) Pamplona Vl, Parada CMGL. Pesquisa etnográfica em enfermagem: uma aproximação. Rev Bras Enferm. 1994;47(3):219–30. https://doi.org/10.1590/S0034-71671994000300002
(10) França BS, Tavares MM, Teles VR, Pinheiro PRS, Rabelo TS, Rabelo IS. O cuidado de enfermagem e a diversidade cultural: um estudo reflexivo. Rev Práxis. 2023;15(29):1–6. https://doi.or/10.47385/praxis.v15.n29.3799
(11) Martin-Ferreres ML, De Juan Pardo MÁ, Bardallo Porras D, Medina Moya JL. An ethnographic study of human dignity in nursing practice. Nurs Outlook. 2019;67(4):393-403. https://doi.org/10.1016/j.outlook.2019.02.010
(12) Sousa LB, Barroso MGT. Pesquisa Etnográfica: Evolução e Contribuição para a Enfermagem. Esc Anna Nery Rev Enferm. 2008;12(1):150–5. https://doi.org/10.1590/S1414-81452008000100023
(13) Tomey AM, Alligood MR. Teóricas de Enfermagem e a sua Obra (Modelos e Teorias de Enfermagem. Loures: Lusociência, 2004.
(14) Belém JM, Pereira EV, Rebouças VCF, Borges JWP, Pinheiro AKB, Quirino GS. Theoretical, methodological and analytical aspects of ethnographic research in obstretric nursing: an integrative review. Rev Esc Enferm USP. 2020;54:e03547. https://doi.org/10.1590/S1980-220X2018034203547
(15) Briñez Ariza KJ, Ortiz Whitaker MC, González Soto CE. Etnoenfermería y teoría del cuidado cultural, evidencias metodológicas en la investigación en enfermería: una revisión integrativa. Enfermería: Cuidados Humanizados. 2024;13:e3926. https://doi.org/10.22235/ech.v13i2.3926
(16) Shattnawi KK. Ethnography in Nursing Research: A Reflective Methodological Perspective. Journal of Advanced Nursing. 2025;0:1-7. https://doi.org/10.1111/jan.16940
(17) Ataíde FB, Oliveira GS, Silva AAF. A etnografia: uma perspectiva metodológica de investigação qualitativa. Cadernos de Fucamp. 2021;20(48:133-147.
(18) Spradley J. The participant observation. New York: Holt Rinehart and Winston, 1979.
(19) Hwang H, De Gagne JC, Yoo L, Lee M, Jo HK, KIM J. Exploring Nursing Research Culture in Clinical Practice: Qualitative Ethnographic Study. Asian Pac Isl Nurs J. 2024;8:e50703. https://doi.org/10.2196/50703
(20) Moita MAG, Silva AL. Modelos de Competência Cultural: Uma análise crítica. Rev Pensar Enferm. 2016;20(2):72-88. https://doi.org/10.56732/pensarenf.v20i2.120
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Andreia Faleiro, Cláudia Oliveira (Author)

This work is licensed under a Creative Commons Attribution 4.0 International License.
The article is distributed under the Creative Commons Attribution 4.0 License. Unless otherwise stated, associated published material is distributed under the same licence.