Nursing Care for the transgender population: genders from the perspective of professional practice

Abstract

Objective: To describe and analyze the national and international scientific production on Nursing care for the transgender or gender-variance population. Method: Integrative review of the literature, conducted throughout the Virtual Health Library, Cumulative Index to Nursing and Allied Health Literature, Public Medline and Web of Science databases, without pre-established periods of time and using the descriptors "Transgender AND ‘Nursing Assistance'" and "Transgender AND ‘Nursing care'". Results: We included 11 articles, published between 2005 and 2016, broadly North American with only one Brazilian, so categorized: I- Fragility in the care of transgender people; II - Health of the transgender population: general and specific demands; III- Public health policies for transgender people. Transgender people have not found yet answers to their health demands; they are victims of prejudices and violence in services and seek care in extreme cases of sickness. Final considerations: Understanding their needs is primordial to build knowledge and practices that support nursing care.

Social identity of transgender persons: concept analysis and proposition of nursing diagnoses

“…Despite the recognized advance in the production in the area, its various conceptual propositions, definitions, and theories can generate divergences and counterpoints in their application in specific settings and social groups. The application of these concepts, both in social groups and in the trans community, is a fundamental initiative for understanding the social dynamics of this vulnerable group, especially because they understand that the visibility or invisibility of the transgender person damages their identity and self-esteem, causing psychological distress that may lead to psychopathologies such as depression and anxiety, among others (9) . Therefore, understanding the social identity of the transgender person, especially in the field of health, provides interfaces to be discussed for the construction of an appropriate nursing practice for this group.…”

Health of the LGBTI+ Population in Primary Health Care and the Insertion of Nursing

“…30 In a review study on the nursing care for the trans population 11 publications were found in the 2005-2001 period, most from abroad, with only one Brazilian publication. 31 The results show that few nurses feel able to serve this population and that there is lack of knowledge and competency for the interaction with trans people and for dealing with gender diversity in the professional practice; thus, it is necessary to increase or to include contents in the nursing curricula. 31 Corroborating with this data, a study with 19 students from a federal university in the Brazilian South Region evidenced weaknesses in their knowledge, both about their concepts of homo and bisexuality as well as about the training on the care for this group, with a superficial approach in classrooms, leading them to search for extracurricular activities.…”

“…31 The results show that few nurses feel able to serve this population and that there is lack of knowledge and competency for the interaction with trans people and for dealing with gender diversity in the professional practice; thus, it is necessary to increase or to include contents in the nursing curricula. 31 Corroborating with this data, a study with 19 students from a federal university in the Brazilian South Region evidenced weaknesses in their knowledge, both about their concepts of homo and bisexuality as well as about the training on the care for this group, with a superficial approach in classrooms, leading them to search for extracurricular activities. 32 Homo and bisexual women have fewer chances of being offered to undergo a cytopathological cervical examination and are exposed to acts of violence during the procedure, such as the use of a speculum of an inadequate size and without the necessary lubrication.…”

As expectativas dos homens trans diante da hormonização cruzada: contribuições da enfermagem no cuidado em saúde

“…Podemos perceber a necessidade da criação de espaços onde a enfermagem possa estar presente na construção de projetos terapêuticos para a população trans e na criação de vínculos, estabelecendo assim a confiança tão necessária para o acolhimento nos serviços de saúde (Rosa et al, 2019).…”