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初级卫生保健中的跨性别群体护理:综合评价。

Nursing care for the transgender population in primary health care: an integrative review.

机构信息

Nurse, Resident,. Instituto de Medicina Integral Professor Fernando Figueira, Recife (Brazil). Email:

Dentist, Doctor. Associate Professor, Universidade Federal da Bahia, Vitória da Conquista (Brazil). Email:

出版信息

Invest Educ Enferm. 2023 Feb;41(1). doi: 10.17533/udea.iee.v41n1e07.

Abstract

OBJECTIVE

To describe the care provided to the transgender population by nursing in Primary Health Care (PHC).

METHODS

Integrative literature review performed in the Virtual Health Library (VHL), Medline/PubMed and Web of Science (WoS) databases without a pre-established time frame, using the descriptors "transgender persons", "gender identity", "nursing care" and "primary health care".

RESULTS

Eleven articles published between 2008-2021 were included. They were categorized as follows: Embracement and healthcare; Implementation of Public Health Policies; Weaknesses in academic training; Barriers between theory and practice. The articles showed a limited scenario of nursing care for the transgender population. The scarcity of research focused on this theme is an important sign of how care has been incipient or even non- existent in the context of PHC.

CONCLUSIONS

Structural and interpersonal stigmas materialized in discriminatory and prejudiced practices perpetrated by managers, professionals and health institutions constitute the greatest challenges to be overcome for comprehensive, equitable and humanized care provided to the transgender population by nursing.

摘要

目的

描述初级卫生保健(PHC)中护理为跨性别群体提供的护理。

方法

在虚拟健康图书馆(VHL)、Medline/PubMed 和 Web of Science(WoS)数据库中进行综合文献回顾,没有预先设定的时间框架,使用的描述符为“跨性别者”、“性别认同”、“护理”和“初级卫生保健”。

结果

纳入了 2008 年至 2021 年期间发表的 11 篇文章。它们分为以下几类:拥抱和医疗保健;公共卫生政策的实施;学术培训的弱点;理论与实践之间的障碍。这些文章显示了护理为跨性别群体提供的服务的有限场景。针对这一主题的研究稀缺是如何关注的一个重要标志护理在初级卫生保健背景下的初期甚至不存在。

结论

结构和人际污名化体现在管理者、专业人员和卫生机构实施的歧视性和偏见性做法中,这构成了为跨性别群体提供全面、公平和人性化护理的最大挑战。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c73e/10152908/b84f3e0ebc1c/2216-0280-iee-41-01-e7-gf1.jpg

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