Silveira Juliana Cristina Pereira, Souza Danton Matheus de, Cardoso Clarissa de Souza, Oliveira Márcia Aparecida Ferreira de
Universidade de São Paulo. São Paulo, São Paulo, Brazil.
Universidade Federal de Pelotas. Pelotas, Rio Grande do Sul, Brazil.
Rev Bras Enferm. 2025 Mar 17;78Suppl 2(Suppl 2):e20240266. doi: 10.1590/0034-7167-2024-0266. eCollection 2025.
to identify barriers and strategies that facilitate access and welcoming transgender children and adolescents in the Healthcare Network.
an integrative literature review, with articles, available in full, with children and adolescents between 6 and 19 years of age, published between January 2013 and April 2023, in Portuguese, English or Spanish. The level of evidence was assessed using the JBI classification.
the main barriers were low professional knowledge, hostile professional interactions, and sexual presumption. Facilitating strategies included continuing education, questioning about gender and pronouns, and encouraging a respectful and welcoming environment.
this study indicates numerous barriers to access and support for transgender children and adolescents and strategies that can transform this context, aiming to move towards comprehensive care that recognizes, validates and supports gender identity with appropriate, safe and inclusive care.
识别医疗保健网络中阻碍接纳以及方便跨性别儿童和青少年就医的障碍与策略。
进行一项综合文献综述，纳入2013年1月至2023年4月期间以葡萄牙语、英语或西班牙语全文发表的、针对6至19岁儿童和青少年的文章。使用JBI分类法评估证据水平。
主要障碍包括专业知识不足、专业人员的敌对互动以及性推定。促进策略包括继续教育、询问性别和代词，以及营造尊重和包容的环境。
本研究指出了跨性别儿童和青少年就医及获得支持方面的众多障碍，以及可改变这种状况的策略，旨在朝着提供全面护理的方向发展，通过适当、安全和包容的护理来认可、确认并支持性别认同。
