Navegando por Palavras-chave "Health Services Needs And Demand"

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    Necessidades de saúde de pessoas transgênero, travestis e não-binárias: possibilidades e desafios para a enfermagem
    (Universidade Federal de São Paulo (UNIFESP), 2019-03-28) Pereira, Nayla Rodrigues [UNIFESP]; Horta, Ana Lucia De Moraes [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Introduction: Despite media evidence regarding the health demands of travesti, transgender and nonbinary people, studies in health research, specifically in nursing, do not address the diversity and specificities of this population. In Brazil, the health care setting for this population was named the Transsexualizing Process and is based on the medical diagnosis of transsexuality. Concerning at health care needs from a collective perspective, not much was known from a depathologizing framework. Even less have described in the literature on the role of nursing during patient assessment and care delivery. The main objective of this study is to identify the health needs of people who experience the process of gender affirmation. Method: This is a qualitative, descriptive and exploratory study, divided into three phases. For the selection of participants, the concept of purposeful sampling was used, with emphasis on variation, seeking the highest diversity possible for the group selected. Data collection was performed using the semi-structured interview. All interviews were transcribed and the data analysis was performed with the MAXQDA software tool. The systematization of the empirical material used the concept of the theoretical framework of the thematic analysis. Results: Twenty people participated in the study, being 11 trans men, three trans women, a travesti, a transfeminine, a man, a woman, a non-binary trans man and a crossdresser. During the analysis process, the categories emerged were: Health Needs of trans, transvesti and non-binary people (which included the topics: need for good living conditions, need for access to health technologies and PAG, need for bonding with health professionals and the need for self-care and body autonomy for the trans person) and the health conceptualization. The nursing practice were highlighted in the empirical material, as its performance humanizes care, promote user embracement and cares for the body in transition along the nursing consultations. Discussion: Health needs are diverse and addressed various spheres of social life. The issues of good living conditions were highlighted by the vulnerability of the population. In general, these demands have not been satisfied by health services and the research results have confirmed evidence found in previous studies such as barriers to access to health, unpreparedness of professionals to care for a trans person, and difficulties in legal recognition of their name. Discrimination and violence marked the results, mainly for denied access to health care and fulfilling the population needs. There is still a lack of evidence about of the practices performed by nursing during the process of gender affirmation. Conclusion: The health needs of travesti, transgender and non-binary people are diverse, correlated to other social markers. Nursing appears as a co-participant in the process of recognition and satisfaction of these needs, requiring further studies in the area from a collective health perspective.