Nursing actions in Primary Health Care to lesbian and bisexual women
DOI:
https://doi.org/10.15253/2175-6783.20232483147Keywords:
Homosexuality, Female; Bisexuality; Nursing Care; Primary Health Care.Abstract
Objective: to investigate the actions of nurses in regard to lesbian and bisexual women in the context of the National Policy for the Integral Health of Lesbians, Gays, Bisexuals, Cross-Dressers and Transgender Persons. Methods: qualitative study involving 25 nurses from the Family Health Strategy, contacted via electronic means. We applied a form containing sociodemographic data and an investigation of actions in primary health care, as well as a thematic content analysis. Results: we found there are professional capacitation activities, embracing of demands, and enhanced interprofessional work. Nonetheless, there were shortcomings in the knowledge regarding health care towards lesbian and bisexual women. Conclusion: there are still prejudices, difficulty to access, and little attendance of lesbian and bisexual women in health services, as well as a deficit in the support to health actions and lack of monitoring. Contributions to practice: the importance of the scientific, professional, and social experiences stand out, regarding the need to humanize the care to lesbian and bisexual women. It is a supporting material for researchers and nursing professionals, enabling them to direct their care to a holistic and integral care to be provided to these women, in addition to being an encouragement to further comparative studies.
References
Souto K, Moreira MR. National policy for integral attention to women’s health: leading role of the women’s movement. Saúde Debate. 2021;45(130):832-46. doi: https://dx.doi.org/10.1590/0103-1104202113020
Ferreira BO, Nascimento M. Construction of LGBT health policies in Brazil: a historical perspective and contemporary challenges. Ciênc Saúde Coletiva. 2022;27(10):3825-34. doi: https://dx.doi.org/10.1590/1413-812320222710.06422022
Nietsche EA, Tassinari TT, Ramos TK, Salbego C, Côgo SB, Antunes AP, Ilha AG. Care for lesbian and bisexual women in nursing education: students perception. Educ Rev. 2022;38:e26442. doi: https://doi.org/10.1590/0102-469826442
Gomes TM, Barbosa CM, Carvalho AR, Morais AL, Passos TS, Andrade AF. Nursing students knowledge of the Estácio University Center of Sergipe about the LGBTQIAP+ population. Rev Eletr Acervo Saúde. 2021;13(2):e6406. doi: https://doi.org/10.25248/REAS.e6406.2021
Milanez LS, Nabero APP, Silva AN, Pedrosa JIS, Ferreira BO. Lesbian health: care experiences of primary care nurses. Ciênc Saúde Coletiva. 2022;27(10):3891-900. doi: https://dx.doi.org/10.1590/1413-812320222710.06912022
Ministério da Saúde (BR). Política Nacional de Saúde Integral de Lésbicas, Gays, Bissexuais, Travestis e Transexuais [Internet]. 2013 [cited Jan 12, 2023]. Available from: https://bvsms.saude.gov.br/bvs/publicacoes/politica_nacional_saude_lesbicas_gays.pdf
Sampaio AD, Spagnolo LML, Schwartz E, Lise F, Neves JL, Kickhofel MA. Work characteristics and attitudes of nurses in caring for families in primary health care. Rev Enferm UFSM. 2022;12(8):e8. doi: https://doi.org/10.5902/2179769267045
Silva ASM, Alves GJ. National LGBT Integral Health Policy: perception of nurse in primary health care. Com Ciênc Saúde. 2021;32(2):7180. doi: https://doi.org/10.51723/ccs.v32i02.512
Minayo MCS. O desafio do conhecimento: pesquisa qualitativa em saúde. São Paulo: Hucitec; 2014.
Silva CPG, Aperibense PGGS, Almeida Filho AJ, Santos TCF, Nelson S, Peres MAA. From in-service education to continuing education in a federal hospital. Esc Anna Nery. 2020;24(4):e20190380. doi:http://doi.org/10.1590/2177-9465-ean-2019-0380
Silva AC, Alcântara AM, Oliveira DC, Signorelli MC. Implementação da Política Nacional de Saúde Integral de Lésbicas, Gays, Bissexuais, Travestis e Transexuais (PNSILGBT) no Paraná, Brasil. Inter Comun Saúde Educ. 2020;24:e190568 doi: https://doi.org/10.1590/Interface.190568
Araújo LM, Penna LH, Carinhanha, JL, Costa CMA. The care to lesbian women in the field of sexual and reproductive health. Rev Enferm UERJ. 2019;27:e34262. doi: https://doi.org/10.12957/reuerj.2019.34262
Ravadelli N, Souza JSM. National policy for the comprehensive health of the LGBT population: health students knowledge. Rev Ciênc Saúde Nova Esper. 2021;19(3):167-75. doi: https://doi.org/10.17695/rcsnevol19n3p167-175
Barchin VF, Carvalho B, Marques SM, Franco CR, Garzin AC. Percepção de alunos de graduação da área da saúde acerca da abordagem sobre a saúde de LGBTI+. Mundo Saúde. 2021;45:e0052021. doi:https://dx.doi.org/10.15343/0104-7809.202145175186
Belém JM, Alves MJ, Pereira EV, Moreira FT, Quirino GS, Albuquerque EG. Health care for lesbian, gay, bisexual, transvestite and transgender individuals in the family health strategy. Rev Baiana Enferm. 2018;32:e26475. doi: https://doi.org/10.18471/rbe.v32.26475
Ozdemir RC, Erenoglu R. Attitudes of nursing students towards LGBT individuals and the affecting factors. Perspect Psychiatr Care. 2022;58(1):239-47. doi: https://doi.org/10.1111/ppc.12941
Wang YC, Miao NF, Mei HY. Attitudes toward, knowledge of, and beliefs regarding providing care to LGBT patients among student nurses, nurses and nursing educators: a cross-sectional survey. Nurse Educ Today. 2022:116:105472. doi: https://doi.org/10.1016/j.nedt.2022.105472
Assunção MR, Dias IH, Costa ACB, Godinho, MLS, Freitas PS, Calheiros CA. Women sexuality in nursing appointments: potencialities and limits. Rev Enferm UFSM. 2020;10:e68. doi: https://doi.org/10.5902/2179769239397
Ketzer N, Becker VL, Alessandra SC, Maffacciolli R, Strada J, Patuzzi G, Dalla NC. Sexual and reproductive health in primary health care: reports of lesbian women. Rev Baiana Enferm. 2022;36:e45637. doi: https://doi.org/10.18471/rbe.v36.45637
Cabral KT, Pereira IL, Almeida LR, Nougueira WB, Silva FV, Costa LF, et al. Nursing care for lesbian and bisexual women. Rev Enferm UFPE on line. 2019;13(1):79-85. doi: http://dx.doi.org/10.5205/1981-8963-v13ila237896p79-85-2019
Takemoto MLS, Menezes MO, Polido CBA, Santos DS, Leonello VM, Magalhães CG, et al. Prevalence of sexually transmitted infections and bacterial vaginosis among lesbian women: systematic review and recommendations to improve care. Cad Saúde Pública. 2019;35(3):e00118118. doi: https://doi.org/10.1590/0102-311X00118118
Cavalcante DR, Ribeiro SG, Pinheiro AKB, Soares PRAL, Aquino PS, Chaves AFL. Sexual practices of women who have sex with women and condom use. Rev Rene. 2022;23:e71297. doi: https://doi.org/10.15253/2175-6783.20222371297
Silva AAC, Silva-Filho EBS, Lobo TB, Sousa AR, Almeida MVG, Almeida LCG, et al. Production of nursing care for the LGBTQIA+ population in primary care. REVISA. 2021;10(2):291-303. doi: https://doi.org/10.36239/revisa.v10.n2.p291a303
Silva TF, David HMSL, Romano, VF. Reception analysis based on relationships in Primary Care in the city of Rio de Janeiro. Rev Bras Med Fam Comunidade. 2020;15(42):2326. doi: http://doi.org/10.5712/rbmfc15(42)2326
