O cuidado da enfermeira à pessoa transexual, no processo transexualizador, na perspectiva familiar

• Autor(a) principal: Janini, Janaina Pinto
• Data de Publicação: 2019
• Tipo de documento: Tese
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da UERJ
• Texto Completo: http://www.bdtd.uerj.br/handle/1/11119
• topic: Nursing care; Transgender people; Family; Cuidado de enfermagem; Pessoas transexuais; Família; CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM

Introduction: The desire for family reintegration and the biological and binary conception that the family has in relation to transgender people were the concerns that drove the development of research. The general objective of the study was to analyze the care strategies adopted by nurses with transgender people from a family perspective in the transsexualising process. Method: qualitative, descriptive, exploratory research, used the Narrative Method of life. The narratives were collected in three health units registered to meet the transsexualising process. The study participants were 19 transsexuals, 14 family members and 03 nurses who attend transgender people in the transsexualising process. For each group of participants, different guiding questions were used for the narrative interviews, conducted from October 2018 to April 2019, by accepting and signing the Informed Consent Form (ICF), approved by the Ethics Committee under Opinion No. 2797427. A comprehensive analysis was conducted based on the following evidence: the transsexual is a prisoner of his body, social norms and institutions. Three levels of meaning were constructed: firstly, the construction of the personality of transgender people, the objective situation in the relationships and conflicts between transgender people with the family, the nursing-health system and society, and the strong intersubjective relations with the family in the face of the process of transition and structural consequences of transgender people and their families with the nurse facing the transition process and consequences in care. The narratives were discussed from the perspective of Transition Theory and with a philosophical approach that addresses the relations of knowledge-power, sexuality, territoriality, social control, discipline and body control. Results and discussion: The levels of significance showed the difficulty of transgender people in experiencing the physical transition influenced by family and other social structures such as the health system. The process of interdiction and socio-family separation is a phenomenon marked by the lack of information about transsexuality and the insistent preaching of a binary normative discourse as truth that excludes transgender people. The primary care nurse, as a member of the health microsystem and the social macrosystem, is cisnormative, a major barrier to accessibility to health technologies for the physical transition in the transsexualising process, and undermines care for transgender people. The nurses in the transsexualising process have a careful and respectful look at the transgender person, however, focusing on the care of the physical transition and not on the integral approach and adaptation of families. Conclusion: Caring for transgender people from a family perspective is still a major challenge for nurses with multifactorial interferences. The feeling of physical inadequacy manifests itself since childhood, persists and promotes the search for health services for the physical transition and, consequently, the adaptation of your body to gender identity. This process, however, occurs beyond the physical transition, and causes suffering with interference from the family who cannot drive or care for the transgender person. The limitation of the study is the absence of interviews with family members who did not accept the transition.