Assistência de enfermagem voltada à saúde de mulheres lésbicas e bissexuais nos serviços públicos de saúde: Uma revisão integrativa

Abstract

Despite important advances in women's comprehensive health, it is notable that the health of lesbians and bisexuals in Brazil is still largely neglected, especially in the SUS setting. Therefore, even though nurses play a fundamental role in health promotion and prevention, what is generally found in practical reality is inadequate care, where these professionals do not recognize the specific demands of this group of women. Therefore, the present study has the general objective of analyzing how nursing care is provided in the health care of lesbian and bisexual women within the scope of public health services. For this purpose, it was made a descriptive research with a qualitative approach carried out using the integrative literature review method, with a search for scientific articles via the Virtual Health Library (BVS), which provides access to the LILACS and BDENF databases, from April to June 2024. After careful reading, those that met the inclusion criteria were selected for the research, resulting in the selection of 16 articles for the preparation of the study; After analysis, Microsoft Word software was used to organize the data into a synoptic table, extracting the data descriptively. In general, the articles contained in the final sample showed that, in the context of nursing care for lesbian and bisexual women in public health services, the assistance provided is still guided by prejudice and lack of preparation. Nurses have difficulty recognizing and dealing with the health demands of lesbian and bisexual women, since there is little knowledge about the public policies and protocols that guide care for these minorities. In addition, factors such as lack of comprehensive support and the weakening of the bond between professionals and patients make it impossible to offer quality care. Finally, even though the results of the review have successfully contributed to filling gaps that still exist in the area, the importance of new studies with more diversified methodologies is highlighted, in order to intensify the findings regarding the proposed theme and enable a change in the professional practice of the team that makes up the health services.