Technology for nursing consultation with transsexual women in the light of Leininger’s transcultural theory

Sousa, Josueida de Carvalho; Araújo, Ednaldo Cavalcante de; Vasconcelos, Eliane Maria Ribeiro de; Galindo-Neto, Nelson Miguel; Ramalho, Marclineide Nóbrega de Andrade; Abreu, Paula Daniella de

doi:10.1590/0034-7167-2021-0769

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Revista Brasileira de Enfermagem

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ORIGINAL ARTICLE • Rev. Bras. Enferm. 75 (05) • 2022 • https://doi.org/10.1590/0034-7167-2021-0769 copy

Technology for nursing consultation with transsexual women in the light of Leininger’s transcultural theory

Tecnología para enfermería de consulta a las mujeres transexuales a la luz de la teoría transcultural de Leininger

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective:

to describe the construction and validation of a nursing consultation technology for transgender women.

Methods:

a methodological study developed in three stages with construction based on the Leininger’s Cross-Cultural Theory, content validation performed by experts in transgender sexual health and evaluation by nurses of care for transgender women. Items with a minimum agreement of 80% were considered validated, according to the Content Validity Index and binomial test.

Results:

the technology contains 59 items in three blocks: the first, for identification of the transsexual woman; the second, with the Clinical Data; and the third, regarding the Propaedeutics of Care. All items reached agreement higher than 0.8 and an overall Validity Index of 80%.

Conclusions:

the technology was content-validated and evaluated by nurses and can be applicable in clinical and outpatient practice as well as in academia to promote quality care for transgender women.

Descriptors:
Technology; Nursing Consultation; Transgender People; Validation Study; Culturally Competent Health Care

Item	Clarity		Pertinence		Relevance
Item	CVI^* * Content Validity Index. † Binomial test.	p†	CVI^* * Content Validity Index. † Binomial test.	p†	CVI^* * Content Validity Index. † Binomial test.	p†
1. Social name	1	1	1	1	0.90	0.914
2. Date of birth	1	1	1	1	0.81	0.676
3. Date of admission	1	1	1	1	1	1
4. Contact	1	1	1	1	1	1
5. Have a partner	0.8	0.677	0.7	0.382	1	1
6. Sexual orientation	1	1	0.8	0.67	1	1
7. Ethnicity	0.9	0.914	1	1	1	1
8. Natural	0.72	0.382	0.90	0.914	1	1
9. Family situation	0.81	0.677	0.81	0.677	1	1
10. Religion	0.90	0.914	0.90	0.9141	0.81	0.677
11. Education	0.90	0.914	1	1	1	1
12. Profession/Occupation	0.72	0.382	0.72	0.382	0.9	0.914
13. Monthly income	0.9	0.914	0.72	0.382	0.81	0.677
14. Access to health services	0.9	0.914	0.9	0.914	0.9	0.914
15. Difficulty in access	0.9	0.914	0.9	0.914	0.9	0.914

Item	Clarity		Pertinence		Relevance
Item	CVI^* * Content Validity Index. † Binomial test.	p†	CVI^* * Content Validity Index. † Binomial test.	p†	CVI^* * Content Validity Index. † Binomial test.	p†
16. Main Complaint	1	1	1	1	1	1
17. Time of gender identification	0.81	0.677	0.81	0.677	0.81	0.677
18. Mental evaluation	0.63	0.161	0.63	0.161	1	1
19. Personal sexual disorders	0.63	0.161	0.63	0.161	1	1
20. Eating disorders	0.90	0.914	0.90	0.914	0.90	0.914
21. Psychological therapy	0.81	0.677	0.81	0.677	1	1
22. Hormone therapy	0.81	0.677	0.81	0.677	1	1
23. Medical prescription for hormone therapy	1	1	1	1	1	1
24. Effects of hormone therapy	1	1	1	1	1	1
25. Breast/breast surgery	0.81	0.677	0.81	0.677	1	1
26. Genital surgery	0.90	0.914	0.90	0.914	1	1
27. Voice therapy/voice surgery	0.90	0.914	0.90	0.914	0.90	0.914
28. Thyroid cartilage surgery	0.90	0.914	0.90	0.914	0.90	0.914
29. Buttock augmentation	0.90	0.914	0.90	0.914	0.90	0.914
30. Examinations performed	0.81	0.677	0.81	0.677	0.81	0.677

Item	Clarity		Pertinence		Relevance
Item	CVI^* * Content Validity Index. † Value of p.	p†	CVI^* * Content Validity Index. † Value of p.	p†	CVI^* * Content Validity Index. † Value of p.	p†
31. Weight and height	1	1	1	1	1	1
32. Body Mass Index	1	1	1	1	0.81	0.677
33. Blood pressure	1	1	1	1	1	1
34. Temperature	1	1	0.90	0.914	1	1
35. Pulse	1	1	1	1	0.81	0.677
36. General condition	1	1	1	1	1	1
37. Neurological Assessment	1	1	0.90	0.914	1	1
38. Visual Acuity	1	1	1	1	0.90	0.914
39. Auditory Acuity	1	1	1	1	0.81	0.677
40. Tonsils	0.90	0.914	0.90	0.914	0.81	0.677
41. Thyroid	1	1	1	1	0.90	0.914
42. Skin changes	1	1	1	1	1	1
43. Pulse: rhythm and amplitude	1	1	1	1	1	1
44. Peripheral perfusion	1	1	1	1	0.90	0.914
45. Cardiovascular system	1	1	1	1	0.90	0.914
46. Respiratory system	1	1	0.90	0.914	1	1
47. Breast examination	1	1	1	1	1	1
48. Digestive system	0.90	0.914	0.90	0.914	0.90	0.914
49. Genital evaluation	1	1	1	1	1	1
50. Inguinal hernias and lymph nodes	1	1	1	1	1	1
51. Hygiene of the neovagina	0.90	0.914	0.90	0.914	1	1
52. Perianal	1	1	1	1	1	1
53. Elimination and excretion	1	1	1	1	1	1
54. Frequency of bowel movements	1	1	1	1	1	1
55. Hours of sleep per night	0.90	0.914	1	1	1	1
56. Use of medicine to sleep	1	1	1	1	1	1
57. What medication do you use	1	1	1	1	1	1
58. Performs physical exercises	1	1	1	1	1	1
59. Time dedicated to leisure	1	1	1	1	1	1
60. Participates in social activities	0.90	0.914	1	1	1	1
61. Smoking	1	1	1	1	1	1
62. Drinks alcoholic beverages	1	1	1	1	1	1
63. Uses condoms	1	1	1	1	1	1
64. Multiplicity of partners	0.90	0.914	1	1	1	1
65. Use of psychoactive substances	1	1	1	1	1	1
66. Conduct	0.72	0.382	0.81	0.677	0.72	0.382
67. Referrals	0.72	0.382	0.81	0.677	0.72	0.382

Questions	CVI^* * Content Validity Index. † Value of p.	p†
1. Objective
1.1 Content is clear and objective	0.83	0.622
1.2 Content is important for transgender care	1	1
1.3 Instigates changes in the attitudes of nursing professionals	0.83	0.622
1.4 Can be circulated in the scientific environment of the area	1	1
2. Structure, presentation and language
2.1 It is appropriate for nursing care	1	1
2.2 Considers health promotion of transgender women	1	1
2.3 Instigates a change in nurses' attitudes	0.83	0.622
2.4 Can be circulated in the scientific environment of the field	1	1
2.5 It is appropriate for nursing care	1	1
2.6 Considers the promotion of transgender women	1	1
2.7 The content is easy to understand	1	1
2.8 The information is clear and objective	0.83	0.83
2.9 The content is scientifically correct	1	1
2.10 There is a logical sequence of the proposed content	1	1
2.11 Information is in agreement and spelled correctly	1	1
2.12 Writing style is appropriate for comprehension	1	1
2.13 The formulation of the sentences is attractive and not tiring	0.83	0.622
2.14 The number of pages is adequate	1	1
3. Relevance
3.1 It is relevant for nursing care	1	1
3.2 It facilitates nursing care	1	1
3.3 It contemplates the stages of the nursing consultation	1	1
3.4 It is adequate to be applied to trans women	1	1

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[1] Corresponding author: Josueida de Carvalho Sousa , E-mail: josueidacarvalho@yahoo.com.br