Competencias de enfermería en la atención a transexuales
un protocolo del alcance
DOI:
https://doi.org/10.48492/servir0215.43357Palabras clave:
Persona transgénero, Cuidados de enfermería, Competencia profesional, Atención sanitaria competenteResumen
ABSTRACT (Maximum of 1500 characters including spaces)Introduction: Transgender people face barriers in accessing healthcare, often due to nurses' lack of training and awareness. Invisibility, prejudice, and limited knowledge about gender diversity contribute to discriminatory practices. Given nursing’s role in providing direct and humanised care, identifying essential competencies is key to developing inclusive practices.
Objective: To identify and map the competencies nurses should prioritise when caring for transgender people.
Methods: This Scoping Review follows Joanna Briggs Institute (JBI) guidelines and PRISMA-ScR. It includes studies from 2018 onwards, in Portuguese, English or Spanish, focusing on nursing competencies in adult transgender care. The search will be conducted in PubMed, LILACS, Web of Science, Scopus, CINAHL Complete, and Cochrane Plus Collection (via EBSCOhost). Two independent reviewers will conduct the selection and extraction. Any disagreements will be resolved by a third reviewer. Data will be described narratively. The protocol is registered on the Open Science Framework.
Conclusion: This review aims to identify key nursing competencies that support the creation of a good practice guide and foster equitable, humanized care for transgender individuals.
Descargas
Citas
American Nurses Association. ANA. (2018). Nursing: Scope and Standards of Practice (3rd ed.). Washington, D.C: www.nursingworld.org/nurses-books/nursing-leadership-scope-and-standards-of-practice-3rd-edition
Ahmad, A. F., Lemos, A., Ribeiro, C. R., Araujo, L. M. d., Corrêa, V. d. A. F., Janini, J. P., Mello, R., & Dantas, B. R. S. S. (2024). Conhecimento de pessoas transgênero sobre os efeitos adversos da hormonização cruzada: desafios para a enfermagem. Revista Brasileira De Enfermagem, 77(4). https://doi.org/10.1590/0034-7167-2023-0346pt
Coleman, E., Radix, A. E., Bouman, W. P., Brown, G. R., De Vries, A. L. C., Deutsch, M. B., Ettner, R., Fraser, L., Goodman, M., Green, J., Hancock, A. B., Johnson, T. W., Karasic, D. H., Knudson, G. A., Leibowitz, S. F., Meyer-Bahlburg, H. F. L., Monstrey, S. J., Motmans, J., Nahata, L.,…Arcelus, J. (2022). Standards of Care for the Health of Transgender and Gender Diverse People, Version 8. International Journal of Transgender Health, 23(sup1), S1-S259. https://doi.org/10.1080/26895269.2022.2100644
Cutillas-Fernández, M. A., Jiménez-Ruiz, I., Herrera-Giménez, M., & Jiménez-Barbero, J. A. (2024). Attitudes and behaviours of mental health professionals in the care of transgender people: A qualitative study. J Psychiatr Ment Health Nurs, 31(6), 1205-1215. https://doi.org/10.1111/jpm.13073
Domene, F. M., Silva, J. D. L. D., Toma, T. S., Silva, L. A. L. B. D., Melo, R. C. D., Silva, A. D., & Barreto, J. O. M. (2022). Saúde da população LGBTQIA+: revisão de escopo rápida da produção científica brasileira. Ciência & Saúde Coletiva, 27(10), 3835-3848. https://doi.org/10.1590/1413-812320222710.07122022
Fukada, M. (2018). Nursing Competency: Definition, Structure and Development. Yonago Acta Med, 61(1), 1-7. https://doi.org/10.33160/yam.2018.03.001
Gomes, A., Saleiro, S. P., Pegado, E., & Barroso, M. M. (2023). Social Representations of Sexual Orientation and Gender Identity Among Nurses in Portugal. Sexuality Research and Social Policy, 20(4), 1498-1514. https://doi.org/10.1007/s13178-023-00816-0
International Council of Nurses (ICN). (2025). Renewing the definitions of ‘nursing’ and ‘a nurse’: Final project report, June 2025. Geneva, Switzerland: International Council of Nurses.https://www.icn.ch/sites/default/files/2025-06/ICN_Definition-Nursing_Report_EN.pdf
Laserna Jimenez, C., Lopez Poyato, M., Casado Montanes, I., Guix-Comellas, E. M., & Fabrellas, N. (2021). Paediatric nursing clinical competencies in primary healthcare: A systematic review. J Adv Nurs, 77(6), 2662-2679. https://doi.org/10.1111/jan.14768
McNair, R. P., & Hegarty, K. (2010). Guidelines for the primary care of lesbian, gay, and bisexual people: a systematic review. Ann Fam Med, 8(6), 533-541. https://doi.org/10.1370/afm.1173
Medina-Martínez, J., Saus-Ortega, C., Sánchez-Lorente, M. M., Sosa-Palanca, E. M., García-Martínez, P., & Mármol-López, M. I. (2021). Health Inequities in LGBT People and Nursing Interventions to Reduce Them: A Systematic Review. Int J Environ Res Public Health, 18(22). https://doi.org/10.3390/ijerph182211801
Moraes, I. K. d. N., Pinheiro Ferreira, J., Regina Sodré Pontes, S., Pereira de Sousa, H., & Paloma da Silva Moreira, J. (2023). Acesso da população LGBTQ+ aos serviços públicos de saúde: entraves e perspectivas. Saúde.com, 19(1). https://doi.org/10.22481/rsc.v19i1.12380
Moriarty, Y., & Willis, P. (2024). Interventions addressing care staff's views of older LGBTQ+ people in residential and home care settings: A scoping review protocol. BMJ Open, 14(10), e086497. https://doi.org/10.1136/bmjopen-2024-086497
Parry, S. B. (1996). The quest for competencies. Training, 33(7), 48-56.
Peters, M. D. J., Godfrey, C., McInerney, P., Khalil, H., Larsen, P., Marnie, C., Pollock, D., Tricco, A. C., & Munn, Z. (2022). Best practice guidance and reporting items for the development of scoping review protocols. JBI Evidence Synthesis, 20(4), 953–968. https://doi.org/10.11124/jbies-21-00242
Skirton, H., O'Connor, A., & Humphreys, A. (2012). Nurses' competence in genetics: a mixed method systematic review. J Adv Nurs, 68(11), 2387–2398. https://doi.org/10.1111/j.1365-2648.2012.06034.x
Tricco, A. C., Lillie, E., Zarin, W., O'Brien, K. K., Colquhoun, H., Levac, D., Moher, D., Peters, M. D. J., Horsley, T., Weeks, L., Hempel, S., Akl, E. A., Chang, C., McGowan, J., Stewart, L., Hartling, L., Aldcroft, A., Wilson, M. G., Garritty, C.,…Straus, S. E. (2018). PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation. Annals of Internal Medicine, 169(7), 467–473. https://doi.org/10.7326/m18-0850
Wit, R. F., de Veer, A. J. E., Batenburg, R. S., & Francke, A. L. (2023). International comparison of professional competency frameworks for nurses: a document analysis. Bmc Nursing, 22(1), 343. https://doi.org/10.1186/s12912-023-01514-3
White, J., Gunn, M., Chiarella, M., Catton, H. & Stewart, D. (2025). Renewing the Definitions of ‘Nursing’ and ‘a Nurse’. '. Final project report, June 2025. International Council of Nurses. https://www.icn.ch/
World Health Organization. (2019). International Classification of Diseases 11th Revision (ICD-11). https://icd.who.int/
World Health Organization. (2022). Global strategic directions for nursing and midwifery 2021–2025. https://www.who.int/publications/i/item/9789240033863
Zwickl, S., Skewis, F., Ruggles, T., Murray, J., Cook, T., & Cheung, A. S. (2024). Language and terminology to describe transgender communities; Perspectives from people with lived experience. International Journal of Transgender Health, 1–11. https://doi.org/10.1080/26895269.2024.2415684
Publicado
Cómo citar
Número
Sección
Licencia
Derechos de autor 2026 Sara Ramos, Mauro Mota, Maria Manuela Martins, Madalena Cunha

Esta obra está bajo una licencia internacional Creative Commons Atribución 4.0.
No intuito de promover a livre circulação do conhecimento, a Servir funciona em regime de acesso livre (open access). Todo o seu conteúdo está disponível e protegido sob a licença Creative Commons (CC BY 4.0).
A revista permite o auto-arquivo em repositórios institucionais de todas as versões, podendo ficar imediatamente disponíveis.