Expressão da sexualidade do cliente hospitalizado e estratégias para o cuidado de enfermagem

Abstract

Nursing is the science and the art of caring of the human being and it has to consider that this human being, in an integrated way, has psychological, social, biological and spiritual needs. We understand sexuality as an important dimension of the human being which requires attention considering a holistic assistance. From these principles, we have attempted to research next to a Rio de Janeiro city school hospital nurses, how these professionals deal with the sexual body and the hospitalized client sexuality expression in the context of the daily care provided for him. We have performed 10 non-structured interviews and proceeded to the analysis of their speeches contents. The analysis showed that the nurses when providing direct care to clients, regarding his sexuality, they experience difficulties that must be overdrawn so they can perform care. During the results follow-up, the nurses refer to make use of 'strategies' that hide the client's sexuality expression and demonstrate to be fully unprepared to deal with such situations. Such 'strategies' show that in the disciplined hospital space, there is no overture for the understanding of a body with historical, social and cultural scars; there is no room to deal with questions which take to emotion and human subjectiveness realms. We do believe that there is a need of treating the hospitalized client sexuality in critical and contextualized discussions linked to social and cultural fields. These discussions must be done both in care praxis to client and professional degree.

A sexualidade na formação acadêmica do enfermeiro

“…Ao contrário, acaba agravando, tornando as situações mais difíceis de serem resolvidas no dia a dia da prática do cuidado 9 .…”

Orientação sobre sexualidade para estudantes de enfermagem

“…There is no critical or contextualized discussion contemplating issues of the social-cultural sphere of human sexuality. This silence does not exist only in the theoretical discourse, since we identified that sex and sexuality are still considered taboo subjects in nursing practice and education (6,14) .…”

“…Some of the students justified the importance of the service, since "there is no information about sexuality in the school curriculum" and "the topic is not often discussed in college" and that not discussing the question and the difficulties faced in undergraduation does not exempt the nurse of facing it during her professional life. On the contrary, it becomes more aggravated, making situations more difficult to be solved in the daily practice (14) .…”

O cuidado na formação dos técnicos de enfermagem: análise dos projetos políticos pedagógicos Care in the training of nursing technicians: an analysis of political pedagogical projects

“…There is an absence, a certain silencing in theoretical discussion and practice in nursing care with regard to human sexuality. 23 These authors show how the sexuality of patients cared for by nurses imposes obstacles and challenges. Caring and sexuality are considered as difficulties at work, namely, the nurses run from the "problem", or remain silent when they experience an erection, for example.…”