Transcultural theory in nursing care of women with infections

ABSTRACT Objective: To analyze how nurses consider, in their practice of healthcare, the sociocultural context of women with sexually transmitted infections. Method: Qualitative research, carried out in October 2017, with ten nurses working in teams of the Estratégia de Saúde da Família (Family Health Strategy). The data were collected through semi-structured interviews, subsequently transcribed, and submitted to the organization supported by the Discourse of the Collective Subject method and analyzed according to Madeleine Leininger’s transcultural theory. Results: Nurses identified the sociocultural aspects of women with sexually transmitted infections and recognized the presence of influencing factors: technological, religious, economic, political, and legal, kinship and social, cultural values, and lifeways. Final Considerations: The study found that the provision of care by nurses in Primary Health Care is close to the sociocultural aspects of these women when considering the beliefs and values of each individual, especially regarding the life context and their care experiences.摘要 研究目的：分析护士在医疗实践中如何考量性传播感染（Sexually Transmitted Infections）女性患者的社会文化背景。 研究方法：本研究为质性研究，于2017年10月开展，纳入10名服务于家庭健康策略（Estratégia de Saúde da Família）团队的护士作为研究对象。数据通过半结构化访谈收集，随后对访谈内容进行转录，并依托集体主体话语分析法（Discourse of the Collective Subject method）开展文本整理，最终依据玛德琳·莱宁格（Madeleine Leininger）的跨文化护理理论进行数据分析。 研究结果：护士识别出性传播感染女性患者的社会文化特征，并确认了多类影响因素：技术因素、宗教因素、经济因素、政治与法律因素、亲属与社会因素、文化价值观以及生活方式。 研究结论：本研究发现，在初级卫生保健（Primary Health Care）领域，护士提供的护理服务会结合每位个体的信仰与价值观，尤其关注其生活处境与照护经历，因此其护理实践贴合此类女性的社会文化实际。