CULTURAL COMPETENCES IN NURSING FOR AFFIRMATIVE AND COMPREHENSIVE CARE FOR TRANS PEOPLE

Abstract

Objective: To explore the cultural competence in nursing that facilitates comprehensive, affirmative, and respectful care for trans people, considering the dimensions of sensitivity (affective), skills (technical),
and knowledge (intellectual) in care interventions. Material and Method: A qualitative and interpretive case study was conducted with 16 nursing professionals from a public health hospital in Chile (South Metropolitan Health Service), through in-depth semi-structured interviews, with prior informed consent and no refusals or dropouts. Responses were transcribed and organized into categories using illustrative vignettes. Through thematic analysis and coding, a codebook of up to fourteen codes was developed, from which a final category was determined. Theoretical saturation was reached at the ninth interview, but all 16 interviews were completed for greater depth. In terms of methodological rigor and quality, the criteria of credibility, transferability, dependency, and confirmability were considered. Results: 3 categories
emerged: I. knowledge; II. nursing care; III. comprehensive care. Conclusions: Cultural competence in
nursing was essential to provide comprehensive and affirmative care to trans people. An innovative vision
promoting respect for diversity and training in cultural competence to plan appropriate care was key.
Professionals demonstrated awareness of trans needs, particularly in mental health, and implemented
sensitive and effective assessments and care plans.