Vulnerability and Vulnerabilized Populations to Sexually Transmitted Infections in Nursing Curricula: Teachers' Perception
DOI:
https://doi.org/10.12957/reuerj.2024.86420Keywords:
Faculty, Teaching, Education, Nursing, Diploma Programs, Infecções Sexually Transmitted Diseases, Health Disparate Minority and Vulnerable PopulationsAbstract
Objective: to analyze the theoretical, political, and philosophical interest regarding vulnerability and vulnerabilized populations to sexually transmitted infections in the education of undergraduate nursing students at Brazilian Federal Universities. Method: a qualitative, socio-historical study using oral and documentary sources. Twenty-three interviews were conducted with faculty members from five undergraduate nursing programs. Data were coded using Atlas.ti software version 9.0, followed by Content Analysis. Results: faculty members understand vulnerability and vulnerabilized populations as complex phenomena involving social, structural, and economic factors. These topics are discussed at certain points during the educational process. Students have difficulty recognizing their own vulnerability. Final considerations: this topic should be addressed in the training of future nurses. Students' vulnerability must be reflected upon so they can recognize their own vulnerability and understand the importance of self-care.
References
Padilha MI, Caravaca-Morera JA, Petry S, Vieira AN, Bellaguarda MLR, Carlos DD. Atenção em saúde às populações vulneráveis e a interdisciplinaridade dinâmica dos estudos de História da Enfermagem. In: Peres MAA, Padilha MA, Santos TCF, Filho AJA, editors. Potencial interdisciplinar da enfermagem: histórias para refletir sobre o tempo presente. Brasília: Editora Aben; 2022. p. 58-70.
Bourgois P, Holmes SM, Sue K, Quesada J. Structural vulnerability: operationalizing the concept to address health disparities in clinical care. Acad Med. 2017 [cited 2024 July 16]; 92(3):299-307. DOI: https://doi.org/10.1097/ACM.0000000000001294.
Miranda AE, Freitas FLS, Passos MRL, Lopez MAA, Pereira GFM. Public policies on sexually transmitted infections in Brazil. Epidemiol Serv Saude. 2021 [cited 2024 July 16]; 30(spe1):e2020611. DOI: https://doi.org/10.1590/S1679-4974202100019.esp1.
Ayres JR, Castellanos MEP, Baptista TWF. Interview with José Ricardo Ayres. Saude Soc. 2018 [cited 2024 July 16]; 27(1):51-60. DOI: https://doi.org/10.1590/S0104-12902018000002.
Ayres JR. Vulnerability, care, and integrality: conceptual reconstructions and current challenges for HIV/AIDS care policies and practices. Saude Debate. 2022 [cited 2024 July 16]; 46(spe7):196-206. DOI: https://doi.org/10.1590/0103-11042022E714.
Silva AFC, Cueto M. HIV/AIDS, its stigma and history. Hist Cienc Saude-Manguinhos. 2018 [cited 2024 July 16]; 25(2):311-4. DOI: https://doi.org/10.1590/s0104-59702018000200001.
Polit DF, Beck CT. Fundamentos de pesquisa em Enfermagem: avaliação de evidências para a prática da Enfermagem. Porto Alegre: Artmed; 2018. 456 p.
Souza VRS, Marziale MHP, Silva GTR, Nascimento PL. Translation and validation into Brazilian Portuguese and assessment of the COREQ checklist. Acta Paul Enferm. 2021 [cited 2024 July 16]; 34:eAPE02631. DOI: https://doi.org/10.37689/acta-ape/2021AO02631.
Bardin L. Análise de conteúdo. São Paulo: Edições 70; 2016. 288 p.
Ministério da Saúde (Bb). Prevenção contra a AIDS/HIV. Brasília: Ministério da Saúde; 2022 [cited 2024 Jul 10]. Available from: https://www.gov.br/saude/pt-br/assuntos/saude-de-a-a-z/a/aids-hiv/prevencao-contra-a-aids-hiv.
Gentil AGB, Padilha MI, Bellaguarda MLR, Caravaca-Morera JA. Unveiling undergraduate nursing students' knowledge about trans people. Texto Contexto Enferm. 2023 [cited 2024 July 16]; 32:e20220150. DOI: https://doi.org/10.1590/1980-265X-TCE-2022-0150en.
Araujo WM, Borges FA, Lima JF, Silveira WJA, Souza JFS, Stofel NS, et al. Nursing students' perceptions of teaching health care to LGBTQIA+ people. Rev Rene. 2023 [cited 2024 July 16]; 24:e83198. DOI: https://doi.org/10.15253/2175-6783.20232483198.
Nxumalo CT, Luvuno Z, Chiya WH, Ngcobo SJ, Naidoo D, Zamudio-Haas S, et al. Designing Implementation strategies for the inclusion of lesbian, gay, bisexual, transgender, intersex, queer, and allied and key populations' content in undergraduate Nursing Curricula in KwaZulu-Natal, South Africa: PROTOCOL FOR A MULTIMETHODS RESEARCH PROJECT. JMIR Res Protoc. 2024 [cited 2024 Nov 5]; 13:e52250. DOI: https://doi.org/10.2196/52250.
Özdemir RC, Erenoğlu R. Attitudes of nursing students towards LGBT individuals and the affecting factors. Perspect Psychiatr Care. 2022 [cited 2024 July 16]; 58(1):239-47. DOI: https://doi.org/10.1111/ppc.12941.
Wang YC, Miao NF, You MH. Attitudes toward, knowledge of, and beliefs regarding providing care to LGBT patients among student nurses, nurses, and nursing educators: a cross-sectional survey. Nurse Educ Today. 2022 [cited 2024 July 16]; 116:105472. DOI: https://doi.org/10.1016/j.nedt.2022.105472.
Mendes KT, Ronzani TM, Paiva FS. Homeless population, vulnerabilities and drugs: a systematic review. Psicol Soc. 2019 [cited 2024 Nov 5]; 31:e169056. DOI: https://doi.org/10.1590/1807-0310/2019v31169056.
Medeiros PFP, Rameh-de-Albuquerque RC, Almeida RBF, Campos-Boulitreau ARL, Valois-Santos NT, Marques ALM. ‘Street Outreach Teams’: care in the territory at the interface between HIV/AIDS, drugs and Harm Reduction. Saude Debate. 2023 [cited 2024 July 16]; 47(136):308-17. DOI: https://doi.org/10.1590/0103-1104202313620.
Liu A, Suarez A, Lehnen J, Kak A, Mitchell D, Ray G, et al. training students as navigators for patients experiencing homelessness. Fam Med. 2023 [cited 2024 Nov 5]; 55(1):45-50. DOI: https://doi.org/10.22454/FamMed.55.143409.
Cameron R, Mitchell K. "Shifting nursing students' attitudes towards indigenous peoples by participation in a required indigenous health course. QANE AFI. 2022 [cited 2024 Nov 5]; 8(3):Art.3. DOI: https://doi.org/10.17483/2368-6669.1323.
Melo JS, Freitas NO, Apostolico MR. The work of a Brazilian nursing team of collective health in the special indigenous health district. Rev Bras Enferm. 2021 [cited 2024 Nov 5]; 74(2):e20200116. DOI: https://doi.org/10.1590/0034-7167-2020-0116.
Spindola T, Santana RSC, Antunes RF, Machado YY, Moraes PC. Prevention of sexually transmitted infections in the sexual scripts of young people: differences according to gender. Cienc Saude Colet. 2021 [cited 2024 July 16]; 26(7):2683-92. DOI: https://doi.org/10.1590/1413-81232021267.08282021.
Fuchs C, Teichert N, Neu K, Clanner-Engelshofen B, Zippel S, French LE, et al. The sexual behavior and protective conduct among university students in Germany - chances and approaches to tackle spread of sexually transmitted diseases. Indian J Dermatol. 2022 [cited 2024 Nov 5]; 67(5):625. DOI: https://doi.org/10.4103/ijd.ijd_107_22.
Dlamini MC, Thobakgale EM, Govender I. Knowledge of final year undergraduate nursing students about HIV and AIDS in Eswatini. S Afr Fam Pract (2004). 2022 [cited 2024 July 16]; 64(1):e1-6. DOI: https://doi.org/10.4102/safp.v64i1.5527.
Petry S, Padilha MI, Kuhnen AE, Meirelles BHS. Knowledge of nursing student on the prevention of sexually transmitted infections. Rev Bras Enferm. 2019 [cited 2024 July 16]; 72(5):1145-52. DOI: https://doi.org/10.1590/0034-7167-2017-0801.
Matos MCB, Araújo TME, Queiroz AAFLN, Borges PTM. Knowledge of health students about prophylaxis pre and post exposure to HIV. Rev Gaúcha Enferm. 2021 [cited 2024 July 16]; 42:e20190445. DOI: https://doi.org/10.1590/1983-1447.2021.20190445.
Biyazin T, Yilma A, Yetwale A, Fenta B, Dagnaw Y. Knowledge and attitude about human papillomavirus vaccine among female high school students at Jimma town, Ethiopia. Hum Vaccin Immunother. 2022 [cited 2024 July 16]; 18(1):2036522. DOI: https://doi.org/10.1080/21645515.2022.2036522.
Freitas IG, Felix AMS, Eloi HM. Knowledge of nursing students about sexually transmitted infections. Rev Baiana Enferm. 2022 [cited 2024 July 16]; 36:e43593. DOI: http://dx.doi.org/10.18471/rbe.v36.43593.
Sanz-Martos S, López-Medina I, Álvarez-García C, Álvarez-Nieto C. Educational program on sexuality and contraceptive methods in nursing degree students. Nurse Educ Today. 2021 [cited 2024 July 16]; 107:105114. DOI: http://dx.doi.org/10.1016/j.nedt.2021.105114.
Scarano-Pereira JP, Martinino A, Manicone F, Álvarez-García C, Ortega-Donaire L, Clavijo-Chamorro MZ, et al. Young nursing and medical students' knowledge and attitudes towards sexuality and contraception in two Spanish universities: an inferential study. BMC Med Educ. 2023 [cited 2024 July 16]; 23(1):283. DOI: http://dx.doi.org/10.1186/s12909-023-04255-8.
Ministério da Educação (Br). Resolução nº 3, de 7 de novembro de 2001. Institui diretrizes curriculares nacionais do curso de graduação em enfermagem. Brasília: Ministério da Educação; 2001 [cited 2024 July 16]. Available from: http://portal.mec.gov.br/cne/arquivos/pdf/Enf.pdf.
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Stéfany Petry, Maria Itayra Padilha, Amina Regina Silva, Mariana Vieira Villarinho, Roberta Costa

This work is licensed under a Creative Commons Attribution 4.0 International License.
When publishing in Revista Enfermagem UERJ, the authors declare that the work is their exclusive authorship and therefore assume full responsibility for its content.
Authors retain copyright to their article and agree to license their work using a Creative Commons Attribution International Public License (CC BY), thereby accepting the terms and conditions of this license (https://creativecommons.org/licenses/by/4.0/legalcode.en), which allows material created by the author to be distributed, copied and displayed by third parties. The original work must be cited and present a link to the article available on the website of the journal in which it was published.
The Copyright of the articles published in Revista Enfermagem UERJ belongs to their respective author(s), with the rights of first publication assigned to Revista Enfermagem UERJ, with the work simultaneously licensed under a Creative Commons License CC BY, which allows sharing of work with recognition of authorship and initial publication in this journal.
The authors grant Revista Enfermagem UERJ the right of first publication, to identify themselves as the original publisher of the work and grant the magazine a license of non-exclusive rights to use the work in the following ways:
- Sell and/or distribute the work in printed copies and/or electronic format;
- Distribute parts and/or the work as a whole with the aim of promoting the magazine through the internet and other digital and printed media;
- Record and playback work in any format, including digital media.
In line with the journal's policies, each published article will be assigned a Creative Commons Attribution (CC BY) license.