Vivências das famílias de crianças e adolescentes com incongruência de gênero reveladas por meio de consultas de enfermagem
Why this work is in the frame
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Bibliographic record
Abstract
Introduction: Due to the stigma and discrimination in society, children and adolescents with gender incongruence can suffer from stressful factors that are often related to the development of mental disorders such as depression, anxiety and suicide.Considering the vulnerability of these children and adolescents, the presence of family support has a great influence on their willingness to improve.Thus, it is important that nurses know their experiences in order to develop nursing care.Aim: to know the experience of the family of children and adolescents with gender incongruence, through the application of the Calgary Models of Nursing Family Assessment and Intervention in an Outpatient Clinic of Gender and Sexualities in Childhood and Adolescence.Method: its methodological framework is the qualitative case study strategy, supported by the theoretical-methodological framework of the Calgary Family Assessment and Intervention Models.Data collection occurred through interviews in nursing consultations with family members, participant observation in family groups and access to medical records.Results: The data made it possible to identify problems and strengths to be worked on with these families.The first problem called "challenges facing the gender transition", addressed the anxieties of family members in relation to the use of the social name, pronoun changes, gender fluidity and difficulties with social relationships; the second dealt with the concern with mental health, highlighting the vulnerability of this minority population to mental illnesses.On the other hand, strengths were identified that, when worked together with the nurse, would have the potential for the development of interventions for health promotion: the ability to provide support, security and encouragement, and also to accept help.Based on this information, two nursing care interventions were elaborated: at the individual level, nursing consultations and, collectively, family groups.Final considerations:Considering the importance of family support for these children and adolescents, knowledge of the experiences of these families through family assessment and intervention models can contribute to the development of ethical and empathetic nursing care and, consequently, to the reduction of moral judgment and stigmatization on the part of the welcoming professional, which distances this vulnerable population from access to health care.
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Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.009 | 0.020 |
| Meta-epidemiology (narrow) | 0.002 | 0.002 |
| Meta-epidemiology (broad) | 0.003 | 0.001 |
| Bibliometrics | 0.001 | 0.002 |
| Science and technology studies | 0.005 | 0.001 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.003 | 0.007 |
| Insufficient payload (model declined to judge) | 0.004 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it