Denna studie har en fenomenologisk ingång och undersöker transpersoners förutsättningar, strategier och förhållningssätt för att uppnå sexuell hälsa, samt hur de använt dessa för att hantera könsinkongruens och könsdysfori, genom olika faser av social och medicinsk transition. Studien placerar sig inom aktionsforskning och undersöker handlingsstrategier i en grupp transpersoner som trivs med sin sexualitet. Studien bygger på 10 informanters deltagande, varav sju intervjuer och tre texter. Alla informanter upplevde ökad kroppsdysfori och social dysfori under varseblivandet av könsidentiteten och i väntan på utredning och behandling. I resultatet framkom det att acceptera den egna identiteten, att bli respekterad utifrån denna samt få önskad medicinsk behandling var avgörande för sexuell hälsa. Onani och fantasi hjälpte flera informanter att lära känna den nya kroppen och uppnå kroppsacceptans samt hantera könsdysfori och social dysfori. Onani hjälpte informanterna att hitta nya erogena zoner och integrera fler delar av kroppen i sin sexualitet. Att fantisera om kroppskongruens hade också en positiv effekt i relation till egen sexualitet och sexualitet med partner. Vidare så ger transidentitet anledning till verbal kommunikation om sexualitet, lust och gränser med partner, vilket gynnade njutning. Fler informanter uttryckte en frihetskänsla av att bryta normer och att de var mer sexuellt nöjda i deras nya identitet och sexuella praktiker. Slutligen diskuteras att cis-personer också anstränger sig för att passa in i kulturens genusnormer och sexuella normer, och att den största skillnaden mellan trans- och cis-personer, kan vara att transpersoner har en medvetenhet om denna möda. Således kan de handlingsstrategier som denna studie inringat vara värdefulla för transpersoner såväl som cis-personer för att uppnå sexuell hälsa. / This study has a phenomenological approach and examines transgender peoples’ prospects, strategies and approaches to handle gender incongruence and gender dysphoria, and their ability to experience sexual desire and sexual health in the process of social and medical transition. The study employs an action research methodology and aims to explore coping strategies in a sex positive sample. The work is based on teen self-reports, comprising seven interviews and three written texts. All participants reported significantly higher body dysphoria and social dysphoria both during the coming out process and while waiting for assessment and medical transitioning. It was found that acknowledging oneself and one’s transgender identity, as well as access to medical treatment, was vital for sexual health. To cope with gender dysphoria and social dysphoria the participants used masturbation and fantasy to get to know their new body, experience sexual desire and encourage body acceptance. Masturbation helped participants discover new erogenous zones, communicate bodily boundaries, and establish likes and dislikes with partners. Fantasizing about body congruence also had a positive effect in relation to one's own sexuality and sexuality with partners. Furthermore, the findings suggest that trans-identity gives rise to verbal communication about sexuality, desire and boundaries with partners, which encouraged an acceptance of sexuality. Several informants expressed a sense of freedom from breaking norms and that they were more sexually satisfied in their new identity and sexual practices. Lastly, the study revealed that cis-gender people also are struggling to find their place in the gender roles and cultural norms of sexuality, and that the main difference between this group and transgender people is that the former may be more aware of these roles and norms. Therefore, the findings of this study can provide valuable insights for both trans and cis-gender people to achieve sexual health.

Os profissionais da equipe de enfermagem esboçam diferentes reações ao assistir o paciente durante o processo de morrer, e também o sofrimento dos seus familiares. E vivenciar essas situações provocam um sério desgaste emocional nesses profissionais. Assim, a presente pesquisa tem, como objetivos, identificar as representações dos profissionais de enfermagem de UTIs, do HU-USP, no enfrentamento do processo de morrer em seu cotidiano de trabalho; analisar as representações dos profissionais de enfermagem de UTIs, do HU-USP, no enfrentamento do processo de morrer e propor intervenções que potencializem o enfrentamento do processo de morrer pelos profissionais de enfermagem na assistência prestada ao paciente e à sua família, visando uma prática humanizante e humanizada. A pesquisa foi qualitativa, e os dados obtidos por meio de entrevistas individuais e nas dinâmicas ocorridas em cinco encontros norteados pela técnica de grupo focal, que utilizou como estratégia a pesquisa-ação. Estes dados foram analisados segundo a modalidade da análise temática estruturada nas concepções de saúde-doença-morte e nos aspectos culturais, no processo de trabalho em enfermagem e suas especificidades, cujo foco foi a humanização dentro do ambiente hospitalar e a psicodinâmica do trabalho: sofrimento-prazer no trabalho de enfermagem. Os resultados mostraram a necessidade de se implantar encontros sistematizados, nos quais os profissionais de enfermagem de unidades de terapia intensiva tenham a oportunidade de expor suas angústias e medos ao assistir o paciente no processo de morrer, bem como os seus familiares. O intuito dessa iniciativa é fortalecer a construção individual e coletiva de estratégias destinadas a ajudar o profissional a enfrentar tais adversidades. / The nursing team professionals show different reactions while watching the patient during the dying process and also the suffering of the family members. Experiencing such situations brings about intense emotional stress in these professionals. Based on that, this research aims to identify what the representations to the ICU’s nursing professionals of HU-USP are when coping with the dying process in their daily activities at work. It also aimed to propose interventions that help them cope with this process and in the support provided to the patient and family members, targeting a humanizing and humanized practice. It is a qualitative research and the data were obtained through individual interviews in five meetings using the focal group technique and research-action as strategy. These data were analyzed according to the structured thematic analysis in the health-disease-death conceptions and cultural aspects in the nursing work process and its specificities. The focus was the humanization in the hospital setting and the psychodynamic of the work – pleasure-suffering experiences in the nursing work. The results pointed out the need for establishing systemized meetings in which the nurse professionals working in ICU’s have the opportunity to expose their anguishes and fears as they watch the patient during the dying process and the family as well. The goal of this initiative is to strengthen individual and collective construction of strategies intended to help the professional to cope with such adversities.

Os profissionais da equipe de enfermagem esboçam diferentes reações ao assistir o paciente durante o processo de morrer, e também o sofrimento dos seus familiares. E vivenciar essas situações provocam um sério desgaste emocional nesses profissionais. Assim, a presente pesquisa tem, como objetivos, identificar as representações dos profissionais de enfermagem de UTIs, do HU-USP, no enfrentamento do processo de morrer em seu cotidiano de trabalho; analisar as representações dos profissionais de enfermagem de UTIs, do HU-USP, no enfrentamento do processo de morrer e propor intervenções que potencializem o enfrentamento do processo de morrer pelos profissionais de enfermagem na assistência prestada ao paciente e à sua família, visando uma prática humanizante e humanizada. A pesquisa foi qualitativa, e os dados obtidos por meio de entrevistas individuais e nas dinâmicas ocorridas em cinco encontros norteados pela técnica de grupo focal, que utilizou como estratégia a pesquisa-ação. Estes dados foram analisados segundo a modalidade da análise temática estruturada nas concepções de saúde-doença-morte e nos aspectos culturais, no processo de trabalho em enfermagem e suas especificidades, cujo foco foi a humanização dentro do ambiente hospitalar e a psicodinâmica do trabalho: sofrimento-prazer no trabalho de enfermagem. Os resultados mostraram a necessidade de se implantar encontros sistematizados, nos quais os profissionais de enfermagem de unidades de terapia intensiva tenham a oportunidade de expor suas angústias e medos ao assistir o paciente no processo de morrer, bem como os seus familiares. O intuito dessa iniciativa é fortalecer a construção individual e coletiva de estratégias destinadas a ajudar o profissional a enfrentar tais adversidades. / The nursing team professionals show different reactions while watching the patient during the dying process and also the suffering of the family members. Experiencing such situations brings about intense emotional stress in these professionals. Based on that, this research aims to identify what the representations to the ICU’s nursing professionals of HU-USP are when coping with the dying process in their daily activities at work. It also aimed to propose interventions that help them cope with this process and in the support provided to the patient and family members, targeting a humanizing and humanized practice. It is a qualitative research and the data were obtained through individual interviews in five meetings using the focal group technique and research-action as strategy. These data were analyzed according to the structured thematic analysis in the health-disease-death conceptions and cultural aspects in the nursing work process and its specificities. The focus was the humanization in the hospital setting and the psychodynamic of the work – pleasure-suffering experiences in the nursing work. The results pointed out the need for establishing systemized meetings in which the nurse professionals working in ICU’s have the opportunity to expose their anguishes and fears as they watch the patient during the dying process and the family as well. The goal of this initiative is to strengthen individual and collective construction of strategies intended to help the professional to cope with such adversities.