Conceptual reflection on affirmative nursing as a professional field for the care of older gay men.

Revista da Escola de Enfermagem da U S P Pub Date : 2026-04-10 eCollection Date: 2026-01-01 DOI:10.1590/1980-220X-REEUSP-2025-0517en
Vinicius de Oliveira Muniz, Pricila Oliveira de Araújo, Evanilda Souza de Santana Carvalho, Rosalina Aparecida Partezani Rodrigues, Anderson Reis de Sousa
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Abstract

Objective: To reflect on Affirmative Nursing care as support for the expression of sexual orientation in older gay men.

Method: A theoretical study, developed between 2023 and 2025, including articles, government materials, observatories, a manual, a book/book chapter, and a resolution. The analysis was conducted through interpretive reading, based on the framework of Affirmative Action, guided by a checklist. Development: Heteronormativity reflects a problematic scenario that such men experience worldwide, surrounded by homophobia, symbolic violence, marginalization by health services due to embarrassing experiences, self-segregation, double stigmatization, social exclusion, and invisibility, contributing to an impaired Coming Out. Affirmative Nursing is based on principles of affective, inclusive, and culturally sensitive care. Together with social gerontology and public policies, they propose practices that recognize identities, promote safe environments, and strengthen therapeutic bonds.

Conclusion: Creating a caregiving trend integrated into affirmative action policies is a way to reduce prejudice and increase adherence to health services, a practice that needs to be configured to safeguard the dignity of older gay men, protecting them from any inhumane and/or embarrassing treatment.

积极护理作为老年男同性恋护理专业领域的概念反思。
目的:探讨积极护理对老年男同性恋者性取向表达的支持作用。方法:一项理论研究,在2023年至2025年之间开发,包括文章,政府资料,天文台,手册,书籍/书籍章节和决议。分析是通过解释性阅读进行的,以平权行动的框架为基础,以清单为指导。发展:异性恋规范反映了世界范围内这类男性所面临的问题,他们被同性恋恐惧症、象征性暴力、因令人尴尬的经历而被卫生服务边缘化、自我隔离、双重污名化、社会排斥和不被关注所包围,导致他们无法顺利出柜。积极护理是基于情感、包容和文化敏感护理的原则。结合社会老年学和公共政策,他们提出了识别身份、促进安全环境和加强治疗联系的做法。结论:将看护趋势纳入平权行动政策是减少偏见和增加对保健服务的依从性的一种方式,这种做法需要加以配置,以维护老年男同性恋者的尊严,保护他们免受任何不人道和/或令人尴尬的待遇。
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