Dados do Trabalho

Title

Description of the creation of a training and evaluation of the perception of the multidisciplinary team of an assisted human reproduction center, for the reception of plural families.

Objective

To describe the development process and the perception of understanding of the multidisciplinary team to welcome plural families, compatible with the needs and particularities inherent to this public. The possibility of treatment for plural families from the CFM 2015 resolution, led to an increase in demand for assisted human reproduction treatments, motivating the need for a better understanding of specialized centers, aiming at better reception. In this process, the entire team needs adaptation within the perspective of a more humane treatment.

Methods

Descriptive and exploratory study carried out at Instituto Ideia Fértil between August and December 2022. Initially, a multidisciplinary team was assembled with a doctor, nurse, psychologist and social worker to define the strategy and, later, the marketing team was included. First stage: meeting with all employees, both at department meetings and at CIPA lectures, addressing topics such as definitions of sex, gender and sexual orientation, as well as the importance of a welcoming environment, reflections on vulnerability and the importance of using the social name - if necessary - inclusion of the partner, if relevant, and approach to concepts on reproductive strategies. Theoretical classes and simulated situations were used. Additionally, during the training, a questionnaire was sent via Google forms with ten questions, in order to determine the employees' perception on the subject, the training. Among the questions, the following stand out: Do you know what all the letters in the acronym LGTBQIAPN+ mean?; Do you know the difference between gender identity and sexual orientation?; From 0 to 10, with 0 being none at all and 10 being a lot, how prepared do you feel to assist an LGBTQIAPN+ person?; Which of the factors below most arouse insecurity in the care of LGBTQIAPN+ people?; Are you aware of the social, economic, legal and psychological vulnerability faced by this population?; Do you believe that lectures, flyers and meetings would help you to serve this community?

Results

Of the 132 employees, 81 (61.3%) answered the questions. It is noteworthy that 55.6% knew the letters of the acronym LGBTQIAPN+; 92.6% considered it important for the Institute to promote these actions, with quarterly frequency for 35.8% and monthly for 34.6%; knew the difference between gender identity and sexual orientation 69 (85.2%); 59.3% knew which aspects related to gender identity and sexual orientation could influence care; on a scale of 0-10, 24.7% considered 9-10 for preparation in attendance; using incorrect pronouns and asking embarrassing questions were the main fear associated with care for 96.1%; 60.5% have knowledge about aspects of vulnerability; exchanging experience with experienced professionals would be the best way to assist in the service for 64.2% and knowledge on this topic generates a greater impact on citizenship for 80.2%.

Conclusion

Multidisciplinary training with expository classes and simulated situations for the team of Assisted Human Reproduction Centers in order to provide an affective approach to plural families is fundamental for the current needs and demands of society. This is an essential commitment to humanized medicine. The strategy of bringing professionals with experience was well accepted by the majority of the team, who understand this mainly as an aspect of citizenship. The main fears of professionals are related to the wrong use of pronouns and embarrassing questions. However, quarterly training can be an effective strategy. Increasing employee adherence and seeking continuous training are goals of the Institute that carried out this research.

Keywords

plural families, LGBTQIAPN+; team training; humanization.