title: The process of seeking and undergoing surgical contraception: an ethnographic study in a Brazilian community.
abstract: The purpose of this research is to describe the process of seeking and undergoing surgical contraception by women of a low-income community in the city of Sao Paulo, Brazil. The ethnonursing research method was followed and data were collected with seven key and 11 general informants. The three cultural categories described (a) the difficulties women encountered with nonsurgical contraceptive methods, (b) the obstacles and barriers to obtaining surgical contraception for low-income women, and (c) beliefs and values of and about women who have undergone tubal ligation procedures. The cultural theme was that "being operada was the realization of a great dream." Leininger's sunrise model provided a framework for the discussion of the findings and implications for socially and culturally congruent nursing care.
authors.affiliation: São Paulo City Health Office, São Paulo, Brazil.
authors.forename: Edileusa Aparecida Almeida
authors.initials: EA
authors.lastname: de Oliveira
authors.forename: Luiza Akiko Komura
authors.initials: LA
authors.lastname: Hoga
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000884:Anthropology, Cultural; D001938:Brazil; D018864:Cultural Diversity; D004522:Educational Status; D005193:Family Planning Services; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D017533:Marital Status; D008875:Middle Aged; D016294:Models, Nursing; D020380:Needs Assessment; D015404:Nursing Methodology Research; D009742:Nursing Theory; D010298:Parity; D010342:Patient Acceptance of Health Care / Q000208:ethnology*; D011204:Poverty Areas; D012959:Socioeconomic Factors; D013246:Sterilization, Tubal / Q000523:psychology*; D011795:Surveys and Questionnaires; D016746:Transcultural Nursing; D014505:Urban Population; D014930:Women / Q000193:education / Q000523:psychology*