Role-play simulation to teach nursing students how to provide culturally sensitive care to transgender patients.


Journal

Nurse education in practice
ISSN: 1873-5223
Titre abrégé: Nurse Educ Pract
Pays: Scotland
ID NLM: 101090848

Informations de publication

Date de publication:
Jul 2021
Historique:
received: 14 12 2020
revised: 27 04 2021
accepted: 16 06 2021
pubmed: 28 6 2021
medline: 4 8 2021
entrez: 27 6 2021
Statut: ppublish

Résumé

Increase student knowledge and comfort with caring for a transgender individual and confronting colleagues when exhibiting poor cultural intelligence. Transgender patients often experience health care inequities, including heteronormative microaggressions in communication and policies. Simulation has been a successful means of providing students with the education, tools, and experience necessary to combat systemic injustice in health care. Simulation is an interactive pedagogy that allows nursing students to practice assessment, patient care, and difficult conversations in a controlled, risk-free environment. Prelicensure nursing students role-played a simulation created as an interactive learning strategy to promote culturally sensitive assessment of a transgender patient and their caregiver, including assessing for pronouns and providing patient-centered care. The simulation included preforming a difficult conversation between nurses to cultivate an environment of being an upstander. The simulation demonstrated holistic methods of assessing and supporting unique patient needs for the patient who is transgender. Nursing students reported they felt that their comfort with advocacy and ability to communicate with transgender patients, as well as with their families, and health care team members was enhanced after completing the simulation. Simulation has the ability to reduce discomfort and discrimination in health care for transgender patients by equipping students with culturally sensitive and inclusive communication tools and providing them with risk-free environment where they can learn to provide care for this vulnerable population in preparation for successful future encounters.

Sections du résumé

OBJECTIVE OBJECTIVE
Increase student knowledge and comfort with caring for a transgender individual and confronting colleagues when exhibiting poor cultural intelligence.
BACKGROUND BACKGROUND
Transgender patients often experience health care inequities, including heteronormative microaggressions in communication and policies. Simulation has been a successful means of providing students with the education, tools, and experience necessary to combat systemic injustice in health care. Simulation is an interactive pedagogy that allows nursing students to practice assessment, patient care, and difficult conversations in a controlled, risk-free environment.
DESIGN/ METHODS UNASSIGNED
Prelicensure nursing students role-played a simulation created as an interactive learning strategy to promote culturally sensitive assessment of a transgender patient and their caregiver, including assessing for pronouns and providing patient-centered care. The simulation included preforming a difficult conversation between nurses to cultivate an environment of being an upstander. The simulation demonstrated holistic methods of assessing and supporting unique patient needs for the patient who is transgender.
RESULTS RESULTS
Nursing students reported they felt that their comfort with advocacy and ability to communicate with transgender patients, as well as with their families, and health care team members was enhanced after completing the simulation.
CONCLUSION CONCLUSIONS
Simulation has the ability to reduce discomfort and discrimination in health care for transgender patients by equipping students with culturally sensitive and inclusive communication tools and providing them with risk-free environment where they can learn to provide care for this vulnerable population in preparation for successful future encounters.

Identifiants

pubmed: 34175652
pii: S1471-5953(21)00159-1
doi: 10.1016/j.nepr.2021.103123
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

103123

Informations de copyright

Copyright © 2021 Elsevier Ltd. All rights reserved.

Auteurs

Amie Koch (A)

Duke University School of Nursing, Durham, NC, USA; Lincoln Community Health Clinic and Transitions LifeCare Palliative Care and Hospice, Durham, NC, USA. Electronic address: Amie.Koch@duke.edu.

Miranda Ritz (M)

Duke University School of Nursing, Durham, NC, USA.

Anthony Morrow (A)

Duke University School of Nursing, Durham, NC, USA.

Kimberlee Grier (K)

Duke University School of Nursing, Durham, NC, USA.

Jacquelyn M McMillian-Bohler (JM)

Duke University School of Nursing, Durham, NC, USA.

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Classifications MeSH