"I don't feel like I'm a person": Nursing knowledge of transgender care through the lens of transgender people.
LGBT
advocacy
discrimination
equity
gender
knowledge
nursing
qualitative
sexuality
transgender
Journal
Journal of advanced nursing
ISSN: 1365-2648
Titre abrégé: J Adv Nurs
Pays: England
ID NLM: 7609811
Informations de publication
Date de publication:
Sep 2022
Sep 2022
Historique:
revised:
29
04
2022
received:
01
10
2021
accepted:
07
05
2022
pubmed:
2
6
2022
medline:
24
8
2022
entrez:
1
6
2022
Statut:
ppublish
Résumé
One aim of this study was to discover and understand the perceptions of healthcare delivery for transgender people who have had interactions with nurses while receiving care. An additional purpose of this study was to identify if these perceptions of nursing knowledge have an influence on transgender individuals seeking future healthcare. Qualitative, interpretive description. Recruitment of participants and interviews took place between September and November 2020. Confidentiality and protection of human participants was prioritized, and data analysis concluded in early 2021. Ten participant interviews were completed until data saturation were determined. One overarching theme and five supporting themes were constructed from data. Based on participant experiences, these themes reflect transgender peoples' perceptions of nursing knowledge of transgender care and how these perceptions impact seeking future healthcare. Experiences that shaped transgender peoples' perceptions of nursing knowledge of transgender care varied depending on the locations of these services and the experience and understanding of registered nurses. These findings highlight the perceptions that transgender people have of registered nurses' knowledge of transgender care and the influence that those perceptions have on them seeking future healthcare. This research aimed to fill a gap in the literature viewing registered nurses' knowledge of transgender care through the lenses of transgender participants. These findings indicate the need to advance the nursing profession to provide equitable, nonjudgmental care to transgender people to minimize the health disparities that they continue to face.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
3012-3024Informations de copyright
© 2022 John Wiley & Sons Ltd.
Références
American Association of Colleges of Nursing. (2019). AACN's vision for academic nursing. https://www.aacnnursing.org/Portals/42/News/White-Papers/Vision-Academic-Nursing.pdf
American Nurses Association. (2015). Code of ethics for nurses with interpretive statements. https://www.nursingworld.org/coe-view-only
American Nurses Association. (2018a). Nursing advocacy for LGBTQ+ populations. http://www.nursingworld.org/~49866e/globalassets/practiceandpolicy/ethics/nursing-advocacy-for-lgbtq-populations.pdf
American Nurses Association. (2018b). The nurse's role in addressing discrimination: Protecting and promoting inclusive strategies in practice settings, policy, and advocacy. https://www.nursingworld.org/~4ab207/globalassets/practiceandpolicy/nursing-excellence/ana-position-statements/social-causes-and-health-care/the-nurses-role-in-addressing-discrimination.pdf
Austin, A., & Goodman, R. (2017). The impact of social connectedness and internalized transphobic stigma on self-esteem among transgender and gender non-conforming adults. Journal of Homosexuality, 64, 825-841. https://doi.org/10.1080/00918369.2016.1236587
Braun, H. M., Ramirez, D., Zahner, G. J., Gillis-Buck, E. M., Sheriff, H., & Ferrone, M. (2017). The LGBTQI health forum: An innovative interprofessional initiative to support curriculum reform. Medical Education Online, 22(1), 1-8. https://doi.org/10.1080/10872981.2017.1306419
Carabez, R., Pellegrini, M., Mankovitz, A., Eliason, M., Ciano, M., & Scott, M. (2015). “Never in all my years…”: Nurses' education about LGBT health. Journal of Professional Nursing, 31(4), 323-329. https://doi.org/10.1016/j.profnurs.2015.01.003
Chaya, J., & Bernert, D. J. (2014). Considerations for sexuality education and services for elders. American Journal of Sexuality Education, 9, 99-13. https://doi.org/10.1080/15546128.2014.883265
Cicero, E. C., & Black, B. P. (2016). “I was a spectacle… a freak show at the circus”: A transgender person's ED experience and implications for nursing practice. Journal of Emergency Nursing, 42(1), 25-30. https://doi.org/10.1016/j.jen.2015.08.012
Cicero, E. C., Reisner, S. L., Silva, S. G., Merwin, E. I., & Humphreys, J. C. (2019). Health care experiences of transgender adults: An integrated mixed research literature review. Advances in Nursing Science, 42, 123-138. https://doi.org/10.1097/ANS.0000000000000256
Cyrus, K. (2017). Multiple minorities as multiply marginalized: Applying minority stress theory to LGBTQ people of color. Journal of Gay & Lesbian Mental Health, 21(3), 194-202. https://doi.org/10.1080/19359705.2017.1320739
Daley, A., & MacDonnell, J. A. (2015). ‘That would have been beneficial’: LGBTQ education for home-care service providers. Health and Social Care in the Community, 23, 282-291. https://doi.org/10.1111/hsc.12141
De Guzman, F. L. M., Moukoulou, L. N. N., Scott, L. D., & Zerwic, J. J. (2018). LGBT inclusivity in health assessment textbooks. Journal of Professional Nursing, 34(6), 1-5. https://doi.org/10.1016/j.profnurs.2018.03.001
Dorsen, C., & Van Devanter, N. (2016). Open arms, conflicted hearts: Nurse-practitioner's attitudes towards working with lesbian, gay, and bisexual patients. Journal of Clinical Nursing, 25, 3716-3727. https://doi.org/10.1111/jocn.13464
Drayton-Brooks, S., & Patterson, B. J. (2022). Where is the DEI in recruitment of minorities in nursing education research? Nursing Education Perspectives, 43(1), 3-4. https://doi.org/10.1097/01.NEP.0000000000000930
DuBois, L. Z., Gibb, J. K., Juster, R. P., & Powers, S. I. (2020). Biocultural approaches to transgender and gender diverse experience and health: Integrating biomarkers and advancing gender/sex research. American Journal of Human Biology, 33, e23555. https://doi.org/10.1002/ajhb.23555
Du-Plessis, M. A. (2015). Determining professional nurses' knowledge on the performance management and development system in Tshwane. Curationis, 38(1), 1-7. https://doi.org/10.4102/curationis.v38i1.1186
Hendrickson, S. G., Contreras, C. V., Schiller, E., & Walsh, D. (2020). Exploring health care experiences of transgender people living in Texas. Nursing Outlook, 68(4), 476-483. https://doi.org/10.1016/j.outlook.2020.02.002
Hodges, T., Seibenhener, S., & Young, D. (2021). Incorporating health care concepts addressing the needs of lesbian, gay, bisexual, and transgender population in an associate of science nursing curriculum: Are faculty prepared? Teaching and Learning in Nursing, 16, 116-120. https://doi.org/10.1016/j.teln.2020.11.005
Lim, F., Brown, D., & Jones, H. (2013). Lesbian, gay, bisexual, and transgender health: Fundamentals for nursing education. Journal of Nursing Education, 52(4), 198-203. https://doi.org/10.3928/01484834-20130311-02
Lim, F., Brown, D., Kim, J., & Min, S. (2014). Addressing health care disparities in the lesbian, gay, bisexual, and transgender population: A review of best practice. American Journal of Nursing, 114(6), 24-34. https://doi.org/10.1097/01.NAJ.0000450423.89759.36
Lim, F., Johnson, M., & Eliason, M. (2015). A national survey of faculty knowledge, experience, and readiness for teaching lesbian, gay, bisexual, and transgender health in baccalaureate nursing programs. Nursing Education Perspectives, 36(3), 144-152. https://doi.org/10.5480/14-1355
Lykens, J. E., LeBlanc, A. J., & Bockting, W. O. (2018). Healthcare experiences among young adults who identify as genderqueer or nonbinary. LGBT Health, 5, 191-196. https://doi.org/10.1089/lgbt.2017.0215
Maley, B., & Gross, R. (2019). A writing assignment to address gaps in the nursing curriculum regarding health issues of LGBT+ populations. Nursing Forum, 54(2), 198-204. https://doi.org/10.1111/nuf.12315
Manzer, D., O'Sullivan, L. F., & Doucet, S. (2018). Myths, misunderstandings, and missing information: Experiences of nurse practitioners providing primary care to lesbian, gay, bisexual, and transgender patients. The Canadian Journal of Human Sexuality, 27(2), 157-170. https://doi.org/10.3138/cjhs.2018-0017
Maruca, A. T., Diaz, D. A., Stockmann, C., & Gonzalez, L. (2018). Using simulation with nursing students to promote affirmative practice toward the lesbian, gay, bisexual, and transgender population: A multisite study. Nursing Education Perspectives, 39(4), 225-229. https://doi.org/10.1097/01.NEP.0000000000000302
McCann, E., & Brown, M. (2017). Discrimination and resilience and that needs of people who identify as transgender: A narrative review of quantitative research studies. Journal of Clinical Nursing, 26, 4080-4093. https://doi.org/10.1111/jocn.13913
Meerwijk, E. L., & Sevelius, J. M. (2017). Transgender population size in the United States: A meta-regression of population-based probability samples. American Journal of Public Health, 107(2), e2-e8. https://doi.org/10.2105/AJPH.2016.303578
Paradiso, C., & Lally, R. M. (2018). Nursing practitioner knowledge, attitudes, and beliefs when caring for transgender people. Transgender Health, 3(1), 48-56. https://doi.org/10.1089/trgh.2017.0048
Reblora, J. M., Lopez, V., & Goh, Y. (2020). Experiences of nurses working in a triage area: An integrative review. Australian Critical Care, 33, 567-575. https://doi.org/10.1016/j.aucc.2020.01.005
Rogers, B. A. (2019). “Contrary to all the other shit I've said”: Trans men passing in the south. Qualitative Sociology, 42, 639-662. https://doi.org/10.1007/s11133-019-09436-w
Rotzinger, K. (2018). Experiences of transgender people in the healthcare system: A complex analysis. University of Ottawa Journal of Medicine, 8, 56-61. https://doi.org/10.18192/uojm.v8i1.2390
Thomas, D. (2020). Reflections on inclusive language and indexing. Key Words, 28(4), 14-18.
Thorne, S. (2000). Data analysis in qualitative research. Evidence-Based Research, 3, 68-70. https://doi.org/10.1136/ebn.3.3.68
Thorne, S. (2016). Interpretive description (2nd ed.). Routledge.
Tillman, K., Creel, E., & Pryor, S. (2016). The lived experience of second-degree baccalaureate nursing students providing care to members of an LGBT community. International Journal for Human Caring, 20, 176-181. https://doi.org/10.20467/1091-5710.20.4.176
Tong, A., Sainsbury, P., & Craig, J. (2007). Consolidated criteria for reporting qualitative research (COREQ): A 32-item checklist for interviewers and focus groups. International Journal for Quality in Health Care, 19(6), 349-357. https://doi.org/10.1093/intqhc/mzm042
Walsh, D., & Hendrickson, S. G. (2015). Focusing on the “T” in LGBT: An online survey of related content in Texas nursing programs. Journal of Nursing Education, 54(6), 347-351. https://doi.org/10.3928/01484834-20150515-07