Allison M Kathryn, Marshall S Alexandra, Archie Dani Smith, Neher Taylor, Stewart Gray, Anders Michael E, Stewart M Kathryn
Department of Health Behavior & Health Education, Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences, Little Rock, Arkansas.
Arkansas Transgender Equality Coalition, Little Rock, Arkansas.
Transgend Health. 2019 Oct 25;4(1):280-286. doi: 10.1089/trgh.2019.0036. eCollection 2019.
Transgender/nonbinary (trans/NB) patients face stigma in health care settings. Health care professionals' training on trans/NB issues has historically been lacking. Interprofessional education (IPE) provides an opportunity to improve knowledge and attitudes across health care professions. The purpose of this study was to: (a) describe the development and implementation of an IPE workshop on gender-affirming care through a trans/NB community-academic partnership and (b) examine the impact of the workshop on student knowledge and attitudes. The workshop included a slide presentation on basic terminology and concepts, video clips of trans/NB patientprovider interactions, facilitated discussions of affirming practices, and a trans/NB panel. Nonparametric statistical analysis of pre- and post-survey data from 58 workshop participants measured changes in student knowledge and attitudes. Students demonstrated statistically significant improvements in knowledge (=-12.72; <0.01) and interpersonal comfort (=-2.06; <0.05) as well as sex and gender beliefs (=-3.06; <0.05) on subscales from the Transgender Attitudes & Beliefs Scale. The results demonstrated no differences on the human value subscale (=-0.69; =0.49) or on health care professional questions (=-1.23; =0.23). A community-academic partnership developed and implemented this brief interactive educational intervention, which can improve both knowledge and attitudes about trans/NB individuals' health among health professional students.
跨性别/非二元性别(trans/NB)患者在医疗环境中面临耻辱感。历史上,医疗保健专业人员缺乏关于跨性别/非二元性别问题的培训。跨专业教育(IPE)为改善各医疗保健专业的知识和态度提供了一个机会。本研究的目的是:(a)描述通过跨性别/非二元性别社区-学术伙伴关系开展和实施的关于性别肯定护理的跨专业教育工作坊,以及(b)研究该工作坊对学生知识和态度的影响。该工作坊包括一个关于基本术语和概念的幻灯片展示、跨性别/非二元性别患者与提供者互动的视频片段、关于肯定性实践的促进讨论以及一个跨性别/非二元性别小组。对58名工作坊参与者的调查前和调查后数据进行非参数统计分析,以衡量学生知识和态度的变化。学生们在跨性别态度与信念量表的子量表上,在知识(=-12.72;<0.01)、人际舒适度(=-2.06;<0.05)以及性与性别信念(=-3.06;<0.05)方面表现出统计学上的显著改善。结果表明,在人类价值子量表(=-0.69;=0.49)或医疗保健专业问题(=-1.23;=0.23)上没有差异。一个社区-学术伙伴关系开发并实施了这种简短的互动式教育干预,它可以改善健康专业学生对跨性别/非二元性别个体健康的知识和态度。