School of Healthcare Sciences, Cardiff University, Ty Dewi Sant, Heath Park, Cardiff, CF 14 4YU, UK.
School of Healthcare Sciences, Cardiff University, Ty Dewi Sant, Heath Park, Cardiff, CF 14 4YU, UK.
Radiography (Lond). 2020 May;26(2):e38-e44. doi: 10.1016/j.radi.2019.10.008. Epub 2019 Nov 1.
Transgender and gender non-conforming people have historically been hidden in society. Increasing visibility has led to an awareness of the systematic discrimination experienced by this community. Transgender people experience factors that increase their need for healthcare while experiencing a lack of trans appropriate care. The aim of the research was to identify the lived experiences of transgender individuals in accessing radiology METHODS: A qualitative approach was used to determine the lived experiences of transgender individuals in accessing radiology for care unrelated to their transition process. In depth semi-structured interviews were used to collect data from six participants who identified as transgender or gender non-conforming. Participants were recruited by personal connection and subsequent snowball style sampling. Systematic thematic analysis was applied to the recorded interviews from each participant RESULTS: Thematic analysis identified a diverse range of individual lived experiences with 3 themes and a series of sub themes: (1) cultural competence (2) social stigma and (3) environment CONCLUSION: The study findings identify that negative healthcare experiences of transgender individuals are often the result of a lack of transgender knowledge demonstrated by healthcare professionals. Positive healthcare experiences were characterised by the use of inclusive language and the provision of an inclusive environment.
Improving the lived experience of healthcare for transgender individuals will require an improved inclusive curriculum within undergraduate education, as well as post qualification for all healthcare professionals. Healthcare professionals, including radiographers may make immediate improvements in the adoption of a more inclusive language and the display of signs and symbols which reflect a supportive environment. Longer term environmental improvements may include increasing access to gender neutral restrooms and changing facilities.
跨性别者和性别不一致者在历史上一直隐藏在社会中。可见度的增加使人们意识到这个群体所经历的系统性歧视。跨性别者在需要医疗保健的同时，也经历着缺乏适合他们的护理的情况。这项研究的目的是确定跨性别者在接受与过渡过程无关的放射科护理时的实际体验。
采用定性方法确定跨性别者在接受放射科护理时的实际体验，这些护理与他们的过渡过程无关。使用深入的半结构式访谈从六名自认为是跨性别者或性别不一致者的参与者那里收集数据。通过个人联系和随后的滚雪球抽样方式招募参与者。对每位参与者的录音访谈应用系统的主题分析。
主题分析确定了 3 个主题和一系列子主题的个体实际体验的多样性：（1）文化能力，（2）社会污名化，（3）环境。
研究结果表明，跨性别者的负面医疗体验往往是医疗保健专业人员缺乏跨性别知识的结果。积极的医疗体验的特点是使用包容性语言和提供包容性环境。
要改善跨性别者的医疗保健体验，需要在本科教育中增加更具包容性的课程，以及对所有医疗保健专业人员进行资格后培训。医疗保健专业人员，包括放射技师，可以立即通过采用更具包容性的语言和展示反映支持性环境的标志和符号来改进。长期的环境改进可能包括增加对中性性别厕所和更衣室的使用。
