The University of Texas at Austin School of Nursing, Austin, TX.
The University of Texas at Austin School of Nursing, Austin, TX.
Nurs Outlook. 2020 Jul-Aug;68(4):476-483. doi: 10.1016/j.outlook.2020.02.002. Epub 2020 Apr 25.
Although the transgender population in the United States is greater than 1.4 million, health care experiences in this group are underaddressed.
To explore the health care experiences of transgender people in Texas.
This was an exploratory, sequential multimethod study. In Phase 1, to identify key health-related topics, a self-selected sample of 14 participants completed an online survey. In Phase 2, the focus was understanding care experiences for 12 participants using audio-recorded interviews and theme identification. NVivo software was used for data management.
In Phase 1, findings included needing to: educate providers (89%), correct care staff on pronoun use (75%), tolerate staff's refusal to use one's preferred pronoun (50%). In Phase 2, four themes emerged: discrimination, provider practices, challenges to navigating the health care system, and gender identity.
Valuing transgender experiences is a first step in addressing care gaps. Change will require provider introspection and application of care guidelines.
尽管美国的跨性别者群体超过 140 万，但该群体的医疗保健体验仍未得到充分关注。
探索德克萨斯州跨性别者的医疗保健体验。
这是一项探索性的、顺序的多方法研究。在第 1 阶段，为了确定与健康相关的关键主题，14 名自选择的参与者完成了在线调查。在第 2 阶段，重点是使用录音采访和主题识别来了解 12 名参与者的护理体验。使用 NVivo 软件进行数据管理。
在第 1 阶段，调查结果包括需要：教育提供者（89%）、纠正护理人员对代词使用的错误（75%）、容忍护理人员拒绝使用自己喜欢的代词（50%）。在第 2 阶段，出现了四个主题：歧视、提供者的做法、在医疗保健系统中导航的挑战以及性别认同。
重视跨性别者的体验是解决护理差距的第一步。变革将需要提供者的内省和护理指南的应用。
