Center for Excellence in Healthcare Simulation, College of Health Professions, Lienhard School of Nursing, Pace University, New York, New York.
Nurs Forum. 2020 Nov;55(4):621-630. doi: 10.1111/nuf.12478. Epub 2020 Jun 30.
Disparities experienced by transgender patients, especially in cancer care, leads to poorer outcomes and overall health. Simulation, using transgender simulated patients (SPs) with a focus on cancer care can be an effective way to foster cultural competence nursing education.
Guided by the National League for Nursing (NLN)/Jeffries Simulation Theory and Cultural Competence and Confidence Model, this grant funded pretest (n = 48) and posttest (n = 41) comparison group, quasi-experimental study aimed to understand changes in students' transcultural self-efficacy (TSE) following the transgender-simulated patient simulation (TSPS) focusing on an oncological emergency management. Developed by following recommended guidelines and standards, the TSPS had content validity review and pilot testing. It aimed to improve students' knowledge, skills, and attitudes with regard to providing culturally congruent nursing care. The statistical methods included paired sample t-tests, independent t-tests, and correlation analyses.
Students who participated in the TSPS intervention had significantly higher posttest TSE scores (P < .05).
SP methodology can be an effective way to foster cultural congruence in nursing care. The findings contribute to the importance of continuous efforts for the inclusion of lesbian, gay, bisexual, transgender, queer (LGBTQ) topic in nursing education to enhance culturally congruent care.
跨性别患者（尤其是在癌症护理方面）所经历的差异导致了较差的治疗效果和整体健康状况。使用专注于癌症护理的跨性别模拟患者（SP）进行模拟，可以有效地培养文化能力护理教育。
本研究受美国护理联盟（NLN）/Jeffries 模拟理论和文化能力与信心模型的指导，采用了预测试（n=48）和后测试（n=41）比较组的准实验设计，旨在了解跨文化自我效能感（TSE）在跨性别模拟患者模拟（TSPS）后发生的变化，该模拟专注于肿瘤急症管理。TSPS 是按照建议的指南和标准开发的，具有内容有效性审查和试点测试。它旨在提高学生在提供文化上一致的护理方面的知识、技能和态度。统计方法包括配对样本 t 检验、独立样本 t 检验和相关分析。
参加 TSPS 干预的学生在后测中的 TSE 得分显著更高（P<0.05）。
SP 方法可以是培养护理中文化一致性的有效方法。研究结果强调了在护理教育中不断努力纳入女同性恋、男同性恋、双性恋、跨性别、酷儿（LGBTQ）主题的重要性，以增强文化一致的护理。
