Daphne Cockwell School of Nursing, Ryerson University, Toronto, Ontario, Canada.
J Nurs Manag. 2021 Jan;29(1):95-103. doi: 10.1111/jonm.13190. Epub 2020 Nov 4.
To understand nursing activities, training and key supports needed to provide primary care to transgender individuals.
Discrimination, limited practitioner knowledge and a deficiency of services contribute to health care barriers for transgender individuals. Literature demonstrating how primary care services are delivered, and more specially the role of nurses in this care, is lacking.
Qualitative description methodology and interviews were used to describe this phenomenon. Participants included nurse practitioners, registered nurses and registered practical nurses.
Nurses are important in providing primary care to transgender individuals. While NPs worked to full scope of practice, RNs' and RPNs' roles could be optimized. A key challenge was lack of education; however, mentorship and collaboration contributed to competency development. Ensuring the workplace provided gender-affirming care was key to a safe and inclusive environment.
Supporting nurses to develop capacity and work to full scope of practice can improve access to care. Ongoing opportunities for mentorship and ensuring an inclusive workplace will aid in the provision of care for this vulnerable population.
Development of organisational policies, staff training and appropriate supports, for role optimization and team collaboration, can eliminate barriers experienced by transgender individuals.
了解为跨性别者提供初级保健所需的护理活动、培训和关键支持。
歧视、执业者知识有限以及服务不足导致跨性别者在获得医疗保健方面存在障碍。缺乏文献证明初级保健服务的提供方式，更具体地说，缺乏护士在这种护理中的作用。
使用定性描述方法和访谈来描述这一现象。参与者包括执业护士、注册护士和注册实习护士。
护士在为跨性别者提供初级保健方面发挥着重要作用。虽然 NPs 可以全面执业，但 RNs 和 RPNs 的角色可以得到优化。一个主要挑战是缺乏教育；然而，指导和协作有助于提高能力。确保工作场所提供性别肯定的护理是安全和包容环境的关键。
支持护士发展能力并充分发挥其执业范围，可以改善获得护理的机会。为指导和确保包容的工作场所提供持续机会，将有助于为这一弱势群体提供护理。
制定组织政策、员工培训和适当的支持，以优化角色和团队协作，可以消除跨性别者所经历的障碍。
