Women's College Hospital, Toronto, Ontario, Canada.
University of Toronto, Toronto, Ontario, Canada.
Health Promot Pract. 2022 Sep;23(5):749-752. doi: 10.1177/15248399211009183. Epub 2021 Apr 24.
Transgender (trans) persons are sexually assaulted at high rates and often encounter barriers to equitable services and supports. The receipt of timely and appropriate postassault care, provided increasingly by specialized forensic nurses around the world, is critical in ameliorating the harms that accompany sexual assault. In order to adequately respond to the acute health care needs of trans clients and attend to longer term psychosocial difficulties that some experience, forensic nurses not only require specialized training but must also cultivate collaborative relationships with trans-positive health and social services in their communities. To meet this need, we describe our strategy to advance trans-affirming practice in the sexual assault context. We outline the design and evaluation of a trans-affirming care curriculum for forensic nurses. We also discuss the planning, formation, and maturation of an intersectoral network through which to disseminate our curriculum, foster collaboration, and promote trans-affirming practice across health care and social services in Ontario, Canada. Our approach to advancing trans-affirming practice holds the potential to address systemic barriers experienced by trans survivors and transform the response to sexual assault across other sectors and jurisdictions.
跨性别者（trans）遭受性侵犯的比例很高，而且往往在获得公平的服务和支持方面面临障碍。及时获得适当的性侵犯后护理至关重要，这可以减轻性侵犯带来的伤害。为了充分满足跨性别客户的急性医疗保健需求，并解决一些人所经历的长期心理社会困难，法医护士不仅需要接受专门培训，还必须与社区中对跨性别者持积极态度的健康和社会服务建立合作关系。为了满足这一需求，我们描述了在性侵犯背景下推进跨性别者认同实践的策略。我们概述了法医护士的跨性别认同关怀课程的设计和评估。我们还讨论了通过跨部门网络来传播我们的课程、促进合作以及在安大略省的医疗和社会服务中推动跨性别者认同实践的规划、形成和成熟。我们推进跨性别者认同实践的方法有可能解决跨性别幸存者所经历的系统性障碍，并改变其他部门和司法管辖区对性侵犯的反应。
