Duke University School of Nursing, Durham, NC, USA; Lincoln Community Health Clinic and Transitions LifeCare Palliative Care and Hospice, Durham, NC, USA.
Duke University School of Nursing, Durham, NC, USA.
Nurse Educ Pract. 2021 Jul;54:103123. doi: 10.1016/j.nepr.2021.103123. Epub 2021 Jun 18.
Increase student knowledge and comfort with caring for a transgender individual and confronting colleagues when exhibiting poor cultural intelligence.
Transgender patients often experience health care inequities, including heteronormative microaggressions in communication and policies. Simulation has been a successful means of providing students with the education, tools, and experience necessary to combat systemic injustice in health care. Simulation is an interactive pedagogy that allows nursing students to practice assessment, patient care, and difficult conversations in a controlled, risk-free environment.
DESIGN/ METHODS: Prelicensure nursing students role-played a simulation created as an interactive learning strategy to promote culturally sensitive assessment of a transgender patient and their caregiver, including assessing for pronouns and providing patient-centered care. The simulation included preforming a difficult conversation between nurses to cultivate an environment of being an upstander. The simulation demonstrated holistic methods of assessing and supporting unique patient needs for the patient who is transgender.
Nursing students reported they felt that their comfort with advocacy and ability to communicate with transgender patients, as well as with their families, and health care team members was enhanced after completing the simulation.
Simulation has the ability to reduce discomfort and discrimination in health care for transgender patients by equipping students with culturally sensitive and inclusive communication tools and providing them with risk-free environment where they can learn to provide care for this vulnerable population in preparation for successful future encounters.
提高学生对照顾跨性别个体的知识和舒适度，并在表现出较差的文化智能时与同事对抗。
跨性别患者经常经历医疗保健方面的不平等，包括沟通和政策方面的异性规范的微侵犯。模拟一直是为学生提供必要的教育、工具和经验，以打击医疗保健系统中不公正的成功手段。模拟是一种互动教学法，允许护理学生在可控、无风险的环境中练习评估、患者护理和困难对话。
设计/方法：护理专业的准执照学生角色扮演了一个模拟情景，该模拟情景是一种互动学习策略，旨在促进对跨性别患者及其照顾者进行敏感文化评估，包括评估代词和提供以患者为中心的护理。该模拟情景包括在护士之间进行一次困难的对话，以营造一种成为支持者的环境。模拟情景展示了评估和支持跨性别患者独特需求的整体方法。
护理学生报告说，完成模拟后，他们感到自己在倡导和与跨性别患者以及他们的家人和医疗保健团队成员进行沟通方面的舒适度以及能力得到了提高。
模拟通过为学生提供敏感文化和包容的沟通工具，并为他们提供无风险的环境，使他们能够学习为这一弱势群体提供护理，从而为成功的未来接触做好准备，从而有能力减少医疗保健中对跨性别患者的不适和歧视。
