Program Director of LGBTQ+ Equity and Education, Johns Hopkins Medicine, Office of Diversity, Inclusion and Health Equity, 600 N. Wolfe Street, Baltimore, MD, 21287.
Specialty Nurse Johns Hopkins Center for Transgender Health, 600 N. Wolfe Street, Baltimore, MD, 21287.
AORN J. 2022 Nov;116(5):404-415. doi: 10.1002/aorn.13808.
Ignorance, stigma, and discrimination have contributed to persistent and well-documented disparities and inequities in the United States health care system with regards to meeting the needs of transgender and gender-diverse (TGD) people. Only recently has the collective understanding of this marginalized community increased, along with actions to address its health concerns. Nurses want to provide high-quality care for all patients. However, many nurses may feel anxious or uncertain about interacting with TGD people because of a lack of education and training. Perioperative nurses may encounter TGD patients and family members in their clinical settings for many reasons and should know how to provide appropriate care, including gender-affirming care. This article presents foundational cultural competency information about TGD people and the health concerns they face. Additionally, it provides actionable communication approaches that perioperative nurses can employ, as well as organization-level strategies that can be implemented to provide a welcoming, supportive, and affirming environment.
无知、污名化和歧视导致了美国医疗保健系统中持续存在且有据可查的差异和不平等，无法满足跨性别和性别多样化（TGD）人群的需求。直到最近，人们才逐渐加深对这个边缘化群体的认识，并采取行动解决他们的健康问题。护士希望为所有患者提供高质量的护理。然而，由于缺乏教育和培训，许多护士在与 TGD 人群互动时可能会感到焦虑或不确定。手术室护士可能会出于多种原因在临床环境中遇到 TGD 患者和家属，因此应该知道如何提供适当的护理，包括性别肯定护理。本文介绍了 TGD 人群的基础文化能力信息以及他们面临的健康问题。此外，本文还提供了手术室护士可以采用的切实可行的沟通方法，以及可以实施的组织层面策略，以提供一个欢迎、支持和肯定的环境。
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