J Obstet Gynecol Neonatal Nurs. 2023 Nov;52(6):442-453. doi: 10.1016/j.jogn.2023.08.007. Epub 2023 Sep 9.
Transgender and gender-nonconforming people remain excluded from women's health spaces, and nurses with expertise in women's health best serve their needs when they seek sexual, reproductive, gynecologic, or obstetric care. However, commentary regarding the term "women" and exclusionary policies and behaviors in health care marginalize gender-nonconforming patients and contribute to health disparities. Therefore, the purpose of this article is twofold. First, we review terminology related to gender-nonconforming populations and their known health care needs; provide a brief historical overview of gender and health care; and describe the influence of White supremacist, misogynist, and heteronormative influences in women's health care. Second, we generate a call to action and specifically discuss the responsibilities of nurses and nursing organizations to ensure the provision of gender-equitable and respectful care and generate clinical recommendations for the specialty.
跨性别者和性别不符合者仍然被排除在妇女健康空间之外，当需要性健康、生殖健康、妇科或产科护理时，具有妇女健康专业知识的护士最能满足他们的需求。然而，关于“妇女”一词的评论以及医疗保健中的排除性政策和行为使性别不符合者的患者处于边缘地位，并导致健康差距。因此，本文的目的有两个。首先，我们回顾与性别不符合者群体及其已知医疗保健需求相关的术语；提供性别和医疗保健的简要历史概述；并描述白人至上、厌恶女性和异性恋规范在妇女保健中的影响。其次，我们呼吁采取行动，并特别讨论护士和护理组织的责任，以确保提供性别平等和尊重的护理，并为专业提供临床建议。
