MCN Am J Matern Child Nurs. 2024;49(2):66-73. doi: 10.1097/NMC.0000000000000981. Epub 2023 Dec 18.
Nurses play a critical role in providing gender-affirming care for transgender and gender-diverse youth. With heightened debate about the clinical care for transgender and gender-diverse youth in the national and global spotlight, now more than ever before nurses must equip themselves with the knowledge and the evidence spanning more than 4 decades that support the clinical use of gender-affirming care for youth and young adults. By exploring gender development and gender-affirming care approaches through the lifespan perspective, this review provides an up-to-date discussion about best practices and clinical implications for providing equitable care for transgender and gender-diverse youth from birth to childhood and through adolescence developmental phases. A transgender and gender-diverse youth's future willingness to access health care is dependent on how positive their interactions are with their care team at this sensitive moment in their life. Nurses must not let political rhetoric impede their practice and ethical guidelines to provide competent, skilled, and unbiased care. Knowledgeable, informed, and empowered nurses can provide life-saving care to transgender and gender-diverse youth and their families.
护士在为跨性别和性别多样化的青年提供性别肯定护理方面发挥着关键作用。随着关于跨性别和性别多样化青年的临床护理在国内外受到关注的激烈辩论,现在比以往任何时候都更需要护士用 40 多年来支持青年和年轻成人使用性别肯定护理的知识和证据武装自己。通过从生命全程的角度探讨性别发展和性别肯定护理方法,本综述就为跨性别和性别多样化青年从出生到儿童期再到青春期各阶段提供公平护理的最佳实践和临床意义进行了最新讨论。跨性别和性别多样化青年未来是否愿意接受医疗保健服务,取决于他们在生命中的这个敏感时刻与护理团队的互动有多积极。护士不应让政治言论阻碍他们的实践和道德准则,以提供有能力、熟练和公正的护理。有知识、知情和有能力的护士可以为跨性别和性别多样化青年及其家庭提供拯救生命的护理。