Emory University, Nell Hodgson Woodruff School of Nursing, 1520 Clifton Road, Atlanta, GA 30322, USA.
Elaine Marieb College of Nursing, University of Massachusetts Amherst, 130 Skinner Hall, 651 North Pleasant Street, Amherst, MA 01103, USA.
Nurs Clin North Am. 2024 Dec;59(4):637-654. doi: 10.1016/j.cnur.2024.07.016. Epub 2024 Sep 11.
In this article, we present a case study that illustrates the nurse's obligation in applying clinical judgment in determining the applicability and appropriateness of carrying out a standing order, and how nurses can navigate institutional policies that reinforce a gender binary and heteronormative ideals of womanhood while depriving the client of their autonomy. The case study also reveals some of the challenges transgender, nonbinary, and other gender expansive people may experience when health care institutions have standing orders that are not inclusive of all gender identities.
在本文中,我们呈现了一个案例研究,说明了护士在应用临床判断来确定执行常规医嘱的适用性和适当性方面的义务,以及护士如何在遵循强化性别二元论和异性恋规范的机构政策的同时剥夺客户自主权的情况下进行导航。案例研究还揭示了在医疗保健机构的常规医嘱不包括所有性别认同的情况下,跨性别、非二元性别和其他性别扩展人群可能会遇到的一些挑战。