Competent trans* health care, current situation and future challenges. A Review

Authors

  • Jesús Manuel García-Acosta Enfermero https://orcid.org/0000-0002-9362-6496
  • María Elisa de Castro Peraza
  • María de los Ángeles Arias-Rodríguez (3) PhD. Profesora Universidad de La Laguna. Tenerife. Islas Canarias
  • Rosa Llabrés-Solé (4) Profesora EUE Nª Sª de La Candelaria. Universidad de la Laguna. Servicio Canario de Salud. Tenerife. Islas Canarias
  • Nieves Doria Lorenzo-Rocha (4) Profesora EUE Nª Sª de La Candelaria. Universidad de la Laguna. Servicio Canario de Salud. Tenerife. Islas Canarias
  • Ana María Perdomo-Hernández (4) Profesora EUE Nª Sª de La Candelaria. Universidad de la Laguna. Servicio Canario de Salud. Tenerife. Islas Canarias
DOI: https://doi.org/10.6018/eglobal.18.4.357621
Keywords: Transgender People, Continuing Education, Education, Nursing, Comprehensive Health Care

Abstract

Introduction: We know as a transgender person who is not identified with the sex of birth, this fact still collected as pathology by the current Diagnostic and Statistical Manual of Mental Illness (DSM-V) will cause inequalities and barriers At the time of health care.
Objective: To explore the difficulties for health care perceived by trans* people and by the professionals who assist them in health centres.
Material and method: Literature review.
Results: Both professionals and trans* people perceive significant barriers. They could be grouped by diverse topics: healthcare inequalities noticed by trans* patients, prejudices and felt discrimination, specific health risks, lack of professional knowledge and deficit of training in current curricula. On the other hand, nursing with trans* patients may result in a facilitator.
Conclusions: There are multiple factors which can be modified and which produce that trans* people do not notice appropriate care. Appropriate training of health professionals is the one which acquires more relevance. The results found provide key information for the future design of interventions aimed at improving the quality of the assistance in this group.

Downloads

Download data is not yet available.

References

Carabez R, & Scott M. “Nurses don”t deal with these issues’: nurses’ role in advance care planning for lesbian, gay, bisexual and transgender patients. J Clin Nurs. 2016;25(23–24):3707–15.

Suess A. Cuestionamiento de dinámicas de patologización y exclusión discursiva desde perspectivas trans e intersex. Rev Estud Soc. 2014;9(49):128–43.

Wagner PE, Kunkel A, Asbury MB, Soto F. Health (Trans) gressions: Identity and Stigma Management in Trans* Healthcare Support Seeking. Women Lang. 2016;39(1):49–74. 26p.

Thomas, R., Pega, F., Khosla, R., Verster, A., Hana, T., & Say L. Ensuring an inclusive global health agenda for transgender people. Bull World Heal Organ [Internet]. 2017;95(August 2016):154–6. Available from: http://dx.doi.org/10.2471/BLT.16.183913

Lim FA, Brown D V., Jones H. Lesbian, Gay, Bisexual, and Transgender Health: Fundamentals for Nursing Education. J Nurs Educ [Internet]. 2013;52(4):198–203. Available from: http://www.healio.com/doiresolver?doi=10.3928/01484834-20130311-02

Kosenko K, Rintamaki L, Raney S, Maness K. Transgender Patient Perceptions of Stigma in Health Care Contexts. Med Care [Internet]. 2013;51(9):819–22. Available from: http://content.wkhealth.com/linkback/openurl?sid=WKPTLP:landingpage&an=00005650-201309000-00010

Kroning, M., Green, J., & Kroning K. Dimensions of inclusive care. A young transgender patient sparks the need for an immediate education action plan. Nurs Manage. 2017;48(1):1.

Carabez R, Pellegrini M, Mankovitz A, Eliason M, Scott M. Does your organization use gender inclusive forms? Nurses’ confusion about trans* terminology. J Clin Nurs. 2015;24(21–22):3306–17.

Arenas Y, & Freitas M.G. El contexto social y la comprensión psicoterapéutica en la transexualidad. TRILOGÍA Ciencia, Tecnol y Soc. 2016;8:11–25.

Lindroth M. “Competent persons who can treat you with competence, as simple as that”- An interview study with transgender people on their experiences of meeting health care professionals. J Clin Nurs. 2016;25(23–24):3511–21.

Yingling CT, Cotler K, Hughes TL. Building nurses’ capacity to address health inequities: incorporating lesbian, gay, bisexual and transgender health content in a family nurse practitioner programme. J Clin Nurs. 2017;26(17–18):2807–17.

White Hughto JM, Reisner SL, Pachankis JE. Transgender stigma and health: A critical review of stigma determinants, mechanisms, and interventions. Soc Sci Med [Internet]. 2015;147:222–31. Available from: http://dx.doi.org/10.1016/j.socscimed.2015.11.010

Eyssel J, Koehler A, Dekker A, Sehner S, Nieder TO. Needs and concerns of transgender individuals regarding interdisciplinary transgender healthcare: A non-clinical online survey. PLoS One. 2017;12(8).

Sharek DB, Mccann E, Sheerin F, Glacken M, Higgins A. Older LGBT people’s experiences and concerns with healthcare professionals and services in Ireland. Int J Older People Nurs. 2015;10(3):230–40.

Alpert AB, CichoskiKelly EM, Fox AD. What Lesbian, Gay, Bisexual, Transgender, Queer, and Intersex Patients Say Doctors Should Know and Do: A Qualitative Study. J Homosex. 2017;64(10):1368–89.

Carabez, R. M., Eliason, M. J., & Martinson M. Nurses’ Knowledge About Transgender Patient Care: A Qualitative Study. Adv Nurs Sci [Internet]. 2016;39(3):257–71. Available from: http://content.wkhealth.com/linkback/openurl?sid=WKPTLP:landingpage&an=00012272-201607000-00007

Sallans RK. Lessons from a Transgender Patient for Health Care Professionals. AMA J ethics [Internet]. 2016;18(11):1139–46. Available from: http://journalofethics.ama-assn.org/2016/11/mnar1-1611.html%0Ahttp://www.ncbi.nlm.nih.gov/pubmed/27883306

Bockting, W. O., Knudson, G., & Goldberg JM. Counseling and Mental Health Care for Transgender Adults and Loved Ones. Int J Transgenderism. 2006;9(3–4):83–94.

Zunner BP, Grace PJ. The Ethical Nursing Care of Transgender Patients. AJN, Am J Nurs [Internet]. 2012;112(12):61–4. Available from: http://content.wkhealth.com/linkback/openurl?sid=WKPTLP:landingpage&an=00000446-201212000-00034

Costa AB, Pase PF, de Camargo ES, Guaranha C, Caetano AH, Kveller D, et al. Effectiveness of a multidimensional web-based intervention program to change Brazilian health practitioners’ attitudes toward the lesbian, gay, bisexual and transgender population. J Health Psychol [Internet]. 2016;21(3):356–68. Available from: http://journals.sagepub.com/doi/10.1177/1359105316628748

Fredriksen-Goldsen KI, Kim H-J, Shiu C, Goldsen J, Emlet CA. Successful Aging Among LGBT Older Adults: Physical and Mental Health-Related Quality of Life by Age Group. Gerontologist [Internet]. 2015;55(1):154–68. Available from: https://academic.oup.com/gerontologist/gerontologist/article/2957461/Successful

Bockting W, Robinson B, Benner A, Scheltema K. Patient satisfaction with transgender health services. J Sex Marital Ther. 2004;30(4):277–94.

Braun HM, Ramirez D, Zahner GJ, Gillis-Buck EM, Sheriff H, Ferrone M. The LGBTQI health forum: An innovative interprofessional initiative to support curriculum reform. Med Educ Online [Internet]. 2017;22(1). Available from: http://dx.doi.org/10.1080/10872981.2017.1306419

Chapman R, Watkins R, Zappia T, Nicol P, Shields L. Nursing and medical students’ attitude, knowledge and beliefs regarding lesbian, gay, bisexual and transgender parents seeking health care for their children. J Clin Nurs. 2012;21(7–8):938–45.

Neville S, Henrickson M. Perceptions of lesbian, gay and bisexual people of primary healthcare services. J Adv Nurs. 2006;55(4):407–15.

Sanchez NF, Rabatin J, Sanchez JP, Hubbard S, Kalet A. Medical students’ ability to care for lesbian, gay, bisexual, and transgendered patients. Fam Med. 2006;38(1):21–7.

Coleman E, Bockting W, Botzer M, Cohen-Kettenis P, DeCuypere G, Feldman J, et al. Standards of Care for the Health of Transsexual, Transgender, and Gender-Nonconforming People, Version 7. Int J Transgenderism. 2012;13(4):165–232.

Hardacker CT, Rubinstein B, Hotton A, Houlberg M. Adding silver to the rainbow: The development of the nurses’ health education about LGBT elders (HEALE) cultural competency curriculum. J Nurs Manag. 2014;22(2):257–66.

Bosttock-Cox B. The role of primary care nurses in the care of transgender people. Pract Nurse. 2016;46(9):26–31.

Lim, F. A., & Hsu R. Nursing Students’ Attitudes Toward Lesbian, Gay, Bisexual, and Transgender Persons: An Integrative Review. Nurs Educ Perspect [Internet]. 2016;37(3):144–52. Available from: https://libproxy.singaporetech.edu.sg/login?url=http://search.ebscohost.com/login.aspx?direct=true&AuthType=cookie,ip,uid&db=c8h&AN=115441563&site=eds-live

Chaet DH. The AMA Code of Medical Ethics’ Opinions Related to Discrimination and Disparities in Health Care. AMA J Ethics April. 2017;19(1):54–62.

Göçmen İ, Yılmaz V. Exploring Perceived Discrimination Among LGBT Individuals in Turkey in Education, Employment, and Health Care: Results of an Online Survey. J Homosex. 2017;64(8):1052–68.

Snelgrove, J. W., Jasudavisius, A. M., Rowe, B. W., Head, E. M., & Bauer GR. “completely out-at-sea” with “two-gender medicine”: A qualitative analysis of physician-side barriers to providing healthcare for transgender patients. BMC Health Serv Res. 2012;12(1).

Daley, A., & MacDonnell JA. “That would have been beneficial”: LGBTQ education for home-care service providers. Heal Soc Care Community. 2015;23(3):282–91.

Published
21-09-2019
How to Cite
[1]
García-Acosta, J.M. et al. 2019. Competent trans* health care, current situation and future challenges. A Review. Global Nursing. 18, 4 (Sep. 2019), 529–554. DOI:https://doi.org/10.6018/eglobal.18.4.357621.