Transgender Healthcare Issues & Nursing LeadershipAnjelis Oliveira

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ObjectivesDescribe the major barriers to receiving healthcare for transgender persons.Share nursing leadership strategies for creating a welcoming and gender-affirming environment for transgender patients and staff.

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Transgender Healthcare Barriers

Insensitivity is a main contributor to dissatisfaction with care

Regularly encounter condescension and verbal abuse from medical office staff

Degrading and humiliating treatment from healthcare providers not unusual to the extent of providers refusing to treat transgender patients

12% of transgender participants were refused routine care and 23% were refused transgender-related care

Nursing organizations have failed to issue nursing guidelines to care for transgender patients

(Zunner and Grace, 2012)

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Nursing & Transgender Care Policy

The nursing profession has been slower other health professions in promoting policy changes for improve health outcomes of the LGBT community Nursing has also failed to have a voice when other healthcare professional groups have issued statements about LGBT issues topics such as same-sex marriage, sex re-assignment treatment, and conversion therapiesFurther research supports that homonegativity frequently occurs within the nursing profession

(Klotzbaugh and Spencer, 2014)

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Nursing LeadershipThe International Council of Nurses (ICN)

“believes that nurses are key to improving access to quality and cost-effective care and to enhancing the health of populations”

Nurses Provide essential services Knowledgeable about client needsBroad understanding of how factors in the environment affect the health of clients and their familiesInsight into how people respond to different strategies and services Understand the needs and expectations of society’s vulnerable groups

Nurses must actively participate in policy development!

(Benton, 2012)

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Nursing LeadershipToday’s leadership requires nurses to bridge the ‘divides’ of race, class, gender, culture, language, and nation

Nursing leadership is critical to global healthNursing leaders using different approaches and focusing on real issues for societySocieties and opinions change; Nurses need to keep focused on issues that matter!

(Benton, 2012)

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Leadership Strategies for Transgender

HealthcareNursing Leadership: Nursing leaders to develop the ability to guide and empower those who make up the profession in a conducive platform - associationsSolidarity: Nurses must reach agreement on transgender care issues and maintain that stance in publicPolicy Development: Advocate for transgender care policies and guidelines Education: Include transgender care education in academia, institutions, and continuing education

(Benton, 2012; Zunner & Grace, 2012)

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Local Transgender Care Nurse Leader

Nurse Leadership Example Video:Improving Transgender Healthcare: North Shore-LIJ Health Systemhttps://www.youtube.com/watch?v=9hqux8YvkTw

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ReferencesBenton, D. (2012, January ). Advocating Globally to Shape Policy and Strengthen Nursing’s Influence. Online Journal of Issues in Nursing, 17(1), . doi:10.3912/OJIN.Vol17No01Man05

Institute of Medicine (2011). The health of lesbian, gay, bisexual, and transgender people: Building a foundation for better understanding. Washington, DC: National Academies Press.

Klotzbaugh, R., & Spencer, G. (2014). Magnet nurse administrators attitudes and opportunities. The Journal of Nursing Administration, 44(9), 481-486. doi:10.1097/NNA.0000000000000103

Socias, M.E., Marshall, B.D., Aristegui, I., Romero, M., Cahn, P., Kerr, T., & Sued, O. (2014). Factors associated with healthcare avoidance among transgender women in Argentina. International Journal for Equity in Health, 13(81), 1-8. doi:10.1186/s12939-014-0081-7

The Joint Commission. (2011). Advancing effective communication, cultural competence, and patient-and family-centered care for the lesbian, gay, bisexual, and transgender (LGBT) community: A field guide. Oak Brook, IL: Author

Understanding Transgender. (n.d.). Retrieved from http://libraryschool.libguidescms.com/tgresources

U.S. Department of Health and Human Services. (2011). U.S. Department of Health and Human Services recommended actions to improve the health and well-being of lesbian, gay, bisexual, and transgender communities. Retrieved from http://www.hhs.gov/secretary/about/lgbthealth.html

Zunner, B.P., & Grace, P.J. (2012, December). The ethical nursing care of transgender patients. American Journal of Nursing, 112(12), 61-64. doi:10.1097/01.NAJ.0000423514.58585.a3