Pediatric nurse practitioners' attitudes/beliefs and knowledge/perceived competence in caring for transgender and gender-nonconforming youth

IF 1.2 4区医学 Q3 NURSING Journal for Specialists in Pediatric Nursing Pub Date : 2020-10-30 DOI:10.1111/jspn.12321

Cathleen A. Collins PhD, RN, CNE

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引用次数: 8

Abstract

Purpose

There is a growing number of youth and their parents seeking assistance from care providers related to gender dysphoria and transitional care for transgender and gender-nonconforming (TGNC) youth. The purpose of this study was to determine pediatric nurse practitioners’ (PNP) attitudes/beliefs and knowledge/competence in caring for TGNC youth.

Design and Methods

This cross-sectional descriptive study surveyed PNPs (N = 93) from eight states using two survey instruments to measure attitudes and beliefs and knowledge and perceived competence related to caring for TGNC youth.

Results

Eighty-one percent of PNPs reported caring for TGNC youth in their practice. Despite this, only 15% of the PNPs received education related to transgender patients during their advanced practice education. Results showed that attending continuing education offerings related to caring for TGNC patients increases PNP perceived competence as well as knowledge. Attitudes and behaviors towards the transgender population were also more positive if the PNP had attended continuing nursing education offerings. Three themes emerged from a qualitative portion of the survey, asking the participant to share thoughts related to caring for transgender youth: lack of education for healthcare providers, the need to refer patients to comprehensive gender services, and the need for support for transgender patients and their families.

Practice Implications

Education plays an important part in nurses’ attitudes, beliefs, and perceived competence in caring for transgender patients. Because the PNP is likely to be exposed to patients with TGNC, it is imperative they seek out opportunities to learn about transgender issues and caring for transgender patients.

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儿科护理从业人员在照顾跨性别和性别不符合青少年方面的态度/信念和知识/感知能力

越来越多的年轻人和他们的父母向护理人员寻求与性别焦虑和跨性别和性别不符合(TGNC)青少年的过渡性护理有关的帮助。本研究的目的是了解儿科护理从业人员(PNP)在照顾TGNC青少年方面的态度/信念和知识/能力。设计与方法本横断面描述性研究调查了来自8个州的pnp (N = 93)，使用两种调查工具来测量与照顾TGNC青年相关的态度、信念、知识和感知能力。结果81%的PNPs报告在他们的实践中照顾TGNC青年。尽管如此，只有15%的PNPs在高级实践教育中接受了与变性患者相关的教育。结果显示，参加与照顾TGNC患者有关的继续教育课程，可以提高PNP的感知能力和知识。如果PNP参加了继续护理教育课程，对跨性别人群的态度和行为也更积极。调查的定性部分出现了三个主题，要求参与者分享与照顾跨性别青年有关的想法:缺乏对保健提供者的教育，需要将患者转介到全面的性别服务，需要支持跨性别患者及其家人。实践启示教育在护士护理跨性别患者的态度、信念和感知能力中起着重要作用。因为PNP很可能接触到TGNC患者，所以他们必须寻找机会了解跨性别问题并照顾跨性别患者。

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来源期刊

Journal for Specialists in Pediatric Nursing 医学-护理

CiteScore

2.50

自引率

7.70%

发文量

审稿时长

>12 weeks

期刊介绍： Linking science and practice by publishing evidence-based information on pediatric nursing and answering the question, ''How might this information affect nursing practice?'' The Journal for Specialists in Pediatric Nursing (JSPN) is the international evidence-based practice journal for nurses who specialize in the care of children and families. JSPN bridges the gap between research and practice by publishing peer-reviewed reliable, clinically relevant, and readily applicable evidence. The journal integrates the best evidence with pediatric nurses'' passion for achieving the best outcomes. The journal values interdisciplinary perspectives and publishes a wide variety of peer-reviewed papers on clinically relevant topics.