Community-Engaged Development, Implementation, and Evaluation of an Interprofessional Education Workshop on Gender-Affirming Care.

IF 2.1 Q2 PSYCHOLOGY, CLINICAL Transgender health Pub Date : 2019-10-25 eCollection Date: 2019-01-01 DOI:10.1089/trgh.2019.0036
M Kathryn Allison, S Alexandra Marshall, Dani Smith Archie, Taylor Neher, Gray Stewart, Michael E Anders, M Kathryn Stewart
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Abstract

Background: Transgender/nonbinary (trans/NB) patients face stigma in health care settings. Health care professionals' training on trans/NB issues has historically been lacking. Interprofessional education (IPE) provides an opportunity to improve knowledge and attitudes across health care professions. The purpose of this study was to: (a) describe the development and implementation of an IPE workshop on gender-affirming care through a trans/NB community-academic partnership and (b) examine the impact of the workshop on student knowledge and attitudes. Methods: The workshop included a slide presentation on basic terminology and concepts, video clips of trans/NB patient-provider interactions, facilitated discussions of affirming practices, and a trans/NB panel. Nonparametric statistical analysis of pre- and post-survey data from 58 workshop participants measured changes in student knowledge and attitudes. Findings: Students demonstrated statistically significant improvements in knowledge (t=-12.72; p<0.01) and interpersonal comfort (t=-2.06; p<0.05) as well as sex and gender beliefs (t=-3.06; p<0.05) on subscales from the Transgender Attitudes & Beliefs Scale. The results demonstrated no differences on the human value subscale (t=-0.69; p=0.49) or on health care professional questions (t=-1.23; p=0.23). Conclusions: A community-academic partnership developed and implemented this brief interactive educational intervention, which can improve both knowledge and attitudes about trans/NB individuals' health among health professional students.

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社区参与制定、实施和评估关于性别平等护理的跨专业教育讲习班。
背景:跨性别/非二元(trans/NB)患者在医疗环境中面临耻辱。医疗保健专业人员在跨性别/NB问题上的培训历来缺乏。跨专业教育(IPE)为提高医疗保健专业的知识和态度提供了机会。本研究的目的是:(a)通过跨性别/NB社区学术伙伴关系,描述IPE关于性别确认护理研讨会的发展和实施情况;(b)研究研讨会对学生知识和态度的影响。方法:研讨会包括一个关于基本术语和概念的幻灯片演示、跨性别/NB患者与提供者互动的视频剪辑、促进确认实践的讨论,以及一个跨性别-NB小组。对58名研讨会参与者调查前后数据的非参数统计分析测量了学生知识和态度的变化。研究结果:学生在知识(t=-12.72;pt=-2.06;pt=-3.06;pt=0.69;p=0.49)或医疗保健专业问题(t=-1.23;p=0.23)方面表现出统计学上的显著改善,这可以提高卫生专业学生对跨性别/NB个体健康的知识和态度。
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