针对寻求生殖器手术的不同性别人群开展的护士主导的手术信息倡议评估研究

IF 3.8 3区 医学 Q1 NURSING Journal of Advanced Nursing Pub Date : 2024-10-19 DOI:10.1111/jan.16532
Seán Kearns, Pauline Forrester, Donal O'Shea, Karl Neff
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引用次数: 0

摘要

目的评估由护士主导的一对一心理教育课程对寻求性别肯定生殖器手术的不同性别患者的影响。设计采用准实验、前后测试的研究设计,考察由护士主导的活动对提高患者自我感觉对性别肯定生殖器手术的知识和信心的影响。该研究遵循了 SQUIRE 2.0(卓越质量改进报告标准)指南和 COREQ(定性研究报告综合标准)指南。方法该倡议的课程是通过文献回顾、专家小组参与、多学科团队投入等方式制定的,并由两名性别问题专科护士负责实施。结果研究结果表明,所有参与者的自我认知知识和信心得分均有显著提高。此外,该研究还提高了参与者对提出问题以及计划手术的后勤和财务方面的能力的信心。结论参与者表示,这些课程非常有用,对大多数人来说,这些信息并没有改变他们寻求手术的愿望,但确实帮助他们在手术过程、时间和首选外科医生方面做出了更明智的选择。该研究强调了根据患者的偏好定制医疗保健方法的重要性。影响该研究探讨了为考虑接受性别确认生殖器手术的个人提供心理教育课程的必要性。主要研究结果表明,在护士主导的干预后,参与者的自我认知知识和信心都有了显著提高。这项研究的影响范围扩大到全球寻求手术的不同性别人士。患者或公众的贡献四位接受过性别确认手术的人士为研究设计提供了他们的观点,确保教育内容能够满足特定的信息需求和关注点。
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An Evaluative Study of a Nurse‐Led Surgical Information Initiative for Gender Diverse Individuals Seeking Genital Surgery
AimTo evaluate the impact of nurse‐led one‐on‐one psychoeducation sessions on gender diverse individuals seeking gender‐affirming genital surgery.DesignA quasi‐experimental, pre‐ and post‐test research design was employed to examine the impact of a nurse‐led initiative on improving patients self‐perceived knowledge and confidence pertaining to gender affirming genital surgery. The study followed the SQUIRE 2.0 (Standards for Quality Improvement Reporting Excellence) guidelines and the COREQ (Consolidated Criteria for Reporting Qualitative Research) guidelines.MethodsThe curriculum for the initiative was crafted through literature reviews, expert panel engagements, multidisciplinary team input and was delivered by two specialist gender nurses.ResultsThe results indicated a statistically significant increase in all participants' self‐perceived knowledge and confidence scores. Furthermore, the study increased confidence in the ability to ask questions and plan for the logistical and financial aspects of surgery.ConclusionParticipants reported that the sessions were very useful, and for most, the information did not change their desire to seek surgery but did help them make more informed choices about the procedure, timing and preferred surgeon.Implications for Patient CareThe study underscores the imperative role of support networks and recommends interventions to facilitate open communication within families. The study emphasises the importance of customising healthcare approaches to align with the preferences of patients.ImpactThe study addressed the need for psychoeducation sessions for individuals considering gender‐affirming genital surgery. The main findings revealed a significant increase in participants' self‐perceived knowledge and confidence, following a nurse‐led intervention. The research's impact extends to gender‐diverse individuals seeking surgery globally.Patient or Public ContributionFour individuals who had undergone gender‐affirming surgeries contributed their perspectives to the study design, ensuring that the educational content addressed specific information needs and concerns.
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来源期刊
CiteScore
6.40
自引率
7.90%
发文量
369
审稿时长
3 months
期刊介绍: The Journal of Advanced Nursing (JAN) contributes to the advancement of evidence-based nursing, midwifery and healthcare by disseminating high quality research and scholarship of contemporary relevance and with potential to advance knowledge for practice, education, management or policy. All JAN papers are required to have a sound scientific, evidential, theoretical or philosophical base and to be critical, questioning and scholarly in approach. As an international journal, JAN promotes diversity of research and scholarship in terms of culture, paradigm and healthcare context. For JAN’s worldwide readership, authors are expected to make clear the wider international relevance of their work and to demonstrate sensitivity to cultural considerations and differences.
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