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Introduction to Rivera's Gender Affirming Nursing Care Model: A Middle-Range Theory.
Denise Rivera1, Angela Jukkala1, T Rohini1
11705Montana State University.
Summary
A new Gender Affirming Nursing Care (GANC) Model was developed to guide nursing practice. This theory aims to improve transgender patient care by addressing nursing-sensitive outcomes and promoting inclusive thinking.
Area of Science:
- Nursing
- Transgender Health
- Health Theory Development
Background:
- Existing transgender care standards lack specific guidance for nursing care and outcomes.
- Nursing practice requires a theoretical framework to effectively support transgender individuals.
Purpose of the Study:
- To develop a middle-range nursing theory specifically for transgender care.
- To create the Gender Affirming Nursing Care (GANC) Model.
Main Methods:
- Utilized a community-informed, iterative process to develop the GANC Model.
- Combined and modified two existing theories, evaluating constructs and establishing face validity through expert and community review.
Main Results:
- Identified core concepts: Relationship (Join With), Knowledge (Learn With), and Engagement (Partner With).
- Drivers for action include ongoing learning, research, self-assessment, and leadership.
- The model supports gender-affirming nursing care within established nursing domains.
Conclusions:
- The GANC Model was tested and shown to promote gender-neutral thinking.
- Further testing is needed to evaluate its impact on nursing and patient outcomes.
- The model facilitates nurse self-reflection to identify and address personal biases, fostering a gender-affirming practice.
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