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Cultural Safety for Transgender, Nonbinary, and Gender-Expansive Patients
Linda Wesp1, Teddy Tinnell2, Ronica Mukerjee3
1University of Wisconsin Milwaukee, School of Nursing, Milwaukee, WI, USA.
The Nursing Clinics of North America
|July 29, 2026
Summary
This article presents cultural safety as a vital nursing framework for transgender, nonbinary, and gender-expansive individuals. It provides practical guidance for nurses to deliver equitable and affirming care, emphasizing patient autonomy and ethical standards.
Area of Science:
- Nursing
- Sociology
- Health Equity
Background:
- Healthcare disparities disproportionately affect transgender, nonbinary, and gender-expansive populations.
- Existing nursing frameworks may not adequately address the unique needs of gender-diverse individuals.
- Cultural safety is emerging as a critical approach to mitigate these disparities.
Purpose of the Study:
- To introduce and adapt the framework of cultural safety for nursing care.
- To provide practical guidance for nurses caring for transgender, nonbinary, and gender-expansive patients.
- To promote affirming, equitable, and ethical healthcare practices.
Main Methods:
- Adaptation of 5 core tenets of cultural safety.
- Analysis of case studies contrasting culturally safe and unsafe nursing practices.
- Emphasis on patient autonomy, power dynamics, and ethical considerations.
Main Results:
- A refined cultural safety framework tailored for gender-diverse populations.
- Clear distinctions between culturally safe and unsafe care scenarios.
- Identification of key elements for fostering inclusive nursing environments.
Conclusions:
- Cultural safety offers a robust framework for improving nursing care for transgender, nonbinary, and gender-expansive individuals.
- Nurses require practical tools and awareness to implement culturally safe practices.
- Adoption of this framework can lead to more equitable and affirming healthcare experiences.
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