跨性别 (二进制和非二进制) 患者在急诊室获得护理的经验:综合性审查
Jake A Muller1, Elizabeth M Forster1, Katina Corones-Watkins1
1School of Nursing and Midwifery, Griffith University, Nathan Campus, 170 Kessels Rd, Nathan, QLD 4111, Australia.
Australasian emergency care
|February 2, 2024
概括
由于对歧视的恐惧和提供者知识差距,跨性别人士在获得紧急护理时面临重大压力. 改善急诊室的体验需要解决这些障碍,以获得更好的跨性别医疗保健.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 跨性别者健康 跨性别者健康
- 紧急医疗 紧急医疗
背景情况:
- 紧急诊所 (ED) 为患者提供复杂的环境,往往导致压力和高度情绪.
- 变性人 (二进制和非二进制) 经常经历额外的压力或由于对歧视的恐惧和之前的负面遭遇而避免ED护理.
研究的目的:
- 进行对跨性别人士获得ED护理的经验的文献综合性审查.
- 确定关键主题,并为临床实践和跨性别紧急医疗保健的未来研究提供指导.
主要方法:
- 一项结构化搜索确定了2013年1月至2023年11月期间发表的11篇文章.
- 文章使用混合方法评估工具 (MMAT) 进行评估.
- 根据Whittemore & Knafl的方法,采用常量比较分析方法来确定主题.
主要成果:
- 出现了五个主要主题:ED背景,员工互动和语言,卫生专业知识,宣传和透露跨性别身份.
- 发现医疗保健提供者在ED内缺乏提供性别肯定护理的能力.
- 供应商知识不足和基于 cisgender 规范的结构性障碍有助于这些缺陷.
结论:
- 在EDs的医疗保健提供者往往缺乏被认为有能力为跨性别患者提供性别确认的护理.
- 解决知识差距和结构性障碍对于改善跨性别者的ED体验至关重要.
- 未来的研究和实践应该专注于为跨性别社区创造更具包容性和能力的紧急护理环境.
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