变性人和非二进制人群在外科手术前的经历:一个定性研究
Hilary MacCormick1, Les T Johnson2, Drew Burchell2
1Department of Women's & Obstetric Anesthesia (MacCormick, Munro), IWK Health; Department of Anesthesia, Pain Management and Perioperative Medicine (MacCormick, Munro) and Centre for Learning and Teaching (Johnson), Dalhousie University; Centre for Research in Family Health (Burchell), IWK Health, Halifax, NS; Department of Anesthesiology and Pain Medicine (Lorello), University of Toronto; Department of Anesthesia and Pain Management (Lorello), University Health Network - Toronto Western Hospital; Department of Anesthesiology and Pain Medicine (George), University of Toronto, Toronto, Ont.; Department of Anesthesiology and Pain Medicine (Bould), Children's Hospital of Eastern Ontario, University of Ottawa, Ottawa, Ont. hilarykate@dal.ca.
跨性别和非二进制 (TNB) 成年人面临着重大的医疗保健障碍,包括歧视和缺乏知情专业人员. 改善护理需要解决这些系统性问题,并加强提供者教育.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 质量健康研究 质量健康研究
- 患者体验研究 患者体验研究
背景情况:
- 跨性别和非二进制 (TNB) 个人在获得医疗保健方面遇到重大障碍.
- 污名化和健康不平等对TNB患者造成了重大障碍.
- 医疗保健专业教育的差距有助于为TNB人群提供低于最佳的护理.
研究的目的:
- 探索接受手术的跨性别和非二进制 (TNB) 患者的生活经历.
- 确定TNB个人在医疗保健机构所面临的具体挑战和障碍.
- 确定医疗保健专业教育需要改进的领域,以更好地为TNB患者提供服务.
主要方法:
- 使用现象学方法进行定性描述性研究.
- 采访了21名加拿大的跨性别和非二进制成年人.
- 通过在线社交网站招募参与者;对转录的采访进行主题分析.
主要成果:
- 参与者报告了积极和消极的医疗保健遭遇,导致压力和脆弱性.
- 关键主题包括结构性歧视,对过去创伤的恐惧,社区支持和提供者互动的影响.
- 获得性别肯定护理的障碍往往主导了外科手术前的经历.
结论:
- TNB患者在获得护理和共享决策方面面临重大障碍.
- 在TNB个人中,有强烈的渴望获得创伤信息的护理原则.
- 加强医疗保健专业人员的教育和政策变化对于改善对TNB患者的合格护理至关重要.
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