确认性别的护理不是职业治疗中的标准护理:一个范围审查
Laurel K Stugart1, Sophia C Larson2, Kim L Lipsey3
1Laurel K. Stugart, MSOT, Program in Occupational Therapy, School of Medicine, Washington University in St. Louis, St. Louis, MO; laurelstugart@gmail.com.
概括
职业治疗缺乏对跨性别和性别多元个体进行性别肯定护理的指导方针. 研究强调需要更多的培训和包容性干预措施来解决护理差异.
科学领域:
- 职业治疗是一种职业疗法.
- 卫生公平性健康公平性
- 肯定性别的护理.
背景情况:
- 跨性别和性别多元 (TGD) 个体面临着重大的健康差异,包括确认护理的障碍.
- 职业治疗从业者有道德义务提供性别肯定护理.
- 目前的做法缺乏职业治疗在性别肯定护理中的具体指导方针.
研究的目的:
- 系统地审查有关职业治疗中性别肯定护理的现有文献.
- 识别研究和实践指南中的差距,为TGD社区提供服务.
- 为未来干预和培训的发展提供信息.
主要方法:
- 这是一个对六个主要数据库 (MEDLINE,EMBASE,Scopus,PsycINFO,CINAHL,Web of Science) 的全面范围审查.
- 从数据库开始到2023年9月19日进行的搜索.
- 包括的研究描述了职业治疗中对TGD个体的性别肯定护理,遵守PRISMA-ScR和Joanna Briggs研究所的指导方针.
主要成果:
- 在614项已识别的研究中,包括了17项研究.
- 大多数被纳入的研究是定性研究,主要来自美国和加拿大.
- 关键发现表明需要加强临床医师培训和多样化的方法来支持TGD个体.
结论:
- 迫切需要研究专注于TGD个体在职业治疗中的具体需求.
- 未来的努力必须优先发展和评估肯定性别的护理干预措施.
- 扩大培训和促进包容性实践对于推进TGD社区的职业治疗服务至关重要.
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