提供适应立法努力,禁止对青少年进行性别确认的护理
Landon D Hughes1, Jaclyn M W Hughto2, Hill L Wolfe3
1Department of Population Medicine, Harvard Pilgrim Health Care Institute, Boston, Massachusetts; Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, Massachusetts.
概括
肯定性别的护理提供者正在通过加强个人安全和参与宣传来适应国家限制. 他们需要机构支持来应对这些挑战,并保护临床实践.
科学领域:
- 医学伦理 医学伦理
- 青少年健康政策 青少年健康政策
- 医疗保健提供者适应
背景情况:
- 最近的国家政策限制了青少年的性别肯定护理,包括荷尔蒙和青春期阻断剂.
- 这些限制给医疗保健提供者带来了复杂的政治,法律和人际关系挑战.
- 现有的指导方针和培训不足以为提供者为这些不断变化的法律环境做好准备.
研究的目的:
- 探索青少年性别确认护理提供者如何根据州级限制调整他们的临床实践.
- 了解医疗服务提供者在法律和政治挑战中维持护理所采用的策略.
主要方法:
- 对31名青少年性别确认护理提供者进行了定性访谈,这些护理提供者位于禁止的州.
- 采访发生在2022年3月至7月期间.
- 采访数据采用了综合诱导和演方法的专题分析.
主要成果:
- 六个总体主题出现了:暴力和恐吓,倡导,患者/家庭支持,机构适应,努力的重点和预测性适应.
- 提供者实施了针对暴力和恐吓的安全措施,包括个人安全和工作场所谈判.
- 反对限制性政策的倡导是常见的,但被描述为劳累和情绪耗尽.
结论:
- 对性别肯定护理的限制迫使提供者在临床职责之外从事安全和宣传工作.
- 提供者寻求雇主和专业组织的支持,以倡导和安全的工作条件.
- 调查结果强调,需要为提供性别肯定护理的提供者提供系统性支持.
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