Registered Nurses as Optimizers of Gender-Affirming Care within a Transgender and Intersex Specialty Care Clinic

Abstract

An estimated 1.4 million transgender adults live in the United States; this equates to approximately 0.6% of the U.S. population (Lane et al., 2018). Clinical focus on gender dysphoria has significantly increased over the past 30 years (MacCarthy, Reisner, Nunn, Perez-Brumer, & Operario, 2015), with burgeoning evidence from across disciplines documenting the positive outcomes associated with gender-affirming interventions. The purpose of this article is to illustrate how RNs optimize psychosocial, hormonal, and surgical gender-affirming care through performing comprehensive assessments, coordinating care, and providing education and health coaching.

Keywords

transgender clinic gender-affirming care gender-affirming surgery RNs

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References

American Nurses Association. (2018). ANA position statement: Nursing advocacy for LGBTQ+ for populations. The Online journal of Issues in Nursing, 24(1), 1–5.

Billard

T. J.

(2016). Writing in the margins: Mainstream news media representations of transgenderism. International journal of Communication, 10, 4193–4218.

De Cuypere

, T'Sjoen

, Beerten

, Selvaggi

, De Sutter

, Hoebeke

, & Rubens

(2005). Sexual and physical health after sex reassignment surgery. Archives of Sexual Behavior, 34(6), 679–690. https://doi.org/10.1007/sl0508-005-7926-5.

Downing

J. M.

, & Przedworski

J. M.

(2018). Health of transgender adults in the US, 2014–2016. American Journal of Preventive Medicine, 55(3), 336–344. https://doi.org/10.1016/j.amepre.2018.04.045.

Eade

D. M.

, Telfer

M. M.

, & Tollit

M. A.

(2018). Implementing a single-session nurse-led assessment clinic into a gender service. Transgender Health, 3(1), 45–47. https://doi.org/10.1089/trgh.2017.0050.

Genderspectrum. (2020). Understanding gender. Retrieved from https://www.genderspectrum.org/quick-links/understanding-gender/.

Hage

, & Karium

(2000). Ought GIDNOS get nought? Treatment options for nontranssexual gender dysphoria. Plastic and Reconstructive Surgery, 105(3), 1222–1227. https://doi.org/10.1097/00006534-200003000-00063.

Human Rights Campaign. (n.d.). Understanding the transgender community. Retrieved from https://www.hrc.org/resources/understanding-the-transgender-community.

Jones

B. A.

, Bouman

W. P.

, Haycraft

, & Arcelus

(2019). Gender congruence and body Satisfaction in nonbinary transgender people: A case control study. International Journal of Transgenderism, 20(2–3), 263–274. https://doi.org/10.1080/15532739.2018.1538840.

10.

Knudson

, De Cuypere

, & Bockting

(2010). Recommendations for revision of the DSM diagnoses of gender identity disorders: Consensus statement of the World Professional Association for Transgender Health. International Journal of Transgenderism, 12(2), 115–118. https://doi.org/10.1080/15532739.2010.509215.

11.

Lane

, Ives

G. C.

, Sluiter

E. C.

, Waljee

J. F.

, Yao

T. H.

, Hu

H. M.

, & Kuzon

W. M.

(2018). Trends in gender-affirming surgery in insured patients in the United States. Plastic and Reconstructive Surgery. Global Open, 6(4), e1738. https://doi.org/10.1097/GOX.0000000000001738.

12.

MacCarthy

, Reisner

S. L.

, Nunn

, Perez-Brumer

, & Operario

(2015). The time is now: Attention increases to transgender health in the United States but scientific knowledge gaps remain. LGBT Health, 2(4), 287–291. https://doi.org/10.1089/lgbt.2014.0073.

13.

Clinic

Mayo

. (2016). Addressing the challenges of transgender healthcare. Retrieved from https://www.mayoclinic.org/medical-professionals/endocrinology/news/addressing-the-challenges-of-transgender-health-care/mac-20429315.

14.

Mayo Clinic. (2020). Mayo clinic mission and values. Retrieved from https://www.mayoclinic.org/about-mayo-clinic/mission-values.

15.

McDowell

, & Bower

K. M.

(2016). Transgender health care for nurses: An innovative approach to diversifying nursing curricula to address health inequities. The Journal of Nursing Education, 55(8), 476–479. https://doi.org/10.3928/01484834-20160715-11.

16.

National Center for Transgender Equality. (2016). About transgender people. Retrieved from https://transequality.org/.

17.

The World Professional Association for Transgender Health. (2012). Standards of care for the health of transsexual, transgender, and gender-nonconforming people. Journal of Transgenderism, 13(4), 21–65. https://doi.org/10.1080/15532739.