Abstract

Individuals identifying as transgender, gender nonconforming, or those born with differences of sex development from societal norms have specific healthcare needs. These individuals experience disparities in healthcare treatment as a result of a lack of cultural competence, stereotypes, and personal bias among healthcare professionals. Despite being inclusive of all patients and acceptance of cultural beliefs, many organizations fall short of being inclusive when caring for transgender or gender nonconforming patients. Front line healthcare workers can have a positive impact on the psychological and physical care delivered to transgender patients; thus, setting the stage for a patient of a minority having a great experience when interacting with healthcare workers. This project assessed the impact of transgender cultural sensitivity training to healthcare workers in the primary care setting. Cultural sensitivity training included one essential intervention and was guided by the Purnell Model for cultural competence. The cultural sensitivity intervention encompassed a hour lecture with objectives focused on healthcare worker transgender-specific interactions in the Primary Care setting. The Genderism and Transphobia Scale (GTS) (Hill & Willoughby, 2005) was utilized pre- and post- training as a tool to measure the effectiveness of the cultural awareness and sensitivity interventions implemented. Pre- and post- survey results were analyzed for variations within the reported scores to determine the effectiveness of the project interventions to increase transgender cultural sensitivity in healthcare workers. The analysis revealed improved GTS scores after intervention and statistically significant improvements in the eight-week post assessment period.

Author Details

Shannon Crowe, DNP, MSN, RN

Sigma Membership

Lambda Rho at-Large

Type

DNP Capstone Project

Format Type

Text-based Document

Study Design/Type

Quality Improvement

Research Approach

Qualitative Research

Keywords:

Transgender Care, Transphobia, Healthcare Disparities, Unconscious Bias, Cultural Sensitivity Training

Advisor

Mary Gipson

Degree

DNP

Degree Grantor

Jacksonville University

Degree Year

2020

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

Faculty Approved: Degree-based Submission

Acquisition

Self-submission

Date of Issue

2020-08-03

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