心理健康专业人员在变性人护理方面的态度和行为:一项定性研究。

IF 2.6 4区 医学 Q1 NURSING
M. Asunción Cutillas-Fernández, Ismael Jiménez-Ruiz, María Herrera-Giménez, Jose Antonio Jiménez-Barbero
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引用次数: 0

摘要

对这一问题的了解:心理健康专业人员对变性人的看法各不相同,往往受到刻板印象的影响。人们认识到了医疗保健需求,但有限的知识影响了决策。对于变性人寻求心理保健的原因,陈旧观念依然存在。本文对现有知识有何补充?专业人士的态度既有积极的支持,也有消极的、歧视性的观点。缺乏培训和知识差距阻碍了对跨性别者的有效护理。存在病态化的态度,将性别多样性与精神健康状况联系在一起。这对实践有什么影响?解决培训方面的差距对于变性人的公平护理至关重要。有必要挑战陈规定型观念和信念,以减少污名化并增进理解。目的:探讨穆尔西亚地区心理健康网络中的专业人员对变性人的信念和态度,重点是对性别认同的认识、看法和偏见等方面:我们开展了一项有 14 人参与的定性研究,在事先了解该主题的基础上进行了半结构化访谈。我们向专业人员询问了他们在与变性用户进行临床互动时的经验和挑战,并采用归纳-演绎法对数据进行了分析:从访谈中确定了两大主题,并将其细分为不同的子主题:(a)对跨性别者的看法:性别多样性的潜在因素和起源、健康需求以及对医疗保健需求的成见;(b)专业人员对跨性别者的态度和行为:病理化和对决策的态度:我们的研究结果表明,心理健康专业人员倾向于过度简化性别多样性的基本因素,并对这些使用者持有某些陈旧观念,从而过度简化了他们经历的复杂性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Attitudes and behaviours of mental health professionals in the care of transgender people: A qualitative study

What is known on the subject?

  • Mental health professionals' beliefs about transgender individuals vary, often influenced by stereotypes.
  • There's recognition of healthcare needs, but limited knowledge impacts decision-making.
  • Stereotypes persist regarding why transgender individuals seek mental health care.

What the paper adds to existing knowledge?

  • Professionals' attitudes show both positive support and negative, discriminatory views.
  • Lack of training and knowledge gaps hinder effective care for transgender individuals.
  • Pathologising attitudes exist, associating gender diversity with mental health conditions.

What Are the implications for practice?

  • Addressing training gaps is crucial for equitable care for transgender individuals.
  • Challenging stereotypes and beliefs is necessary to reduce stigma and improve understanding.
  • Enhancing knowledge and evidence-based tools will ensure safe and equal healthcare access.

Introduction

Transgender people face against significant barriers in accessing mental health services due to, among other reasons, discrimination and a lack of expertise among professionals.

Aim

To explore the beliefs and attitudes of professionals in the mental health network of the region of Murcia towards transgender people, focusing on aspects such as knowledge, perceptions, and prejudices about gender identity.

Method

We carried out a qualitative study involving 14 participants, conducting semi-structured interviews based on prior knowledge of the topic. We asked the professionals about their experiences and challenges in their clinical interaction with transgender users and followed an inductive-deductive process to analyse the data.

Results

Two main themes were identified from the interviews, which were sub-categorised into different sub-themes: (a) beliefs about transgender people: underlying factors and origins of gender diversity, health needs, and stereotypes about the demand for health care; (b) attitudes and behaviours of professionals towards transgender people: pathologization and attitudes towards decision-making.

Discussion/Implications for Practice

Our findings suggest that mental health professionals tend to oversimplify the factors underlying gender diversity and hold certain stereotypical beliefs about these users that oversimplify the complexity of their experiences.

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来源期刊
CiteScore
4.70
自引率
3.70%
发文量
75
审稿时长
4-8 weeks
期刊介绍: The Journal of Psychiatric and Mental Health Nursing is an international journal which publishes research and scholarly papers that advance the development of policy, practice, research and education in all aspects of mental health nursing. We publish rigorously conducted research, literature reviews, essays and debates, and consumer practitioner narratives; all of which add new knowledge and advance practice globally. All papers must have clear implications for mental health nursing either solely or part of multidisciplinary practice. Papers are welcomed which draw on single or multiple research and academic disciplines. We give space to practitioner and consumer perspectives and ensure research published in the journal can be understood by a wide audience. We encourage critical debate and exchange of ideas and therefore welcome letters to the editor and essays and debates in mental health.
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