Deirdre A Shires, Luisa Kcomt, Leonardo Kattari, Meghan Liroff, Rachel Lee
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To assess the relationship between each independent variable and the outcome variables (i.e., comfort level generally and comfort level asking transgender patients about their body parts specifically), Mann-Whitney <i>U</i> test or Kruskal-Wallis analysis of variance was conducted for categorical independent variables and Pearson correlations were conducted for continuous independent variables.</p><p><strong>Results: </strong>Most participants (90.1%) were comfortable caring for transgender patients, whereas two-thirds (67.9%) were comfortable asking transgender patients about body parts. Although none of the independent variables was associated with increased clinician comfort level caring for transgender patients in general, White clinicians and those who were unsure how to ask patients about their gender identity or transgender-specific care they had received were less comfortable asking about body parts.</p><p><strong>Conclusion: </strong>Having skills to communicate with transgender patients was associated with emergency clinicians' comfort levels. In addition to offering traditional classroom-based didactics about transgender health care, providing opportunities for clinical rotations that allow clinicians-in-training to treat, and perhaps more importantly, learn from transgender patients will likely be higher yield in bolstering clinician confidence in serving this patient population.</p>","PeriodicalId":37265,"journal":{"name":"Transgender Health","volume":"8 3","pages":"246-253"},"PeriodicalIF":2.0000,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10278018/pdf/","citationCount":"0","resultStr":"{\"title\":\"Emergency Clinicians' Comfort Levels in Caring for Transgender Patients.\",\"authors\":\"Deirdre A Shires, Luisa Kcomt, Leonardo Kattari, Meghan Liroff, Rachel Lee\",\"doi\":\"10.1089/trgh.2021.0031\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>Transgender individuals report negative experiences in emergency department settings, but little is known about emergency clinicians' barriers to treating transgender patients. 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Although none of the independent variables was associated with increased clinician comfort level caring for transgender patients in general, White clinicians and those who were unsure how to ask patients about their gender identity or transgender-specific care they had received were less comfortable asking about body parts.</p><p><strong>Conclusion: </strong>Having skills to communicate with transgender patients was associated with emergency clinicians' comfort levels. 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引用次数: 0
摘要
目的:变性人报告了在急诊科就医的负面经历,但人们对急诊科医生在治疗变性患者时遇到的障碍知之甚少。本研究旨在探讨急诊临床医生与变性患者打交道的经历,以更好地了解他们在护理变性患者时的舒适度:我们对美国中西部一个综合医疗系统的急诊临床医生进行了横断面调查。为了评估每个自变量与结果变量(即总体舒适度和具体询问变性患者身体部位的舒适度)之间的关系,我们对分类自变量进行了 Mann-Whitney U 检验或 Kruskal-Wallis 方差分析,对连续自变量进行了皮尔逊相关分析:结果:大多数参与者(90.1%)能够自如地照顾变性患者,而三分之二的参与者(67.9%)能够自如地向变性患者询问身体部位。虽然没有一个自变量与临床医生护理变性患者的总体舒适度增加有关,但白人临床医生和不确定如何询问患者性别认同或变性患者接受过的特定护理的临床医生不太愿意询问身体部位:结论:掌握与变性患者沟通的技巧与急诊医生的舒适度有关。除了提供有关变性人医疗保健的传统课堂教学外,提供临床轮转的机会,让受训临床医生治疗变性人患者,或许更重要的是,向变性人患者学习,可能会在增强临床医生为这一患者群体服务的信心方面取得更高的收益。
Emergency Clinicians' Comfort Levels in Caring for Transgender Patients.
Objective: Transgender individuals report negative experiences in emergency department settings, but little is known about emergency clinicians' barriers to treating transgender patients. The purpose of this study was to explore emergency clinicians' experiences with transgender patients to better understand their comfort with caring for this population.
Methods: We conducted a cross-sectional survey of emergency clinicians in an integrated health system in the Midwest. To assess the relationship between each independent variable and the outcome variables (i.e., comfort level generally and comfort level asking transgender patients about their body parts specifically), Mann-Whitney U test or Kruskal-Wallis analysis of variance was conducted for categorical independent variables and Pearson correlations were conducted for continuous independent variables.
Results: Most participants (90.1%) were comfortable caring for transgender patients, whereas two-thirds (67.9%) were comfortable asking transgender patients about body parts. Although none of the independent variables was associated with increased clinician comfort level caring for transgender patients in general, White clinicians and those who were unsure how to ask patients about their gender identity or transgender-specific care they had received were less comfortable asking about body parts.
Conclusion: Having skills to communicate with transgender patients was associated with emergency clinicians' comfort levels. In addition to offering traditional classroom-based didactics about transgender health care, providing opportunities for clinical rotations that allow clinicians-in-training to treat, and perhaps more importantly, learn from transgender patients will likely be higher yield in bolstering clinician confidence in serving this patient population.