"I WAS A SPECTACLE. A FREAK SHOW AT THE CIRCUS": A TRANSGENDER PERSON'S ED EXPERIENCE AND IMPLICATIONS FOR NURSING PRACTICE
"I WAS A SPECTACLE. A FREAK SHOW AT THE CIRCUS": A TRANSGENDER PERSON'S ED EXPERIENCE AND IMPLICATIONS FOR NURSING PRACTICE
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DOI：
10.1016/j.jen.2015.08.012
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发表时间：
2016-01-01
影响因子：
1.7
通讯作者：
Black, Beth Perry
中科院分区：
文献类型：
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作者：
Cicero, Ethan Collin;Black, Beth Perry
对大多数人来说，去急诊室的决定很简单。有些人考虑他们的医疗保险范围或他们负担得起的访问的能力。其他人想知道他们的主要抱怨是否真的是紧急情况，或者问题是否可以等到他们的初级保健提供者的办公室开放。很少有人担心临床医生的能力或担心他们可能会被拒绝照顾;然而，考虑到艾德访问的变性人有时会面临这些问题。(1)缺乏充分准备好照顾变性人的临床提供者是寻求照顾的主要障碍。此外，一些变性人在医疗机构中遭到拒绝服务、歧视、骚扰甚至暴力。障碍的积累导致一些变性人甚至避免寻求常规和预防性护理。（1）这些障碍对护理的影响是深远的。缺乏高质量，公平的医疗保健与跨性别社区的高终身自杀率直接相关。（2）跨性别者一生的自杀未遂率为41%至60%，这一比例令人震惊，比一般人群的4.6%高出至少10倍。2认识到跨性别者在获得医疗保健时面临的健康差距和不公正，联邦政府和联合委员会为跨性别者社区制定了国家卫生优先事项和医院安全护理标准。这些优先事项和标准值得注意，特别是考虑到与变性人保健有关的现有知识体系的缺乏，这已被确定为一个研究机会。(1-4)此外，研究人员经常报告说，他们的研究结果与整个女同性恋，男同性恋，双性恋和变性人（LGBT）社区有关，而他们的研究仅与女同性恋者和/或男同性恋者有关。
For most people, the decision to visit an emergency department is straightforward. Some persons consider their health care insurance coverage or their ability to afford the visit. Others wonder if their chief complaint is truly an emergency or if the problem can wait until their primary care provider's office opens. Few worry about clinician competence or are concerned that they may be denied care; however, transgender persons contemplating an ED visit sometimes face these issues.(1) The scarcity of clinical providers adequately prepared to care for transgender persons is a major barrier to seeking care. In addition, some transgender people encounter denial of services, discrimination, harassment, and even violence in health care settings. The accumulation of barriers causes some transgender people to avoid seeking even routine and preventive care.(1)The implication of these barriers to care is profound. The lack of high-quality, equitable health care is directly associated with a high lifetime suicide rate in the transgender community. (2)The lifetime suicide attempt rate for transgender people is 41% to 60%, a startling percentage that is at least 10 times higher than the 4.6% rate of general population. 2 Acknowledging the health disparities and injustices that transgender people face when accessing health care, the federal government and The Joint Commission created national health priorities and hospital standards for safe patient care for the transgender community. These priorities and standards are noteworthy, especially considering the paucity of existing body of knowledge related to transgender health care, which has been identified as a research opportunity.(1-4) Moreover, researchers often report that their findings are pertinent to the entire lesbian, gay, bisexual, and transgender (LGBT) community when their studies are only relevant to lesbians and/or gay persons.