Identifying Training Needs of Health-Care Providers Related to Treatment and Care of Transgendered Patients: A Qualitative Needs Assessment Conducted in New England
Identifying Training Needs of Health-Care Providers Related to Treatment and Care of Transgendered Patients: A Qualitative Needs Assessment Conducted in New England
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DOI：
10.1300/j485v08n02_09
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发表时间：
2005-01-01
影响因子：
--
通讯作者：
Lurie, Samuel
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文献类型：
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作者：
Lurie, Samuel
自1999年以来，新英格兰艾滋病教育和培训中心的变性人培训项目一直在向新英格兰地区的保健提供者提供有关变性人问题的培训，在此期间培训了近600名提供者。变性人培训项目在2001-2002赠款年度开展了一项研究，对艾滋病毒相关护理和宣传提供者进行访谈，了解他们在与变性人打交道方面的知识和经验，并评估培训需求，以提高他们在与变性人打交道方面的效率。与13名隶属于新英格兰艾滋病教育和培训中心网络的艾滋病毒治疗和护理提供者进行面谈，讨论与变性人合作的临床挑战。在这项探索性研究中，我们发现，供应商有：1。希望尊重地对待变性患者，但承认不舒服，缺乏具体的访谈/评估工具。一系列变性患者的经验，但缺乏关于变性经验之间区别的信息。基于时间限制的限制，在与客户建立信任关系方面造成了巨大障碍，而信任关系是优质护理的组成部分。对缺乏信息、研究和调查的关切和沮丧。对缺乏治疗指南（或获得治疗指南的能力）、转诊联系人和为变性客户辩护的方式的关注和沮丧。认为变性人本身的培训是一个基本的教学要素，这些结果表明，有必要为服务于感染艾滋病毒或有感染艾滋病毒风险的变性人的保健提供者编写和传播具体的培训材料和资源。(C)出版社：The Haworth Press，Inc. All rights reserved.
The Transgender Training Project of the New England AIDS Education and Training Center has been providing training on transgender-related issues to health-care providers in the New England region since 1999, having trained nearly 600 providers in that time. The Transgender Training Project embarked on a study during the 2001-2002 grant year to interview providers of HIV-related care and advocacy on their knowledge and experience with working with transgendered people and to assess training needs to increase their effectiveness with transgendered clients.The methodology consisted of face-to-face interviews with 13 providers of HIV treatment and care who are affiliated with the New England AIDS Education and Training Center network to discuss clinical challenges in working with transgendered people. In this exploratory study, we found that providers had:1. Desire to treat transgendered patients respectfully but admitted discomfort and lack of tools for specific interviewing/assessments.2. Experience with a range of transgendered patients, but lack of information on distinctions among transgendered experiences.3. Restrictions based on time constraints that create an overarching barrier in building trusting relationships with clients, and trusting relationships are integral to quality care.4. Concern and frustration with lack of information, studies and research.5. Concern and frustration with lack of treatment guidelines, (or ability to access them), referral contacts and ways to advocate for transgender clients.6. Belief that training by transgendered people themselves was an essential teaching element.These results point to the need for the development and dissemination of specific training materials and resources for health-care providers serving transgendered people living with or at risk for HIV. (C) 2005 by The Haworth Press, Inc. All rights reserved.