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Clinical| Volume 42, ISSUE 1, P25-30, January 2016

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“I Was a Spectacle…A Freak Show at the Circus”: A Transgender Person’s ED Experience and Implications for Nursing Practice

Published:September 28, 2015DOI:https://doi.org/10.1016/j.jen.2015.08.012
      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.
      • Grant JM
      • Mottet L
      • Tanis J
      • Harrison J
      • Herman JL
      • Keisling M
      Injustice at every turn: a report of the national transgender discrimination survey.
      The scarcity of clinical providers adequately prepared to care for transgender persons is a major barrier to seeking care.
      • Grant JM
      • Mottet L
      • Tanis J
      • Harrison J
      • Herman JL
      • Keisling M
      Injustice at every turn: a report of the national transgender discrimination survey.
      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.
      • Grant JM
      • Mottet L
      • Tanis J
      • Harrison J
      • Herman JL
      • Keisling M
      Injustice at every turn: a report of the national transgender discrimination survey.
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      Biography

      Ethan Collin Cicero is Robert Wood Johnson Foundation Future of Nursing Scholar and PhD student at Duke University School of Nursing, Durham, NC.

      Biography

      Beth Perry Black is Associate Professor of Nursing, School of Nursing, University of North Carolina at Chapel Hill, Chapel Hill, NC.