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.
1
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
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References
- Injustice at every turn: a report of the national transgender discrimination survey.(Published 2011. Accessed August 19, 2015)
- Suicide attempts among transgender and gender non-conforming adults: findings of the national transgender discrimination survey.(Published January 2014. Accessed August 19, 2015)
- “I don’t think this is theoretical; this is our lives”: how erasure impacts health care for transgender people.J Assoc Nurses AIDS Care. 2009; 20: 348-361
- The Health of Lesbian, Gay, Bisexual, and Transgender People: Building a Foundation for Better Understanding.The National Academies Press, Washington, DC2011
- Understanding gender.(Published September 22, 2014. Accessed August 19, 2015)
- Advancing Effective Communication, Cultural Competence, and Patient- and Family-Centered Care for the Lesbian, Gay, Bisexual, and Transgender (LGBT) Community: A Field Guide.The Joint Commission, Oakbrook Terrace, IL2011 (http://www.jointcommission.org/assets/1/18/LGBTFieldGuide.pdf)
- Center of Excellence for Transgender Health.(Accessed August 19, 2015)
- Advancing Effective Communication, Cultural Competence, and Patient- and Family-Centered Care: A Roadmap for Hospitals.The Joint Commission, Oakbrook Terrace, IL2010
- R3 Report: requirement, rationale, reference. Patient-centered communication standards for hospitals.(Published February 9, 2011. Accessed August 19, 2015)
- To Err Is Human: Building a Safer Health System.National Academy Press, Washington, DC2000
- Code of ethics for nurses with interpretive statements.(Accessed August 19, 2015)
- All of The Above: LGBT People of Color.National Coalition for LGBT Health, Washington, DC2011
- Healthy people 2020: lesbian, gay, bisexual, and transgender health.(Updated August 19, 2015. Accessed August 19, 2015)
- Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: conceptual issues and research evidence.Psychol Bull. 2003; 129: 674-697
- The psychological world of the gay teenager: social change, narrative, and “normality.”.J Youth Adolesc. 2007; 36: 47-59
- HIV risk behaviors among Asian and Pacific Islander male-to-female transgenders.J Homosex. 2008; 51: 37-41
- Need for HIV/AIDS education and intervention for MTF transgenders: responding to the challenge.J Homosex. 2006; 51: 183-201
- Mental health: a state of well-being.(Updated August 2014. Accessed August 19, 2015)
- Tips for allies of transgender people.(Accessed August 19, 2015)
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.
Article info
Publication history
Published online: September 28, 2015
Footnotes
Earn Up to 9.0 CE Hours. See page 92.
Identification
Copyright
© 2016 Emergency Nurses Association. Published by Elsevier Inc. All rights reserved.