Improving Healthcare for People in Possession of Transformative Gender Identity (PIPOTGI): Impact of Education on Nurses' Knowledge and Awareness

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Baumstark, Jennifer

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Nursing

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People in possession of transformative gender identity (PIPOTGI) are those who identify themselves as transgender, gender-neutral, gender-queer, gender-fluid, or gender nonconforming. PIPOTGI face multiple barriers when attempting to access healthcare and are often discriminated against during healthcare encounters, resulting in PIPOTGI avoiding or delaying healthcare and leading to higher morbidity and mortality. A lack of nursing and other healthcare provider knowledge and training is recognized as foundational to this problem. The purpose of this project was to educate nurses regarding the healthcare needs of PIPOTGI while exploring their attitudes and beliefs surrounding PIPOTGI. The overall aim of the project was to enhance culturally competent care for PIPOTGI. The project used a mixed-method research design to provide an educational session on PIPOTGI healthcare issues based on transformational learning theory to licensed nurses in the state of Hawaii. Both cognitive and affective learning outcomes were measured pre and post the educational session using the Transgender Attitude Beliefs Scale and a post-session debriefing. Quantitative data were analyzed using paired t-tests and a constant comparison technique employed to explore qualitative data. There is the potential to change the paradigm of healthcare for PIPOTGI by completing this DNP project. Educating nurses regarding the healthcare needs of PIPOTGI and allowing them the opportunity to explore any preconceived bias they may have toward PIPOTGI, may help decrease the incidence of transphobia and discrimination against PIPOTGI in healthcare settings. Once they had a deeper understanding of PIPOTGI, nurses who participated in this study were empowered to serve as positive examples for their co-workers and to advocate for culturally competent healthcare for PIPOTG

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Doctor of Nursing Practice Project

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Hawaii Pacific University

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