This article was an important reminder for me as to the needs of diverse groups of people. I have known about the challenges transgender people face in the healthcare setting, but I have not thought of the specific issues transgender adolescents may have. Although the study is characterized by a small sample (12 teenagers) and a limited area (Minnesota), these are acceptable as this qualitative research aims at identifying themes and topics that may appear when considering the attitudes of transgender youth towards their visits to a doctor. Eisenberg et al. (2020) provide their finding without any visible biases, and the methodology (semi-structured interviews) is also sound. The primary conclusions the researchers make are the existing disparities involving the target population and the need to ensure proper training for nurses.
As a Family Nurse Practitioner FNP in practice, I would pay closer attention to the questions regarding adolescent patients’ gender and the most appropriate ways to address them (the use of pronouns). I would also initiate discussion regarding this topic with other nurses during regular meetings. Clearly, I would advocate for the needs of transgender adolescents and try to address nurse leaders and administration to launch a training program for nurses. An FNP can play a key role in the development of a policy addressing this problem. First, this practitioner can implement a study and initiate the development of a policy for a particular healthcare facility. Clearly, the FNP has to be attentive and make sure that transgender teenagers (if they visit the facility) receive high-quality care. An FNP can also initiate a wider discussion of the issue with the help of professional associations. It is also possible to address a local policymaker, explaining the need for change and exact strategies that can be helpful.
Reference
Eisenberg, M. E., McMorris, B. J., Rider, G. N., Gower, A. L., & Coleman, E. (2020). “It’s kind of hard to go to the doctor’s office if you’re hated there.” A call for gender-affirming care from transgender and gender diverse adolescents in the United States.Health & Social Care in the Community, 28(3), 1082–1089.