|Patient/Problem:||Ensuring Comprehensive Care and Support for Transgender and Gender-Diverse Children and Adolescents|
|Intervention:||Development and sensitivity training and education|
|Comparison:||Lack of knowledge and understanding|
|Outcome(s):||Coordinate and provide the needed resources|
|Question||:Does Nursing Knowledge and Attitudes Toward Trans and Gender- Nonconforming Pediatrics Patients improve cultural competence and healthcare disparities?|
Transgender describes people whose gender identity differs from the one assigned to them at birth. Gender nonconforming and transgender mainly encompass other terms like transsexual, genderqueer, crossdresser, and femme queen. Generally, children are designed a gender at birth depending on genital chromosomes. For most infants, there is a correlation between gender identity and designation. However, in some cases, the gender identity fails to correlate with the one that is designed. Such children are referred to as gender-diverse or transgender.
Transgender children and adolescents experience more challenges than adults because they depend on parents’ care and financial support, which can be inadequate. Moreover, according to Rafferty et al. (2018), most doctors become reluctant to provide medical care to such children. Based on experts’ broad consensus, appropriate care for transgender children may entail social transition, mental healthcare, and puberty blockers. Children and families identified as transgender have also been presenting themselves to pediatric providers to seek care, education, and referrals. Traditionally, the group has been treated as underserving, posing multiple health challenges and disparities. Thus, there has been a growing need for formal training and standardized therapy for such a population.
The transgender youth require a high degree of family acceptance. According to Cantor (2020), many cases reported on the juvenile justice system involve family abuse and rejection of transgender youth. Parents are expected to be supportive and readily aid their children through the transition period. The parent should seek gender affirmative doctors and counselors and connect them with their children. Based on Rafferty et al. (2018), many parents have joined organizations such as PLFAG, advocating for children’s rights. They should as well, develop positive reaction towards their transgender children. Cantor (2020) indicated that familial support towards transgender youth results in positive and desirable emotional, mental, and physical health outcomes. They inform supportive individuals and professionals like doctors to create and develop a support network for transgender children and adolescents—family acceptance and support results in increased self-esteem and general health status for such youth.
Key Terms from PICO Question that can be used for my Search
- Transgender children
- Transgender cultural competence
- Transgender healthcare
Rafferty, J., Committee on Psychosocial Aspects of Child and Family Health, Committee on Adolescence, & Section on Lesbian, Gay, Bisexual, and Transgender Health and Wellness. (2018). Ensuring comprehensive care and support for transgender and gender-diverse children and adolescents. Pediatrics, 142(4).23-37
Cantor, J. M. (2020). Transgender and gender diverse children and adolescents: Fact-checking of AAP policy. Journal of Sex & Marital Therapy, 46(4), 307-313.