A phenomenological exploration of transgender people’s experiences of mental health services in Ireland

Delaney, Neil; McCann, Edward

doi:10.1111/jonm.13115

Cited by 10 publications

(6 citation statements)

References 22 publications

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“…In this theme, 15 studies were integrated; among them, two studies approached social representations of trans people about body, sex and gender from their life stories (Caravaca‐Morera & Padilha, 2017a; Caravaca‐Morera & Padilha, 2017b); one described the experiences of trans people with the health team (Carlström et al, 2020); four identified the barriers, opportunities and failures in the mental health services about good practices for trans people (Delaney & Mccann, 2020; Lindroth, 2016; Lovison et al, 2020; Mccann, 2014); and one described the experience of trans people with the health team during the sex reassignment process (Von Vogelsang et al, 2016).…”

Section: Resultsmentioning

confidence: 99%

“…Trans people often modify their bodies through surgery, use of hormones and/or industrial silicone injection, as a way to meet the expectations of the society in which they live and for the desire to be accepted (Caravaca‐Morera & Padilha, 2017a; Caravaca‐Morera & Padilha, 2017b; Carlström et al, 2020; Mccann, 2014). The requirement to be treated with respect by the health professionals, starting with the use of the correct name and the appropriate pronoun in reference to them, as well as not questioning their gender or making assumptions about their sexuality, were also highlighted as important and discriminatory (Carlström et al, 2020; Delaney & Mccann, 2020; Lovison et al, 2020; Mccann, 2014; Von Vogelsang et al, 2016).…”

Section: Resultsmentioning

confidence: 99%

“…Trans people reported that one of the aspects leading health professionals to not assist them according to their needs was the lack of knowledge about their realities and experiences (Carlström et al, 2020; Lindroth, 2016; Lovison et al, 2020; Von Vogelsang et al, 2016). The dialogues show the vulnerability of the trans body related to the others in all settings (Caravaca‐Morera & Padilha, 2017b); and they consider that the health team should understand the vulnerability of trans people and be trained with a humanized perspective, as well as socially inclusive services in terms of treatment, bathrooms, and others, to provide a culturally sensitive care (Carlström et al, 2020; Delaney & Mccann, 2020; Lindroth, 2016; Mccann, 2014; Von Vogelsang et al, 2016).…”

Section: Resultsmentioning

confidence: 99%

“…Undergraduate education as a mandatory content in the curricula and also on a continuous basis by nurses and other health professionals is suggested in the conclusion of several studies. Also, it was highlighted that education and training for professionals would help to prevent experiences of strangeness to trans people and change the professionals' ways of providing care, as well as promote healthier and more appropriate environments for this population (Delaney & McCann, 2020; Lindroth, 2016; Mccann, 2014).…”

Section: Resultsmentioning

confidence: 99%

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Transgender people in the nursing discourse: An integrative review

Padilha

Caravaca-Morera

Gentil

et al. 2022

Journal of Advanced Nursing

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Objective To integrate and analyse the literature produced by nurses in terms of care, education and understanding of the reality of transgender (trans) people. Design An integrative review methodology guided by the framework proposed by Whittemore and Knafl. Data sources The search strategy was applied in the following databases: Medline, Embase, Scopus, Web of Science and CINAHL, as well as in Biblioteca Virtual de Saúde, during February and March 2021, with no time frame. Review methods The references found were assessed according to the eligibility criteria established. The information of the articles included was extracted, and a thematic analysis was performed to synthesize the review findings. Results The searches in the databases yielded 2859 articles; 985 after removing duplicates, and 33 articles were included in this review. Three major themes were identified: (1) Understanding the trans universe through the trans perspective; (2) Understanding health and nursing care for trans people; and (3) Trans women as the focus of health and nursing care. The themes evidenced in the lens of nurses and clients the importance of nursing training at all levels to prepare professionals on how to provide culturally competent nursing care for this population and reduce healthcare inequities. Conclusion Nurses must work to provide a space for convergence and enhancement of the rights of trans people and cease to be a verticalized care model. To such end, it is necessary to devise places and possibilities to teach and learn, to construct and reconstruct a culturally competent nursing care. Impact This review highlighted the current knowledge and identified gaps in the understanding of nurses, health professionals and students about the experience lived by trans people, resulting from the lack of training and continuing education of these professionals.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Transgender people in the nursing discourse: An integrative review

Padilha

Caravaca-Morera

Gentil

et al. 2022

Journal of Advanced Nursing

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“…Risks include increased mental health disorders, homelessness, and acts of violence for youth who identify as LGBTQ+ (Fulginiti et al., 2020; Johns et al., 2020; Keuroghlian et al., 2014). Predictors of suicidal behavior in adolescents who identify as LGBTQ+ include prior ED visits and hospitalizations and these individuals report healthcare avoidance, trans‐specific negative experiences, and non‐affirmative healthcare encounters (Baams, 2018; Bauer et al., 2014; Berona et al., 2020; Delaney & McCann, 2020).…”

Section: Introductionmentioning

confidence: 99%

Emergency care for youth who experience suicidality and identify as LGBTQ+

Schultz

Zoucha

Sekula

et al. 2022

Public Health Nursing

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Introduction: Suicide is a leading cause of death in children; youth who identify asLGBTQ+ are at an exponentially higher risk of suicide. The purpose of this study was to explore the lived experiences of youth who identify as LGBTQ+ and sought emergency care for suicidality as adolescents.Methods: Hermeneutics phenomenology is the research method used in this study.Youth who identify as LGBTQ+ and sought emergency treatment for suicidality when they were adolescents were recruited; fifteen youth enrolled. Individuals ranged in age from 20 to 25 years. Participants described their gender identity as male, female, non-binary, transgender female, and their sexual orientation as: female, demisexual, bisexual, gay, homosexual, lesbian, queer, asexual, and transgender.Results: This study establishes that youth who identify as LGBTQ+ seeking emergency care for suicidality value: coping and control, acceptance from others and self, communicating with me about me, and moving beyond danger and distress. Lack of psychological safety-from the emic perspective-emerged as a critical finding. Conclusion:This research has strong implications for public health, policy, and research. Future research must seek to understand ways in which psychological safety is assessed in healthcare if we are to more deeply understand and effectively address the impact on health equity.

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