Healthcare needs and assets of gender diverse older adults: A systematic integrative review

Catlett, Lauren

doi:10.1111/jnu.12810

Cited by 5 publications

(3 citation statements)

References 51 publications

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“…Healthcare needs specific to transgender older adults include access to gender-affirming hormone treatments; involvement of chosen family members in healthcare decision-making; and protections against transphobia in healthcare settings ( Catlett, 2022 ). Some healthcare needs of transgender older adults, such as social support, advocacy, and person-centered nursing care ( World Health Organization, 2022 ), parallel the needs of cisgender older adults, persons over age 65 years whose gender identities match their sex assigned at birth ( PFLAG, 2021 ; United Nations et al, 2019 ).…”

Section: Introductionmentioning

confidence: 99%

“…Addressing discrimination and improving care at EOL for transgender older adults require building a culture of inclusivity among healthcare providers; changing policies to support transgender rights; strengthening social and spiritual support; and emphasizing the assets of transgender elders ( Catlett, 2022 ). To build competency and inclusivity in EOL care for transgender older adult patients, several studies propose educational trainings for healthcare providers, especially clinicians in hospice and palliative care, a discipline that focuses on enhancing quality of life for persons with serious or terminal illnesses ( Adan et al, 2021 ; Bell & Johnson, 2020 ; Campbell & Catlett, 2019 ; Elder, 2016 ; Hughto & Reisner, 2018 ; Jones & Willis, 2016 ; Walker et al, 2017 ).…”

Section: Introductionmentioning

confidence: 99%

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End-of-Life Care for Transgender Older Adults

Catlett

Acquaviva

Campbell

et al. 2023

Global Qualitative Nursing Research

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As the number of transgender older adults increases, the need for respectful and inclusive end-of-life (EOL) care for this population is becoming more apparent. Aging transgender adults often face discrimination, inadequate access to care, and poor quality of care. In response, we organized a think tank that invited participation from 19 transgender older adults, scholars in EOL care, and palliative care providers in the United States to generate recommendations for EOL care for transgender older adults. Subsequently, we conducted a qualitative descriptive exploration of the written record of think tank discussions for the purpose of identifying key EOL care considerations for transgender older adults. We identified four themes that highlight the importance of understanding the experiences of transgender older adults for the advancement of future research, policy, and education initiatives aiming to ensure inclusive and equitable provision of EOL care by nurses and other clinicians for this population.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

End-of-Life Care for Transgender Older Adults

Catlett

Acquaviva

Campbell

et al. 2023

Global Qualitative Nursing Research

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“…The heterogeneity among older people is enormous, ranging from healthy, participative and active older citizens to others that are living with dementia or other severe conditions that challenge their agency and autonomy. As well as health and autonomy, factors such as gender ( Catlett 2022 ), cultural and ethnic origin (eg, Lavin and Park 2014 ), or socioeconomic and educational status (eg, Wang and Hulme 2021 ) contribute greatly to increase diversity. Consequently, priorities in care should follow suit in terms of this diversity.…”

Section: Introductionmentioning

confidence: 99%

Narrative-based learning for person-centred healthcare: the Caring Stories learning framework

2023

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This paper describes the learning framework for an innovative narrative-based training platform for healthcare professionals based on older patients’ narratives. The aim of Caring Stories is to place patients’ desires and needs at the heart of healthcare and by doing so to promote person-centred care (PCC). It is argued that this narrative-based approach to training in healthcare education will provide professionals from different fields with competencies to better understand how to interpret the lifeworlds of older people, as well as facilitate better communication and navigation through increasingly complex care trajectories. The spiral learning framework supports narrative-based training to be accessible to a broad range of healthcare practitioners. We suggest this is a theoretically sophisticated methodology for training diverse healthcare professionals in PCC, alongside core tenets of narrative medicine, with applicability beyond the patient group it was designed for. The learning framework takes into account professionals’ mindsets and draws on the epistemic tenets of pragmatism to support interprofessional education. Being informed by narrative pedagogy, narrative inquiry, and expansive learning and transformative learning theories, ensures that a robust pedagogical foundation underpins the learning framework. The paper sets out the conceptual ideas about narrative that we argue should be more widely understood in the broad body of work that draws on patient narratives in healthcare education, alongside the learning theories that best support this framing of narrative. We suggest that this conceptual framework has value with respect to helping to disseminate the ways in which narrative is most usefully conceptualised in healthcare education when we seek to foster routes to bring practitioners closer to the lifeworlds of their patients. This conceptual framework is therefore generic with respect to being a synthesis of the critical orientations to narrative that are important in healthcare education, then adaptable to different contexts with different patient narratives.

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