The process of transitioning for the transgender individual and the nursing imperative: A narrative review

Abstract

Aims The objectives of this study were to bring the experience of the transitioning process for the transgender population to the nursing profession and address the lack of knowledge to promote improved patient outcomes. Design This study used a narrative review using the literature matrix method. Because of the dearth of trans specific literature, editorials and monologues were included. Data source A broad search was undertaken across all databases including CINAHL, PubMed, PsycINFO, Ovid MEDLINE, ProQuest Nursing & Allied Health and Google Scholar. Literature from June 1994 to May 2020 was appraised. Non‐peer reviewed literature and published texts were procured via Google Alerts. Review methods Selection for inclusion was based on credibility and relevance from a variety of social science disciplines. A narrative analysis was used to identify common themes, incongruencies in schools of thought and perspectives that require consideration. Results Analysis of the literature revealed the following themes: (a) literature and terminology evolution, (b) transitioning as a process, (c) medicalization of transitioning, (d) generational views on transitioning and (e) needs during transition. Conclusion This review highlights key issues about the transitioning process imperative to nursing when meeting the needs of the transgender population. Impact This review addresses the lack of trans specific literature and lack of consistency in the literature about the understanding of the transitioning process for the transgender population. Main findings? Terminology to explain the transitioning process is ever evolving. Future studies about transitioning need to go beyond the medical lens. Generational views differ in the approach to transitioning, and there are needs unique to this population required during the process. Where and whom will the research impact? The review has significant implications for change in health delivery, nursing policy and formulating nursing practice and education to improve trans competent care.

Standards of Care for the Health of Transgender and Gender Diverse People, Version 8

“…Additional assessment can offer the TGD person an opportunity to consider the possible effects of not socially transitioning while still obtaining GAMSTs. Given the lack of data on health outcomes for TGD people who do not socially transition (Evans et al., 2021 ; Levine, 2009 ; Turban, Loo et al., 2021 ), GAMSTs should be approached cautiously in such circumstances.…”

Factors that drive mental health disparities and promote well-being in transgender and nonbinary people

“…Although they are far from comprehensive, the broad terms trans and nonbinary are the ones usually used in scholarly journals that publish in English. However, gender-related language and terminology continue to evolve within TNB communities 23 . We encourage readers who want to learn about current language and terms to regularly search the scholarly literature (such as ref.…”

“…We encourage readers who want to learn about current language and terms to regularly search the scholarly literature (such as ref. 23 ) and to review recent discussions in public TNB social media groups.…”

Cultural Safety and Humility as a Domain Aspect of Palliative Healthcare Practice in Client Care

“…Making sure there are places where people feel comfortable expressing their culture freely is also crucial to ensuring their safety. Evans et al [4] found that patients' mental well-being and satisfaction with care improved when they were given opportunities to discuss their cultural identities and beliefs. Rapport and trust building have been extensively researched as crucial components of cultural safety in healthcare settings [5].…”