Background: Transgender individuals experience considerable prejudice and bias, creating barriers to health care. Purpose: The purpose of this study was to determine the effect of a virtual patient simulation scenario of caring for a transgender adult on nursing students' attitudes and beliefs about transgender people. Methods: A validated 29-item instrument developed to assess an individual's view of transgender identity was administered in a pre-/posttest nonequivalent-groups design to junior-and senior-level nursing students. Results: Statistically significant differences were found between the control and treatment groups for the subscale human value. Conclusions: Findings support experiential learning in nursing as an effective tool in teaching cultural competence and sensitivity when caring for transgender patients. Attitudes and beliefs of senior nursing students and junior nursing students toward transgender individuals differed, with senior students being more receptive.
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