Providing trans-affirming care for sexual assault survivors: An evaluation of a novel curriculum for forensic nurses

Mont, Janice Du; Saad, Megan; Kosa, Sarah Daisy; Kia, Hannah; Macdonald, Sheila

doi:10.1016/j.nedt.2020.104541

Cited by 19 publications

(53 citation statements)

References 15 publications

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“…After the search, we obtained a total of 381 records, of which 16 articles were selected: 1 systematic review and meta-analysis [28], 5 systematic reviews [29][30][31][32][33], 1 cross-sectional descriptive study [34], 4 qualitative studies [35][36][37][38], and 5 quasi-experimental pre-testpost-test studies [39][40][41][42][43]. Regarding the variables of the reviews, 6 articles addressed the specific health needs of LGBT people [28,29,[31][32][33][34], 3 focused on LGBT people's experiences and perceptions [35][36][37], and 10 presented nursing interventions in the LGBT community [30][31][32][33][38][39][40][41][42][43].…”

Section: Resultsmentioning

confidence: 99%

“…In terms of national contexts, 5 studies were conducted in the USA [38,39,[41][42][43], 2 in Canada [36,40], 1 in Ireland [37], 1 in Turkey [35], and 1 in Thailand [34]. According to the classification by the World Bank [44], 8 articles were from high-income economies (the USA, Canada, and Ireland) and 2 were from upper-middle-income economies (Turkey and Thailand).…”

Section: Resultsmentioning

confidence: 99%

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Health Inequities in LGBT People and Nursing Interventions to Reduce Them: A Systematic Review

Medina-Martínez

Saus-Ortega

Sánchez-Lorente

et al. 2021

IJERPH

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Background: Lesbian, gay, bisexual, and transgender (LGBT) people present poorer mental and physical health results compared to the heterosexual and cisgender population. There are barriers in the healthcare system that increase these health inequities. Objective: To synthesise the available evidence on how nurses can intervene in reducing health inequities in LGBT people, identifying their specific health needs and describing their experiences and perceptions of the barriers they face in the healthcare system. Methods: Systematic review. Between March and April 2021, a bibliographic search was carried out in the Cuiden, LILACS, PubMed, Dialnet, SciELO, Trip Database, and Web of Science databases and metasearch engines. Inclusion criteria: Articles published in the last 5 years that address the specific health needs of LGBT people, their experiences and perceptions, or interventions in this group in which nurses may engage. Results: A total of 16 articles were selected. Health disparities were detected in the LGBT community, which exhibited higher rates of mental health problems, substance abuse, risky sexual behaviours, self-harm, and suicide. These inequalities were related to minority stress, and each of them differently impacted individual populations within the broader LGBT community depending on their sexual orientations and gender identities. The impact of these factors was, in turn, modified by the intersections of race/ethnicity, geographic region, and socioeconomic factors. LGBT people described discriminatory experiences by health professionals, as well as their distrust and fear in this setting. Nurses can carry out interventions such as inclusive education about sex and sexual and gender diversity and bullying and suicide prevention programmes, and can provide gender-affirming and family-centred care. Conclusions: LGBT people experience health inequities and discrimination in the healthcare system. Nurses can implement diverse interventions to reduce these problems and, moreover, these health professionals are obliged to acquire cultural competence regarding LGBT health.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Health Inequities in LGBT People and Nursing Interventions to Reduce Them: A Systematic Review

Medina-Martínez

Saus-Ortega

Sánchez-Lorente

et al. 2021

IJERPH

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“…Demonstrated competence was measured using a clinical vignette, a hypothetical case of a trans client and associated questions. 19,23 One question each represented the four core content domains. 19 The pretraining questionnaire also contained five items associated with sociodemographic characteristics, including age, sex, gender, ethnicity/race (predominantly identify with), and highest level of education.…”

Section: Pre-and Post-training Questionnairesmentioning

confidence: 99%

“…19,23 One question each represented the four core content domains. 19 The pretraining questionnaire also contained five items associated with sociodemographic characteristics, including age, sex, gender, ethnicity/race (predominantly identify with), and highest level of education. Two items also captured work experience: time in role as an SA/DVTC nurse and provision of direct clinical care to a trans client as an SA/DVTC nurse.…”

Section: Pre-and Post-training Questionnairesmentioning

confidence: 99%

“…Recommendations made to improve the training were to increase its length, introduce more visual representations of body configurations, enhance case studies, and add quotes/personal stories from trans persons with relevant lived experiences. 19 To expand the reach of the in-person training, we developed an e-learning version in 2019. e-Learning, which is increasingly being adopted for the training of forensic nurses, improves accessibility to training as it is flexible, convenient, can be used on any computer with a stable internet connection, and requires no travel-features particularly helpful for nurses working in remote geographical locations and those with family and work-related constraints. 20 In this study, the e-learning curriculum, which built on the 31 competencies from the in-person training, was examined for its effectiveness in improving expertise and competence to provide trans-affirming care among forensic nurses working within Ontario's SA/DVTCs.…”

Section: Introductionmentioning

confidence: 99%

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Evaluation of an e-Learning Curriculum for Forensic Nurses on Trans-Affirming Postsexual Assault Care

2021

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Trans survivors of sexual assault have called for the development and implementation of training for care providers. To answer this call, we developed and evaluated an innovative e-learning curriculum for forensic nurses working across Ontario, Canada, on the provision of trans-affirming care. The e-learning curriculum, developed in Storyline 360 by Articulate, was launched in August 2019. The competence of nurses (N = 65) completing the curriculum improved significantly from pre-to post-training across all content domains (Initial assessment, Medical care, Forensic examination, and Discharge and referral). This e-learning curriculum could be of utility in training forensic nurses worldwide.

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HIV testing among transgender and nonbinary persons in Michigan, United States: results of a community‐based survey

Lacombe‐Duncan

Kattari

et al. 2022

J Int AIDS Soc.

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Introduction Transgender (trans) and nonbinary people (TNB) are disproportionately impacted by HIV. HIV testing is critical to engage TNB people in HIV prevention and care. Yet, scant literature has examined social and structural factors associated with HIV testing among TNB people of diverse genders and in geographies with potentially lower trans acceptance. We: (1) characterized the prevalence of never having been tested for HIV; and (2) identified associated factors, among TNB people in Michigan, United States. Methods Data were from a community‐based participatory cross‐sectional survey ( n = 539 sexually experienced TNB people). The prevalence of never having had an HIV test was reported overall and compared across socio‐demographic, clinical, social and structural factors using bivariable and multivariable logistic regression analyses. Results and discussion Approximately one‐quarter (26.2%) of participants had never had an HIV test (20.8% transfeminine; 30.0% transmasculine; 17.8% nonbinary assigned male at‐birth; and 32.0% nonbinary assigned female at‐birth). In a multivariable socio‐demographic model, older age (adjusted odds ratio [aOR] for 1‐year increase: 0.93, 95% CI: 0.90, 0.96, p< 0.001) and Black/African American race (vs. White) (aOR: 0.28, 95% CI: 0.09, 0.86, p< 0.05) were associated with increased odds of HIV testing (aORs for never testing). In separate multivariable models controlling for socio‐demographics, ever experiencing sexual violence (aOR: 0.38, 95% CI: 0.21, 0.67, p< 0.001), not accessed sexual/reproductive healthcare in the past 12 months (aOR: 4.46, 95% CI: 2.68, 7.43, p <0.001) and reporting a very/somewhat inclusive primary care provider (PCP) (aOR: 0.29, 95% CI: 0.17, 0.49, p< 0.001) were associated with HIV testing (aORs for never testing). Conclusions Findings contribute to scant literature about gender‐based differences in HIV testing inclusive of transmasculine and nonbinary people. Lack of statistically significant gender differences suggests that broad TNB interventions may be warranted. These could include training healthcare providers in trans‐inclusive practices with sexual violence survivors and PCPs in trans‐inclusive HIV prevention and care. Findings showing Black participants were less likely to have never had an HIV test suggest the promise of culturally tailored services, though further investigation is needed. Findings identify social and structural factors associated with HIV testing and can inform multi‐level interventions to increase TNB person's HIV testing.

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Providing trans-affirming care for sexual assault survivors: An evaluation of a novel curriculum for forensic nurses

Cited by 19 publications

References 15 publications

Health Inequities in LGBT People and Nursing Interventions to Reduce Them: A Systematic Review

Health Inequities in LGBT People and Nursing Interventions to Reduce Them: A Systematic Review

Evaluation of an e-Learning Curriculum for Forensic Nurses on Trans-Affirming Postsexual Assault Care

HIV testing among transgender and nonbinary persons in Michigan, United States: results of a community‐based survey

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