Normal parents: Trans pregnancy and the production of reproducers.

Background: Some trans people want to create families in a variety of ways that include pregnancy, but often face obstacles in doing so.

Aims: This paper explores how trans pregnancy is treated as exceptional and out of the ordinary by reproductive institutions.

Methods: Analysis of case studies demonstrates the ubiquity of institutional obstacles to trans pregnancy and how reproductive institutions unnecessarily render trans pregnancy exceptional.

Fertility Counseling for Transgender AYAs.

Transgender adolescents and young adults may wish to use cross-sex hormones as means to achieve identity goals. However, these hormones may impair future reproductive functioning. This case explores the complexities related to clinical decision-making concerning fertility and the use of cross-sex hormones in adolescent and young adult transgender populations.

How Should Physicians Refer When Referral Options are Limited for Transgender Patients?

Transgender people encounter many barriers to health care, and recommendations about where their treatment would best be offered can promote or thwart good care. This case examines the care setting from the perspective of a patient whose experiences with specialists have been negative. We argue that an ethos of harm reduction and informed consent, with a strong emphasis on continuity of care within a primary care setting, should guide questions about how to refer transgender patients to caregivers and to good care settings.

Time-out: The Professional and Organizational Ethics of Speaking Up in the OR.

Participation in patient safety is one concrete expression of a foundational principle of medical ethics: do no harm. Being an ethical professional requires taking action to prevent harm to patients in health care environments. Checklists and time-outs have become common patient safety tools in the US and other nations.

Gender, identity, and bioethics.

Transgender people and issues have come to the forefront of public consciousness over the last year. Caitlyn Jenner' very public transition, heightened media coverage of the murders of transgender women of color, and the panicked passage of North Carolina's "bathroom bill" (House Bill 2), mean that conversations about transgender health and well-being are no longer happening only within small communities. The idea that transgender issues are bioethical issues is not new, but I think that increased public awareness of transgender people and the ways that their health is affected by systems that bioethics already engages with offers an opportunity for scholarship that works to improve transgender health in meaningful ways.

The Omaha System and quality measurement in academic nurse-managed centers: ten steps for implementation.

Measuring and describing client problems, nursing interventions, and outcomes is a challenge in nursing care. This study reviews the literature about the use of the Omaha System and describes the steps used to introduce and implement the Omaha System as a documentation and outcome measurement system in academic nurse-managed centers. The goal of the article is to provide a guide for nurse educators to develop and implement a quality measurement system that can be used in clinical settings by undergraduate students.

Nurse practitioner's characteristics and job satisfaction.

Purpose: To identify the demographics and job satisfaction levels of currently working nurse practitioners (NPs) in California.

Data Sources: The Mueller McCloskey Satisfaction Scale (MMSS) was mailed to a random sample of 200 California NPs with active licensure. Descriptive analysis was employed.

Forensic nurses' views regarding medications for inmates.

1. High arrest rates among people with mental illnesses may suggest that the illness is a factor in their arrests. 2.

Health belief assessment regarding screening colonoscopy.

The purpose of this study was to assess (by questionnaire) health beliefs related to colorectal cancer screening via colonoscopy in a population 50 years of age and older. The Health Belief Model provided the theoretical framework for data collection. The study design was a nonexperimental exploratory survey.