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Understanding and Addressing Disinformation in Gender-Affirming Health Care Bans.
Transgend Health
August 2024
Department of Pediatrics, Yale School of Medicine, New Haven, Connecticut, USA.
Legislation undermining the human rights of transgender and gender-expansive (TGE) people is on the rise. Many U.S.
View Article and Find Full Text PDFAn intersectional critique of nursing's efforts at organizing.
Nurs Philos
October 2024
School of Nursing, College of Health Professions and Sciences, University of Wisconsin Milwaukee, Milwaukee, Wisconsin, USA.
Nursing's efforts at organizing in the United States have encompassed various approaches to creating change at a systemic and political level, namely shared governance, professional associations, and nurse unions. The United States is currently experiencing the effects of an authoritarian sociopolitical agenda that has taken aim at our profession's ethic of providing equitable care for all people through legislation that bans gender-affirming care and abortions. Nursing is simultaneously experiencing a crisis of burnout and moral distress, as we navigate the everyday functions of a for-profit healthcare system under the Capitalocene.
View Article and Find Full Text PDFBeyond the Rainbow: Advancing 2S/LGBTQ+ Health Equity at a Time of Political Volatility.
Healthc Pap
April 2024
Associate Professor, Dalla Lana School of Public Health, University of Toronto, Toronto, ON.
Two-Spirit, lesbian, gay, bisexual, transgender, queer and other sexual and gender minority (2S/LGBTQ+) populations continue to experience profound health disparities. In this article, we prioritize five issues in 2S/LGBTQ+ health equity and discuss policy interventions to address disparities in each area: (1) poverty in 2S/LGBTQ+ communities; (2) Two-Spirit mental health; (3) health equity issues in migrant and racialized LGBTQ+ populations; (4) challenges in implementing bans on conversion therapy; and (5) the evolving context of gender-affirming care. Multi-level policy interventions, including those in healthcare-adjacent contexts such as housing and immigration, will be critical to address the structural undercurrents driving health inequities for 2S/LGBTQ+ populations.
View Article and Find Full Text PDFPerspectives of Gender-Diverse Youth and Caregivers Facing Gender-Affirming Medical Intervention Bans.
LGBT Health
July 2024
Division of Adolescent Medicine, Department of Pediatrics, School of Medicine, Indiana University, Indianapolis, Indiana, USA.
In the past 2 years, nearly all 50 states have debated bills seeking to ban minors' access to gender-affirming medical interventions, with many being passed into law. This study documents gender-diverse youths' (GDY) and their caregivers' experiences as they grapple with how such laws impact their families. Sixteen GDY and 16 caregivers participating in a longitudinal study of the impact of gender-affirming care on GDYs' well-being were interviewed about how the legal and social discourse was impacting them and their families.
View Article and Find Full Text PDFBackground: Professional ethics in nursing exist to guide care and allow for decision-making to be patient-centered. In the current medicolegal landscape post-Roe and in light of bans on gender-affirming care, the decision-making processes of emergency nurses in the clinical environment of care as informed by both professional and personal ethics are an important area of inquiry.
Aim: The aim of this study was to examine the contribution of moral courage to decision-making by emergency nurses.
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