City Research Online

Abstract

AIMS AND OBJECTIVES: To examine discrimination and resilience experiences of people who identify as transgender and establish potential health service responses.

BACKGROUND: People who identify as transgender face many challenges in society in terms of the knowledge, understanding and acceptance of a person's gender identity.

DESIGN: A narrative review of quantitative empirical research.

METHODS: A comprehensive search of CINAHL, MEDLINE, PsycINFO and Sociological Abstracts electronic databases from 2006-2016 was conducted.

RESULTS: The search yielded 1,478 papers and following the application of rigorous inclusion and exclusion criteria a total of 19 papers were included in the review. The findings reveal that there is a need to ensure that the needs of transgender people are represented, fully integrated and clearly linked to outcomes that improve their health and quality of life.

CONCLUSIONS: Discrimination experiences can result in poorer health outcomes; however, many people have developed resilience and positive coping strategies.

RELEVANCE TO CLINICAL PRACTICE: Nurses need to recognise and respond appropriately to the care and treatment needs of this population. Comprehensive nursing assessments and plans of care that encompass all aspects of the person should be in place supported by clear policy guidelines and evidence-based research. The education requirements of practitioners are outlined.

Publication Type:	Article
Additional Information:	This is the peer reviewed version of the following article: McCann, E, Brown, M. Discrimination and resilience and the needs of people who identify as Transgender: A narrative review of quantitative research studies. J Clin Nurs. 2017; 26: 4080– 4093., which has been published in final form at https://doi.org/10.1111/jocn.13913. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions. This article may not be enhanced, enriched or otherwise transformed into a derivative work, without express permission from Wiley or by statutory rights under applicable legislation. Copyright notices must not be removed, obscured or modified. The article must be linked to Wiley’s version of record on Wiley Online Library and any embedding, framing or otherwise making available the article or pages thereof by third parties from platforms, services and websites other than Wiley Online Library must be prohibited.
Publisher Keywords:	Transgender, Health Services, Mental Health, LGBT, Human Rights, Quantitative Methods
Subjects:	B Philosophy. Psychology. Religion > BF Psychology H Social Sciences > HM Sociology R Medicine > RC Internal medicine > RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry
Departments:	School of Health & Psychological Sciences > Nursing

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