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Creating a Gender-Affirming Care Protocl in the Pediatric Ambulatory Care Setting


The number of pediatric youth identifying as transgender, gender non-conforming, or gender-diverse treated in the ambulatory care setting has steadily increased in recent years. The literature recommends promoting gender-affirming clinical care environments so that transgender youth can access gender-affirming inclusive and safe clinical care. Providing gender-affirming treatment to youth decreases depression and suicidal ideation lifetime odds in patients (Call, 2021). In alignment with Rivera’s gender-affirming nursing care model (GANC) and the Pediatric Endocrine Society’s (PENS) Transgender health Position Statement, an intervention to utilize a protocol to advance gender-affirming care was established. This quality improvement project focused on implementing gender-affirming care practices among pediatric ambulatory care nurses. The project enables them access to add/edit the patient’s preferred name and gender identity, and chosen pronouns were added to the electronic medical record demographics sheet storyboard. The results showed a significant increase in participants’ scores before (M = 8.29) and after (M = 12.14) the intervention was implemented. Pediatric nurses have an ever-expanding role and opportunity to improve organizational gender-affirming care practices through education and complete SOGI data documentation in the EMR.

Learning Objective

  • After completing this learning activity, the participant will be able to assess innovations being used by other professionals in the specialty and evaluate the potential of implementing the improvements into practice.

Speaker

Speaker Image for Jennifer McGrath
Jennifer McGrath, DNP, RN, CDCES, LNC

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