An Evaluative Study of a Nurse-Led Surgical Information Initiative for Gender Diverse Individuals Seeking Genital Surgery.
Seán Kearns, Pauline Forrester, Donal O'Shea and 1 others
PMID 39425745WHAT IT FOUND
Gender-diverse adults rated their knowledge and confidence higher after nurse-led one-to-one genital surgery information sessions.
They also planned more post-surgery family involvement. This was uncontrolled self-report, so it does not prove surgery outcomes.
Key findings
01Self-reported understanding of surgery options, risks, benefits, preoperative care, postoperative care, sexual function and complications increased after the sessions, with mean score gains of 0.9 to 1.9 points on a 5-point scale.
02Self-reported confidence rose for every item measured, with mean gains of 0.4 to 1.5 points on a 5-point scale; the largest reported gain was confidence in meeting financial expectations (1.5 points).
03Participants reported a significant increase in planned involvement of family or friends in recovery (mean gain 0.8 points), while the increase in how important that support was (0.3 points) was not significant.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study included only 20 participants, recruited by convenience and purposive sampling from one Irish gender service. There was no control group, because all patients in the pathway received the nurse-led education, so changes cannot be separated from usual care, time or contact. Outcomes were self-reported on short Likert items, and the authors suggest future use of validated anxiety and self-efficacy scales. The sample was all Caucasian, mostly binary-identified, mostly aged 25 to 34, and mostly without private health insurance, so it may not represent other populations or health systems. The sessions were delivered by two nurses with specific expertise, so transferability to other staff or settings is uncertain. The study was classified as a quality improvement study and did not meet trial registration criteria, so it is not a controlled trial.
The easy way to misread this
Do not read the score increases as proof that the sessions cause better surgical results. There was no control group, and the outcomes were self-reported.