RNSystematic ReviewJournal of clinical nursing2026

Gender-Sensitive Nursing: An Operationalizing Concept Analysis.

Ainitze Labaka, María Isabel Trespaderne, Agurtzane Mujika and 1 others

PMID 42131891

WHAT IT FOUND

Gender-sensitive nursing means care that uses gender awareness to validate patients' pain and self-identified gender, and embeds gender in records, diagnoses and leadership.

This framework is not proof that it improves outcomes.

Key findings

01The paper defines gender-sensitive nursing as practice grounded in gender awareness that legitimises care and embeds gender considerations in leadership and the nursing process.

02Practical indicators include documenting gender-specific needs in nursing records and reviewing nursing diagnoses for gender bias.

03Most reviewed studies treated gender as a binary variable, and few discussed transgender or non-binary needs.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

This is a concept analysis, not a trial, so it cannot show that gender-sensitive nursing improves patient outcomes. The included studies were heterogeneous, including qualitative work, surveys, scale development, reviews and mixed-methods studies. The review included studies of nurses, students, patients, records and reviews, so it does not describe a single patient population. Most studies treated gender as a binary variable, and few addressed transgender or non-binary needs. The evidence base was mainly from Western countries and English-language literature. The authors noted that concept analysis depends on subjective classification and that some attributes overlapped.

Declared interests

The authors reported no conflicts of interest and nothing to report for funding.

The easy way to misread this

Do not treat this as evidence that gender-sensitive nursing improves care. It defines and operationalises a concept from the literature; it does not test an intervention or report patient outcomes.

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