Nursing care for the transgender population in primary health care: an integrative review.
Manoella Alves Carneiro Chagas, Adriano Maia Dos Santos, Naila Neves de Jesus
PMID 37071862WHAT IT FOUND
Transgender patients faced fragmented primary care, stigma and limited training.
Described strategies included chosen names, safe spaces, expanded histories and gender-affirming care rather than limiting care to HIV testing.
Key findings
01In Brazil, nursing care for transgender people in primary health care was focused on condoms and HIV testing.
02Weakness in academic training was identified in all analyzed studies, and nurses reported not feeling qualified.
03User embracement strategies included chosen pronouns and social name, safe-space signs, gender-neutral bathrooms, and expanded histories that ask about violence.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Only 11 articles were included, and just three actually described nursing care experiences in primary health care. The search had no date limit and relied on selected databases, so relevant studies may have been missed. Several included articles were essays or studies of nurses’ perceptions, not patient outcomes, so the review cannot show that any strategy improves care. The authors note that successful practices may be hidden and not published.
The easy way to misread this
Do not read the listed strategies as proven to improve transgender health outcomes. The review synthesizes qualitative studies and essays, and it does not test an intervention.