Transgender is the state of one’s gender expression that differs from their assigned sex or birth sex. Gender identity is one’s psychological sense of gender. Transgender individuals often experience persistent discomfort with gender identity causing extreme distress. Gender variance is not learned, not chosen, not due to emotional or mental disorder, and not determined by parenting. Impacted populations extend beyond those who self-identify as transgender. Transgender patients may experience a myriad of challenges in seeking and receiving healthcare, as well as barriers to care. This includes delayed or avoided medical care due to various forms of discrimination and psychosocial issues. Moreover, transgender and gender non-conforming youth are diagnosed with mental health conditions much more often than their youth counterparts who identify with the gender that they are assigned at birth. Nurses and healthcare professionals play a pivotal role in providing culturally competent, high quality care and reducing health disparities in this patient population.
This presentation will provide an overview of nursing practice in a transgender clinic for children and adolescents. Terms will be defined, barriers and facilitators to care for transgender patients will be discussed, and implications for nurses and nurse leaders will be presented. By demonstrating open-mindedness and respect for all gender identities and bodies, healthcare providers can make their practice a more welcoming and affirming space for people with non-binary identities, improving health outcomes for an often overlooked population.
Dr. Cheryl A. Brewer is the Associate Vice President of Nursing for the Duke Private Diagnostic Clinic (PDC). She also serves as Clinical Associate Faculty at Duke University School of Nursing. She provides oversight for the practice and professional development of nursing and patient care staff across more than 100 multispecialty and primary care clinics. She leads efforts to transform practice and ensure the provision of quality nursing care. This includes accountability for practice compliance and activities to advance the organization’s mission to improve patient outcomes. Her professional interests include advocacy and health care considerations for transgender individuals, nurse leader mentorship, and screening techniques for human trafficking. Cheryl received a Bachelor of Science degree in Nursing from NC Central University, a Master of Science degree in Nursing Administration from Duke University, and a PhD Degree in Nursing from the University of North Carolina at Chapel Hill.
McKenzie Daniel, BSN, RN-BC, is the nurse manager at Duke Health Center at Roxboro Street. In this role she oversees the clinical staff in the Pediatric, Med-Peds, Healthy Lifestyles, Child Abuse & Neglect, and Behavioral Health clinics. She has worked as an ambulatory care pediatric nurse for the past 7 years. McKenzie obtained her Bachelors of Science degree in Nursing from North Carolina Agricultural and Technical State University. She is board certified by the American Academy of Ambulatory Nurses. McKenzie is one of the Duke University Friends of Nursing award recipients, which is one of the highest nursing awards given by the health system to those who provide exceptional care to patients by displaying the Duke Core Values in their everyday practice.
Barbara Buening Goff, BSN, RN-BC, is a retired Nurse Manager who worked at the Private Diagnostic Clinic at Duke Health. Barbara holds a BSN from the University of North Carolina at Charlotte and is Board Certified by the American Academy of Ambulatory Care Nursing. She is no stranger to Pediatrics having spent all of her career working with children in many capacities. In her current role, she is the Nurse Manager for two multi-specialty Pediatric practices in the Raleigh and Cary area. Barbara became interested in the topic of caring for the transgender patient in the ambulatory setting because of working with Dr. Deanna Adkins who is Director of the Duke Child and Adolescent Gender Care Clinic.
In Collaboration With:
All interested healthcare professionals and community members.
- Define “non-binary” gender terms that are not included in the gender binary
- Discuss ethical implications and care considerations for health professionals
- Describe relevant case studies and best practices
- Cheryl A. Brewer, PhD, MSN, RN
- Mckenzie J. Daniel, BSN, RN-BC
- Barbara B. Goff, BSN, RN-BC
Transgender Patients in the Ambulatory Setting: Implications for Healthcare Professionals - WebEx Session
4/7 5:00 PM–7:00 PM
The Mountain Area Health Education Center designates this entire continuing education activity as meeting the criteria for 0.2 CEUs as established by the National Task Force on the Continuing Education Unit.
2.000 Contact Hours
MAHEC designates this continuing education activity as meeting the criteria for 2.00 Contact Hours.
2.000 CNE Contact Hours
2.00 CNE Contact Hours Activity # AP 008-1794 Mountain Area Health Education Center (MAHEC) is an approved provider of continuing nursing education by the North Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation. Participants must attend the entire activity to receive credit.