Date of Conferral

2020

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Amelia Nichols

Abstract

Representing a diverse group, the transgender community defies conventional norms expected by society resulting in discrimination and denial of essential goods and services necessary to maintain personal health, safety, and well being. The identification of the barriers to primary care faced by the transgender individual has the potential to reduce healthcare disparities and improve the compliance with national screening and treatment guidelines. The purpose of this project was to examine available literature incorporating the systematic review method to determine the barriers to primary care faced by the transgender individual. Using Leininger’s transcultural nursing theory to guide the process to determine the cultural, physical, and personal barriers to care encounters when attempting to establish primary care. The question was What are the barriers to primary care for the transgender individual? A systematic review was conducted; yielding 9,691 results in which 7 were critically appraised relating directly to barriers in primary care, published from 2014 to 2018. Applying The Johns Hopkins Nursing Evidence-Based Practice Rating Scale to each article. Primary barriers identified were the cultural competence and knowledge of the provider, limited access to primary care providers due to geographic boundaries, and a lack of financial resources for the transgender individual. These barriers result in the delay of acute, chronic, and preventative care for the transgender individual contributing to an increased level of heath care disparity for this at risk population. The implications for social change is supported by Walden University commitment to diversity encouraging the learner to work towards creating an inclusive local and global community, through the mutual respect of all members of humanity.

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