Date of Conferral
2020
Degree
Doctor of Nursing Practice (DNP)
School
Nursing
Advisor
Diane K. Whitehead
Abstract
AbstractTransgender persons face stigma and discrimination while receiving health care services. The gap in nursing practice at a clinic serving transgender patients in the Southeastern United States was a lack of understanding by providers of evidence-based practices for the provision to patient-centered care. The purpose of this project was to develop a clinical practice guideline (CPG) for the care of transgender patients. The project question asked, based on current evidence, what CPG for patient-centered care should be recommended to providers in the clinic. The patient-centered care model developed around the Donabedian model of quality improvement was used to guide the structure, process, and outcomes for project. Three advanced practice nurses and two physicians served as the expert panelists for this project. Based on the current evidence, the suggested guideline was found to be acceptable and were approved using the AGREE II tool. Using a scale of 1-7 (strongly disagree to strongly agree), the expert panel team selected a score of 5 or higher for each criterion within the six domains of the AGREE II tool with an average final guideline assessment score of 6.64. Utilization of the CPG may promote positive social change by fostering respectful and compassionate care, assisting in self-care management of the transgender patient, and reinforcing an interdisciplinary approach to care.
Recommended Citation
Wellington, Wayne Zeh, "Development of a Clinical Practice Guideline for the Care of Transgender Patients" (2020). Walden Dissertations and Doctoral Studies. 9836.
https://scholarworks.waldenu.edu/dissertations/9836
