Barriers to correct pronoun usage in healthcare settings (Q28587)

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  • Barriers to correct pronoun usage in healthcare settings.
Language Label Description Also known as
English
Barriers to correct pronoun usage in healthcare settings
No description defined
  • Barriers to correct pronoun usage in healthcare settings.

Statements

Barriers to correct pronoun usage in healthcare settings. (English)
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Using correct pronouns is an impactful way to establish affirming environments for transgender and nonbinary (TGNB) patients. (English)
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However, physicians often report struggling with this. (English)
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This study set out to conduct an initial root cause analysis of factors contributing to medical students and physicians failing to use TGNB patients' correct pronouns. (English)
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A 10-item Qualtrics survey was sent to medical students, residents, and physicians practicing in Central Ohio. (English)
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Participants were asked to describe perceived challenges or barriers colleagues have regarding correctly using TGNB patients' correct pronouns. (English)
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A directed content analysis of participant responses was performed utilizing a fishbone diagram root cause analysis tool as a basis for conceptualizing and categorizing barriers. (English)
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All coding was completed by independent reviewers utilizing a consensus reconciliation methodology. (English)
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Of 928 survey respondents, 763 met the study inclusion criteria, of which 453 provided analyzable responses. (English)
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Of these 453, attendings with five or more years of practice (32.5%) and medical students (27.4%) made up the two largest demographic categories. (English)
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1.7% of respondents identified as transgender, nonbinary, and/or genderqueer, and 64% identified as heterosexual/straight. (English)
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Five core barrier categories were identified: documentation, patient care, environment, knowledge, and individuals. (English)
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Sub-categories were also identified, including lack of documentation, discomfort, medical culture, lack of standardization, prejudice, and assumptions. (English)
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The study identifies important barriers to medical professionals correctly using TGNB patients' pronouns. (English)
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The root cause analysis conducted as part of this study demonstrates the necessity of multi-pronged, system-level interventions to support ensuring TGNB patients are addressed using the correct pronouns. (English)
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27 September 2024
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27 September 2024
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24
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1
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1056
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1056
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The authors declare no competing interests. (English)
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