A Phenomenological Study of Adults Receiving Gender Affirmation Care at Clinics Specializing in Transgender Healthcare

Transgender adults encounter obstacles accessing adequate healthcare; additionally, providers face barriers in meeting the unique needs of transgender people. To mitigate barriers, select clinics specialize in transgender healthcare. The purpose of this study is to describe the lived experiences of adults receiving gender affirmation care at clinics specializing in transgender healthcare. We administered a digital questionnaire with open-ended questions and an optional photograph upload representative of participants’ experiences, obtaining a purposeful sample of 20 respondents. Steeped in a critical inquiry paradigm while utilizing hermeneutic phenomenology in data analysis, six themes emerged: Clinic Operational Experiences, A Sense of Belonging, Participants’ Views of Providers, Anxiety and Relief, Personal Agency, and Lens on Duality. Participants reported satisfaction with the care they received at their specialized clinic, highlighting the importance of inclusive language to avoid misgendering but noting long wait times for initial consultations. Based upon study findings, we recommend healthcare teams utilize chosen names and pronouns, develop collaborative partnerships, create inclusive spaces, and foster holistic care

Evaluating the Impact of Mindfulness-Based Practices on Nursing Students’ Perceived Stress Levels

Undergraduate nursing students report high levels of stress associated with academia and multiple life responsibilities. This quality-improvement pilot project sought to evaluate the outcomes of focused breathing sessions and the use of a Nursing Process Self-Care Plan (NPSCP) Bookleton students\u27 perceived stress levels. The Transpersonal Care Theory facilitated the implementation of holistic student-centered classroom-based strategies. Fourteen students from a first-semester nursing course completed the pre-and post-test Perceived Stress Scale (PSS) survey and digital narrative questionnaires (DNQ). Descriptive and inferential statistics appraise the results from the PSS survey. Data from the DNQ were examined for patterns. Overall, the project findings support nursing students\u27 perceived stress levels were lowered. Students\u27 stress management strategies were captured under four categories: mindful inquiry, movement breaks, passive pauses, and cognitive events. Students identified that the focused breathing and journaling in the NPSCP Booklet as helpful stress reduction tools

Risk assessment for hereditary breast cancer: BRCA1 and BRCA2

The recent explosion of hereditary breast cancer genetic research has strengthened our understanding of genetic influences on health and disease. These scientific advances have significant implications for clinical oncology nurses and advanced practice nurses. In this paper, the Human Response to Illness Model (Mitchell, Gallucci, & Fought, 1991) is utilized to gain a comprehensive understanding of breast cancer related to the human response of genetic mutations. Accordingly, the research literature related to the physiological, pathophysiological, behavioural, and experiential perspectives of BRCA-related breast cancer will be highlighted. This research-based evidence will provide oncology nurses with the skills to establish a holistic plan of care for women with an actual or potential genetic risk for breast cancer

Évaluation du risque de cancer du sein héréditaire : BRCA1 et BRCA2

La récente prolifération des travaux de recherche génétique sur le cancer du sein héréditaire a rehaussé notre compréhension des influences génétiques sur la santé et sur les maladies. Ces progrès scientifiques ont des répercussions importantes pour les infirmières cliniciennes en oncologie et les infirmières en pratique avancée. Les auteures de cet article utilisent le Human Response to Illness Model [modèle de réponse humaine à la maladie] (Mitchell, Gallucci & Fought, 1991) afin d’acquérir une compréhension approfondie du cancer du sein concernant la réponse humaine aux mutations génétiques. Il soulignera donc la documentation portant sur les perspectives physiologiques, pathophysiologiques, comportementales et expérientielles liées au cancer du sein dû à une mutation de BRCA. Ces résultats fondés sur la recherche procureront aux infirmières en oncologie les compétences leur permettant d’élaborer un plan de soins holistiques pour les femmes ayant un risque génétique—actuel ou éventuel—de cancer du sein