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Using simulation to address care of the transgender patient in nursing curricula
  1. Desiree A Díaz1,
  2. Annette Maruca2,
  3. Laura Gonzalez1,
  4. Cherrill Stockmann1,
  5. Erica Hoyt1
  1. 1College of Nursing, University of Central Florida, Orlando, Florida, USA
  2. 2University of Connecticut, School of Nursing Storrs, Connecticut, USA
  1. Correspondence to Dr Desiree A Díaz, College of Nursing, University of Central Florida, 12201 Research Parkway, Suite 300, Orlando, FL 32826, USA; desiree.diaz{at}


This descriptive study explored the use of simulation as a means to increase cognitive and reflective practice as well as determining if simulation can alter perceptions and attitudes related to the lesbian, gay, bisexual and transgender (LGBT) community. This manuscript describes how student nurses perceive their role when providing care to and, more specifically, the care of transgender patients. The research question asks: How does a transgender simulation impact the attitudes and beliefs of nursing students related to the LGBT community? One-hundred and fifty-nine students, with a subset of 120 students attending a school in central Florida and 50 students attending a Connecticut programme, participated in the completion of the instruments. The Gender Affirmative Practice (GAP) scale was used to evaluate their attitudes and practice concerning LGBT issues. Findings suggest that the majority of the students rarely or never discuss pertinent sexual orientation issues. Students are not comfortable creating a climate that allows for self-identification by gay/ lesbians, despite admitting to being open and accepting the LGBT community with their faculty. Limitations were based on multisite location and the use of the GAP. It is important for nursing students, and healthcare providers, to acknowledge and recognise the unique vulnerabilities of transgender persons who are seeking healthcare. The exposure to transgender individuals in a clinical setting may be limited; therefore, the use of simulation will offer the opportunity to examine their beliefs and reflect on their attitudes towards this population. Simulation incorporating mental health issues is a newer training technique in which psychosocial aspects of healthcare are addressed.

  • Health disparities
  • Gay Affirmative Practice
  • Mental Health
  • Simulation

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  • Contributors DAD, AM, LG, CS and EH participated in the design, conduct, data collection and preparation of the manuscript. DAD and AM collaborated on the creation of the simulation design and the study.

  • Competing interests At the time of preparation of the manuscript, one of the authors, LG, was an elected board member of International Nursing Association of Clinical and Simulation Learning and provider of educational support for CAE Healthcare as adjunct faculty.

  • Ethics approval Institutional Review Board at Central Florida and University of Connecticut.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Data sharing statement

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