I am replying to a classmate’s post on sexuality and Gender in Healthcare

NU-650-15-23PCSP Adv Hlth Assessment/Nursing

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4. Week 12: Reproductive Assessment
5. Week 12 Discussion 1: Sexuality and Gender in Healthcare

Week 12 Discussion 1: Sexuality and Gender in Healthcare

Done: View Done: Make forum posts: 1

Value: 100 points

Due: Create your initial post by Day 3. Reply to at least two of your classmates by Day 7.

Grading Category: Assignments: Discussions/Journal

Please refer to the Grading Rubric for details on how this activity will be graded.

The described expectations meet the passing level of 80%. Students are directed to review the Discussion Grading Rubric for criteria that which exceed expectations.

Objective

The purpose of this discussion is to consider how members of the LGBTQIA+ community are marginalized by current healthcare practices.

**Please note the following:

1. Scholarly sources include current peer-reviewed sources, practice guidelines from professional organizations, and databases used for clinical decisions making (such as UpToDate). Your course materials, textbooks, and websites do not count as scholarly sources.
2. In order to obtain full credit, you must interact on more than three days. Posting your initial post and each peer post on a different day for three days total is only an 8/10 for this section of the rubric. An additional post that is substantive and adds to the conversation (not just “I agree” or “nice work”) is required to get 10/10 in this area of the rubric.
3. A 100 in the discussion means you have exceeded the minimum requirements and the faculty does not have any suggestions for room for improvement for you.

Initial Post

First, briefly describe the difference between gender and sexuality and why it is important to not make assumptions regarding either. Next, choose a group of individuals that belong to the LGBTQIA+ population (for example, transgender males). Discuss how this group experiences barriers to care as it relates to their gender and/or sexuality. Your initial post should use at least three scholarly sources to support your description of how the relationship and/or assessment may be affected.

Response Posts

Please respond to a minimum of two peers’ initial posts. Your reply post should include strategies that you plan to incorporate into your practice in order to minimize the barriers to care discussed in your peer’s initial post. Please be sure to use at least two scholarly sources in each of your response posts.

Posting to the Discussion Fo  

Re: Week 12 Discussion 1: Sexuality and Gender in Healthcare

by Leah Ryan – Wednesday, 22 March 2023, 9:45 AM

The terms gender and sex are not interchangeable. The term gender is closely associated with the term sexuality, although these terms also have varying meanings. The World Health Organization (WHO) defines sex as “the biological and physiological characteristics that are differentiated by genes, hormones, and reproductive organs that are present at birth (World Health Organization, n.d.). Gender is based on socially constructed behaviors and sexual preferences (WHO, n.d.). Again defined by the WHO, sexuality “encompasses sex, gender identities and roles, sexual orientation, eroticism, pleasure, intimacy, and reproduction” (WHO, n.d.). As healthcare providers, it is important to be familiar with these varying definitions to be able to provide the most well-rounded and inclusive care regardless of gender, sex, and sexuality.People that identify as a gender that differs from their biologic sex are among a sexual minority. Many people in this sexual minority acknowledge these feelings by the age of eight (Simon et al., 2020). Gender exclusion and school-aged bullying develops even before this. While everyone at some point in their life experience feelings of difference, people with heteronormative values will never experience the feelings of difference that those who do not conform to “gender norms” do. For example, homosexual males that display feelings of homosexuality in their youth often experience significant bullying as a result of deviating from the ”norm.” This continues throughout the lifespan and homosexual males experience shame about their perceived inability to become successful and have the typical male status society expect. Unfortunately, some of these negative feelings and experiences can extend into the healthcare setting.The stigma this sexual minority population faces is associated with negative health incomes such as depressive symptoms, suicidal ideation, and hesitation to seek treatment due to fear of further judgement (Simon et al., 2020). These feelings create trauma which has a widespread effect on the patient’s healthcare experience. The prevalence of trauma in the LGBTQIA+ population is extensive and often is unrecognized (Fernandez et al., 2023). As a provider, it is necessary to use trauma informed care to create a comfortable environment without judgement to minimize any uneasy feelings the patient may have. In fact, there is substantial research that demonstrates higher incidence of trauma informed care at an organizational level increases patient satisfaction and improves patient compliance (Fernandez et al., 2023). This subsequently improves patient outcome and benefits the entire care team.ReferencesFernández, V., Gausereide-Corral, M., Valiente, C., & Sánchez-Iglesias, I. (2023). Effectiveness of trauma-informed care interventions at the organizational level: A systematic review. Psychological Services. https://doi.org/10.1037/ser0000737Simon, K., Vazquez, C., Bruun, S., & Farr, R. (2020). Retrospective feelings of difference based on gender and sexuality among emerging adults. Psychology of Sexual Orientation and Gender Diversity. 7(1), 26-39.World Health Organization (WHO). (n.d.) What do we mean by “sex” and “gender”? Retrieved from http://www.who.int/gender/whatisgender/en/print.html.

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Week 12 Discussion 1: Sexuality and Gender in Healthcare

Done: View Done: Make forum posts: 1

Value: 100 points

Due: Create your initial post by Day 3. Reply to at least two of your classmates by Day 7.

Grading Category: Assignments: Discussions/Journal

Please refer to the Grading Rubric for details on how this activity will be graded.

The described expectations meet the passing level of 80%. Students are directed to review the Discussion Grading Rubric for criteria that which exceed expectations.

Objective

The purpose of this discussion is to consider how members of the LGBTQIA+ community are marginalized by current healthcare practices.

**Please note the following:

1. Scholarly sources include current peer-reviewed sources, practice guidelines from professional organizations, and databases used for clinical decisions making (such as UpToDate). Your course materials, textbooks, and websites do not count as scholarly sources.
2. In order to obtain full credit, you must interact on more than three days. Posting your initial post and each peer post on a different day for three days total is only an 8/10 for this section of the rubric. An additional post that is substantive and adds to the conversation (not just “I agree” or “nice work”) is required to get 10/10 in this area of the rubric.
3. A 100 in the discussion means you have exceeded the minimum requirements and the faculty does not have any suggestions for room for improvement for you.

Initial Post

First, briefly describe the difference between gender and sexuality and why it is important to not make assumptions regarding either. Next, choose a group of individuals that belong to the LGBTQIA+ population (for example, transgender males). Discuss how this group experiences barriers to care as it relates to their gender and/or sexuality. Your initial post should use at least three scholarly sources to support your description of how the relationship and/or assessment may be affected.

Response Posts

Please respond to a minimum of two peers’ initial posts. Your reply post should include strategies that you plan to incorporate into your practice in order to minimize the barriers to care discussed in your peer’s initial post. Please be sure to use at least two scholarly sources in each of your response posts.  

Re: Week 12 Discussion 1: Sexuality and Gender in Healthcare

by Siri Fobanjong – Sunday, 19 March 2023, 5:01 PM

Gender, sexuality, and sex are commonly used interchangeably despite having different meanings. According to Roselli (2018), it is crucial to note that while independent, gender, sex, and sexuality are fundamental characteristics of a person’s sexual identity. On the one hand, gender is closely associated with sex because it refers to the biological features determined by an individual’s anatomy based on hormones and chromosomes. Similarly, sex can refer to the general male or female classification assigned at birth. However, Gallardo-Nieto et al. (2021) noted that gender identity refers to an individual’s inmost perception of themselves as a woman, man, or nonbinary.

Consequently, a person’s gender may not necessarily align with the sex or gender they were assigned at birth. Based on the preceding assertions, people can define their gender identity based on multiple social constructs and personal views, including gender-fluid, transgender, agender, and gender nonconforming (Escasa-Dorne & Kisley, 2021). On the other hand, the term sexuality refers to the individual a person is attracted to, and it can encompass several orientations. This refers to an enduring romantic, emotional, or sexual attraction to women, men, or both sexes (Escasa-Dorne & Kisley, 2021). The most commonly known sexual orientations are gay, bisexual, and heterosexual, although other sexual orientations, such as asexual and pansexual, exist.

Understanding the difference between gender and sexuality is crucial in health promotion. For instance, healthcare providers must not assume a person’s assigned sex at birth is aligned with their gender identity. Furthermore, Roselli (2018) pointed out that most people assigned to the female gender at birth identify as such and are usually attracted to males, while the same applies to most individuals assigned to the male gender at birth. This creates dramatic sex differences among males and females while placing individuals who do not conform to such classifications in the minority. For example, transgender people are individuals whose gender identity and expression do not match the sex assigned at birth (Johnson et al., 2019). Thus, this can include males assigned the female sex at birth or females assigned the male sex at birth. Due to the differences in healthcare needs for different groups based on gender, healthcare providers must obtain information concerning an individual’s gender identity to provide patient-centered and culturally competent care. This would contribute to improved patient safety, satisfaction, and health outcomes.

Members of the LGBTQIA+ population experience multiple barriers to healthcare services due to their gender identity and wrong assumptions concerning their sexuality. The most significant barriers faced by the LGBTQIA+ community include gender-affirming care for transgender populations (Johnson et al., 2019). Furthermore, Johnson et al. (2019) stated that most healthcare providers lack the training to provide competent and satisfactory care to transgender populations. This can result in mistreatment and refusal to care for transgender patients whose healthcare needs differ from those of the general population.Also, Johnson et al. (2019) argued that the lack of cultural competency training could adversely affect access to healthcare services by transgender individuals. For instance, it is inaccurate and insensitive to assume that a transgender person is gay because they belong to the LGBTQIA+ community or other stereotypes. The absence of cultural awareness and sensitivity can increase negative experiences within the transgender community causing most individuals to avoid seeking medical assistance. Thus, health promotion should focus on educating communities and healthcare providers to equip them with the skills, knowledge, and competencies that enable them to confront and address negative biases against the individual members of the LGBTQIA+ community.                                                                    ReferencesEscasa-Dorne, M., & Kisley, M.A. (2021). Relationship between Sexuality and Gender. In: Shackelford, T.K., Weekes-Shackelford, V.A. (Eds.) Encyclopedia of evolutionary psychological science (pp. 6540–6543) Springer International Publishing. https://doi.org/10.1007/978-3-319-19650-3_3391Gallardo-Nieto, E. M., Gómez, A., Gairal-Casadó, R., & Del Mar Ramis-Salas, M. (2021). Sexual orientation, gender identity, and gender expression-based violence in Catalan universities: Qualitative findings from university students and staff. Archives of Public Health, 79(1), 16-29. https://doi.org/10.1186/s13690-021-00532-4Johnson, A. H., Hill, I., Beach-Ferrara, J., Rogers, B. A., & Bradford, A. (2019). Common barriers to healthcare for transgender people in the U.S. Southeast. International Journal of Transgender Health, 21(1), 70–78. https://doi.org/10.1080/15532739.2019.1700203Roselli, C. E. (2018). Neurobiology of gender identity and sexual orientation. Journal of Neuroendocrinology, 30(7), 12562-12576. https://doi.org/10.1111/jne.12562

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