Due to changing social and legal circumstances, increasingly more people choose to disclose their transgender and gender diverse status. Caring for this group of patients is a major challenge for medical facilities. The aim of this paper is to present general principles of care for transgender and gender diverse individuals. The paper is based on the analysis of available studies. The literaturę analysis confirms that the issue of transgender and gender diverse patients is addressed by many authors. Given the prevalence of reporting transgender identity and the resulting health problems/ needs, it becomes necessary to provide holistic care and educate medical personnel in this area.
PL
Z uwagi na zmieniające się okoliczności społeczne i prawne coraz więcej osób decyduje się na ujawnienie swojej transpłciowości i zróżnicowania pod względem płci. Opieka nad tą grupą pacjentów jest dużym wyzwaniem dla placówek medycznych. Celem pracy jest przedstawienie ogólnych zasad opieki nad osobami transpłciowymi i zróżnicowanymi pod względem płci. Praca powstała w oparciu o analizę dostępnych opracowań. Analiza piśmiennictwa potwierdza, że problematyka transpłciowości i zróżnicowania pod względem płci jest podejmowana przez wielu autorów. Z uwagi na rozpowszechnienie zgłaszania tożsamości transpłciowej i wynikających z niej problemów/ potrzeb zdrowotnych, niezbędnym staje się holistyczna opieka oraz kształcenie kadry medycznej w tym obszarze.
Objectives The diverse list of tasks and needs related to the SARS-CoV-2 pandemic may lead to different professional experiences in nurses working with patients infected with and not infected with SARS-CoV-2. The aim of the study was to measure the professional challenges of nurses working during the SARS-CoV-2 pandemic in Poland. Material and Methods The study was conducted in 2021 in a group of 151 nurses. The following scales were used: the Perceived Stress Scale (PSS-10), the General Self-Efficacy Scale (GSES), the Impact of Event Scale – Revised (IES-R), the Minnesota Satisfaction Questionnaire (MSQ-SF), the Areas of Worklife Survey (AWS) and the Maslach Burnout Inventory – Human Services Survey (MBIHSS). Results Nurses working with patients infected with SARS-CoV-2 showed a positive correlation between workload and emotional exhaustion (ρ = 0.26, p = 0.02), as well as positive correlations among control, community and depersonalization (ρ = 0.25, p = 0.02; ρ = 0.23, p = 0.04). Among nurses working with uninfected patients, positive correlations were found among control, community, fairness and emotional exhaustion (ρ = 0.40, p = 0.000; ρ = 0.41, p = 0.000; ρ = 0.25, p = 0.03), as well as correlations between control and depersonalization (ρ = 0.33, p = 0.01), and among control, community and personal accomplishment (ρ = 0.23, p = 0.05; ρ = 0.27, p = 0.02). Conclusions Nurses working during the SARS-CoV-2 pandemic with infected and uninfected patients both experienced a variety of psychosocial challenges in coping with the demands of their work, social relationships and personal life. Int J Occup Med Environ Health. 2023;36(1):112–24
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