MRS Jou nal o Mul idisciplina y Resea ch and S udies
Abb e ia e Ti le- MRS J Mul Res S ud
ISSN (Online) 3049-1398
Vol-2, Iss-11 (No embe -2025)
This is an open access a icle unde he CC BY-NC license 48
Nu ses Knowledge and A i ude ega ding gende dyspho ia pa ien s in Ibn Sina
hospi al - 2021
Zeinab A Ib ahem1*, Zakia Abdel ahman Ahmed2, Hamida Hamed Al Ha hi3
*1 Na ional se ice- Depa men o Psychia ic and Men al Heal h Nu sing And Facul y o Nu sing Sciences, Kha oum Uni e si y (Sudan)
2 Assis an p o esso - Depa men o Psychia ic and Men al Heal h Nu sing And Facul y o Nu sing Sciences, Kha oum Uni e si y (Sudan)
3 Academic Coo dina o , Men al Heal h Nu sing P og am. Highe Ins i u e o Heal h Special ies Musca Oman.
Co esponding Au ho : Zeinab A Ib ahem (Na ional se ice- Depa men o Psychia ic and Men al Heal h Nu sing And Facul y o Nu sing
Sciences, Kha oum Uni e si y (Sudan))
A icle His o y: Recei ed: 06 / 08 / 2025:, Accep ed: 10 / 11 / 2025:, Published: 21 / 11 / 2025
Abs ac :
Backg ound: Gende dyspho ia e e s o he dis ess accompany he incong uence be ween one's expe ienced o exp essed gende
and he eeling o discom o o dis ess ha migh occu in people whose gende iden i y di e s om hei sex assigned a bi h o
sex- ela ed physical cha ac e is ics; i is a e ision o gende iden i y diso de . This e ision was made in suppo o a n’s
indi iduals seeking ea men o ca e op ions such as counselling, ho mone ea men s, gende con i ma ion su ge y, and/o a legal
name and gende change. The aim o his s udy was o assess nu se’s knowledge and a i ude ega ding gende dyspho ia pa ien s.
Subjec s and Me hods: Desc ip i e c oss – sec ional hospi al base s udy design, was ca ied ou , sample size aken was 100
nu ses, he sampling echnique was o al co e age o all nu ses wo king a Ibn Sina hospi al, Inclusion c i e ia, nu ses wo king a
Ibn Sina hospi al hei age (20 -60) yea old Da a was collec ed by s uc u ed Sel - adminis e ed ques ionnai e, which consis o 3
pa s, sociodemog aphic da a, nu ses knowledge abou gende dyspho ia, and hei a i ude owa ds gende dyspho ia pa ien s,
Da a analysis done using s a is ical package o social science e sion 20, desc ip i e s a is ic as well as chi-squa e es we e done
o associa ion.
Resul s: Demog aphic Cha ac e is ics 65% o pa icipan s aged 20–29, 17% 30–39, 18% 40–49 consecu i ely. emales we e 91%
and 9% we e male. Educa ional quali ica ions; 80% held a Bachelo 's deg ee, 19% held a Mas e 's deg ee and 1% held a PhD.
Yea s o Expe ience; 68% had 1–5 yea s o expe ience, 8% had 6–10 yea s, and 24% had 11–15 yea s. Knowledge ega ding
gende dyspho ia gene al unde s anding; 86% ecognized gende dyspho ia as an asexual beha iou diso de , 93% unde s ood i as
pe sis en dis ess wi h one’s gende iden i y, 74% knew i in ol es iden i ying wi h he opposi e sex. T ea men knowledge;83%
belie ed gende dyspho ia can be ea ed wi h he apy, 72% suppo ed he use o ho mone he apy, 89% ecognized pa ien s migh
exhibi opposi e sex beha iou , 83% belie ed males may d ess/beha e like women, 82% belie ed emales may d ess/beha e like
men, 87% s a ed pa ien s may y o hide seconda y sexual cha ac e is ics. Nu ses’ a i udes owa d gende dyspho ia Pa ien s;
74% s ongly ag eed ha nu ses mus accep he pa ien , educe anxie y, and p o ide app op ia e ca e. Communi y pa icipa ion
and amily In ol emen ; 74% s ongly ag eed ha nu ses mus in ol e amilies and de elop communi y pa icipa ion.
Conclusion and Recommenda ions: The majo i y o nu ses demons a ed a good le el o knowledge ega ding gende dyspho ia,
including i s causes, symp oms, and ea men op ions. Mos pa icipan s also showed a posi i e and p o essional a i ude owa d
pa ien s, emphasizing accep ance, non-judgmen , and inclusi e ca e p ac ices. Howe e , a mino i y o esponses indica e a need o
u he educa ion o ensu e consis en and comp ehensi e unde s anding among Nu ses.
Keywo ds: Gende Dyspho ia, Nu ses Knowledge, A i ude.
Ci e his a icle: Ib ahem, Z. A., Ahmed, Z. A. & Ha hi, H. H. A. (2025). Nu ses Knowledge and A i ude ega ding gende
dyspho ia pa ien s in Ibn Sina hospi al - 2021. MRS Jou nal o Mul idisciplina y Resea ch and S udies, 2(11),48-53.
h ps://doi.o g/10.5281/zenodo.17668076
The Backg ound and in oduc ion
Gende dyspho ia e e s o he dis ess ha may accompany
he incong uence be ween one's expe ienced o exp essed gende
and one's assigned gende . Al hough no all indi iduals will
expe ience dis ess as a esul o such incong uence, many a e
dis essed i he desi ed physical in e en ions by means o
ho mones and/o su ge y a e no a ailable {1}. The p e alence o
gende dyspho ia is di icul o de e mine in he gene al popula ion.
P e iously, he p e alence in adul s was hough o ange om
MRS Jou nal o Mul idisciplina y Resea ch and S udies. Vol-2, Iss-11 (No embe ): 48-53
49
0.005% o 0.014% o people assigned male gende a bi h and
0.002% o 0.003% o people assigned emale gende a bi h.
These es ima es a e based on e e als o su gical gende
eassignmen clinics, howe e , and a e he e o e likely an
unde es ima e. Mo e ecen s udies sugges ha 0.39% o 0.60% o
adul s iden i y as ansgende , wi h an inc easing p e alence o e
he pas decade. In s udies om di e en ju isdic ions using
gene al samples o adolescen s, a es we e ound o be highe
among you h han among adul s, wi h 1.2% o 4.1% o adolescen s
epo ing a gende iden i y di e en om ha assigned a bi h.
Simila numbe s o adolescen s we e also ound o be a ian in
hei gende exp ession; ha is, in he way hey communica ed
abou hei gende o o he s — ei he consciously o unconsciously
— h ough ex e nal means such as clo hing, pe sonal appea ance,
o manne isms [2]. Nu ses need o be well- e sed in issues
su ounding gende iden i y while p o iding cul u ally compe en
ca e. Nu ses mus ha e a ho ough unde s anding o ea men
op ions o gende dyspho ia, including pube al blockade and
c oss-sex ho mone he apy. Nu ses mus conside possible
implica ions o ea men delay in o de o es ablish he mos
app op ia e ea men plans [3]. Nu sing p io i ies include helping
he clien educe hei le el o anxie y, p omo ing a sense o sel -
wo h, encou aging he de elopmen o social skills and com o
wi h hei own sexual iden i y/p e e ence, and p o iding
oppo uni ies o he clien / amily o pa icipa e in g oup he apy o
o he suppo sys ems. Discha ge goals include anxie y being
educed/managed e ec i ely, sel -es eem/image enhanced,
accep ance and com o wi h hei es ablished iden i y, and he
clien / amily pa icipa ing in ongoing ea men /suppo p og ams
[4]. P ima y ca e p o ide s who encoun e child en a e o en he
i s line o con ac o indi iduals wi h gende dyspho ia, which
occu s when he sex assigned a bi h is incong uen wi h one's
ue, exp essed sexual iden i y. Because hose wi h un ea ed
gende dyspho ia a e a isk o a a ie y o nega i e ou comes,
including mood symp oma ology, suicidali y, subs ance use
diso de s, and o he psychosocial isk ac o s, i is c i ical ha
heal hca e p o ide s a e adep in he p o ision o holis ic, pa ien -
cen ed ca e [5]. The i s p io i y o heal hca e p o ide s should be
o acili a e adequa e suppo o non-bina y child en o explo e
hei gende iden i y. When ini ia ing ea men , i is c ucial o
nu ses o engage ca egi e s and o ganize app op ia e men al heal h
alliances. Nu ses need o es ablish a us wo hy, espec ul, and
sa e ela ionship wi h bo h he child and hei ca egi e . The mos
e ec i e way o os e his ela ionship is o e e o he child as
hey p e e o be add essed, he eby c ea ing a he apeu ic
en i onmen necessa y o e ec i e communica ion. In addi ion,
child en expe iencing gende incong uence a e mo e likely o eel
sa e when hei heal hca e p o ide s model accep ing and a i ming
beha iou s. C ea ing welcoming en i onmen encou ages you h o
e u n o p ima y ca e o p e en a i e heal h measu es. The e is
cu en ly a lack o awa eness o he needs o ansgende you h,
limi ing access o op imal ca e on a global scale. S a wi hin he
educa ion sys em need o be ained o alue gende incong uence
[6].
Jus i ica ion o he p oblems: The esea ch was conduc ed o
examine he ex en o nu ses' knowledge and a i ude ega ding
gende dyspho ia pa ien s. The complexi y and lack o in o ma ion
abou gende dyspho ia diso de s among nu ses a e signi ican
conce ns.
Resea ch Ques ions: Do nu ses in Ibn Sina Hospi al ha e
knowledge ela ed o gende dyspho ia, and wha a e hei a i udes
owa ds hese pa ien s?
Subjec s and Me hods
S udy design: A desc ip i e c oss-sec ional hospi al-based s udy
design was ca ied ou o assess he nu sing s a 's knowledge and
a i ude ega ding gende dyspho ia pa ien s a Ibn Sina Hospi al in
Kha oum, Sudan.
Sample size: 100 nu ses in Ibn Sina Hospi al.
Sampling echnique: To al co e age o all nu ses a Ibn Sina
Hospi al.
Inclusion and exclusion c i e ia: All nu ses wo king a Ibn Sina
Hospi al, aged 20-60 yea s, excluding nu ses who we e on aining
o wo ked as on-call nu ses o we e on holiday.
Me hod o da a collec ion: The da a was collec ed by a sel -
adminis e ed s uc u ed ques ionnai e consis ing o 3 pa s: Fi s ,
demog aphic da a (age, gende , social s a us, esidence); second,
nu ses' s a knowledge abou gende dyspho ia; and hi d, nu ses'
s a a i ude owa ds gende dyspho ia.
Da a analysis: Da a will be o ganized, e ised, and checked o
comple eness and accu acy du ing da a en y, analyzed using
desc ip i e s a is ics ( equency and pe cen age), as well as he chi-
squa e es o associa ion, wi h he aid o he S a is ical Package
o Social Science (SPSS) e sion 20, and p esen ed in ables and
igu es.
E hical conside a ion: App o al was ob ained om he
Uni e si y o Kha oum Facul y o Nu sing Sciences. App o al
was also ob ained om he Minis y o Heal h and he ma on's
o ice a Ibn Sina Hospi al. Ve bal consen was ob ained om he
nu sing s a , and he esea ch pu pose and objec i es we e
explained o pa icipan s in clea , simple language. Pa icipan s had
he igh o olun a y in o med consen and he igh o wi hd aw a
any ime i hey wan ed, wi h p i acy and con iden iali y
main ained.
Resul s
Gende dyspho ia e e s o he dis ess ha may accompany he
incong uence be ween one's expe ienced o exp essed gende and
one's assigned gende .
MRS Jou nal o Mul idisciplina y Resea ch and S udies. Vol-2, Iss-11 (No embe ): 48-53
50
Table 1 shows he dis ibu ion o nu ses acco ding o hei p o iles.
Table 1 Dis ibu ion o pa icipan s acco ding o hei p o ile
The mos o esponden s 65 (65.0%) hei age om 20-29
and 17(17.0%) hei age om 30-39, abou 91 (91.0%) is emale
and 9(9.0%) is male, 63 (63.0%) is single and 34(34.0%) is ma ed
and 3(3.0%) is di o ce. 60(60 .0%) o esponden s om Kha oum
s a e and 40(40.0%) om ou o Kha oum, a abou 80(80.0%)
baccalau ea e le el o educa ion and 19(19.0%) had done mas e
and 1(1.0%)had done PhD. Yea s o expe ience o esponden s
om 1-5 yea s 68 (68.0%) 5-10 yea s 8(8.0%) and 10-15 yea s
24(24.0%).
Table 2 Dis ibu ion o nu sing acco ding o hei knowledge
Knowledge
Yes
No
Gende dyspho ia is asexual beha iou diso de
86
14
Pa ien wi h gende dyspho ia eel ha his gende
Iden i y is he same as ha o he opposi e sex.
74
26
Pa ien wi h gende dyspho ia eel ha his gende iden i y is he same as ha o he opposi e sex.
74
26
Gende dyspho ia diso de is an indi idual pe sis ed eeling o dis ess wi h ones gende iden i y and
com o wi h he iden i y o ano he gende
93
7
he causes o gende iden i y diso de is an inc ease o and ogen ho mone inside he mo he womb
du ing e al de elopmen
58
42
One o he easons o he male s e usal o his gende is his upb inging among emales in he amily.
52
48
one o he symp oms o he GD p . is ejec ion o his body pa s
87
13
Tha one o he symp oms o GID is he p . Feeling o dis ess and lack o accep ance o his gende .
94
6
Va iable
F equencies
%
Gende
Female
91
91.0
Male
9
9.0
Age
20-29
65
65.0
30-39
17
17.0
40-49
18
18.0
Ma i al s a us
Ma ied
34
34.0
Single
63
63.0
Di o ced
3
3.0
Place
Kha oum
60
60.0
Ou o Kha oum
40
40.0
Le el o educa ion
Baccalau eus
80
80.0
Mas e
19
19.0
PHD
1
1.0
Yea s o expe ience
1-5
68
68.0
5-10
8
8.0
10-15
24
24.0
MRS Jou nal o Mul idisciplina y Resea ch and S udies. Vol-2, Iss-11 (No embe ): 48-53
51
one o he symp oms o he GD is desi e o become he opposi e sex
89
11
Tha p wi h GD eels wi h lonely and isola ed.
76
24
The p wi h GD isola ed om he socie y.
63
37
The p wi h GD eels wi h dep ession.
86
14
The p wi h GD eso o suicide when his condi ion wo sens
73
27
I possible o ea GID h ough he he apeu ic session.
83
17
GID p can be ea ing wi h he igh ho mone.
72
28
One o he su gical ea men me hods o GD is sex con e sa ion ope a ion.
62
38
ap wi h GID exhibi he opposi e sex
89
11
Male wi h GD d ess and beha e like women.
83
17
Female wi h GD. d ess and beha e like amen
82
18
Table 2 esul s shows ha 86 (86.0%) o he esponden s
said yes he gende dyspho ia is sexual and beha io diso de and
14(14.0%) o hem said No is no . 74(74.0%) o he esponden s
said yes he P wi h GD eel ha his gende iden i y is he same as
he opposi e gende . And 26(26.0%) o hem said No is no .
93(93.0% )o he esponden s said yes he GID P eeling wi h
dis ess wi h one's gende and com o wi h he iden i y o ano he
gende , and 7(7.0%) o hem said No isn’ .58(58.0%) o he
esponden s said yes he ones o he cause o GD is inc ease
and ogen ho monal le el in said he mo he womb du ing e al
de elopmen , and abou 42 (42.0 %) o hem said isn' .52(52 .0%)
o he esponden s said yes one o he easons o he male e usal
o his gende is his upb inging among emales in he amily, and
%48 o hem said No isn' . 87(87.0%) o he esponden s said yes
he ones o he symp om o GD is ejec ion o his body pa , and
13(13.0%) o hem said No is no . 94(94.0%) o he esponden s o
hem said No is no . 89(89.0%) o he esponden s said yes ones o
he symp om o GD P is desi e o become he opposi e sex, and
11(11.0%) o hem said no is no . 76(76.0%) o he esponden s
said yes he P wi h GD eel wi h lonely and isola ed. And
24(24.0%) o hem said No is no . 63(63.0%) o he esponden s
said yes he P wi h GD isola ed om he Socie y bu 37 (37.0%) o
hem said No is no . 86(86.0%) o he esponden s said yes he GID
P eeling wi h dep ession mood bu 14(14.0%) o hem said No is
no . coex ensi e in he s udy o gende dyspho ia –
s a is ics/men al-heal h/gende - dyspho ia/gende dyspho ia–
s a is ics/Medically by Megan hull ha said50% o gende
dyspho ia P has co-occu ence diagnosis wi h dep ession o
anxie y. 73(73.0%) o he esponden s said yes he GD P ay o
suicide when his condi ion wo h and 27% o hem said No hey
no . Coex ensi e in gende dyspho ia –s a is ics/men al-
heal h/gende -dyspho ia/gende dyspho ia– s a is ics/Medically by
Megan hull 32-50 % o people wi h gende dyspho ia a emp s
suicidal. 72(72.0%) o he esponden s said yes he P o GD can
ea wi h he igh ho mone and 28(28.0%) o hem said No is no .
Coex ensi e Ame ican Psychia ic Associa ion: Diagnos ic and
S a is ical Manual o Men al Diso de s, Fi h Edi ion in he
p e alence ange om 0.005-0.014% o na al male and om
0.002-0.003% o na al emale seeking ho monal ea men .
89(89.0%) o he esponden s said yes he P wi h GD exhibi he
opposi e sex, he 11(11.0%) o hem said no hey no . 83(83.0%) o
he esponden s said yes a male wi h GD d ess and beha e like
women, 17(17.0%) o hem said No hey no .82(82.0%) o he
esponden s said yes a emale wi h GD d ess and beha es like
amen bu 18(18.0%)o hem said no hey no . coex ensi e in s udy
o Managemen o gende dyspho ia in adolescen s in p ima y ca e
by joseph H boni acio 1. 2 o 4.1% o adolescen epo ing a
gende iden i y di e en om ha assigned a bi h.6,8,20 – 23%
Simila numbe s o adolescen s we e also ound o be a ian in
hei gende exp ession .87(87.0%) o he esponden s said yes he
P wi h GD eel wi h dis ess when he seconda y sexual sign
appea and y o hide hem, and 13(13.0%).
Table 3 Dis ibu ion o pa icipan s acco ding o hei a i ude
Issue
S ong
Ag ee
NO%
Ag ee
NO%
disag ee
NO%
Indi e en
ce
To al
Dis ibu ion o pa icipan s acco ding o hei a i ude.
The compe en nu se mus accep he p , educe his
anxie y and p o ide app op ia e ca e
74
26
0
0
0
100
he compe en nu se mus no judging he p . and accep
him
47
37
11
2
3
100
he compe en nu se mus inc ease he p . sel -s eam
68
22
3
4
3
100
The compe en nu se mus de elop communi y
pa icipa ion
Skill and include amily in he apeu ic sessions?
74
23
1
1
1
100
MRS Jou nal o Mul idisciplina y Resea ch and S udies. Vol-2, Iss-11 (No embe ): 48-53
52
Table 3 shows he dis ibu ion o nu sing acco ding o hei
74(74.0%) o he esponden s s ong ag ee ha he nu se mus
accep he pa ien s educe his anxie y and p o ide app op ia e ca
and 26(26.0%) ag ee. 68(68.0%) o he esponden s s ong ag ee
ha he compe en nu se mus inc ease he P sel -s eam and
22(22.0%) o hem ag ee, 3(3.0%) disag ee, 4(4.0%) o hem
s ong disag ee and 3(3.0%) indi e ence. 47(47.0%) o he
esponden s s ong ag ee ha he nu se mus no judging he
pa ien s and accep him, and 37(37.0%) ag ee, and 11(11.0%)
disag ee and 2(2.0%) s ong disag ee 3(3.0%)
indi e ence.74(74.0%0) o he pa icipan s ong ag ee ha he
compe en nu se mus de elop communi y pa icipa ion skill and
include amily in he apeu ic session, 23(23.0%) ag ee, 1(1.0%)
disag ee and 1(1.0%) s ong disag ee and 1(1.0%) indi e ence.
Discussion
Gende dyspho ia e e s o he psychological dis ess
expe ienced due o a misma ch be ween an indi idual’s assigned
gende a bi h and hei expe ienced o exp essed gende [7]. In
he cu en s udy, mos pa icipan s we e young adul s,
p edominan ly emale, wi h a high le el o educa ion and wo k
expe ience p ima ily in he ea ly s ages o hei ca ee s. A majo i y
we e based in Kha oum and had a ained a leas a baccalau ea e
deg ee.
A la ge po ion o he esponden s ecognized gende
dyspho ia as a beha io al and sexual diso de , e lec ing adi ional
pe spec i es s ill p e alen among heal hca e p o ide s. Mos
pa icipan s acknowledged ha indi iduals wi h GD expe ience
signi ican dis ess, o en iden i ying mo e closely wi h he
opposi e gende . Responden s also ag eed ha common symp oms
include ejec ion o one's physical cha ac e is ics, a s ong desi e o
li e as he opposi e sex, and eelings o loneliness, isola ion, and
dep ession. These indings align wi h ecen esea ch highligh ing
he men al heal h challenges aced by ansgende indi iduals.
Acco ding o he Ame ican Psychia ic Associa ion and ecen da a
epo ed by [8] a subs an ial pe cen age o indi iduals wi h gende
dyspho ia a e diagnosed wi h co-occu ing men al heal h
condi ions such as dep ession and anxie y. Fu he mo e, s udies
show ha suicide a emp s among indi iduals wi h GD ange
be ween one- hi d o hal o he a ec ed popula ion, ein o cing he
u gency o in o med and empa he ic ca e [9].
The ole o ho monal in luences du ing e al de elopmen ,
especially exposu e o and ogen le els in u e o, was also
conside ed by many esponden s as a con ibu ing ac o o gende
dyspho ia. Social ac o s, such as gende ed upb inging, we e
iden i ied by some pa icipan s as po en ial in luences on gende
iden i y de elopmen , hough his iew emains deba ed in he
wide scien i ic communi y [10].
Rega ding ea men , mos esponden s suppo ed he use o
ho mone he apy o alle ia e gende dyspho ia symp oms. This is
consis en wi h he ecommenda ions om he Ame ican
Psychia ic Associa ion and guidelines on gende -a i ming ca e
[11] Responden s also widely ecognized ha indi iduals wi h GD
may d ess and beha e in ways aligned wi h hei iden i ied gende ,
u he con i ming hei unde s anding o gende exp ession
di e si y.
A no ewo hy po ion o he esponden s showed s ong
suppo o he ole o nu ses in deli e ing nonjudgmen al,
a i ming ca e. Many ag eed ha compe en nu sing in ol es no
only managing he pa ien ’s anxie y and suppo ing sel -es eem bu
also p omo ing amily and communi y in ol emen in ca e. These
a i udes e lec a g owing ecogni ion o he need o holis ic,
inclusi e, and pa ien -cen e ed app oaches.
Recen s udies, such as hose by {12], show an inc easing
numbe o adolescen s epo ing gende iden i ies di e en om
hei assigned sex, highligh ing he need o ea ly in e en ion and
suppo i e ca e en i onmen s. These s udies also poin o he
impo ance o in ol ing amilies in he apeu ic e o s o imp o e
ou comes.
Finding o his s udy also e eals a p e ailing consensus
among esponden s ha compe en nu sing ca e mus embody
empa hy, accep ance, psychological suppo , and
amily/communi y collabo a ion. This closely aligns wi h
con empo a y s anda ds in nu sing ca e o indi iduals
expe iencing gende dyspho ia o gende incong uence:
Pa icipan s s ongly belie e ha nu ses should educe pa ien
anxie y and p o ide app op ia e ca e an expec a ion well ma ched
by gende -a i ming nu sing p ac ices. A majo i y a i m he ole
o nu ses in enhancing pa ien sel -es eem, especially as
indi iduals wo k h ough gende - ela ed dis ess. The e is a sha ed
iew ha nu ses mus o e nonjudgmen al accep ance and espec ,
ensu ing sa e, us ing clinical se ings. Responden s emphasize
in ol ing he communi y and amily, which is c i ical o
suppo i e coping and esilience du ing gende a i ma ion
jou neys, hese indings a e simila o [13].
In ca ing o indi iduals wi h gende dyspho ia, nu ses
engage in gende -a i ming communica ion using p e e ed names
and p onouns, ensu ing con iden iali y, and espec ing iden i y o
diminish dis ess and os e us E hical nu sing manda es
suppo ing au onomy, emo ional esilience, and sa e ca e ha
a oids misgende ing o ha m [14]. This s udy inding indica ed
ha gende a i ming ca e in insically suppo s sel -es eem by
alida ing iden i y and os e ing au hen ici y, which comba s
s igma and mino i y s ess. As [12], highligh ed in hei indings
ha aining nu ses o use espec ul e minology and inclusi e
communica ion also posi i ely impac s sel -wo h
Communi y amily inclusion was a signi ican inding o
his s udy as s a ed ha gende a i ming ca e emphasizes
biopsychosocial suppo including pee g oups and communi y
ne wo ks o bu e mino i y s ess and imp o e men al heal h.
Nu ses o en acili a e sha ed decision-making wi h amilies,
especially in you h ca e, h ough consul a ion models ha p o ide
educa ion and emo ional suppo [19]
Implica ion o Nu sing P ac ice
This s udy has highligh ed gaps in nu ses' knowledge and
unde s anding o gende dyspho ia, indica ing a need o
cu iculum enhancemen s in nu sing educa ion. Inco po a ing
cul u al humili y and sensi i i y aining can imp o e pa ien -nu se
ela ionships and heal h ou comes. Heal hca e ins i u ions may
need o de elop o upda e policies ha suppo gende -di e se
pa ien s, ensu ing inclusi e language, non-disc imina ion p ac ices,
and gende -a i ming ca e. Nu ses a e in a key posi ion o ad oca e
o he igh s and digni y o indi iduals wi h gende dyspho ia.
Knowledgeable nu ses can help pa ien s na iga e he heal hca e
sys em, p o iding e e als o app op ia e psychological and
medical suppo se ices. Since indi iduals wi h gende dyspho ia
may expe ience highe a es o anxie y, dep ession, and suicide,
MRS Jou nal o Mul idisciplina y Resea ch and S udies. Vol-2, Iss-11 (No embe ): 48-53
53
in o med nu ses a e be e equipped o ecognize wa ning signs
os e us ing ela ionships, espec ed, sa e, and alida ed du ing
ca e and o e app op ia e men al heal h in e en ions o e e als.
S udy Limi a ion
The s udy may ace a ew limi a ions and di icul ies,
howe e , s a egies o o e come such limi a ions was add essed.
The c oss-sec ional design p ecludes any causal in e p e a ion o
associa ion indings, and i canno cap u e long- e m e ec s ha
emphasis a longi udinal s udy in he u u e. Response bias because
o sel - epo ing ques ionnai es was educed by ensu ing
anonymi y and con iden iali y. Non- esponsi eness due o
pa icipan wo kload was educed by s a egies o engagemen o
be de eloped in he pilo phase, such as sending egula eminde s
o he pa icipan s. Cons ain s o ime aken, including delays in
e hical and adminis a i e app o als, was add essed wi h an
elabo a ed imeline and by communica ing p oac i ely. Single
hospi al limi a ions may a ec he gene alizabili y. Howe e , he
indings in o med u u e mul isi e s udies. These measu es
collec i ely allow he s udy o emain obus ye p o ide insigh s in
e ining u u e esea ch.
The Recommenda ion
The esea che ecommended inc easing nu ses’ knowledge
o he gende dyspho ia and he nu ses’ a i ude ega ding o
gende dyspho ia pa en . The esea che ecommended ha he
nu se mus accep he gende dyspho ia pa en and inc ease pa en
sel -s eam. The esea che ecommended ha he nu se mus
p o ide p ope ca e and sha e he amily in he apeu ic session.
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