Nursing competences in transgender care

scoping review protocol

Authors

  • Sara Ramos ICBAS- Instituto de Ciências Biomédicas Abel Salazar, Universidade do Porto, Porto, Portugal; Serviço de Ortopedia E, Hospital Geral, Unidade Local de Saúde de Coimbra, Coimbra, Portugal; RISE-Health – Rede de Investigação em Saúde, Faculdade de Medicina, Universidade do Porto, Porto, Portugal https://orcid.org/0000-0001-7696-9908
  • Mauro Mota Health School of the Polytechnic Institute of Viseu, Portugal; UICISA: E/ESEnfC - Cluster at the Health School of Polytechnic Institute of Viseu, Viseu, Portugal; RISE-Health – Rede de Investigação em Saúde, Faculdade de Medicina, Universidade do Porto, Porto, Portugal; Academic Clinical Centre of Beiras, https://orcid.org/0000-0001-8188-6533
  • Maria Manuela Martins ICBAS- Instituto de Ciências Biomédicas Abel Salazar, Universidade do Porto, Porto, Portugal; RISE-Health – Rede de Investigação em Saúde, Faculdade de Medicina, Universidade do Porto, Porto, Portugal; https://orcid.org/0000-0003-1527-9940
  • Madalena Cunha Health School of the Polytechnic Institute of Viseu, Portugal, UICISA: E/ESEnfC - Cluster at the Health School of Polytechnic Institute of Viseu, Viseu, Portugal; Academic Clinical Centre of Beiras; SIGMA –Phi Xi Chapter, ESEnfC, Coimbra, Portugal; CIEC-UM, Centro de Investigação em Estudos da Criança da Universidade do Minho, Braga, Portugal https://orcid.org/0000-0003-0710-9220

DOI:

https://doi.org/10.48492/servir0215.43357

Keywords:

Transgender Person, Nursing Care, Professional Competence, Competent Health Care

Abstract

Introducción: Las personas transgénero se enfrentan a barreras en el acceso a la atención sanitaria, a menudo debido a la falta de formación y concienciación del personal de enfermería. La invisibilidad, los prejuicios y los conocimientos limitados sobre la diversidad de género contribuyen a las prácticas discriminatorias. Dado el papel de la enfermería en la prestación de cuidados directos y humanizados, identificar las competencias esenciales es clave para desarrollar prácticas inclusivas.

Objetivo: Identificar y mapear las competencias que las enfermeras deben priorizar cuando atienden a personas transexuales.

Métodos: Esta Scoping Review sigue las directrices del Instituto Joanna Briggs (JBI) y PRISMA-ScR. Incluye estudios a partir de 2018, en portugués, inglés o español, centrados en las competencias de enfermería en la atención a personas transgénero adultas. La búsqueda se realizará en PubMed, LILACS, Web of Science, Scopus, CINAHL Complete y Cochrane Plus Collection (a través de EBSCOhost). Dos revisores independientes realizarán la selección y extracción. Cualquier desacuerdo será resuelto por un tercer revisor. Los datos se describirán narrativamente. El protocolo está registrado en el Open Science Framework.

Conclusiones: Esta revisión pretende identificar las competencias clave de enfermería que apoyen la creación de una guía de buenas prácticas y fomenten una atención equitativa y humanizada a las personas transexuales.

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References

American Nurses Association. ANA. (2018). Nursing: Scope and Standards of Practice (3rd ed.). Washington, D.C: www.nursingworld.org/nurses-books/nursing-leadership-scope-and-standards-of-practice-3rd-edition

Ahmad, A. F., Lemos, A., Ribeiro, C. R., Araujo, L. M. d., Corrêa, V. d. A. F., Janini, J. P., Mello, R., & Dantas, B. R. S. S. (2024). Conhecimento de pessoas transgênero sobre os efeitos adversos da hormonização cruzada: desafios para a enfermagem. Revista Brasileira De Enfermagem, 77(4). https://doi.org/10.1590/0034-7167-2023-0346pt

Coleman, E., Radix, A. E., Bouman, W. P., Brown, G. R., De Vries, A. L. C., Deutsch, M. B., Ettner, R., Fraser, L., Goodman, M., Green, J., Hancock, A. B., Johnson, T. W., Karasic, D. H., Knudson, G. A., Leibowitz, S. F., Meyer-Bahlburg, H. F. L., Monstrey, S. J., Motmans, J., Nahata, L.,…Arcelus, J. (2022). Standards of Care for the Health of Transgender and Gender Diverse People, Version 8. International Journal of Transgender Health, 23(sup1), S1-S259. https://doi.org/10.1080/26895269.2022.2100644

Cutillas-Fernández, M. A., Jiménez-Ruiz, I., Herrera-Giménez, M., & Jiménez-Barbero, J. A. (2024). Attitudes and behaviours of mental health professionals in the care of transgender people: A qualitative study. J Psychiatr Ment Health Nurs, 31(6), 1205-1215. https://doi.org/10.1111/jpm.13073

Domene, F. M., Silva, J. D. L. D., Toma, T. S., Silva, L. A. L. B. D., Melo, R. C. D., Silva, A. D., & Barreto, J. O. M. (2022). Saúde da população LGBTQIA+: revisão de escopo rápida da produção científica brasileira. Ciência & Saúde Coletiva, 27(10), 3835-3848. https://doi.org/10.1590/1413-812320222710.07122022

Fukada, M. (2018). Nursing Competency: Definition, Structure and Development. Yonago Acta Med, 61(1), 1-7. https://doi.org/10.33160/yam.2018.03.001

Gomes, A., Saleiro, S. P., Pegado, E., & Barroso, M. M. (2023). Social Representations of Sexual Orientation and Gender Identity Among Nurses in Portugal. Sexuality Research and Social Policy, 20(4), 1498-1514. https://doi.org/10.1007/s13178-023-00816-0

International Council of Nurses (ICN). (2025). Renewing the definitions of ‘nursing’ and ‘a nurse’: Final project report, June 2025. Geneva, Switzerland: International Council of Nurses.https://www.icn.ch/sites/default/files/2025-06/ICN_Definition-Nursing_Report_EN.pdf

Laserna Jimenez, C., Lopez Poyato, M., Casado Montanes, I., Guix-Comellas, E. M., & Fabrellas, N. (2021). Paediatric nursing clinical competencies in primary healthcare: A systematic review. J Adv Nurs, 77(6), 2662-2679. https://doi.org/10.1111/jan.14768

McNair, R. P., & Hegarty, K. (2010). Guidelines for the primary care of lesbian, gay, and bisexual people: a systematic review. Ann Fam Med, 8(6), 533-541. https://doi.org/10.1370/afm.1173

Medina-Martínez, J., Saus-Ortega, C., Sánchez-Lorente, M. M., Sosa-Palanca, E. M., García-Martínez, P., & Mármol-López, M. I. (2021). Health Inequities in LGBT People and Nursing Interventions to Reduce Them: A Systematic Review. Int J Environ Res Public Health, 18(22). https://doi.org/10.3390/ijerph182211801

Moraes, I. K. d. N., Pinheiro Ferreira, J., Regina Sodré Pontes, S., Pereira de Sousa, H., & Paloma da Silva Moreira, J. (2023). Acesso da população LGBTQ+ aos serviços públicos de saúde: entraves e perspectivas. Saúde.com, 19(1). https://doi.org/10.22481/rsc.v19i1.12380

Moriarty, Y., & Willis, P. (2024). Interventions addressing care staff's views of older LGBTQ+ people in residential and home care settings: A scoping review protocol. BMJ Open, 14(10), e086497. https://doi.org/10.1136/bmjopen-2024-086497

Parry, S. B. (1996). The quest for competencies. Training, 33(7), 48-56.

Peters, M. D. J., Godfrey, C., McInerney, P., Khalil, H., Larsen, P., Marnie, C., Pollock, D., Tricco, A. C., & Munn, Z. (2022). Best practice guidance and reporting items for the development of scoping review protocols. JBI Evidence Synthesis, 20(4), 953–968. https://doi.org/10.11124/jbies-21-00242

Skirton, H., O'Connor, A., & Humphreys, A. (2012). Nurses' competence in genetics: a mixed method systematic review. J Adv Nurs, 68(11), 2387–2398. https://doi.org/10.1111/j.1365-2648.2012.06034.x

Tricco, A. C., Lillie, E., Zarin, W., O'Brien, K. K., Colquhoun, H., Levac, D., Moher, D., Peters, M. D. J., Horsley, T., Weeks, L., Hempel, S., Akl, E. A., Chang, C., McGowan, J., Stewart, L., Hartling, L., Aldcroft, A., Wilson, M. G., Garritty, C.,…Straus, S. E. (2018). PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation. Annals of Internal Medicine, 169(7), 467–473. https://doi.org/10.7326/m18-0850

Wit, R. F., de Veer, A. J. E., Batenburg, R. S., & Francke, A. L. (2023). International comparison of professional competency frameworks for nurses: a document analysis. Bmc Nursing, 22(1), 343. https://doi.org/10.1186/s12912-023-01514-3

White, J., Gunn, M., Chiarella, M., Catton, H. & Stewart, D. (2025). Renewing the Definitions of ‘Nursing’ and ‘a Nurse’. '. Final project report, June 2025. International Council of Nurses. https://www.icn.ch/

World Health Organization. (2019). International Classification of Diseases 11th Revision (ICD-11). https://icd.who.int/

World Health Organization. (2022). Global strategic directions for nursing and midwifery 2021–2025. https://www.who.int/publications/i/item/9789240033863

Zwickl, S., Skewis, F., Ruggles, T., Murray, J., Cook, T., & Cheung, A. S. (2024). Language and terminology to describe transgender communities; Perspectives from people with lived experience. International Journal of Transgender Health, 1–11. https://doi.org/10.1080/26895269.2024.2415684

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Published

2026-05-06

How to Cite

Ramos, S., Mota, M., Martins, M. M., & Cunha, M. (2026). Nursing competences in transgender care: scoping review protocol. Servir, 2(15), e43357 . https://doi.org/10.48492/servir0215.43357

Issue

Vol. 2 No. 15 (2026): Série 2, n.º 15

Section

Artigos

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Copyright (c) 2026 Sara Ramos, Mauro Mota, Maria Manuela Martins, Madalena Cunha

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