• Sherry Garrett Hendrickson, Claire V Contreras, Erika Schiller, and David Walsh.
• The University of Texas at Austin School of Nursing, Austin, TX. Electronic address: sherryh@utexas.edu.
• Nurs Outlook. 2020 Jul 1; 68 (4): 476-483.

BackgroundAlthough the transgender population in the United States is greater than 1.4 million, health care experiences in this group are underaddressed.PurposeTo explore the health care experiences of transgender people in Texas.MethodsThis was an exploratory, sequential multimethod study. In Phase 1, to identify key health-related topics, a self-selected sample of 14 participants completed an online survey. In Phase 2, the focus was understanding care experiences for 12 participants using audio-recorded interviews and theme identification. NVivo software was used for data management.FindingsIn Phase 1, findings included needing to: educate providers (89%), correct care staff on pronoun use (75%), tolerate staff's refusal to use one's preferred pronoun (50%). In Phase 2, four themes emerged: discrimination, provider practices, challenges to navigating the health care system, and gender identity.DiscussionValuing transgender experiences is a first step in addressing care gaps. Change will require provider introspection and application of care guidelines.Copyright © 2020 Elsevier Inc. All rights reserved.

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