Author ORCID Identifier

https://orcid.org/0009-0007-1327-6419

Date Available

5-2-2025

Year of Publication

2025

Document Type

DNP Project

Degree Name

Doctor of Nursing Practice

College

Nursing

Department/School/Program

Nursing

Faculty

Dr. Julianne Ossege

Committee Member

Dr. Keisa Fallin-Bennett

Faculty

Dr. Julianne Ewen

Abstract

Background: The Transgender and Gender Diverse (TGD) population experiences significant health disparities in accessing preventative care when compared to their cisgender counterparts. These disparities often occur with organ-specific screenings and lead to poorer health outcomes, due to patients having organs that do not match their sex assigned at birth. The evidence recommends a two-question method of gender identification to identify those patients whose gender does not match their sex assigned at birth. Using the 2-question method can help identify patients who need an organ inventory completed, which will lead to appropriate preventative health screenings being done.

Purpose: The purpose was to standardize the use of a two-question method of gender identity screening to identify patients in need of organ inventory completion.

Methods: Data was collected from three providers who provide primary care to both TGD and cisgender patients at a Family and Community Medicine clinic affiliated with a large academic medical center. A practice improvement method was used to introduce using the 2-question gender identification and notification to providers if there was a discrepancy with sex assigned at birth. The PI met with staff twice to determine if there were any barriers to implementation. Data collection was done by chart review before and after implementation of the intervention.

Results: There was a statistically significant association with being asked the 2-questions of gender identification and having a completed organ inventory in both the pre-intervention (p=.007) and post-intervention (p=.011) periods. There wNo table of figures entries found.as not a statistically significant association with organ inventory completion rates and having an incongruent sex assigned at birth and gender identity (p=.465.) There was not a statistically significant increase in the number of patients with a completed organ inventory from pre-intervention to post-intervention periods (p=.409) or in the number of patients being asked the 2-question method of gender identification from pre-intervention to post-intervention (p=.534.)

Conclusion: Results suggest that patients should always be asked the 2-question method of gender identification. Further research should consider ways to increase the use of the 2-question method, as well as how to notify providers that a patient is in need of an organ inventory.

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