Date of Award


Document Type

Open Access Thesis

Degree Name

Doctor of Nursing Practice (DNP)


Yale University School of Nursing

First Advisor

Julie Womack


Primary care clinicians working with trans patients may not realize the impact of systemic inequality on the mental health of their patients. Although clinical guidelines for care exist, most do not explicitly address this context of inequality. Placing guidelines in a framework of cultural safety will increase the likelihood that patient narrative, needs and culture are respected and taken into consideration when providing care and developing treatment plans for trans patients, thereby decreasing the impact of systemic inequality and improving the quality of the healthcare provided. Considering the positive impact that primary care clinicians can have on the health of their patients, placing cultural safety at the center of guideline-concordant care is critical.

Open Access

This Article is Open Access