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A Narrative Inquiry into the Experiences of Cervical Cancer Screening for Transgender Men

dc.contributor.advisorAnonson, June
dc.contributor.advisorHoltslander , Lorraine
dc.contributor.committeeMemberMurphy , Shaun
dc.contributor.committeeMemberde Padua , Anthony
dc.contributor.committeeMemberBurles, Meridith
dc.contributor.committeeMemberEstefan, Andrew
dc.contributor.committeeMemberMartin, Wanda
dc.creatorDykhuizen, Melissa
dc.creator.orcid0000-0002-4896-5675
dc.date.accessioned2024-06-11T20:16:52Z
dc.date.available2024-06-11T20:16:52Z
dc.date.copyright2024
dc.date.created2024-11
dc.date.issued2024-06-11
dc.date.submittedNovember 2024
dc.date.updated2024-06-11T20:16:52Z
dc.description.abstractThis monograph-style dissertation delves into the experiences of cervical cancer screening (CCS) among four transgender men residing in Saskatchewan. CCS traditionally has been framed within the context of women's reproductive health, and it has seldom been inclusive of non-binary, gender-diverse, or transgender individuals. I noticed the need for more information when I started graduate school and began reflecting on my nursing practice. Nurses are usually providers on the front line who provide healthcare for transgender people. Nurses with advanced practice, including nurse practitioners, can routinely perform CCS. It was in my practice as a public health nurse providing CCS that I began to wonder about the experiences of transgender men and CCS. I wanted to come alongside transgender men to understand how to improve CCS experiences for transgender men. In adopting narrative inquiry as the research methodology, I embraced a relational approach guided by the three-dimensional inquiry space: temporality, sociality, and place (Clandinin, 2013; Clandinin & Caine, 2013; Clandinin & Connelly, 2000). The narrative accounts intend to capture individual lives and the unique history of each participant. Participants met with me in person or over Zoom to engage in interviews spanning several months and engaged in open-ended conversations about life events influencing their CCS experiences. Narrative accounts shared multiple and layered details of their lives. Each participant has a detailed chapter where they shared not only narratives of CCS but narratives that explored the complex experiences within many different facets of life, including personal, social, and institutional stories (Clandinin & Rosiek, 2007). Within each person's narrative account, I found stories of how we can attend to people in a better, more holistic, and inclusive way. It is increasingly important in today's political and social climate for healthcare providers (HCPs) to pay attention to the voices and experiences of transgender people. When exploring narrative threads across accounts, stories of healthcare, holistic health, and family and friends significantly shaped the participants CCS experiences. The narrative accounts of the four transgender men have implications across nursing practice, education, and policies. The stories embedded in this dissertation call for more inclusive, knowledgeable, and equitable care for transgender people in Saskatchewan.
dc.format.mimetypeapplication/pdf
dc.identifier.urihttps://hdl.handle.net/10388/15759
dc.language.isoen
dc.subjecttransgender health
dc.subjectcervical cancer screening
dc.subjectnarrative inquiry
dc.subjecthealth equity
dc.titleA Narrative Inquiry into the Experiences of Cervical Cancer Screening for Transgender Men
dc.typeThesis
dc.type.materialtext
thesis.degree.departmentNursing
thesis.degree.disciplineNursing
thesis.degree.grantorUniversity of Saskatchewan
thesis.degree.levelDoctoral
thesis.degree.nameDoctor of Philosophy (Ph.D.)

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