Table 3

Perceived level of competence in medical care of trans clients who have been sexually assaulted and need for (additional) training among nurses providing direct clinical care to clients at Ontario’s hospital-based violence treatment centres

StatementPerceived level of competence*Would benefit from (additional) training
N†MeanSDN‡n (%)
I am aware that a trans client may have discomfort, dysphoria and/or dissociation from their body due to being trans843.740.827467 (90.5)
I am aware that some trans clients may use non-standard labels for certain body parts and may be unable to discuss sex-related body parts at all823.380.997466 (89.2)
I know how to ask a trans client sensitively about their history of transition-related medical interventions (eg, hormones and/or surgeries), if relevant to the care being provided823.400.847466 (89.2)
I am aware that a trans man/transmasculine client who has ovaries and a uterus can become pregnant even when using testosterone and/or not menstruating813.370.937466 (89.2)
I know how to address the possibility of pregnancy if a trans man/transmasculine client has not had a hysterectomy, is still within childbearing years, and the nature of the sexual assault suggests it822.911.057572 (96.0)
I know that if a trans man/transmasculine client is taking hormones, certain types of hormonal contraceptives may be limited in their efficacy812.520.827572 (96.0)
I am aware that there may be (additional) layers of psychological trauma for a trans woman/transfeminine client who has a penis and became erect or ejaculated during the sexual assault813.620.937571 (94.7)
I am aware that there may be (additional) layers of psychological trauma for a trans man/transmasculine client or a trans woman/transfeminine client with a constructed vagina, after having been vaginally assaulted813.750.927471 (95.9)
  • *5=strongly agree, 4=agree, 3=neither agree nor disagree, 2=disagree, 1=strongly disagree. 

  • †n=total number of respondents indicating their level of agreement with each statement. 

  • ‡n=total number of respondents indicating whether they would benefit from additional training (yes/no).