Date of Award


Document Type



College of Nursing

Degree Name

Doctor of Nursing Practice (DNP)

Project Mentor

Alic Shook


Elizabeth Gallagher


Transgender and gender non-conforming (TGNC) youth 12 years of age and under, often present first to their pediatric primary care providers for needs related to their gender identity. Primary care providers are uniquely positioned to address needs for these individuals and their families. Many primary care providers have no additional training for this special population, especially for pre-pubescent TGNC patients, and have varied levels of comfort and strategies regarding signaling acceptance, screening and assessing practices, referral practices, and discussing gender and physical characteristics topics. This project explores current practices of primary care providers in the Washington, Alaska, Montana, Idaho (WAMI) region who have provided care to TGNC youth. Interviews were conducted with eight (n = 8) primary care providers. Thematic analysis was utilized to guide the analytic process via an adapted deductive approach to coding. The themes we identify reflect current practices of how these eight primary care providers serve individuals in this population and may represent similar themes of providers in other regions.