Barriers and enablers of culturally safe care for transgender and gender-diverse people in hospital emergency departments: a scoping review protocol.

Objective: The objective of this review is to identify barriers and enablers of the provision and accessibility of culturally safe care to transgender (trans) and gender-diverse patients in the emergency department.

Introduction: Emergency departments have a unique role in creating patient experiences that influence positive or negative health outcomes. It is vital that emergency departments provide equitable experiences for all patients regardless of gender. Culturally safe care aims to support inclusive, effective, and appropriate care for trans and gender-diverse patients. Identifying the reported barriers and enablers of culturally safe care for trans and gender-diverse people in emergency departments will support knowledge users to advocate for and implement improvements to care. Inclusion criteria: This review will consider studies that describe barriers and enablers of accessing culturally safe care in emergency departments reported by trans and gender-diverse people, their families and loved ones, as well as health care workers involved in the provision of care. English-language, published, and gray literature sources from January 1, 2000, to the present from all countries will be eligible.

Methods: The review will follow the JBI methodology for scoping reviews and will be reported using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) checklist. Database searches of MEDLINE, Emcare, Embase, ScienceDirect, PsycINFO, Web of Science, Scopus, Google Scholar, and ProQuest will be undertaken. Data will be presented in tabular format or graphs, with an accompanying narrative summary.