In recent years, the evolving social dynamics surrounding gender identity have prompted crucial academic inquiries into how different demographics perceive transgender individuals. This sentiment is particularly echoed within the healthcare education system, where practitioners must be equipped to address the diverse needs of patients. A significant contribution to this discourse comes from a study conducted by researchers Çataldaş, Tokatlıoğlu, and Eminoğlu, which delves deeply into the implicit and explicit attitudes of nursing students in Türkiye towards transgender individuals. Their findings not only reflect the attitudes of upcoming healthcare professionals but also shine a light on the broader implications for healthcare practices across the spectrum of gender identities.
Understanding the distinction between implicit and explicit attitudes is essential as they both play critical roles in shaping behaviors and interactions. Explicit attitudes refer to conscious beliefs and opinions that individuals openly share, while implicit attitudes are more subconscious and often bias behavior without the person’s awareness. This gap in understanding presents a unique challenge, particularly in nursing education, where attitudes towards patients can directly affect care outcomes. The researchers aimed to uncover how nursing students in Türkiye navigate these attitudes, which could inform future curricula and training programs.
The researchers designed a robust methodological approach to collect data from a diverse sample of nursing students, ensuring that their population adequately represented the various backgrounds and experiences that contribute to their perspectives towards transgender individuals. By employing surveys and standardized assessments, the study provides empirical insights into the ongoing conversations around gender inclusivity in healthcare settings. The aim was to quantify attitudes and discern whether education and training play a role in shaping these views.
Preliminary results from the study reveal a mixed landscape of beliefs and attitudes among nursing students. Some students exhibited progressive views, endorsing equality and inclusion for transgender individuals, indicating an awareness that reflects broader societal shifts towards acceptance. However, implicit biases were also evident, suggesting that despite explicit claims of support, subconscious prejudices may still affect how these students will interact with transgender patients in clinical settings. This dichotomy opens crucial discussions about the necessity of comprehensive training that addresses not only knowledge but also deeply rooted biases.
The implications of this study are far-reaching, particularly as healthcare becomes more intersectional and diverse. As future nurses, these students will influence the quality of care received by transgender patients, ultimately impacting health outcomes. The authors of the study argue for the integration of specialized educational modules that focus on gender diversity and sensitivity training, aiming to bridge the gap between implicit attitudes and their explicit expressions in clinical practice. This could foster a healthcare environment that promotes better understanding and care for all patients, regardless of gender identity.
Further, the research highlights the importance of continuous education and self-awareness among healthcare professionals. As societies evolve, so too must the frameworks within which healthcare providers operate. Recognizing and addressing implicit biases through ongoing training can lead to significant improvements in patient-provider relationships, fostering a more inclusive and understanding healthcare system. This is essential in a field where empathy and communication are paramount.
The results also suggest the need for systemic changes within nursing education programs in Türkiye and potentially in other regions. Incorporating gender studies and the socio-cultural factors surrounding gender identity and expression could lead to a more nuanced understanding among nursing students. This training would not only inform students about transgender issues but also encourage them to reflect on their values and biases, critically evaluating how these might influence their clinical practice.
Moreover, it is essential to consider the ethical implications of healthcare provision in light of such biases. Healthcare professionals must strive to provide equitable care that is free from discrimination or prejudice. Understanding one’s biases is a starting point; however, actively working to mitigate their influence is crucial for advancing health equity. This study, while localized in Türkiye, resonates with global conversations about health disparities faced by transgender individuals, prompting a need for worldwide reforms in nursing education and training.
The engagement of nursing students in conversations about gender diversity is not just a theoretical concern; it has practical ramifications for patient care. Ensuring that future healthcare providers are not only knowledgeable but also empathetic towards the experiences of transgender individuals will significantly impact the quality of healthcare they provide. Future studies could expand on these findings by exploring longitudinal changes in attitudes as nursing students transition into professional roles, examining how ongoing experiences and training affect implicit biases.
Moreover, this research serves as a call to action for educational institutions to perform critical assessments of their curricula. By evaluating how well current training prepares students to work with diverse populations, nursing schools can better equip graduates for the realities of modern healthcare settings. The overall objective should be to cultivate a healthcare workforce that embodies values of inclusivity and respect for all patients, recognizing the significance of their unique identities and experiences.
In conclusion, the findings of Çataldaş, Tokatlıoğlu, and Eminoğlu play a vital role in advancing discussions about gender identity in nursing education and practice. As society progresses, so must the education of those who will ultimately serve its diverse population. These dialogues are crucial for envisioning a future in which healthcare is equally accessible and respectful for all, including those in the transgender community, whose health needs have historically been marginalized.
As nursing students become increasingly aware of their biases and engage more deeply with concepts of inclusivity, the potential for transforming healthcare delivery grows. Emphasizing both explicit and implicit attitudes towards transgender individuals within nursing education represents a necessary step towards fostering a more compassionate, informed, and effective healthcare workforce. This study serves as both a reflection of current sentiments and a guide for future educational standards, illustrating the path towards a more inclusive healthcare system in Türkiye and beyond.
Subject of Research: The implicit and explicit attitudes of nursing students in Türkiye towards transgender individuals.
Article Title: The implicit and explicit attitudes of nursing students in Türkiye towards transgender individuals.
Article References:
Çataldaş, S.K., Tokatlıoğlu, T.Ş. & Eminoğlu, A. The implicit and explicit attitudes of nursing students in Türkiye towards transgender individuals.
BMC Nurs 24, 1325 (2025). https://doi.org/10.1186/s12912-025-03972-3
Image Credits: AI Generated
DOI: 10.1186/s12912-025-03972-3
Keywords: transgender, nursing education, implicit bias, explicit attitudes, inclusivity, healthcare, Türkiye

