Addressing Moral Distress Among Gender-Affirming Healthcare Professionals - Summary - MDSpire

Addressing Moral Distress Among Gender-Affirming Healthcare Professionals

  • By

  • Caleb Haley

  • Katharine Korchnak

  • Jessica H. Hsu

  • Daphna Stroumsa

  • June 30, 2026

  • 0 min

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Objective:

To describe the impact of moral distress on healthcare professionals delivering gender-affirming care (GAC) and provide strategies for mitigating its effects.

Approach:
  • Background: The article discusses the increasing restrictions on GAC for transgender and gender-diverse individuals, particularly minors, due to recent policies and legal decisions.
  • Moral Distress: It highlights the moral distress experienced by healthcare professionals who are unable to provide GAC due to external constraints, leading to psychological discomfort and ethical dilemmas.
  • Impact on Providers: The article details how moral distress affects not only clinicians providing GAC but also administrative professionals overseeing GAC programs.
  • Parallels with Abortion Care: It draws parallels between the moral distress faced by GAC providers and those in abortion care, emphasizing the commitment to patient care despite challenges.
Key Findings:
  • Moral distress is prevalent among healthcare professionals delivering GAC due to legislative and institutional restrictions.
  • Providers report significant impacts on their mental health, job satisfaction, and professional integrity.
  • Administrative staff also experience moral distress when informing patients about care restrictions.
Interpretation:

Healthcare professionals face ethical conflicts and moral distress due to restrictions on GAC, impacting their well-being and patient care.

Limitations:
  • The article does not provide specific strategies for mitigating moral distress.
  • It lacks quantitative data on the prevalence of moral distress among GAC providers.
Conclusion:

The article underscores the need for awareness and support for healthcare professionals navigating moral distress in the context of gender-affirming care.

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