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This integrative review synthesizes and appraises evidence regarding experiences of parenting a TGD child in the United States or Canada from 2008 to 2018. Most parents across these 15 studies described affirming their child\u2019s gender at time of interview. Parents reported initial interpersonal processes (emotions, concerns, beliefs), sought education (frequently online), and described interactions with family members and professionals that were not always affirming. Parents accessed support groups but described their own well-being as a low priority relative to the child\u2019s needs. Parents\u2019 own needs for well-being may affect the process of parenting a TGD child and should be explored. Future research should address the experiences of non-parent family members and participants from more diverse backgrounds. Nursing education must consistently address gender affirming care.<\/jats:p>","DOI":"10.1177\/10748407211001559","type":"journal-article","created":{"date-parts":[[2021,4,15]],"date-time":"2021-04-15T15:20:39Z","timestamp":1618500039000},"page":"304-326","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":15,"title":["An Integrative Review of Experiences Parenting Transgender and Gender Diverse Children"],"prefix":"10.1177","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6876-8900","authenticated-orcid":false,"given":"Amy","family":"Warner","sequence":"first","affiliation":[{"name":"New York University Rory Meyers College of Nursing, New York City, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caroline","family":"Dorsen","sequence":"additional","affiliation":[{"name":"Rutgers School of Nursing, Newark, NJ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ann-Margaret Dunn","family":"Navarra","sequence":"additional","affiliation":[{"name":"New York University Rory Meyers College of Nursing, New York City, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sally","family":"Cohen","sequence":"additional","affiliation":[{"name":"New York University Rory Meyers College of Nursing, New York City, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,4,15]]},"reference":[{"issue":"4","key":"bibr1-10748407211001559","first-page":"405","volume":"25","author":"Abraham H.","year":"2017","journal-title":"American University Journal of Gender, Social Policy & the Law"},{"key":"bibr2-10748407211001559","unstructured":"American Academy of Child and Adolescent Psychiatry. 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