Right @FlirtsWithRhinos attempting to come up with a rough definition of what I mean:
Transwoman - a biological man who experiences prolonged distress related to their sex, and seeks to alleviate this distress by "transitioning": adopting a female name, requesting female pronouns, styling typically female style hairstyles and clothing and generally making their general appearance as close to a woman as they can. That might include cross sex hormones that produce breasts and feminise features.
Transman - the opposite, i.e. a biological woman who experiences prolonged distress related to their sex. They seek to alleviate it by transitioning i.e. adopting a male name, requesting male pronouns, wearing a typical male hairstyle and clothes and hiding or minimising female features like breast binders or removal.
Yes I suppose (1) is reasonable enough in that I am concerned about the distress a transgender person would likely feel on a hospital bed hearing that they are misgendered directly as well as potentially avoiding or delaying medical care because of it.
But the rest less so, which is why your post is helpful.
It's not about me trying to change yours or this nurses values. I'm strictly concerned about allowing a medic's values to override others', both the patient's and that of their employer even if it's part of their terms of employment. Whatever you think of it, being referred to by preferred pronouns is extremely important to most transgender individuals.
Again it will annoy someone but I am particularly uncomfortable with this case because it's someone faith overriding patient centered care. Generally this is only permissable in very rare circumstances such as abortion and even then this must be non judgemental. This nurse mentioned her "values" prevented her using preferred pronouns to a transgender patient which has an distinct whiff of judgement in my view.
People can and are required by their role to act in a way that they do not view as compatible with their religion or values. Another classic case (sorry Arabella!) this fundamentalist Christian Legal Centre brought was a Christian B&B owner refusing a homosexual couple, rightly they did not win as homosexuality as well as gender reassignment are protected characteristics.
R.e. neutral pronouns great 👍 but this post is too long already so...