1. Thank you, OP. This post is extremely important and long overdue. I did most of my grad research and papers on GLBT issues in relation to nursing and truly appreciate this gaining more attention.
I'm not sure how to address the statement "may not agree with transgender views" because to me that's like asking someone's opinion on a fact. "Do you think the sky is blue?" for instance. Transgender people exist and have since the beginning of time. Healthcare disparities exist for them. Both have been shown to be true. I have a trans family member, many friends, and have dated 2 trans people. I also identify as bisexual, was raised as Roman Catholic, went to a very liberal college and live in one of the most liberal cities in the country. BUT...I've also encounted my fair share of patients whose beliefs do not gel with mine.
3. It is beyond critical that we are able to care for ALL PATIENTS regardless of our differences. Not to do so is not only unethical and potentially illegal, but also devastating to the patient who a) will end up getting poor or improperly biased care and b) may therefore decide not to seek out future health maintainance which - as has already been mentioned - is a huge issue for all GLBTQI people. (Q meaning queer or questioning and I typically meaning intersex in my experience).
4. I was taught in nursing school, that it's typically a good idea for us to leave our values at home. Simply, this usually allows the patient to project a bit of what they need on us and it lets them feel safer. If my hospice patient needs to hear the Lord's Prayer because it'll help her sleep when she's so frightened, I'll say it with her even though I no longer consider myself Christian and am somewhat uncomfortable saying it. If my gay chemo patient's partner needs to talk to me about how she and her dying partner met, I'll listen. If listening to my male patient go through the dozens of sexual partners he's had that week in order to pinpoint who might have given him syphillis, then I'll help him try to figure it out. If my Witness patient, whose hct was 8 was refusing blood, that was his right. Only rarely have I opened up to a patient so honestly about my true opinions and that's been because I know they shared them and needed some kind of solidarity at the time.
5. For what it's worth, this is how *I* have addressed patients who have asked me tough questions that go against my beliefs when I was doing a clinical rotation in the south this past year.
Sarcastic Patient: "So massachusetts passed that marijuana law, hunh? What do you think about anyone being able to get drugs now?"
Me: "I think there are a lot of pros and cons with the issue and there are many differing opinions."
Disgusted Patient: "There are so many gays now. No one was gay when I was your age. What do you think about that?"
Me: "I think there are many different types of people in this world and as a healthcare worker its my obligation to respect and care for everyone."
Bam. You're not lying. You're not compromising your beliefs. You are stating truths and you are being respectful to all patients.
HOWEVER...if you are legitmately cocerned that you won't be able to keep your personal feelings and beliefs to yourself, then I do respectfully suggest you either expose yourself to more LGBT people to learn more about the population (studies have shown this has been one of the strongest predictors of whether or not someone ranks as homophonic along certain scales) or consider a profession that allows you to be vocal about your beliefs.
Best of luck to you.