Building nurses’ capacity to address health inequities: incorporating lesbian, gay, bisexual and transgender health content in a family nurse practitioner programme

Yingling, Charles; Cotler, Karen; Hughes, Tonda L.

doi:10.1111/jocn.13707

Cited by 53 publications

(50 citation statements)

References 48 publications

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“…Several researchers have published on the benefits for patients if nurses had comprehensive training on topics related to sexual health care (Sung, Jiang, Chen, & Chao, ; Yingling, Cotler, & Hughes, ). Furthermore, nurses who were formally trained on how to best deliver sexual health information were more effective in addressing patients’ sexual health concerns proactively instead of reactively (Sung et al, ).…”

Section: Aimsmentioning

confidence: 99%

Discussing sexuality in health care: A systematic review

Fennell

Grant

2019

Journal of Clinical Nursing

121

117

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Aims and objectives: Using the PRISMA guidelines, a systematic literature review was conducted to explore current and relevant evidence regarding factors that influence nurses' provision of sexual healthcare education to patients. Background: The World Health Organization and Healthy People 2020 emphasise the importance of sexual health care. Although the nursing profession has the ability to develop a competent level of sexuality education, sexual health care is often ignored in nursing care and education. Many nurses are failing to engage in meaningful conversations about sexual health with patients, and this could lead to negative health events. However, patients would like reliable and nonjudgmental access to education about sexual health. Design: Electronic databases were searched for articles published between 2012-2017. Studies of nurses providing sexual health education in healthcare settings were included. The Melnyk and Fineout-Overholt (2015, Evidence-based practice in nursing & healthcare, Philadelphia, PA: Walters Kluwer) quality assessment framework was used. The researchers independently reviewed 532 studies and agreed upon ten to include in this review. Results: Findings from this systematic review suggest that nurses' provision of sexual health education to patients is influenced by four factors: (a) a lack of knowledge about sexual health, (b) nurses' attitudes and beliefs that sexual health care is private and not a priority, (c) nurses' comfort discussing sexual health, and (d) perceived barriers related to time, responsibility and organisational support. Conclusion:The ten articles reviewed were all Level VI descriptive and qualitative studies, as defined by Melnyk and Fineout-Overholt (2015). It is evident that sexual healthcare information is not being widely addressed. To reduce stigma, the positive aspects of sexual health care must be promoted on multiple levels.Relevance to clinical practice: Leaders in professional and community-based organizations should be on the forefront of making recommendations for nurses and practitioners, so they could improve their ability to provide sexual healthcare information to their patients. K E Y W O R D Shealth promotion, nursing education, patient teaching, sexual health, sexuality, teacher

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Section: Aimsmentioning

confidence: 99%

Discussing sexuality in health care: A systematic review

Fennell

Grant

2019

Journal of Clinical Nursing

121

117

View full text Add to dashboard Cite

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“…When stigma and bias are pervasive in the social environment of a community, those beliefs and attitudes influence everyone there, including the nursing students and nurses. Such beliefs can motivate or impede nursing students' (or nurses') understanding to ask important questions and make appropriate assessments, and as a result, vital nursing care interventions that address healthcare needs may be omitted (Yingling, Cotler, & Hughes, 2017).…”

Section: Framework Step 2 Social Environments and The Impact On Oumentioning

confidence: 99%

A 5‐step framework to promote nursing community inclusivity: The example of nurses with disabilities

Zlotnick

Shpigelman

2018

Journal of Clinical Nursing

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As approximately 15% of the world's population has a disability, nurses must possess an understanding of individuals with a disability as an aspect of cultural diversity. It is the responsibility of programmes to instil in nursing students, the ability to appreciate and work with culturally diverse student and registered nurses. Such goals not only reflect nursing goals, but also strengthen the cohesion and inclusivity of the nursing community.

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“…Among health professionals, nurses play a critical role in removing the healthcare barriers that LGBT individuals might face . Eliason et al.…”

Section: Introductionmentioning

confidence: 99%

“… stated that nurses have long been silent about LGBT problems and should pay more attention to the issue of LGBT health by the nursing profession. Hence, in many healthcare settings, nurses as providers of health care should know about the healthcare needs of LGBT individuals and be sensitive to them . Research results aimed at revealing health status and barriers to healthcare access for LGBT individuals are important in terms of knowing the characteristics of the group that nurses serve.…”

Section: Introductionmentioning

confidence: 99%

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Health status, health behaviours and healthcare access of lesbian, gay, bisexual and transgender populations in Turkey

Şahin

Aslan

Emıroğlu

2019

Scandinavian Caring Sciences

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Background Lesbian, gay, bisexual and transgender (LGBT) individuals experience many barriers to healthcare access and health disparities because of societal stigma, discrimination and homophobia by the community and healthcare providers. Therefore, this sexual minority group poses a risk for poor health status. Aims To determine the health status, health behaviours and healthcare access among LGBT individuals in Turkey. Methods The study was conducted on 140 self‐identified LGBT individuals in Turkey between 11 April and 15 July 2016 as a descriptive, electronical survey design. Data were collected by questionnaire form, developed based on the researchers’ review of the literature. Results The results of this study revealed that 65% of LGBT participants self‐reported that their mental health status was ‘poor/fair’ while 69% of participants reported that their physical health was ‘good/excellent’. Most of them had smoking (60%), using alcohol (76.3%) and did unprotected sex (55.3%) and reported disclosing their LGBT status to the healthcare provider (90.6%); 48.6% of participants thought that disclosing their LGBT status would affect their treatment. Barriers to healthcare access included disclosing LGBT status, societal stigma, negative attitude of healthcare provider, dissatisfaction with healthcare, and lack of health insurance and financial resources. Conclusions These results can assist healthcare providers, especially nurses as critical members of this group, to serve LGBT individuals satisfactorily. Besides, it is expected that these results will shed light on new research.

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Building nurses’ capacity to address health inequities: incorporating lesbian, gay, bisexual and transgender health content in a family nurse practitioner programme

Cited by 53 publications

References 48 publications

Discussing sexuality in health care: A systematic review

Discussing sexuality in health care: A systematic review

A 5‐step framework to promote nursing community inclusivity: The example of nurses with disabilities

Health status, health behaviours and healthcare access of lesbian, gay, bisexual and transgender populations in Turkey

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