Development of an online educational toolkit for sexual orientation and gender identity minority nursing care

Abstract

Objective: to develop and implement an online education resources to address a gap in nursing education regarding the concept of cultural humility and its application to healthcare encounters with persons who identify as lesbian, gay, bisexual, transgender, queer, intersex (LGBTQI) or Two-Spirit. Improved understanding of LGBTQI and Two-Spirit community health issues is essential to reducing the healthcare access barriers they currently face. Method: an online educational toolkit was developed that included virtual simulation games and curated resources. The development process included community involvement, a team-building meeting, development of learning outcomes, decision-point maps and scriptwriting for filming. A website and learning management system was designed to present learning objectives, curated resources, and the virtual games. Results: the Sexual Orientation and Gender Identity Nursing Toolkit was created to advance cultural humility in nursing practice. The learning toolkit focuses on encounters using cultural humility to meet the unique needs of LGBTQI and Two-Spirit communities. Conclusion: our innovative online educational toolkit can be used to provide professional development of nurses and other healthcare practitioners to care for LGBTQI and Two-Spirit individuals.

Saúde e discriminação no processo de envelhecimento LGBTQIA+

“…Instituições de ensino superior já identificam a necessidade da inclusão no currículo de formação de profissionais como médicos, Enfermeiras e agentes comunitários de saúde (ACS) a temática, porém encontram desafios durante essa inclusão por recursos reduzidos de ensino e provedores baseados em evidências sendo essa situação responsável pela formação de profissionais despreparados para o mercado de trabalho. 19 Devido a tal deficiência do atendimento, o acesso à saúde deveria ser fornecido de forma integral que poderia ao final gerar nessa população um certo vínculo com as unidades e profissionais. Estudos demonstram que grande parte dessa população apresenta transtornos mentais, uso excessivo de substâncias psicoativas, uso de hormônios sem acompanhamento e sofrem violências, sejam elas de qualquer tipo.…”

“…Estudos demonstram que grande parte dessa população apresenta transtornos mentais, uso excessivo de substâncias psicoativas, uso de hormônios sem acompanhamento e sofrem violências, sejam elas de qualquer tipo. [18][19] Quando não originada dos profissionais de saúde, a discriminação ocorre por conta de políticas morais que em sua maioria são de origem religiosa, o que influencia o comportamento e modo de agir de todos que concordam com a política discutida. É possível ver a religião como ponto de partida para que alguns servidores ajam com repulsa, ódio e repressão contra pessoas LGBTQIA+ fragilizando o vínculo entre profissional-usuário.…”

Adaptation and Validation of the Sexuality Attitudes and Beliefs Scale for the Italian Context

“…Considering that sexuality refers to intimate aspects of life [ 10 ], it requires professionals to be self-aware in the first place. The scale has two sections, focusing on the conservative tendency [ 2 ].…”

“…The literature shows that working with health professionals to implement specific competencies to take charge of the sexual dimension is essential to reduce possible barriers. This necessity increases concerning the lesbian, gay, bisexual, transgender, questioning, intersex, and two-spirit (LGBTQI2S) population [ 10 , 11 ], as identity and sexual health specifics are topics that are absent or poorly covered in basic training. Specific contents about queer, intersex, and two-spirit health and wellness were not identified in any medical and nursing curriculum [ 11 ].…”

Wolfigang's Story: A Virtual Simulation Supporting Effective and Supportive Communication With an Older Gay Adult

“…Three members of our team participated in this workshop and developed a plan to create an online educational toolkit to provide education to nurses and students about providing culturally humble care to LGBTQI2S individuals (Ziegler et al, 2020). Our team consisted of LGBTQI2S content experts, simulation design experts, and community stakeholders (Ziegler et al, 2021). We identified clinical scenarios to develop into virtual simulations.…”