Inhospitable Healthcare Spaces: Why Diversity Training on LGBTQIA Issues Is Not Enough

Dean, Megan A.; Victor, Elizabeth; Guidry‐Grimes, Laura

doi:10.1007/s11673-016-9738-9

Cited by 96 publications

(70 citation statements)

References 42 publications

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“…Education and cultural competency in the health care system can facilitate a more positive experience and better health care outcomes for the LGBTQ community. 7 Due to the short duration of the perioperative period, the interaction is limited and providers may not have the time to develop a rapport with the patient and family. Hence it is imperative that staff are trained to utilize this time effectively and address the patient and family in a comfortable manner.…”

Section: Introductionmentioning

confidence: 99%

<p>Perioperative Provider and Staff Competency in Providing Culturally Competent LGBTQ Healthcare in Pediatric Setting</p>

Walia

Banoub

Cambier

et al. 2019

AMEP

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Introduction: Children and adolescents identifying as lesbian, gay, bisexual, transgender, or queer/questioning (LGBTQ) may feel reluctant to seek medical care due to stigma and the possibility of negative interactions with health care providers. Due to the short duration of the perioperative period, the interaction in this setting is limited and providers may not have the time to develop a rapport with the patient. It is imperative that staff are trained to address the patient and family in a culturally competent manner. Methods: We undertook surveys before and after a 2 part educational series among the pediatric perioperative staff to understand the impact of providing education and cultural competency training regarding caring for patients who identify as LGBTQ. Providers selfreported their knowledge and comfort on a 1-5 point scale (5 being most knowledgeable or comfortable) in 6 domains of caring for LGBTQ patients. Objective knowledge of LGBTQ issues was assessed using 7 questions based on lecture material. On objective assessment, knowledge of LGBTQ issues improved after cultural competency training. Results: The analysis included 90 responses. Before training, median ratings of knowledge and comfort were 3 or 4 out of a maximum of 5 for each domain. The pre-training median score on the 7-item test of LGBTQ cultural competency was 5 (IQR: 4, 6). After training, knowledge and comfort self-ratings did not improve, but the score on the objective knowledge test increased to a median of 6 (IQR: 4, 7; p=0.011) of 7 possible points. Discussion: Anesthesia providers participating in LGBTQ cultural competency training self-reported high levels of knowledge and comfort with providing care to LGBTQ patients even before formal training was provided. On objective assessment, knowledge of LGBTQ issues improved after cultural competency training.

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Section: Introductionmentioning

confidence: 99%

<p>Perioperative Provider and Staff Competency in Providing Culturally Competent LGBTQ Healthcare in Pediatric Setting</p>

Walia

Banoub

Cambier

et al. 2019

AMEP

View full text Add to dashboard Cite

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“…(Cf. Wahlert and Fiester 2014;2012;Dean et al 2016. ) Moreover, hetero and cisnormativity are often accompanied by the assumption that gender can be divided into social (gender) and biological (sex), whereas a queer approach to sex promoted in this article is that physiology is also gendered socially, not through socalled objective discovery.…”

Section: Discussionmentioning

confidence: 99%

Queering Vulnerability

Sudenkaarne

2019

Suomen Antropologi

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Vulnerability is a concept often used in bioethics. However, it is seldom interrogated from a queer point of view. By queer inquiry, I refer to an umbrella understanding of gender and sexuality as diverse. In this article I discuss lesbian, gay, bisexual, trans, queer and intersex -related (LGBTQI) approaches to vulnerability. Framing these discussions from queer and LGBTQI bioethical theory, I offer an original approach to vulnerability based on queer bioethics and on a layered understanding of vulnerability. After considering queer bioethics and its (queer) critiques, I conclude that a layered understanding of vulnerability has strong potential for analyzing LGBTQI/queer vulnerabilities in bioethics. For further research, I formulate four layers of queer vulnerabilities to demonstrate some of that potential. I call these the layer of ethical sustainability, the layer of queer agency, the layer of interrogatory intimacy, and the layer of troubled kinship. I insist all layers should be critically evaluated and developed further with intersectional approaches. Keywords: vulnerability; LGBTQI; queer bioethics; queer-feminist anthropology of vulnerability; layers of queer vulnerabilities

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“…The manner in which this is done, and the training or other support provided alongside it, matters to its effectiveness. As the use of implicit association tests and implicit bias training has increased, so too has backlash from members of some privileged groups (Kaplan 2006;Pendry, Driscoll, and Field 2007;and Dean, Victor, and Guidry-Grimes 2016). There is some evidence that implicit bias training that encourages perspective-taking is less likely to induce backlash (Kaplan 2006).…”

Section: Addressing Aggregative Harms: Lessons For the Medical Imentioning

confidence: 99%

Gender Bias in Medical Implant Design and Use: A Type of Moral Aggregation Problem?

Hutchison¹

2019

Hypatia

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In this article, I describe how gender bias can affect the design, testing, clinical trials, regulatory approval, and clinical use of implantable devices. I argue that bad outcomes experienced by women patients are a cumulative consequence of small biases and inattention at various points of the design, testing, and regulatory process. However, specific instances of inattention and bias can be difficult to identify, and risks are difficult to predict. This means that even if systematic gender bias in implant design is an ethical issue, it is one with no clearly blameworthy player. From a practical perspective, there is no single obvious point at which to intervene. Philosophers working in other areas have explored structurally similar moral problems—sometimes referred to as “moral aggregation problems”—such as the type of environmental harm caused by small actions of many players. I describe key features of these type of problems and strategies to address them. I then draw on these to suggest an approach to gender bias in medical implant design and use.

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Inhospitable Healthcare Spaces: Why Diversity Training on LGBTQIA Issues Is Not Enough

Cited by 96 publications

References 42 publications

<p>Perioperative Provider and Staff Competency in Providing Culturally Competent LGBTQ Healthcare in Pediatric Setting</p>

<p>Perioperative Provider and Staff Competency in Providing Culturally Competent LGBTQ Healthcare in Pediatric Setting</p>

Queering Vulnerability

Gender Bias in Medical Implant Design and Use: A Type of Moral Aggregation Problem?

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