Most Nursing Home Social Service Directors Lack Training in Working With Lesbian, Gay, and Bisexual Residents

Bell, Finn McLafferty; Bern‐Klug, Mercedes; Kramer, Katherine W.O.; Saunders, Jennifer

doi:10.1080/00981389.2010.494561

Cited by 63 publications

(57 citation statements)

References 12 publications

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“…Although many elder service agencies provide in-service trainings for staff, LGBT aging training is not commonly offered. A recently published national study surveyed over 1,000 nursing home directors and reported that 75% had less than 1 hr of training over the past 5 years on homophobia, heterosexism, and LGBT awareness (Bell, Bern-Klug, Kramer, & Saunders, 2010).…”

Section: Understanding a Lifetime Of Stigmamentioning

confidence: 99%

Do LGBT Aging Trainings Effectuate Positive Change in Mainstream Elder Service Providers?

Porter

Krinsky

2013

Journal of Homosexuality

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This study aims to provide empirical evidence regarding whether attitudes, beliefs, and intentions of elder-service providers can be positively affected as a result of attending cultural competency training on the unique challenges of sexual and gender minorities. Stigmatization throughout the lifespan may have a causal influence on barriers to care, social isolation, and concomitant health disparities. Data were collected for this study at 4 Massachusetts training events to pilot a cultural competency workshop on lesbian, gay, bisexual, and transgender (LGBT) aging for mainstream elder service providers. This quasi-experimental study included the analysis of pre- and posttest surveys completed by the service-provider attendees (N = 76). The analytic strategy included descriptive statistics, paired t tests, chi-square analyses, and repeated measures analyses of variance. Findings revealed statistically significant improvement in numerous aspects of providers' knowledge, attitudes, and behavioral intentions subsequent to the training sessions. These included (p = .000) awareness of LGBT resources, policy disparities, spousal benefits for same-sex couples, and the intention to challenge homophobic remarks. This study concludes that mainstream elder-service provider training on LGBT aging issues results in positive change. Recommendations include long-term follow up of participants, the inception of agency-level surveys to appraise institutional culture change, and increased curriculum on transgender older adults.

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Section: Understanding a Lifetime Of Stigmamentioning

confidence: 99%

Do LGBT Aging Trainings Effectuate Positive Change in Mainstream Elder Service Providers?

Porter

Krinsky

2013

Journal of Homosexuality

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“…Other results show that less than 25% of health service directors in nursing homes reported receiving training on homophobic health care practices within the previous five years (Bell, Bern-Klug, Kramer, & Saunders, 2010). These findings are concerning, as they represent a significant barrier to receiving competent care, and underscore the importance of addressing the attitudes and competencies of LTC health care providers and staff members.…”

Section: Homophobia and Heterosexism In Long-term Carementioning

confidence: 90%

Exploring Staff Clinical Knowledge and Practice with LGBT Residents in Long-Term Care: A Grounded Theory of Cultural Competency and Training Needs

Donaldson¹,

Vacha‐Haase

2016

Clinical Gerontologist

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Providing culturally competent care to LGBT residents is an important area of concern in the current practice of long-term care (LTC) staff and providers. Existing literature shows thatLGBT residents are likely to face discrimination and suboptimal care in LTC facilities due to homophobia, transphobia, and heteronormative/cisnormative policies. This grounded theory study assessed the LGBT cultural competency that exists among staff working in LTC facilities, and provides a framework for understanding how their knowledge, skills, and attitudes with respect to LGBT residents are connected to their ability to care for those populations. The core category identified in this study was "staff sensitivity to minority sexual orientation and gender identity (SOGI) of residents." Main categories reflected the ways that competency, awareness, knowledge, experience with LGBT people, attitudes toward LGBT people, and current training needs reflect staff sensitivity to resident SOGI. Recommendations are made for training LTC staff to be sensitive to the particular needs of sexual and gender minorities in their facilities.

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“…Isolating the challenges LGBT individuals face in ACP imposed by social, legal, familial, and medical environments provides opportunities for service providers in these respective areas to prepare LGBT individuals in current and future aspects of end-of-life care. As this review indicated, researchers, practitioners, and service providers report a lack of knowledge of the health care disparities influencing the LGBT population, specifically, the potential for discrimination toward LGBT individuals served by health care delivery systems (Bell, Bern-Klug, Kramer, & Saunders, 2010;Hughes, Harold, & Boyer, 2011;IOM, 2011;Wheeler & Dodd, 2011). To minimize the potential for damage that occurs when heterosexual patients are favored over other types of patient populations (Neustifter, 2008), service providers must commit to educating themselves on the needs of the LGBT population (Browning, 2010).…”

Section: Implications For Practicementioning

confidence: 96%

Factors Affecting the LGBT Population When Choosing a Surrogate Decision Maker

Buckey

Browning

2013

Journal of Social Service Research

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For individuals in the marginalized population of lesbian, gay, bisexual, and transgender persons (LGBT), choosing a health care surrogate to make medical decisions is an emotionally challenging task. These decisions become more difficult when compounded by issues of discrimination, lack of legal and social support, varying levels of relationship commitment, and complications of disclosure to family and medical professionals. Limited research exists regarding the social, legal, medical, and familial environments that impact the choice of a surrogate decision maker for an LGBT individual. This systematic review examines 14 articles to identify factors influencing individual surrogate choice and existing gaps in the literature. To remedy current research limitations, future research recommendations address the areas of design, sampling, data collection, and data analysis within diverse subgroups of the LGBT population. This review further identifies related areas of service required by members of the LGBT population relative to diversity, demographics, and social, legal, medical, and familial environments influencing their choice of a surrogate decision maker.

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Most Nursing Home Social Service Directors Lack Training in Working With Lesbian, Gay, and Bisexual Residents

Cited by 63 publications

References 12 publications

Do LGBT Aging Trainings Effectuate Positive Change in Mainstream Elder Service Providers?

Do LGBT Aging Trainings Effectuate Positive Change in Mainstream Elder Service Providers?

Exploring Staff Clinical Knowledge and Practice with LGBT Residents in Long-Term Care: A Grounded Theory of Cultural Competency and Training Needs

Factors Affecting the LGBT Population When Choosing a Surrogate Decision Maker

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