Open arms, conflicted hearts: nurse‐practitioner's attitudes towards working with lesbian, gay and bisexual patients

Dorsen, Caroline; Devanter, Nancy Van

doi:10.1111/jocn.13464

Cited by 60 publications

(68 citation statements)

References 12 publications

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“…It is within this vein that sexuality may be impaired and that misconceptions about sexual orientation and gender identity mediate treatment outcomes. Poor knowledge, bias, and/or prejudice contribute to poor treatment and physical health disparities (Dorsen & Van Devanter, 2016;Lapinski, Sexton, & Baker, 2014). Dorsen and Devanter (2016) noted that "LGBT persons experience multiple health inequities and that stigma and marginalization, including that from healthcare providers, play a major role in perpetuating them" (p. 3718).…”

Section: Introductionmentioning

confidence: 99%

“…Poor knowledge, bias, and/or prejudice contribute to poor treatment and physical health disparities (Dorsen & Van Devanter, 2016;Lapinski, Sexton, & Baker, 2014). Dorsen and Devanter (2016) noted that "LGBT persons experience multiple health inequities and that stigma and marginalization, including that from healthcare providers, play a major role in perpetuating them" (p. 3718). Healthcare inequalities may result from providers non-equanimitous care to those they deem to be "less than" or "unworthy" of their care.…”

Section: Introductionmentioning

confidence: 99%

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Changing the culture of neurodisability through language and sensitivity of providers: Creating a safe place for LGBTQIA+ people

Moreno

Laoch

Zasler

2017

NRE

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Abstract. BACKGROUND:There is an increasing interest in sexual and gender diversity in neurorehabilitation. Healthcare professionals wanting to improve their practice know the importance of understanding the needs and expectations of specific communities. OBJECTIVE: To critically review the literature about neurological disorders in people who identify as lesbian, gay, bisexual, transgender, queer, intersex, asexual, and people with other sexual orientations and forms of gender expression (LGBTQIA+). METHODS: Systematic search in electronic databases (CINAHL, EMBASE, Medline, PsycINFO, Scopus, and Web of Science) and identification of relevant studies. RESULTS: Quantitative and qualitative findings are summarized and reported by neurological disorders: a) neurodisability/epilepsy (17.7%), b) intellectual disability/autism spectrum disorders (19.6%), c) dementia/HIV-related dementia (39.2%), d) spinal cord injury (7.8%), and e) traumatic brain injury/stroke (15.7%). CONCLUSIONS:LGBTQIA+ people with neurodisabilities and their partners/families of choice can conceal their sexual orientation or gender identity for fear of diminished quality of care. Their invisibility translates into health disparities, lack of policies and services that meet their unique needs. Dementia is the most common neurodisability documented in LGBTQIA+ people. We provide recommendations to increase LGBTQIA+ cultural competency for clinical practice, research, and policy to help different stakeholders to promote a positive change in the culture of neurodisability.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Changing the culture of neurodisability through language and sensitivity of providers: Creating a safe place for LGBTQIA+ people

Moreno

Laoch

Zasler

2017

NRE

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“…Sexual orientation is not necessarily a relevant issue for all treatment processes, and this has been raised from the perspectives of patients (Law et al, ) and also personnel (Dorsen & Van Devanter, ). Overall, lesbian and bisexual women wished to be treated the same as any other patients, and this reflects previous research which describes the hope that sexual minorities will be treated in a way that many other patients can relate to (Chaplic & Allen, ; Law et al, ; Stover et al, ).…”

Section: Discussionmentioning

confidence: 99%

Lesbian and bisexual women’s experiences of health care: “Do not say, ‘husband’, say, ‘spouse’”

Soinio

Paavilainen

Kylmä

2019

Journal of Clinical Nursing

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Aims and objectives To describe the experiences and wishes of lesbian and bisexual women concerning health care in Finland. Background Sexual orientation is a personal aspect of identity and also an important aspect of holistic health care. Lesbian and bisexual women have unmet health needs. The way that healthcare personnel encounter lesbian and bisexual women affects whether they disclose their sexual orientation. Design Qualitative inductive survey. Methods The research data for this study were collected in spring 2018 using an electronic survey (n = 22). The data were analysed using inductive content analysis. The research report has been checked using COREQ checklist, see Appendix S1. Results The research data were divided into two main domains: experiences and wishes. Women described health care as being heteronormative. They had both good and bad experiences, and their own poor experiences and those of others had a negative impact on their utilisation of healthcare services. Women had apprehensions about encountering stereotyping in health care and did not always disclose their orientation, even though recognising it would be integral to the provision of holistic health care. Lesbian and bisexual women wished that health care would refrain from heteronormativity, acknowledge issues that were important to them and engage with them without any prejudgement. They also wished healthcare environments would be improved to reflect an open acceptance of sexual minorities and also co‐operate with sexual minority organisations. Conclusions Women had conflicting experiences. Heteronormativity was seen as an obstacle for holistic health care. Women hoped health care would collaborate with the third sector. Relevance to clinical practice Sexual diversity should be acknowledged and better communicated to patients. Women hoped personnel would have the understanding to treat them in the same professional way as any other patients, but with expertise specific to their needs, for example in sexual health guidance.

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“…Recent studies have examined strategies to address this deficit. Clinical training on physiological and psychosocial components of LGBT health, experiential learning, and communication skills have been identified as essential provider qualities for improving the sexual health of LGBT people [45]. The baseline knowledge and understanding of LGBT health exhibited by upper-year nursing students, as well as their knowledge and skill after an educational assignment intervention aimed at increasing knowledge of LGBT health issues, was assessed.…”

Section: Discussionmentioning

confidence: 99%

Culturally Competent Care of LGBT Patients: The NP Experience

Manzer¹

2019

IJANER

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Nurse practitioners (NPs) who are culturally competent can enrich patient care, reduce health disparities, and improve health outcomes. Research that examines NP practice as it relates to the culturally competent care of lesbian, gay, bisexual, and transgender (LGBT) patients has been lacking in the literature. To address this gap, an exploratory qualitative descriptive design was used to explore NP experiences with LGBT patients. Data were collected via semi-structured interviews with 22 NPs. Inductive analysis was used to identify, analyze, and report themes within the data. Key findings were that LGBT patients were generally not seen as a distinct cultural group with specific health needs and that NP participants were unclear about the definition or principles of cultural competence as it relates to LGBT persons. Most NPs were not using a model of cultural competence to guide their practice. Instead, they utilized strategies that primarily revolved around the development and maintenance of the therapeutic nurse -patient relationship. These findings have implications for patient outcomes, as well as education, practice, and research. Culturally Competent Care of LGBT Patients: The NP Experience 54 Dana Manzer, Lucia O'Sullivan and Shelley Doucet and injury; health assessment and diagnosis; therapeutic management; and professional role, responsibility and accountability [2].NPs are employed in a variety of practice settings, including community health centers and collaborative family practice; urgent care and emergency departments; mental health and addiction services; correctional services; long-term care; and non-government agencies [3]. An individual's first point of contact or primary provider of health care may be an NP. The hallmark of NP practice is holistic, patient-centered care that assists persons of diverse cultures, races, religions, genders and ethnicities in achieving, maintaining, and enhancing their health and wellbeing [2]. Holism in nursing is grounded in caring. It is foundational to the development of the nurse-patient relationship, and a fundamental component of the Canadian Code of Ethics for Registered Nurses which outlines standards for the safe, competent, and ethical care of patients. Originally adopted in 1984, the code was revised in 2017 to reflect, among other things, the increasing diversity among Canadians accessing the health care system, and the impact of social inequities on health inequities [4].NPs have a long history of providing care to diverse populations who live within vastly different social contexts, and the impact of determinants of health are routinely incorporated into NP practice. Patients experience a variety of acute and chronic health needs over their lifespan, and possess varying levels of health management and coping abilities. However, all patients should expect to receive ethical, competent, and compassionate care from their health care provider, that acknowledges and recognizes the circumstances which influence a person's health and well-being. A key com...

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Open arms, conflicted hearts: nurse‐practitioner's attitudes towards working with lesbian, gay and bisexual patients

Cited by 60 publications

References 12 publications

Changing the culture of neurodisability through language and sensitivity of providers: Creating a safe place for LGBTQIA+ people

Changing the culture of neurodisability through language and sensitivity of providers: Creating a safe place for LGBTQIA+ people

Lesbian and bisexual women’s experiences of health care: “Do not say, ‘husband’, say, ‘spouse’”

Culturally Competent Care of LGBT Patients: The NP Experience

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