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Titre : | Improving Emergency Health Care Workers Knowledge, Competency, and Attitudes Toward Lesbian, Gay, Bisexual, and Transgender Patients Through Interdisciplinary Cultural Competency Training (2018) |
Auteurs : | Sarah Bristol ; Teresa Kostelec ; Ryan MacDonald |
Type de document : | Article |
Dans : | Journal of Emergency Nursing (Vol. 44, n° 6, November 2018) |
Article en page(s) : | p. 632-639 |
Note générale : | DOI: https://doi.org/10.1016/j.jen.2018.03.013 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Démarche qualité ; Disparités d'accès aux soins ; Interdisciplinarité ; Soins d'urgence ; Urgences |
Résumé : |
Introduction
Emergency staff members have a unique role in providing episodic care to marginalized populations. The lesbian, gay, bisexual, and transgender (LGBT) community is a marginalized population that is routinely encountered by ED staff. Implicit prejudice may influence emergency staff interactions and contribute to distrust of health care providers by some members of the LGBT community. The purpose of our study is to evaluate aggregate ED health care team members knowledge and attitudes toward lesbian, gay, bisexual, and transgender people pre- and post-cultural competency training education. Methods A pre-/post-intervention design was used to assess the impact of LGBT cultural competency training. The Ally Identity Measure (AIM) was administered to an unmatched sample of ED nurses, nurse practitioners, unit secretaries, and physicians. Consisting of 3 domains knowledge and skills, openness and support, and awareness of oppression experienced by the LGBT community (Cronbachs alphas of 0.76 to 0.88)the AIM assessed for aggregate differences among our staff pre- and post-cultural competency training. Results Pre-survey data revealed 85.3 % (n = 81) of staff had no previous LGBT education specific to the needs of the population. Post-survey data collected between 3 to 5 months after the education intervention demonstrated a total index mean increase of 8.8% (P Discussion Status post-cultural competency training, the AIM results indicated that our teams collective knowledge about challenges facing the LGBT community increased, and the aggregate scores reflected more openness, support, and awareness of oppression by our staff. This elevated self-awareness and increased knowledge may aid in creating a more open, supportive patient experience for the LGBT community members seeking care at our facility. Unlabelled Box Contribution to Emergency Nursing Practice The current state of scientific knowledge on lesbian, gay, bisexual, and transgender (LGBT) education and training indicates the need for further research on the impact of this cultural competency training. The main findings of this research suggests that educational interventions show potential for creating an increase in awareness of LGBT issues, leading to more open and accepting attitudes toward LGBT patients and their family members. Key implications for emergency nursing practice from this research are how assumptions about a persons gender identity or sexual orientation can have an unintended impact on the nurse-patient relationship and how LGBT cultural competency education can provide emergency nurses strategies to meet the cultural needs of LGBT patients. |
Disponible en ligne : | Non |
Exemplaires (1)
Cote | Support | Localisation | Section | Disponibilité |
---|---|---|---|---|
REV | Périodique papier | Woluwe | Espace revues | Consultation sur place uniquement Exclu du prêt |