LGBTQIA+ care simulation: Examining participating nursing students’ attitudes and comfort

IF 2.5 3区医学 Q1 NURSING

Clinical Simulation in Nursing Pub Date : 2025-07-01 DOI:10.1016/j.ecns.2025.101752

Grezelro Gonzales DNP, APN, FNP-C, CNE, CHSE , Daniel Mead DNP, MSCE, CNN-NP, AGNP-C, CHSE, FNKF, GStat , Karlis Butler BS, RRT, CHSOS , Shannon Simonovich PhD, RN , Cecilia Hardacker MSN, RN, CNL

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引用次数: 0

Abstract

Background

The LGBTQIA+ communities face healthcare disparities which negatively contribute to overall health. Factors negatively affecting health outcomes include poor health-promoting behaviors or avoidance of care. This can be partially attributable to healthcare providers’ lack of knowledge, poor attitude towards, and low comfort levels with the care of patients identifying as LGBTQIA+. Outside of several studies on lecture style education, there are few studies outlining interventions impacting prelicensure nursing students’ attitude towards and comfort with LGBTQIA+ care. The purpose of this study was to create and evaluate the effect of a simulation-based education (SBE) on the attitude towards and comfort with prelicensure nursing students providing care to members of the transgender community.

Sample

Study sample was comprised of a convenience sample of prelicensure nursing students (n = 40) enrolled in a community health nursing didactic course.

Method

This study utilized a pretest-posttest, quasi-experimental design in which the participants rated their attitude and comfort towards care of the patient identifying as transgender before and after a SBE activity. A modified version of the Nursing Student’s Knowledge and Attitudes of LGBT Health Concerns (NKALH) survey was used to evaluate both attitude and comfort.

Results

There was a statistically significant improvement in participating students’ reported comfort and attitude levels after the SBE activity.

Conclusion

Master’s entry to nursing practice (MENP) students had improved comfort and attitudes towards transgender care. SBE activities focusing on LGBTQIA+ care can be integrated into prelicensure nursing curriculum to improve the nursing care of LGBTQIA+ communities.

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LGBTQIA+护理模拟：观察参与护理学生的态度和舒适度

LGBTQIA+社区面临着对整体健康产生负面影响的医疗保健差距。对健康结果产生负面影响的因素包括不良的健康促进行为或逃避护理。这可以部分归因于医疗保健提供者对LGBTQIA+患者的护理缺乏知识，态度差，舒适度低。除了几项关于讲座式教育的研究外，很少有研究概述了影响护理预科学生对LGBTQIA+护理的态度和舒适度的干预措施。本研究的目的是建立并评估模拟基础教育（SBE）对为跨性别社区成员提供护理的准护士学生的态度和舒适度的影响。样本研究样本由注册参加社区卫生护理教学课程的护理学预科学生（n = 40）组成。方法本研究采用前测后测的准实验设计，让被试对跨性别患者在进行SBE活动前后的护理态度和舒适程度进行评分。采用修改后的护理学生对LGBT健康问题的知识和态度调查（NKALH）来评估态度和舒适度。结果SBE活动后，参与学生报告的舒适度和态度水平有统计学上的显著改善。结论硕士研究生进入护理实践（MENP）后，对跨性别护理的舒适度和态度有所改善。以LGBTQIA+群体护理为重点的SBE活动可纳入护学前课程，以提高LGBTQIA+群体的护理水平。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Simulation in Nursing NURSING-

CiteScore

5.50

自引率

15.40%

发文量

107

期刊介绍： Clinical Simulation in Nursing is an international, peer reviewed journal published online monthly. Clinical Simulation in Nursing is the official journal of the International Nursing Association for Clinical Simulation & Learning (INACSL) and reflects its mission to advance the science of healthcare simulation. We will review and accept articles from other health provider disciplines, if they are determined to be of interest to our readership. The journal accepts manuscripts meeting one or more of the following criteria: Research articles and literature reviews (e.g. systematic, scoping, umbrella, integrative, etc.) about simulation Innovative teaching/learning strategies using simulation Articles updating guidelines, regulations, and legislative policies that impact simulation Leadership for simulation Simulation operations Clinical and academic uses of simulation.