Multilevel Factors Impacting U.S. School Nurses' Support of LGBTQ+ Youth: A Qualitative Analysis.

IF 1.5 4区 医学 Q3 NURSING
April J Ancheta, Alora N Del Duca, Dominique G Ruggieri, Catherine C McDonald, Dalmacio Dennis Flores, Nadia L Dowshen
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引用次数: 0

Abstract

School nurses (SNs) can play important roles in supporting LGBTQ+ youth. Prior research has emphasized individual and interpersonal factors influencing SNs' interactions with LGBTQ+ youth, showing mixed results regarding cultural competency, knowledge, and youth satisfaction. However, higher-level factors (e.g., structural and political) shaping these interactions remain underexplored in the United States at a national level. To address this gap, we analyzed open-ended responses from a survey distributed by the National Association of School Nurses in May 2023, receiving responses from 672 nurses (49 states and one U.S. territory). Analysis revealed five key themes: (1) personal stake and the SN role; (2) perspectives on school and community climate; (3) policies as supportive versus challenging; (4) LGBTQ+ resources and education; and (5) barriers and facilitators to learning. Findings illustrate the interconnectedness of policy, leadership, school culture, and education, highlighting areas for targeted improvements to enhance SNs' capacity to effectively support LGBTQ+ youth health.

影响美国学校护士对LGBTQ+青年支持的多层次因素:定性分析
学校护士在支持LGBTQ+青年方面可以发挥重要作用。先前的研究强调了影响社交媒体与LGBTQ+青年互动的个人和人际因素,在文化能力、知识和青年满意度方面显示了不同的结果。然而,在美国,形成这些互动的更高层次的因素(如结构和政治)在国家层面上仍未得到充分探索。为了解决这一差距,我们分析了全国学校护士协会在2023年5月发布的一项调查中的开放式回复,收到了来自672名护士(49个州和一个美国领土)的回复。分析揭示了五个关键主题:(1)个人利益与SN角色;(2)对学校和社区氛围的看法;(3)政策是支持还是挑战;(4) LGBTQ+资源与教育;(5)学习障碍和促进因素。研究结果说明了政策、领导、学校文化和教育之间的相互联系,突出了有针对性的改进领域,以提高SNs有效支持LGBTQ+青少年健康的能力。
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
CiteScore
4.60
自引率
17.60%
发文量
57
审稿时长
>12 weeks
期刊介绍: The Journal of School Nursing (JOSN) is a bi-monthly peer-reviewed forum for improving the health of school children and the school community. The JOSN includes original research, research reviews, evidenced-based innovations in clinical practice or policy, and more. In addition to nursing, experts from medicine, public health, epidemiology, health services research, policy analysis, and education administration, also contribute.
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