护生在医院护理LGBTQIA+患者的护理实践

IF 3.6 2区医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES

Nurse Education Today Pub Date : 2025-05-31 DOI:10.1016/j.nedt.2025.106792

Amanda Thawnarain, Charlene Downing

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引用次数: 0

摘要

lgbtqia +社区由于歧视、医疗保健系统内的不可见性以及缺乏具有文化能力的护士，继续经历着健康差距。护理专业的学生往往准备不足，无法满足这一群体的独特需求，因为护士教育者可能缺乏足够的培训，课程经常忽略全面的LGBTQIA+内容。目的探讨和描述医院护生对LGBTQIA+患者的护理实践，旨在为促进全纳护理教育和实践提供建议。方法采用定性、描述性、多地点研究设计。来自某护理教育机构的16名本科护理学生参加了为期45-60分钟的半结构化访谈。有目的的抽样确保了一系列的学年和背景。结果从数据中得出三个主题：(1)学生表现出对包容性护理的承诺，努力为LGBTQIA+患者创造支持性环境；(2)个人偏见和缺乏接触阻碍了同情护理，突出了持续教育和自我反思的必要性；(3)显著的知识和技能差距限制了学生的准备，表明迫切需要加强LGBTQIA+健康相关内容的培训。结论护生在推进LGBTQIA+患者、家庭和社区的包容性护理中发挥着关键作用，但在教育、培训和自我意识方面仍存在差距。将全面的LGBTQIA+内容和文化能力培训纳入护理课程，对于培养未来的护士提供公平、肯定的护理和促进更具包容性的医疗体系至关重要。

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Nursing students' caring practices in caring for LGBTQIA+ patients in a hospital setting

Background

LGBTQIA+ communities continue to experience health disparities due to discrimination, invisibility within healthcare systems, and a shortage of culturally competent nurses. Nursing students are often underprepared to meet the unique needs of this population, as nurse educators may lack adequate training, and curricula frequently omit comprehensive LGBTQIA+ content.

Purpose

This study explored and described nursing students' caring practices for LGBTQIA+ patients in a hospital setting, with the aim of informing recommendations to foster inclusive nursing education and practice.

Methods

A qualitative, descriptive, multisite research design was employed. Sixteen undergraduate nursing students from a nursing education institution participated in semi-structured interviews lasting 45–60 min. Purposive sampling ensured a range of academic years and backgrounds.

Results

Three themes were generated from the data: (1) Students demonstrated a commitment to inclusive care, striving to create supportive environments for LGBTQIA+ patients; (2) Personal biases and a lack of exposure hindered compassionate care, highlighting the need for ongoing education and self-reflection; (3) Significant knowledge and skills gaps limited students' preparedness, demonstrating the urgent need for enhanced training on LGBTQIA+ health related content.

Conclusion

Nursing students play a pivotal role in advancing inclusive care for LGBTQIA+ patients, families, and communities, yet gaps in education, training, and self-awareness persist. Integrating comprehensive LGBTQIA+ content and cultural competence training into nursing curricula is essential to prepare future nurses to deliver equitable, affirming care and foster a more inclusive healthcare system.

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来源期刊

Nurse Education Today 医学-护理

CiteScore

6.90

自引率

12.80%

发文量

349

审稿时长

58 days

期刊介绍： Nurse Education Today is the leading international journal providing a forum for the publication of high quality original research, review and debate in the discussion of nursing, midwifery and interprofessional health care education, publishing papers which contribute to the advancement of educational theory and pedagogy that support the evidence-based practice for educationalists worldwide. The journal stimulates and values critical scholarly debate on issues that have strategic relevance for leaders of health care education. The journal publishes the highest quality scholarly contributions reflecting the diversity of people, health and education systems worldwide, by publishing research that employs rigorous methodology as well as by publishing papers that highlight the theoretical underpinnings of education and systems globally. The journal will publish papers that show depth, rigour, originality and high standards of presentation, in particular, work that is original, analytical and constructively critical of both previous work and current initiatives. Authors are invited to submit original research, systematic and scholarly reviews, and critical papers which will stimulate debate on research, policy, theory or philosophy of nursing and related health care education, and which will meet and develop the journal''s high academic and ethical standards.