An Integrative Review of Nurse Attitudes Towards Lesbian, Gay, Bisexual, and Transgender Patients Une recherche de synthèse sur les attitudes du personnel infirmier à l'égard des lesbiennes, gais, bisexuels et transgenres

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Abstract:

A growing body of literature suggests that lesbian, gay, bisexual, and transgender (LGBT) persons have significant health disparities as compared to heterosexuals. Although the reasons for this are complex and multifactorial, one area of research has examined the real or perceived negative attitudes of health-care providers. This integrative review critically appraises and synthesizes data from 17 articles regarding nurses' attitudes towards LGBT patients. Every study analyzed showed some evidence of negative attitudes. However, the literature revealed major limitations, including a paucity of well-designed studies; a dearth of qualitative studies; inconsistent use of validated, reliable instruments; and a lack of measures examining attitudes towards lesbian, bisexual, and transgender persons. Increased knowledge in this area could lead to interventions to improve nurses' cultural competency; resource allocation to nursing research, education, and services related to LGBT health; and inclusion of more LGBT content in nursing curricula.

French
Un nombre croissant d'études suggèrent que les lesbiennes, gais, bisexuels et transgenres (LGBT) vivent des disparités importantes en matière de santé par rapport aux hétérosexuels. Les raisons de cette situation sont complexes et multifactorielles. Un domaine de la recherche sur ce sujet examine en particulier les attitudes négatives réelles ou perçues des fournisseurs de soins de santé. La présente recherche de synthèse a comporté l'évaluation critique et la synthétisation des données tirées de 17 articles traitant des attitudes des infirmières et des infirmiers envers les patients LBGT. Toutes les études analysées faisaient état de certaines attitudes négatives. La littérature révèle toutefois des limites importantes, notamment le manque d'études bien conçues et d'études qualitatives; l'utilisation inégale d'instruments validés et fiables; et le manque de mesures examinant les attitudes envers les lesbiennes, bisexuels et transgenres. Plus de connaissances dans ce domaine pourraient permettre la mise en œuvre d'interventions pour améliorer la compétence culturelle du personnel infirmier; l'allocation de ressources à la recherche en sciences infirmières, à l'éducation et aux services liés à la santé des personnes LGBT; et l'inclusion de plus de contenu LGBT dans les programmes d'études en sciences infirmières.

Keywords: HEALTH DISPARITIES; HOMOSEXUALITY; INTEGRATIVE REVIEW; LGBT; NURSE ATTITUDES

Document Type: Short Communication

Publication date: September 1, 2012

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  • CJNR is a peer-reviewed, quarterly journal published by the McGill University School of Nursing since 1969. With world-wide circulation, CJNR's primary mandate is to publish original nursing research that develops basic knowledge for the discipline and examines the application of the knowledge in practice. Research related to education and history is also welcomed, as are methodological, theoretical, and review papers that advance nursing science. Letters or commentaries about published articles are encouraged. Learn more.
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