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Open Access Nurses' Work With LGBTQ Patients: “They're Just Like Everybody Else, So What's the Difference?” Le travail du personnel infirmier avec des patientes LGBTQ : « Elles sont comme les autres, alors quelle est la différence? »

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Abstract:

Informed by critical feminist and queer studies approaches, this article explores nurses' perceptions of practice with patients who identify as lesbian, gay, bisexual, transgender, or queer (LGBTQ). Qualitative in-depth, semi-structured interviews with 12 nurses in Halifax, Nova Scotia, illuminate a range of approaches to practice. Most commonly, participants argued that differences such as sexual orientation and gender identity do not matter: Everyone should be treated as a unique individual. Participants seemed anxious to avoid discriminating or stereotyping by avoiding making any assumptions. They were concerned not to offend patients through their language or actions. When social difference was taken into account, the focus was often restricted to sexual health, though some participants showed complex understandings of oppression and marginalization. Distinguishing between generalizations and stereotypes may assist nurses in their efforts to recognize social differences without harming LGBTQ patients.

French
Se fondant sur les méthodes d'études critiques féministes et queer, cet article explore les perceptions qu'ont les infirmières et les infirmiers de leur pratique avec des patientes lesbiennes, gaies, bisexuelles, transgenres ou queer (LGBTQ). L'étude a comporté la réalisation d'entrevues en profondeur semi-structurées avec 12 membres de la profession infirmière à Halifax, en Nouvelle-Écosse. Ces entrevues ont permis de faire la lumière sur diverses approches en matière de pratique infirmière. Les participants ont le plus souvent soutenu que les différences comme l'orientation sexuelle et l'identité de genre ne font pas de différence : tout le monde devrait être traité comme une personne distincte. Les participants semblaient tenir beaucoup à éviter la discrimination ou la stéréotypisation en tentant d'éviter les suppositions. Ils étaient soucieux de ne pas offenser les patientes par leur langage ou leurs gestes. Lorsqu'il était tenu compte des différences sociales, l'accent se limitait souvent à la santé sexuelle, bien que certains participants aient montré une compréhension nuancée de l'oppression et de la marginalisation. Faire la distinction entre les généralisations et les stéréotypes peut aider le personnel infirmier dans ses efforts pour reconnaître les différences sociales sans faire de tort aux patientes LGBTQ.

Keywords: BISEXUAL; LESBIAN; LGBTQ ISSUES; NURSING PRACTICE; QUALITATIVE RESEARCH; TRANSGENDER

Document Type: Short Communication

Publication date: September 1, 2012

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