Chapman Rose, Zappia Tessie, Shields Linda
Department of Nursing and Midwifery, Curtin University, Perth, WA, Australia.
Scand J Caring Sci. 2012 Jun;26(2):333-9. doi: 10.1111/j.1471-6712.2011.00938.x. Epub 2011 Nov 14.
This paper is a polemic essay about an important but sometimes controversial subject. Lesbian, gay, bisexual and transgender (LGBT) clients can be reluctant to reveal their sexual orientation to health professionals from whom they may be seeking health care for their children. Family-centred care (FCC), where care is planned around the whole family not just the individual child, is widely used across the world, but unless all aspects of the families who present for care are respected, care delivery is compromised. This is particularly important for minority groups and potentially vulnerable families such as LGBT.
This descriptive essay discusses the use of health services by LGBT parents, how seeking health care is influenced by perceived perceptions of LGBT people held by health professionals, and examines factors affecting such seeking of health care.
We show that LGBT people may be unwilling to disclose sexual identity to health professionals when seeking health care for their children. Health professional's attitudes can be affected by factors such as gender, age, religious and political affiliations, education level and previous interactions with LGBT people.
We conclude our argument with the assertion that all parents, including those from minority groups such as LGBT, who bring their children for health care need supportive family-centred care, and only by ensuring that the health professionals delivering care are well educated about all aspects of sexuality will care be family-centred.
本文是一篇关于一个重要但有时存在争议的主题的论战性文章。女同性恋、男同性恋、双性恋和跨性别(LGBT)群体的父母可能不愿向他们可能为孩子寻求医疗保健服务的医疗专业人员透露自己的性取向。以家庭为中心的护理(FCC),即护理计划围绕整个家庭而非仅仅是孩子个人展开,在全球范围内被广泛使用,但除非前来接受护理的家庭的各个方面都得到尊重,否则护理服务会受到影响。这对于少数群体以及诸如LGBT等潜在弱势群体家庭尤为重要。
这篇描述性文章讨论了LGBT群体的父母对医疗服务的使用情况,寻求医疗保健服务是如何受到医疗专业人员对LGBT群体的认知观念影响的,并审视了影响此类寻求医疗保健服务行为的因素。
我们表明,LGBT群体在为孩子寻求医疗保健服务时可能不愿向医疗专业人员透露自己的性身份。医疗专业人员的态度可能会受到性别、年龄、宗教和政治信仰、教育水平以及之前与LGBT群体的互动等因素的影响。
我们通过断言来结束我们的论证,即所有带孩子寻求医疗保健服务的父母,包括来自LGBT等少数群体的父母,都需要以家庭为中心的支持性护理,并且只有确保提供护理的医疗专业人员在性取向的各个方面都受过良好教育,护理才会是以家庭为中心的。