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对女同性恋、男同性恋和跨性别父母为其子女获取健康服务的体验进行描述性研究。

A descriptive study of the experiences of lesbian, gay and transgender parents accessing health services for their children.

机构信息

Australian Catholic University and Southern Health Victoria, School of Nursing and Midwifery, Melbourne, Australia.

出版信息

J Clin Nurs. 2012 Apr;21(7-8):1128-35. doi: 10.1111/j.1365-2702.2011.03939.x. Epub 2012 Jan 31.

Abstract

AIM

To explore the experiences of lesbian, gay and transgender families accessing health care for their children.

BACKGROUND

Although lesbian, gay and transgender families are becoming more common, little is known about their health-seeking experiences. These families may be fearful about disclosing their sexual orientation or gender identity to health professionals. As a result, lesbian, gay and transgender parents may not be receiving optimal care for their children.

DESIGN

Descriptive qualitative study.

METHOD

Data were collected through semi-structured interviews with 11 lesbian, gay and transgender parents in Australia.

RESULTS

Three themes were generated from the data: 'managing health care experiences', 'attitudes' and 'transforming bureaucracies'. Negative experiences included encountering homophobia or transphobia and being required to educate health professionals. Positive experiences occurred when both parents were acknowledged as having an equal say in their child's health care.

CONCLUSION

Many health professionals lack the skill or knowledge to meet the needs of lesbian, gay and transgender families. Health services are required to ensure that all policies and procedures are inclusive of all family constellations and that staff receive relevant and up-to-date sensitivity training and create an environment that is respectful of all family groups.

RELEVANCE TO CLINICAL PRACTICE

Adopting a philosophy of family centred care can enable health providers and health professionals to provide lesbian, gay and transgender families with inclusive non-discriminatory care.

摘要

目的

探索女同性恋、男同性恋和跨性别者家庭为其子女寻求医疗保健的经验。

背景

尽管女同性恋、男同性恋和跨性别者家庭越来越常见,但人们对他们的寻医问药经验知之甚少。这些家庭可能担心向医疗保健专业人员透露自己的性取向或性别认同。因此,女同性恋、男同性恋和跨性别者父母可能无法为子女获得最佳的医疗保健。

设计

描述性定性研究。

方法

通过在澳大利亚与 11 名女同性恋、男同性恋和跨性别者父母进行半结构化访谈收集数据。

结果

从数据中产生了三个主题:“管理医疗保健经验”、“态度”和“改革官僚机构”。负面经历包括遇到同性恋恐惧症或跨性别恐惧症以及被要求教育医疗保健专业人员。当父母双方都被承认在孩子的医疗保健中有平等的发言权时,就会出现积极的经历。

结论

许多医疗保健专业人员缺乏满足女同性恋、男同性恋和跨性别者家庭需求的技能或知识。卫生服务部门需要确保所有政策和程序都包容所有家庭结构,并确保工作人员接受相关和最新的敏感性培训,并营造尊重所有家庭群体的环境。

临床相关性

采用以家庭为中心的护理理念,可以使医疗服务提供者和医疗保健专业人员为女同性恋、男同性恋和跨性别者家庭提供包容和无歧视的护理。

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