Nicol Pam, Chapman Rose, Watkins Rochelle, Young Jeanine, Shields Linda
Faculty of Medicine, Dentistry and Health Science, School of Paediatrics and Child Health, University of Western Australia, Perth, Western Australia, Australia.
J Clin Nurs. 2013 Dec;22(23-24):3396-405. doi: 10.1111/jocn.12372.
To ascertain health professionals' knowledge, attitudes and beliefs towards lesbian, gay, bisexual and transgender parents seeking health care for their children in a paediatric tertiary hospital setting which practises family-centred care.
Lesbian, gay, bisexual and transgender parents are often reluctant to disclose their sexual orientation to health professionals for fear of discrimination and compromised quality of care. Staff knowledge, attitudes and beliefs can influence disclosure by parents, but little is known about knowledge, attitudes and beliefs in paediatric tertiary hospital staff towards lesbian, gay, bisexual and transgender parents accessing care for their children.
Descriptive comparative study of health staff using a cross-sectional survey.
A set of validated anonymous questionnaires was used to assess knowledge about homosexuality, attitudes towards lesbians and gay men, and gay affirmative practice. Three open-ended questions were also used to assess beliefs about encouraging disclosure of lesbian, gay, bisexual and transgender parenting roles and how this may impact on care.
Of the 646 staff surveyed, 212 (32.8%) responded. Knowledge and attitudes were significantly associated with professional group, gender, Caucasian race, political voting behaviour, presence of religious beliefs, the frequency of attendance at religious services, the frequency of praying, and having a friend who was openly lesbian, gay, bisexual and transgender.
This study highlighted that staff working in a tertiary paediatric hospital setting, with family-centred care models in place, held attitudes and beliefs that may impact on the experience of hospitalisation for lesbian, gay, bisexual and transgender parents, and the quality of care received by their children.
To promote equitable care to all families, organisations should ensure that family-centred care policies and guidelines are adopted and appropriately implemented. In addition to formal education, affirmative health service action and innovative methods may be required.
在一家实行以家庭为中心护理的儿科三级医院环境中，确定医护人员对于女同性恋、男同性恋、双性恋和跨性别者（LGBT）为其子女寻求医疗保健的知识、态度和信念。
女同性恋、男同性恋、双性恋和跨性别者家长往往不愿向医护人员透露其性取向，因为担心受到歧视以及护理质量受损。工作人员的知识、态度和信念会影响家长的披露行为，但对于儿科三级医院工作人员对LGBT家长为子女寻求护理的知识、态度和信念却知之甚少。
采用横断面调查对医护人员进行描述性比较研究。
使用一组经过验证的匿名问卷来评估对同性恋的知识、对女同性恋者和男同性恋者的态度以及支持同性恋的做法。还使用了三个开放式问题来评估关于鼓励披露LGBT家长角色及其对护理可能产生何种影响的信念。
在接受调查的646名工作人员中，有212人（32.8%）做出了回应。知识和态度与专业群体、性别、白种人种族、政治投票行为、宗教信仰的存在、参加宗教仪式的频率、祈祷的频率以及有一位公开的LGBT朋友显著相关。
本研究强调，在实行以家庭为中心护理模式的儿科三级医院工作的工作人员所秉持的态度和信念，可能会影响LGBT家长的住院体验及其子女所接受护理的质量。
为了促进对所有家庭的公平护理，各机构应确保采用并适当实施以家庭为中心的护理政策和指南。除了正规教育外，可能还需要支持同性恋的医疗服务行动和创新方法。
