Shrader Angela, Casero Kellie, Casper Bethany, Kelley Mary, Lewis Laura, Calohan Jess
1 Angela Shrader, DNP, PMHNP-BC, Uniformed Services University of the Health Sciences, Bethesda, MD, USA.
2 Kellie Casero, DNP, PMHNP-BC, Uniformed Services University of the Health Sciences, Bethesda, MD, USA.
J Am Psychiatr Nurses Assoc. 2017 Nov/Dec;23(6):385-392. doi: 10.1177/1078390317711768. Epub 2017 Jun 1.
Lesbian, gay, bisexual, and transgender (LGBT) individuals serving within the U.S. military and their beneficiaries have unique health care requirements. Department of Defense Directive 1304.26 "Don't Ask, Don't Tell" created a barrier for service members to speak candidly with their health care providers, which left specific health care needs unaddressed. There are no standardized cultural education programs to assist Military Health System (MHS) health care providers in delivering care to LGBT patients and their beneficiaries.
The purpose of this project was to develop, implement, and evaluate the effectiveness of an LGBT educational program for health care providers within the MHS to increase cultural awareness in caring for this special population.
This multisite educational program was conducted at Travis Air Force Base and Joint Base Lewis-McChord from November 15, 2014, to January 30, 2015. A 15-question multiple-choice questionnaire was developed based on the education program and was administered before and after the education program. A total of 51 individuals completed the program.
Overall posttest scores improved compared to pretest scores.
This program was designed to begin the process of educating health care providers about the unique health care issues of military LGBT Service Members and their beneficiaries. This program was the first to address the disparities in LGBT health care needs within the Department of Defense. It also provided a platform for facilitating open communication among providers regarding LGBT population health needs in the military.
在美国军队中服役的女同性恋、男同性恋、双性恋和跨性别（LGBT）群体及其受益人有着独特的医疗保健需求。国防部第1304.26号指令“不问，不说”给军人与医疗保健提供者坦诚交流造成了障碍，导致一些特定的医疗保健需求未得到解决。目前没有标准化的文化教育项目来协助军事医疗系统（MHS）的医疗保健提供者为LGBT患者及其受益人提供护理。
本项目的目的是开发、实施并评估一项针对MHS医疗保健提供者的LGBT教育项目的有效性，以提高在护理这一特殊群体时的文化意识。
该多地点教育项目于2014年11月15日至2015年1月30日在特拉维斯空军基地和刘易斯-麦科德联合基地开展。基于该教育项目编制了一份包含15个问题的多项选择题问卷，并在教育项目前后进行发放。共有51人完成了该项目。
与测试前分数相比，测试后总体分数有所提高。
该项目旨在开启对医疗保健提供者进行教育的进程，使其了解军队LGBT军人及其受益人的独特医疗保健问题。该项目是国防部首个解决LGBT医疗保健需求差异问题的项目。它还为促进提供者之间就军队中LGBT群体的健康需求进行开放交流提供了一个平台。
