Department of Health Science, Kristianstad University, Kristianstad, Sweden.
Department of Health Science, Clinical Health Promotion Center, Lund University, Lund, Sweden.
J Clin Nurs. 2017 Dec;26(23-24):5065-5071. doi: 10.1111/jocn.14006. Epub 2017 Sep 26.
To describe lesbian, gay and bisexual parents' experiences of nurses' attitudes in child healthcare.
Lesbian, gay and bisexual people are often reluctant to disclose their gender identity for fear of discrimination. This fear may lead to avoidance of healthcare for themselves or their children and may negatively affect families' health and well-being.
A qualitative inductive design was employed.
Semistructured interviews were conducted with 14 lesbian, gay or bisexual parents (11 mothers and three fathers) with child health care experiences in southern Sweden. Interviews were analysed using qualitative content analysis.
Two themes were identified. One, a "sense of marginalisation," included lesbian, gay and bisexual parents' experiences of heteronormative attitudes among child healthcare nurses which led them to feel alienated and questioned as parents. Another, "being respected for who you are," included experiences of being respected and included at child healthcare appointments.
Findings paint a complex picture of lesbian, gay and bisexual parents' interactions with child healthcare nurses in that they experienced both positive and negative attitudes. Knowledge gaps about lesbian, gay and bisexual families within the child healthcare field must be filled.
Child health care nurses should work with the entire family to provide the best care for the child; however, discrimination in health care is common and often caused by a lack of knowledge. The number of children living with same-sex parents has increased more than ten-fold since the end of the 1990s. It is therefore important to explore lesbian, gay and bisexual parents' experiences with child healthcare nurses' attitudes to improve quality of care.
描述女同性恋、男同性恋和双性恋父母在儿童保健中护士态度的体验。
女同性恋、男同性恋和双性恋者常常因为害怕歧视而不愿意透露自己的性别认同。这种恐惧可能导致他们自己或他们的孩子避免医疗保健，并可能对家庭的健康和幸福产生负面影响。
采用定性归纳设计。
在瑞典南部，对有儿童保健经验的 14 名女同性恋、男同性恋或双性恋父母（11 名母亲和 3 名父亲）进行了半结构化访谈。使用定性内容分析对访谈进行了分析。
确定了两个主题。一个是“边缘化感”，包括儿童保健护士的异性恋态度使女同性恋、男同性恋和双性恋父母感到疏远和质疑他们作为父母的身份。另一个是“因你是谁而受到尊重”，包括在儿童保健预约中受到尊重和包容的经历。
研究结果描绘了女同性恋、男同性恋和双性恋父母与儿童保健护士互动的复杂画面，他们既体验到了积极的态度，也体验到了消极的态度。必须填补儿童保健领域对女同性恋、男同性恋和双性恋家庭的知识空白。
儿童保健护士应该与整个家庭合作，为孩子提供最好的护理；然而，医疗保健中的歧视很常见，通常是由于缺乏知识造成的。自 20 世纪 90 年代末以来，与同性父母一起生活的儿童数量增加了十倍多。因此，探索女同性恋、男同性恋和双性恋父母对儿童保健护士态度的体验，以提高护理质量非常重要。
