Nurse, Department of Medicine and Science of Aging, "G. d'Annunzio" University of Chieti, Italy, Abruzzo, Italy.
Medical Doctor, Epidemiologist, Deparment of Farmacy, "G. d'Annunzio" University of Chieti, Italy.
J Nurs Scholarsh. 2018 Jul;50(4):367-374. doi: 10.1111/jnu.12388. Epub 2018 Apr 24.
To assess Italian nurses' knowledge and attitudes towards gay and lesbian sexual orientation and lesbian, gay, bisexual, and transgender (LGBT) patients, as there is currently no literature exploring the attitudes of nurses in Italy.
A multicenter, cross-sectional study was conducted between May 2015 to January 2016, using a data collection tool composed of three validated questionnaires and a sociodemographic form.
Eight hundred twenty-four nurses filled out the questionnaire. Despite their awareness of homosexuality as a "natural expression of one's sexuality," Italian nurses showed only moderately positive attitudes towards lesbian and gay patients. A more positive attitude was displayed by women when compared with men (p < .001). Greater knowledge of homosexuality was associated with female gender (p = .042), moderate-wing political affiliation (p = .014), and more affirmative behaviors (p = .008). Men were found to have greater awareness of being prepared to care for LGBT people (p = .022).
Although Italian nurses displayed moderately positive attitudes and affirmative behaviors, there is the need to increase their cultural competencies regarding sexual minorities.
LGBT patients feel some discomfort in approaching physicians or nurses. It is important to know nurses' attitudes in caring for LGBT patients in order to modify inappropriate and discriminatory behaviors.
评估意大利护士对同性恋和双性恋性取向以及女同性恋、男同性恋、双性恋和跨性别（LGBT）患者的知识和态度，因为目前尚无文献探讨意大利护士的态度。
本研究于 2015 年 5 月至 2016 年 1 月期间采用多中心横断面研究，使用由三个已验证问卷和一个社会人口学表格组成的数据收集工具进行。
824 名护士填写了问卷。尽管意大利护士意识到同性恋是“一个人性行为的自然表达”，但他们对女同性恋和男同性恋患者的态度仅略为积极。与男性相比，女性表现出更积极的态度（p<0.001）。对同性恋的更多了解与女性性别（p=0.042）、温和派政治派别（p=0.014）和更肯定的行为（p=0.008）相关。与女性相比，男性更意识到自己准备好照顾 LGBT 人群（p=0.022）。
尽管意大利护士表现出略为积极的态度和肯定的行为，但仍需要提高他们对性少数群体的文化能力。
LGBT 患者在接近医生或护士时感到有些不适。了解护士在照顾 LGBT 患者方面的态度对于改变不适当和歧视性的行为很重要。
