Divisional Director, LGBTQ Services Main Line Health, Bryn Mawr, PA, USA.
VP, Clinical Operations Main Line HealthCare, Newtown Sq, PA, USA.
J Nurs Manag. 2022 Jul;30(5):O46-O51. doi: 10.1111/jonm.13142. Epub 2020 Sep 16.
There is a growing recognition of the need to provide inclusive care for LGBTQ+ individuals. Our aim is to provide guidance for nurse managers contemplating similar inclusive changes in their workplace. The role of nurse managers as change agents is discussed based on our experience transforming a traditional suburban health care system to one that is now more LGBTQ+ inclusive.
LGBTQ+ individuals require and deserve high-quality care. Nurse managers can serve as patient advocates by recognizing their capacity to initiate and sustain changes in care settings.
From our reflective nursing practice, we detail essential components that enabled an incorporation of LGBTQ+ inclusive care practices. To undertake structural changes, we highlight the significance of organisational buy-in, customer service and engagement, changes to physical environment, forms and data collection, initiating staff training and a review of health system policies.
Systemic change in health care is daunting but is achievable. With support from key stakeholders, nurse managers should be capable of initiating organisational changes that would benefit a patient population in receiving optimal care.
Nurse managers are in optimum positions to initiate practice changes for inclusive LGBTQ+ health care. This commentary can serve as a template for meaningful organisational changes.
越来越多的人认识到需要为 LGBTQ+ 群体提供包容的护理。我们的目的是为考虑在工作场所进行类似包容性变革的护士长提供指导。基于我们将传统的郊区医疗系统转变为更包容 LGBTQ+的系统的经验,讨论了护士长作为变革推动者的角色。
LGBTQ+ 群体需要并应得到高质量的护理。护士长可以通过认识到他们有能力在护理环境中发起和维持变革,成为患者的倡导者。
从我们的反思性护理实践中,我们详细说明了实现 LGBTQ+包容护理实践所必需的组成部分。为了进行结构变革,我们强调了组织认同、客户服务和参与、物理环境、表格和数据收集、启动员工培训以及审查卫生系统政策的重要性。
医疗保健中的系统变革令人生畏,但却是可行的。在主要利益相关者的支持下,护士长应该有能力发起组织变革,使患者群体能够获得最佳护理。
护士长处于启动包容 LGBTQ+医疗保健实践变革的最佳位置。本评论可以作为有意义的组织变革的模板。