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同在彩虹下:私营医疗保健专业人员中的恐同和歧视研究。

Under the same rainbow: A study on homophobia and discrimination among private sector health care professionals.

机构信息

Department of Nursing Administration, Faculty of Health Sciences, Ondokuz Mayıs University, Samsun, Turkey.

Department of Nursing Administration, Florence Nightingale Faculty of Nursing, Istanbul University-Cerrahpasa, Istanbul, Turkey.

出版信息

J Nurs Manag. 2021 Jan;29(1):3-15. doi: 10.1111/jonm.13167. Epub 2020 Oct 13.

Abstract

AIM

To determine the homophobic and discriminatory attitudes of health care professionals and associated factors in the private sector.

BACKGROUND

Examining possible homophobic and discriminatory attitudes of health care professionals is very important to eliminate barriers such as access to and use of health services.

METHOD

This descriptive and cross-sectional study included 626 health professionals in 20 private hospitals throughout Turkey. The data were collected in May 2020 using an online questionnaire containing the Hudson and Ricketts Homophobia Scale and the Discriminatory Attitudes Scale.

RESULTS

Most of the health professionals (64.4%) said that they did not know any LGBTQ+ people, almost half (44.2%) had cared LGBTQ+ people before, and most (95.4%) said that they would be willing to care them. The health professionals' homophobia score was 3.60 (SD = 1.23), and their discrimination score was 2.10 (SD = 0.71). A positive relationship was found between their homophobia and discrimination scores(r = .642). Significant differences in their scale scores were found to be related to their personal and professional characteristics.

CONCLUSIONS

The homophobic attitudes of health professionals were above average and had a positive relationship with discriminatory attitudes.

IMPLICATIONS FOR NURSING MANAGEMENT

Private hospital administrators should plan initiatives and training programmes to improve health care professionals' attitudes towards LGBTQ+ people.

摘要

目的

确定私营部门医疗保健专业人员的恐同和歧视态度及其相关因素。

背景

检查医疗保健专业人员可能存在的恐同和歧视态度对于消除获得和使用卫生服务等障碍非常重要。

方法

本描述性和横断面研究包括土耳其 20 家私营医院的 626 名卫生专业人员。数据于 2020 年 5 月使用包含 Hudson 和 Ricketts 恐同量表和歧视态度量表的在线问卷收集。

结果

大多数卫生专业人员(64.4%)表示不认识任何 LGBTQ+人士,近一半(44.2%)之前曾照顾过 LGBTQ+人士,大多数(95.4%)表示愿意照顾他们。卫生专业人员的恐同评分得分为 3.60(SD=1.23),歧视评分为 2.10(SD=0.71)。他们的恐同和歧视评分之间存在正相关关系(r=.642)。他们的量表评分的显著差异与他们的个人和专业特征有关。

结论

卫生专业人员的恐同态度处于中等偏上水平,且与歧视态度呈正相关。

护理管理的意义

私营医院管理人员应计划开展举措和培训计划,以改善卫生保健专业人员对 LGBTQ+人群的态度。

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