Nurs Res. 2021;70(6):417-424. doi: 10.1097/NNR.0000000000000541.
LGBTQ+ (lesbian, gay, bisexual, transgender, queer/questioning, and others) people face a unique set of barriers to receiving quality healthcare. Very little exists in nursing literature that addresses these barriers.
This study aimed to analyze patient experience data to better understand the context of barriers to care that LGBTQ+ patients experience, in addition to institutional responses.
Documentary analysis was employed to review four LGBTQ+ patient experiences that resulted in formal feedback provided to the Office of Patient Relations. Each case was analyzed for content, process, and outcomes.
Through the outlined analysis, the study team found three primary themes and five secondary themes across the four cases. The overarching themes identified through the study's case review include (a) lack of provider knowledge, (b) lack of patient-centered care, and (c) lack of institutional infrastructures associated with the provision of affirming care to LGBTQ+ individuals.
Findings suggest the need for a multipronged approach when addressing the care of LGBTQ+ communities. A combination of provider-level education and institutional capacity building to treat diverse patient populations is necessary for addressing the issues demonstrated within the data. Moreover, further research is needed to identify unique needs of transgender and nonbinary patients and determine efficacy of institutional efforts to build capacity for caring and studying the health needs of LGBTQ+ communities.
LGBTQ+（女同性恋、男同性恋、双性恋、跨性别、酷儿/疑问和其他）人群在获得高质量医疗保健方面面临着一系列独特的障碍。护理文献中几乎没有专门针对这些障碍的内容。
本研究旨在分析患者体验数据，以更好地了解 LGBTQ+患者所经历的护理障碍的背景，以及机构的应对措施。
采用文献分析方法，审查了导致向患者关系办公室提供正式反馈的四个 LGBTQ+患者体验案例。对每个案例进行了内容、过程和结果的分析。
通过概述性分析，研究小组在四个案例中发现了三个主要主题和五个次要主题。通过案例回顾确定的主要主题包括：（a）缺乏提供者知识，（b）缺乏以患者为中心的护理，以及（c）缺乏与向 LGBTQ+个人提供肯定性护理相关的机构基础设施。
研究结果表明，在解决 LGBTQ+社区的护理问题时需要采取多管齐下的方法。需要结合提供者层面的教育和机构能力建设，以治疗不同的患者群体，从而解决数据中显示的问题。此外，还需要进一步研究，以确定跨性别者和非二元性别者的独特需求，并确定机构为照顾和研究 LGBTQ+社区的健康需求而建立能力的努力的效果。
