Seretlo Raikane James, Mokgatle Mathildah Mpata
Department of Public Health, Sefako Makgatho Health Sciences University, Ga-Rankuwa 0208, South Africa.
Healthcare (Basel). 2022 Nov 3;10(11):2208. doi: 10.3390/healthcare10112208.
In most cases, we only hear Lesbians, Gays, Bisexuals, Transgender, Queer, and Intersex (LGBTQI) patients complaining about nurses being the reason for not accessing and utilizing healthcare services; for example, studies reports on the different attitudes of healthcare providers including nurses against LGBTQI patients. However, factors influencing the behavior of South African Primary Healthcare (PHC) Nurses toward LGBTQI patients are rarely reported. The study aimed to explore how PHC nurses experienced and perceived sexual and reproductive health services for LGBTQI individuals in Tshwane, Gauteng Province, South Africa. The study followed qualitative research using an exploratory design approach. The sample included 27 PHC nurses from Tshwane, Gauteng Province, South Africa. In-depth face-to-face interviews were coded and analyzed using Thematic Content Analysis (TCA) which included five interrelated steps. The results revealed three main themes: barriers to the provision of LGBTQI-related SRHS, facilitators for the provision of SRHS to LGBTQI individuals, and strategies to improve LGBTQI individuals' SRHS accessibility and availability. Common barriers were related to the institutions, PHC nurses, the general public, and LGBTQI patients themselves. Regardless of the challenges faced by PHC nurses, there were some enabling factors that pushed them to continue rendering SHRS to LGBTQI patients who came to their clinics. Almost all PHC nurses suggested the importance of awareness, transparency, collaboration, and the need for training related to LGBTQI healthcare issues.
在大多数情况下，我们只听到女同性恋、男同性恋、双性恋、跨性别、酷儿和双性人（LGBTQI）患者抱怨护士是他们无法获得和利用医疗服务的原因；例如，研究报告了包括护士在内的医疗服务提供者对LGBTQI患者的不同态度。然而，影响南非初级卫生保健（PHC）护士对LGBTQI患者行为的因素却鲜有报道。该研究旨在探讨南非豪登省茨瓦内的初级卫生保健护士如何体验和看待为LGBTQI个体提供的性健康和生殖健康服务。该研究采用探索性设计方法进行定性研究。样本包括来自南非豪登省茨瓦内的27名初级卫生保健护士。使用主题内容分析法（TCA）对深入的面对面访谈进行编码和分析，该方法包括五个相互关联的步骤。结果揭示了三个主要主题：提供与LGBTQI相关的性健康和生殖健康服务的障碍、为LGBTQI个体提供性健康和生殖健康服务的促进因素，以及改善LGBTQI个体获得性健康和生殖健康服务的可及性和可得性的策略。常见障碍与机构、初级卫生保健护士、普通公众以及LGBTQI患者自身有关。尽管初级卫生保健护士面临诸多挑战，但仍有一些促成因素促使他们继续为到诊所就诊的LGBTQI患者提供性健康和生殖健康服务。几乎所有初级卫生保健护士都提到了提高认识、保持透明度、开展协作的重要性，以及针对LGBTQI医疗保健问题进行培训的必要性。
