Freaney Christine, Isles Sheneil, Adler Sandy, Katz-Wise Sabra L
Health Promotion and Wellness, Farmingdale State College, Farmingdale, New York, USA.
School of Allied Health, Monroe College, Bronx, New York, USA.
J Homosex. 2024 Jul 28;71(9):2057-2072. doi: 10.1080/00918369.2023.2221760. Epub 2023 Jun 8.
LGBT individuals experience discrimination in health care settings and report difficulty accessing clinically competent healthcare. This study examined the self-assessed knowledge, clinical preparedness, LGBT health focused education received and attitudinal awareness of health care workers (HCW) ( = 215) toward LGBT patients at an urban hospital in New York City. HCW completed a one-time survey, that included the Lesbian, Gay, Bisexual, and Transgender Development of Clinical Skills Scale. Forty percent of HCW treated LGB patients and 30% treated transgender patients, 11% and 18% reported they were unaware if their patients were LGB or transgender. Seventy-four percent of HCW received less than two hours of formal education in LGBT health. A slight majority of HCW (51%) reported not receiving adequate clinical training to work with transgender clients. Forty-six percent of HCW reported not receiving adequate clinical training to work with LGB clients. A significant difference in LGBT health knowledge, clinical preparedness, and attitudinal awareness was found by LGBT health education received. HCW that reported more LGBT focused health education reported higher basic LGBT health knowledge, felt more clinically prepared, and reported affirming attitudes regarding LGBT patients. This research suggests that more LGBT health focused education of HCW is needed.
LGBT群体在医疗环境中遭受歧视,并且报告称在获得具备临床能力的医疗服务方面存在困难。本研究调查了纽约市一家城市医院中215名医护人员对LGBT患者的自我评估知识、临床准备情况、接受的以LGBT健康为重点的教育以及态度认知。医护人员完成了一项一次性调查,其中包括《女同性恋、男同性恋、双性恋和跨性别者临床技能发展量表》。40%的医护人员治疗过LGB患者,30%治疗过跨性别患者,11%和18%的人表示他们不知道自己的患者是否为LGB或跨性别者。74%的医护人员接受的LGBT健康方面的正规教育少于两小时。略过半数的医护人员(51%)报告称没有接受过与跨性别患者合作的充分临床培训。46%的医护人员报告称没有接受过与LGB患者合作的充分临床培训。根据接受的LGBT健康教育情况,在LGBT健康知识、临床准备情况和态度认知方面发现了显著差异。报告接受了更多以LGBT为重点的健康教育的医护人员报告称具有更高的LGBT基本健康知识,感觉临床准备更充分,并且对LGBT患者持肯定态度。这项研究表明,需要对医护人员进行更多以LGBT健康为重点的教育。