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LGBTQ 医疗专业人员在军事医疗文化中的体验。

The Experiences of LGBTQ Healthcare Professionals within Military Medical Culture.

机构信息

Department of Military and Emergency Medicine, Uniformed Services University, Bethesda, MD 20814, USA.

出版信息

Mil Med. 2023 Nov 3;188(11-12):e3606-e3612. doi: 10.1093/milmed/usad284.

Abstract

BACKGROUND

Creating a positive workplace culture affects patient outcomes and force readiness. An inclusive workplace culture is especially important for lesbian, gay, bisexual, transgender, and queer (LGBTQ) military healthcare professionals, who have historically faced discrimination within the United States military. While research has examined LGBTQ service members' experiences in the military as a whole, there is a gap in the professional literature regarding LGBTQ healthcare workers' experiences within military medicine.

METHODS

This qualitative phenomenological study explored the experiences of ten LGBTQ military healthcare professionals. We interviewed each participant for one hour. Our research team then coded each interview and came to a consensus on how to organize these codes into emerging themes. We used reflexivity and member checking to increase the credibility of our results.

RESULTS

Four themes emerged from our data analysis: (1) implicit bias; (2) explicit bias; (3) response to discrimination; and (4) recommendations for improving workplace culture. The participants described both the underlying and outright discrimination they faced at work. They made recommendations for reducing this discrimination through education, training, and increased leadership representation.

CONCLUSIONS

Our results revealed that LGBTQ healthcare professionals continue to face discrimination in the workplace. This discrimination must be addressed to create an inclusive workplace environment within military medicine, which will enhance force readiness.

摘要

背景

营造积极的工作场所文化会影响患者的治疗效果和部队的战备状态。对于在美军中一直面临歧视的女同性恋、男同性恋、双性恋、跨性别和 queer(LGBTQ)的医疗保健专业人员来说,包容的工作场所文化尤为重要。虽然研究已经考察了 LGBTQ 军人的整体经历,但关于 LGBTQ 医护人员在军事医学领域的经历,专业文献中仍存在空白。

方法

本定性现象学研究探讨了 10 名 LGBTQ 军队医疗保健专业人员的经历。我们对每位参与者进行了一小时的访谈。然后,我们的研究团队对每个访谈进行了编码,并就如何将这些编码组织成新出现的主题达成了共识。我们使用反思和成员检查来提高研究结果的可信度。

结果

从数据分析中得出了四个主题:(1)隐性偏见;(2)显性偏见;(3)对歧视的反应;(4)改善工作场所文化的建议。参与者描述了他们在工作中所面临的隐性和显性歧视。他们建议通过教育、培训和增加领导层的代表性来减少这种歧视。

结论

我们的研究结果表明, LGBTQ 医疗保健专业人员在工作场所仍面临歧视。必须解决这种歧视问题,以在军事医学领域营造包容的工作环境,从而提高部队的战备状态。

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