Kang Sook Jung, Min Hye Young
Assistant Professor, College of Nursing, Ewha Womans University, Seoul, Korea.
Korean J Women Health Nurs. 2019 Dec;25(4):379-391. doi: 10.4069/kjwhn.2019.25.4.379. Epub 2019 Dec 10.
As health care needs for Lesbian, Gay, Bisexual and Transgender (LGBT) are becoming increasingly important, it has become imperative for the nurses to be attentive towards their health problems and provide nursing care with an open-minded attitude. Due to limited opportunity to provide direct nursing care to LGBT patients, it is hypothesized that simulation would provide good opportunity for students to experience LGBT nursing care in a safe environment. This study was conducted to develop and apply simulation of LGBT nursing care to ultimately provide unbiased nursing care for LGBT population and prepare basic data for LGBT nursing education.
This study was a single-group pre-post experimental design study for 57 senior nursing students based on the comparison of existing LGBT knowledge, general attitude towards LGBT, and nursing attitude towards LGBT before and after simulation. The scenario content included discussion of coming out issue, providing sexual health information, and supportive nursing care for LGBT population. Data were analyzed with descriptive statistics and Wilcoxon signed rank.
Simulation education-led to a significant increase in LGBT knowledge and nursing attitude. However, there was no change in the general attitude towards LGBT.
The results of this study suggest that LGBT education using simulation may be effective for nursing students and nurses from the point of concern for LGBT population. It is hypothesized that future LGBT educational programs might need more detailed information from both care recipients and nurses. Finally, LGBT education needs to be included in the nursing education curriculum.
随着女同性恋、男同性恋、双性恋和跨性别者（LGBT）的医疗保健需求变得越来越重要，护士必须关注他们的健康问题并以开放的态度提供护理。由于为LGBT患者提供直接护理的机会有限，因此假设模拟将为学生提供在安全环境中体验LGBT护理的良好机会。本研究旨在开发和应用LGBT护理模拟，最终为LGBT人群提供无偏见的护理，并为LGBT护理教育准备基础数据。
本研究是一项针对57名高年级护理学生的单组前后实验设计研究，基于模拟前后对LGBT现有知识、对LGBT的一般态度以及对LGBT的护理态度进行比较。情景内容包括出柜问题的讨论、提供性健康信息以及为LGBT人群提供支持性护理。数据采用描述性统计和Wilcoxon符号秩检验进行分析。
模拟教育导致LGBT知识和护理态度显著增加。然而，对LGBT的一般态度没有变化。
本研究结果表明，从对LGBT人群的关注角度来看，使用模拟进行LGBT教育可能对护理学生和护士有效。据推测，未来的LGBT教育项目可能需要来自护理接受者和护士的更详细信息。最后，LGBT教育需要纳入护理教育课程。
