Centre for Trials Research, Cardiff University, Cardiff, UK
Centre for Adult Social Care Research, Cardiff University, Cardiff, UK.
BMJ Open. 2024 Oct 23;14(10):e086497. doi: 10.1136/bmjopen-2024-086497.
Previous research has identified that lesbian, gay, bisexual, trans and queer (LGBTQ+) social care service users have concerns and/or negative experiences of their care due to staff views and attitudes about them/their sexual and gender identities. This has resulted in a number of barriers and challenges for the delivery of social care to this population. However, there is a little research relating to what types of evidence-based interventions can help overcome these barriers, enhance knowledge and promote positive attitude change in staff. The objective of this review was to systematically review current literature on interventions targeted at staff views and attitudes of LGBTQ+ older people in care and identify gaps in knowledge to inform a future theory of change and identify potential interventions to address these.
This scoping review will be conducted in line with the Joanna Briggs Institute methodology for scoping reviews. We will conduct a comprehensive search of electronic databases (ie, Social Services Abstracts, Social Care online, Sociological Abstracts, PsycINFO, Medline, CINAHL, Scopus, ASSIA and Web of Science) focused on both health and social care literature to identify peer-reviewed literature as well as targeted online searches of potentially relevant grey literature. We will include literature published in the past 20 years (2003-2023) that report interventions to address care staff attitudes of LGBTQ+ populations older than 50 years who are receiving adult social care in a broad range of healthcare, residential or home settings. Citations will be screened by two independent researchers for inclusion and relevant data extracted using a bespoke template. Data will be analysed narratively and summarised to identify gaps in knowledge and aid in developing a theory of change.
Ethics approval is not required. Findings will be disseminated via publication in a peer-reviewed journal.
A priori registration on Open Science Framework: https://osf.io/v76ws.
先前的研究已经确定，由于工作人员对他们/他们的性和性别认同的看法和态度，女同性恋、男同性恋、双性恋、跨性别和酷儿（LGBTQ+）社会护理服务使用者对他们的护理存在担忧和/或负面体验。这导致为这一人群提供社会护理存在许多障碍和挑战。然而，关于什么样的循证干预措施可以帮助克服这些障碍、增强知识并促进工作人员态度的积极转变，相关研究甚少。本综述的目的是系统地回顾针对护理中 LGBTQ+老年人的工作人员观点和态度的干预措施的现有文献，并确定知识空白，以为未来的变革理论提供信息，并确定潜在的干预措施来解决这些问题。
本范围综述将按照 Joanna Briggs 研究所的范围综述方法进行。我们将对电子数据库（即社会服务摘要、社会护理在线、社会学摘要、心理信息数据库、医学文献在线、 CINAHL、Scopus、ASSIA 和 Web of Science）进行全面搜索，重点关注健康和社会护理文献，以确定同行评议文献以及针对潜在相关灰色文献的有针对性的在线搜索。我们将纳入过去 20 年（2003-2023 年）发表的文献，这些文献报告了针对 50 岁以上接受广泛医疗保健、住宿或家庭护理的 LGBTQ+人群的护理工作人员态度的干预措施。两位独立研究人员将筛选引文以确定是否符合纳入标准，并使用定制模板提取相关数据。将对数据进行叙述性分析和总结，以确定知识空白，并帮助制定变革理论。
不需要伦理批准。研究结果将通过在同行评议期刊上发表来传播。
在开放科学框架上预先注册：https://osf.io/v76ws。
