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护理专业学生在医院环境中护理LGBTQIA+患者时的关怀行为。

Nursing students' caring practices in caring for LGBTQIA+ patients in a hospital setting.

作者信息

Thawnarain Amanda, Downing Charlene

机构信息

University of Johannesburg, Department of Nursing, Johannesburg, South Africa.

University of Johannesburg, Department of Nursing, Johannesburg, South Africa.

出版信息

Nurse Educ Today. 2025 Oct;153:106792. doi: 10.1016/j.nedt.2025.106792. Epub 2025 May 31.

Abstract

BACKGROUND

LGBTQIA+ communities continue to experience health disparities due to discrimination, invisibility within healthcare systems, and a shortage of culturally competent nurses. Nursing students are often underprepared to meet the unique needs of this population, as nurse educators may lack adequate training, and curricula frequently omit comprehensive LGBTQIA+ content.

PURPOSE

This study explored and described nursing students' caring practices for LGBTQIA+ patients in a hospital setting, with the aim of informing recommendations to foster inclusive nursing education and practice.

METHODS

A qualitative, descriptive, multisite research design was employed. Sixteen undergraduate nursing students from a nursing education institution participated in semi-structured interviews lasting 45-60 min. Purposive sampling ensured a range of academic years and backgrounds.

RESULTS

Three themes were generated from the data: (1) Students demonstrated a commitment to inclusive care, striving to create supportive environments for LGBTQIA+ patients; (2) Personal biases and a lack of exposure hindered compassionate care, highlighting the need for ongoing education and self-reflection; (3) Significant knowledge and skills gaps limited students' preparedness, demonstrating the urgent need for enhanced training on LGBTQIA+ health related content.

CONCLUSION

Nursing students play a pivotal role in advancing inclusive care for LGBTQIA+ patients, families, and communities, yet gaps in education, training, and self-awareness persist. Integrating comprehensive LGBTQIA+ content and cultural competence training into nursing curricula is essential to prepare future nurses to deliver equitable, affirming care and foster a more inclusive healthcare system.

摘要

背景

由于歧视、在医疗保健系统中不被关注以及缺乏具备文化胜任力的护士,LGBTQIA+群体持续面临健康差异。护理专业学生往往没有做好准备来满足这一群体的独特需求,因为护理教育工作者可能缺乏足够的培训,并且课程经常遗漏全面性的LGBTQIA+内容。

目的

本研究探讨并描述了护理专业学生在医院环境中对LGBTQIA+患者的关怀实践,旨在为促进包容性护理教育和实践提供建议。

方法

采用了定性、描述性、多地点研究设计。来自一所护理教育机构的16名本科护理专业学生参加了持续45至60分钟的半结构化访谈。目的抽样确保了涵盖不同学年和背景的学生。

结果

数据产生了三个主题:(1)学生们表现出对包容性护理的承诺,努力为LGBTQIA+患者创造支持性环境;(2)个人偏见和缺乏接触阻碍了关怀护理,凸显了持续教育和自我反思的必要性;(3)重大的知识和技能差距限制了学生的准备程度,表明迫切需要加强关于LGBTQIA+健康相关内容的培训。

结论

护理专业学生在推进对LGBTQIA+患者、家庭和社区的包容性护理方面发挥着关键作用,但在教育、培训和自我意识方面的差距仍然存在。将全面的LGBTQIA+内容和文化胜任力培训纳入护理课程对于培养未来护士提供公平、肯定的护理以及促进更具包容性的医疗保健系统至关重要。

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