Keemink Jolie R, Hammond John, Collins Grace, Price Joseph, Wells Martin, Johnson Sallie, Rugg Susan A, Parish Martin, King Andrew, Almack Kathryn
University of Kent, Canterbury, UK.
PPI Member, Canterbury, UK.
Health Expect. 2025 Aug;28(4):e70309. doi: 10.1111/hex.70309.
Many older LGBTQ+ people still face discrimination in care home settings, and many care home staff do not have the knowledge required to provide LGBTQ+ inclusive care. Despite the availability of valuable resources on LGBTQ+ inclusion, its widespread use in social care practice in the United Kingdom is lacking. To address this issue, the current study presents a novel resource on LGBTQ+ inclusion co-designed by older LGBTQ+ people, care home staff and researchers, developed to be usable in a care home context.
Five older LGBTQ+ people, four care home staff and three researchers co-designed the novel resource in four online co-design meetings using an adapted experience-based co-design process. Co-design meetings were recorded to collect data on the co-design process. We organised an online focus group to collect data on how the co-design members had experienced the co-design process and their thoughts on the anticipated impact of the novel resource.
The co-design group successfully developed a resource that adds to existing resources by being fully co-designed by older LGBTQ+ people, care home staff and researchers. It prioritises positive actions care staff can take along someone's care journey, available in formats designed to work well in a care home environment. Further, the focus group data highlighted the power of lived experience, from perspectives of both older LGBTQ+ people and care staff. Both perspectives brought unique elements to the co-design sessions and are represented in the final resource.
Through an inclusive co-design process, we developed a new resource for care homes to support LGBTQ+ inclusive practice. Our findings demonstrate the importance of collaboration between older LGBTQ+ people and care home staff to develop resources for inclusive practice. The final version of the resource has been launched and future research will assess its impact in practice.
The resource was fully co-designed by older LGBTQ+ people and care home staff. The wider project was supported by an older LGBTQ+ person as co-applicant.
许多老年 LGBTQ+ 群体在养老院环境中仍面临歧视，而且许多养老院工作人员缺乏提供包容 LGBTQ+ 群体护理所需的知识。尽管有关于包容 LGBTQ+ 群体的宝贵资源，但在英国的社会护理实践中，这些资源并未得到广泛应用。为解决这一问题，本研究展示了一种由老年 LGBTQ+ 群体、养老院工作人员和研究人员共同设计的关于包容 LGBTQ+ 群体的新型资源，该资源专为养老院环境设计。
五名老年 LGBTQ+ 群体成员、四名养老院工作人员和三名研究人员通过采用基于经验的适应性共同设计流程，在四次在线共同设计会议中共同设计了这一新型资源。共同设计会议进行了记录，以收集有关共同设计过程的数据。我们组织了一次在线焦点小组讨论，以收集有关共同设计成员对共同设计过程的体验以及他们对该新型资源预期影响的看法的数据。
共同设计小组成功开发了一种资源，该资源通过由老年 LGBTQ+ 群体、养老院工作人员和研究人员进行全面共同设计，对现有资源进行了补充。它优先考虑护理人员在某人的护理过程中可以采取的积极行动，以适合养老院环境的形式提供。此外，焦点小组的数据突出了老年 LGBTQ+ 群体和护理人员的生活经验的力量。这两个视角都为共同设计会议带来了独特的元素，并在最终资源中得到体现。
通过一个包容性的共同设计过程，我们为养老院开发了一种新资源，以支持包容 LGBTQ+ 群体的实践。我们的研究结果表明，老年 LGBTQ+ 群体与养老院工作人员之间合作对于开发包容性实践资源的重要性。该资源的最终版本已发布，未来的研究将评估其在实践中的影响。
该资源由老年 LGBTQ+ 群体和养老院工作人员全面共同设计。更广泛的项目由一名老年 LGBTQ+ 群体成员作为共同申请人提供支持。
