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Kilicaslan J, Lewis J, Kennon T, Lane R, Petrakis M. Healthcare professionals' experiences and perceptions about LGBTIQA+ safety and responsiveness in a mainstream Australian health service: Qualitative findings. Arch Psychiatr Nurs 2024; 48:85-92. [PMID: 38453287 DOI: 10.1016/j.apnu.2024.01.017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/09/2023] [Revised: 01/26/2024] [Accepted: 01/28/2024] [Indexed: 03/09/2024]
Abstract
OBJECTIVE To explore experiences and perspectives of healthcare workers regarding LGBTIQA+ safety and responsiveness. METHODS Thematic analysis of semi-structured, in-depth interviews, and pre-surveys to collect demographics and knowledge self-rating scales. RESULTS Of 38 multidisciplinary healthcare staff, 44.7 % identified as LGBTIQA+ and 55.3 % as heterosexual and cisgender allies. Participants discussed experiences, noting strengths and gaps in affirming practice and organisational support, and training and education opportunities. CONCLUSIONS Health services need to prioritise LGBTIQA+ safety and responsiveness for staff, patients, carers and families. LGBTIQA+ healthcare staff report that they have had experiences of trauma, minority stress, discrimination, homophobia and/or transphobia, and look for visible safe spaces at work and see safer clinical care.
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Affiliation(s)
- Jan Kilicaslan
- Mental Health, St Vincent's Hospital Melbourne, 41 Victoria Pde, Fitzroy, Victoria 3065, Australia; Department of Social Work, School of Primary and Allied Health Care, Monash University, Level 4, Building C, Caulfield Campus, 900 Dandenong Road, Caulfield East, Victoria 3145, Australia; Western Health, Furlong Road, St. Albans, Victoria 3021, Australia
| | - Jayne Lewis
- Mental Health, St Vincent's Hospital Melbourne, 41 Victoria Pde, Fitzroy, Victoria 3065, Australia
| | - Tiffany Kennon
- Department of Social Work, School of Primary and Allied Health Care, Monash University, Level 4, Building C, Caulfield Campus, 900 Dandenong Road, Caulfield East, Victoria 3145, Australia; Department of Social Work, Casey Hospital, Monash Health, 62-70 Kangan Drive Berwick, Victoria 3806, Australia
| | - Riki Lane
- Department of General Practice, School of Primary and Allied Health Care, Monash University, 553 St Kilda Rd, Melbourne, Victoria 3004, Australia; Gender Clinic, Monash Health, 79-81 Fitzroy St, St Kilda, Victoria 3182, Australia
| | - Melissa Petrakis
- Mental Health, St Vincent's Hospital Melbourne, 41 Victoria Pde, Fitzroy, Victoria 3065, Australia; Department of Social Work, School of Primary and Allied Health Care, Monash University, Level 4, Building C, Caulfield Campus, 900 Dandenong Road, Caulfield East, Victoria 3145, Australia.
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