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Laiti M, Pakarinen A, Parisod H, Hayter M, Sariola S, Salanterä S. Supporting LGBTQ+ Students: A Focus Group Study with Junior High School Nurses. J Sch Nurs 2024; 40:295-304. [PMID: 35300547 PMCID: PMC11095055 DOI: 10.1177/10598405221086035] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
LBGTQ+ students often miss the support and information they need in the school nursing, but little is known about junior high school (JHS) nurses' work with LGBTQ+ students. 15 JHS nurses were interviewed in focus groups about their perceptions of supporting LGBTQ+ students. Four interconnected themes were identified with inductive thematic analysis: (1) JHS nurses' professional identity and practice; (2) Recognition of sexual and gender diversity in school; (3) Family acceptance process; and (4) LGBTQ+ students as school nursing clients. JHS nurses self-identified as accepting professionals, but having limited skills, knowledge, and education needed in supporting LGBTQ+ students. Supporting LGBTQ+ students is a complex phenomenon, and to enhance JHS nurses' competence in providing care for these students, sexual and gender diversity needs to be included in evidence-based nursing information sources, covered in nursing education, and the school needs to be secured as LGBTQ+ safe place.
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Affiliation(s)
- Minna Laiti
- Department of Nursing Science, University of Turku, Turku, Finland
| | - Anni Pakarinen
- Department of Nursing Science, University of Turku, Turku, Finland
| | - Heidi Parisod
- Department of Nursing Science, University of Turku, Turku, Finland
- The Nursing Research Foundation, Helsinki, Finland
| | - Mark Hayter
- Faculty of Health, Psychology & Social Care, Manchester Metropolitan University, Manchester, UK
| | - Salla Sariola
- Faculty of Political Sciences, Discipline of Sociology, University of Helsinki, Helsinki, Finland
| | - Sanna Salanterä
- Department of Nursing Science, University of Turku, Turku, Finland
- Turku University Hospital, Turku, Finland
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Tsusaki R, Mullassery D, Ramaswamy P. Development and implementation of sexual and gender minority curriculum for advanced practice nursing: A feasibility study. J Adv Nurs 2024. [PMID: 38186086 DOI: 10.1111/jan.16051] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2023] [Revised: 12/02/2023] [Accepted: 12/17/2023] [Indexed: 01/09/2024]
Abstract
AIM To explore the feasibility of development and implementation of an educational intervention addressing sexual and gender minority healthcare issues; examine recruitment processes and instrument appropriateness. DESIGN Non-randomized feasibility study. METHODS The educational intervention was developed and implemented in family nurse practitioner courses with data collection from August through December 2022. Clinical preparedness, attitudinal awareness and basic knowledge were measured using the lesbian, gay, bisexual and transgender Development of Clinical Skills Scale. RESULTS Development and implementation of the intervention was feasible but will require amendment before progressing to the pilot study. Clinical preparedness and basic knowledge increased post-intervention, but attitudinal awareness did not improve. Recruitment did not achieve the desired sample size. Instrument internal consistency reliability was confirmed. CONCLUSION Feasibility was established but will require amendment prior to the pilot study. IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE To prepare nurses and nurse practitioners to care for sexual and gender minority patients. IMPACT This study addressed the feasibility of developing and implementing a sexual and gender minority healthcare education using an e-Learning platform. Findings confirm that the intervention was feasible but will require amendment. The intervention increased knowledge and clinical preparedness in caring for this population, but recruitment was challenging. This research will impact nurses, nurse practitioners and nurse educators. REPORTING METHOD The authors adhered to the relevant EQUATOR guidelines. The Consolidated Standards of Reporting Trials guideline extension for reporting randomized and feasibility guidelines were used. PUBLIC CONTRIBUTION Sexual and gender minority community members contributed to the intervention development. WHAT DOES THIS PAPER CONTRIBUTE TO THE WIDER GLOBAL CLINICAL COMMUNITY?: The feasibility of using interactive e-learning educational resources to provide sexual and gender minority healthcare curriculum. Evidence to support the use of the Lesbian, Gay, Bisexual, and Transgender Development of Clinical Skills Scale to measure learning outcomes. TRIAL REGISTRATION This study was not prospectively registered because it was an educational intervention involving graduate student nurses and did not assess clinical outcomes of patients.
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Affiliation(s)
- Rebecca Tsusaki
- Department of Graduate Studies, The University of Texas Health Science Center at Houston Cizik School of Nursing, Houston, Texas, USA
| | - Daisy Mullassery
- Department of Graduate Studies, The University of Texas Health Science Center at Houston Cizik School of Nursing, Houston, Texas, USA
| | - Padmavathy Ramaswamy
- Department of Graduate Studies, The University of Texas Health Science Center at Houston Cizik School of Nursing, Houston, Texas, USA
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Soto-Fernández I, Fernández-Cézar R, Aguiar Frias AM, Dias H, Santiago C, Gradellini C, Aaberg V, García-López V, Gómez-Cantarino S. Sexual education for university students and the community in a european project: study protocol. BMC Nurs 2023; 22:192. [PMID: 37286976 DOI: 10.1186/s12912-023-01350-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2023] [Accepted: 05/23/2023] [Indexed: 06/09/2023] Open
Abstract
BACKGROUND The World Health Organisation (WHO) calls on stakeholders to give Higher Education a key educational importance for the future of Europe. Within the content of the training programmes at university, sexuality emerges as a relevant topic in the nursing degree, to promote integral health from a holistic perspective. However, research on the presence of sexuality at the curricular level in Higher Education suggests that it is incomplete and underdeveloped. METHODS This is a protocol for a long-term, multi-centre, exploratory, descriptive, and cross-sectional study with a quantitative and qualitative approach lasting two years. The research will be carried out in the educational community, including, on the one hand, students, and professors and health professionals of nursing programmes from five universities in different parts of the world (Portugal, Spain, Italy, and the United States), and on the other hand, women, young people, and immigrants from these communities. The study will have several target populations. Firstly, the target is nursing students, with whom the aim is to define their perspective on the sexuality content taught at the university, and their level of knowledge. Secondly university professors and health professionals, with whom we will check their perspective on sexuality in the classroom, as well as their level of knowledge in this field. And finally, we will work with the community (women, young people, and immigrants) to whom we will try to bring sexuality from a useful and enjoyable perspective. In order to measure these variables in the protocol, instruments such as questionnaires and semi-structured interviews will be used. During data collection, ethical principles will be guaranteed and informed consent will be requested from the participants. DISCUSSION The results of the research will have a high curricular impact on the educational community, and will last over time, since the tools generated in the project will be included as part of nursing training programmes. In addition, participation in the project will improve health education for health professionals and at the community level on sexuality in both urban and rural populations.
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Affiliation(s)
- I Soto-Fernández
- EdSex Project, Diputación de Toledo, Residencia Social Asistida San José, Universidad de Castilla-La Mancha, Campus de Toledo, Nursing, Toledo, 45071, Spain
| | - R Fernández-Cézar
- EdSex Project, Facultad de Educación de Toledo, Universidad de Castilla-La Mancha, Toledo, 45071, Spain.
| | - A M Aguiar Frias
- EdSex Project, Escola Superior de Enfermagem, Departamento de Enfermagem. Comprehensive Health Research Centre (CHRC), Universidade de Évora, Évora, Portugal
| | - H Dias
- EdSex Project, Escola de Saude, Politécnico de Santarém, Quinta do Mergulhão Srª da Guia, Santarém, 2005-075, Portugal
- Centro de Investigação sobre Tecnologias e Serviços da Saúde (CINTESIS), NursID - Inovação e Desenvolvimento em Enfermagem, Universidade do Porto, Porto, Portugal
- Centro de Investigação da Qualidade de Vida (CIEQV), Politécnico de Santarém e Politécnico de Leiria, Leiria, Portugal
| | - C Santiago
- EdSex Project, Escola de Saude, Politécnico de Santarém, Quinta do Mergulhão Srª da Guia, Santarém, 2005-075, Portugal
- Centro de Investigação sobre Tecnologias e Serviços da Saúde (CINTESIS), NursID - Inovação e Desenvolvimento em Enfermagem, Universidade do Porto, Porto, Portugal
- Centro de Investigação da Qualidade de Vida (CIEQV), Politécnico de Santarém e Politécnico de Leiria, Leiria, Portugal
| | - C Gradellini
- EdSex Project, Campus Universitario San Lazzaro, Università di Modena e Reggio Emilia, 2-42122, Vía Amendola, Reggio Emilia, Italy
| | - V Aaberg
- School of Health Sciences, Seattle Pacific University, 98119, Seattle, WA, USA
| | - V García-López
- EdSex Project, Departamento de fisioterapia y terapia ocupacional, Universidad de Castilla-La Mancha, Campus de Toledo, 45071, Nursing, Toledo, Spain
| | - S Gómez-Cantarino
- EdSex Project, Departamento de fisioterapia y terapia ocupacional, Universidad de Castilla-La Mancha, Campus de Toledo, 45071, Nursing, Toledo, Spain
- Health Sciences Research Unit: Nursing (UICISA: E), Coimbra Nursing School (ESEnfC), 3004-011, Coimbra, Portugal
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Priddle T, Crawford T, Power T. The inclusion and representation of LGBTIQ+ content in undergraduate nurse education: A scoping review. NURSE EDUCATION TODAY 2023; 124:105771. [PMID: 36889046 DOI: 10.1016/j.nedt.2023.105771] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/15/2022] [Revised: 02/11/2023] [Accepted: 02/26/2023] [Indexed: 06/18/2023]
Abstract
OBJECTIVES The aim of this review was to gain an overview of existing empirical literature examining LGBTIQ+ content in undergraduate nursing curricula. DESIGN An international scoping review was conducted using librarian assisted search strategies. DATA SOURCES The databases CINAHL, SCOPUS and ERIC were searched. A total of 30 studies meeting the eligibility criteria were included in this review. REVIEW METHODS Following a quality appraisal, thematic analysis was conducted to identify six key themes. RESULTS 30 studies spanning 8 countries, across 5 continents were included in this review. 6 themes emerged 1) Level of Knowledge Regarding LGBTIQ+ People and Their Specific Health Needs, 2) Comfort and Preparedness in the Provision of Care to LGBTIQ+ People, 3) Attitudes Toward LGBTIQ+ People, 4) Inclusion of LGBTIQ+ Educational Content, 5) Framing of LGBTIQ+ Educational Content, 6) Pedagogical Strategies to Incorporate LGBTIQ+ Content. CONCLUSIONS Nurse education is dominated by heteronormativity, deficit discourses, stereotypes, binary ideologies and western cultural perspectives. The body of literature surrounding LGBTIQ+ content in nurse education is largely quantitative, insular and contributes to the erasure of unique identities under the LGBTIQ+ umbrella.
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Affiliation(s)
- Tyler Priddle
- Level 8, D18 - Susan Wakil Health Building, The University of Sydney, Gadigal Country, Camperdown, NSW, 2006, Australia.
| | - Tonia Crawford
- Level 8, D18 - Susan Wakil Health Building, The University of Sydney, Gadigal Country, Camperdown, NSW, 2006, Australia.
| | - Tamara Power
- Level 8, D18 - Susan Wakil Health Building, The University of Sydney, Gadigal Country, Camperdown, NSW, 2006, Australia.
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Sim-Sim M, Aaberg V, Dias H, Caldeira E, Gradellini C, Mecugni D, Gomez-Cantarino S. Attitudes and Beliefs of Portuguese and American Nursing Students about Patients’ Sexuality. Healthcare (Basel) 2022; 10:healthcare10040615. [PMID: 35455793 PMCID: PMC9027804 DOI: 10.3390/healthcare10040615] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2022] [Revised: 03/22/2022] [Accepted: 03/22/2022] [Indexed: 02/01/2023] Open
Abstract
Nursing school graduates must be prepared to interact comfortably and effectively with patients about their sexual health. This study analyses the attitudes and beliefs about patient sexuality held by Portuguese and American nursing students. Objective: In Portuguese and American nursing students, (1) we analyzed students’ attitudes and beliefs towards sexuality using the Sexuality Attitudes and Beliefs Survey (SABS); (2) we identified nationality, socio-demographic information, and affective-sexual beliefs and attitudes. Method: Quantitative, cross-sectional study; convenience sample of 296 students (63.2% Portuguese; 36.8% American); mean age: 21.9 years (SD = 3.12); two-way ANOVA and multiple correspondence analyses were performed. Results: Attitudes and beliefs toward sexuality: Portuguese women are more liberal than men, contrary to American students. Among both nationalities, participants with multiple sexual partners held more conservative attitudes. Sexual orientation: bisexual American students and homosexual Portuguese students are conservative. Multiple correspondence analysis revealed two profiles: (1) Portuguese students: liberal-tolerant in attitudes towards patient sexuality, live with family/roommate, 18 to 21 years old, no or one sexual partner; (2) US students: traditionalist attitudes towards patient sexuality, share house, 22 and 23 years old, multiple partners. Conclusion: Human sexuality must be addressed in nursing education curricula.
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Affiliation(s)
- Margarida Sim-Sim
- Nursing Department, University of Evora, Comprehensive Health Research, Integrated Researcher (CHRC), Escola Superior de Enfermagem S. João de Deus, 7000-811 Evora, Portugal; (M.S.-S.); (E.C.)
| | - Vicki Aaberg
- School of Health Sciences, Seattle Pacific University, Seattle, WA 98119, USA;
| | - Hélia Dias
- Instituto Politecnico de Santarém, Escola Superior de Saúde, 2005-075 Santarém, Portugal;
| | - Ermelinda Caldeira
- Nursing Department, University of Evora, Comprehensive Health Research, Integrated Researcher (CHRC), Escola Superior de Enfermagem S. João de Deus, 7000-811 Evora, Portugal; (M.S.-S.); (E.C.)
| | - Cinzia Gradellini
- EdSex Project, University of Modena and Reggio Emilia, Azienda Unità Sanitaria Locale-IRCCS of Reggio Emilia, 42122 Reggio Emilia, Italy;
- Correspondence: ; Tel.: +34-39-0522-522514
| | - Daniela Mecugni
- EdSex Project, University of Modena and Reggio Emilia, Azienda Unità Sanitaria Locale-IRCCS of Reggio Emilia, 42122 Reggio Emilia, Italy;
| | - Sagrario Gomez-Cantarino
- Faculty of Physiotherapy and Nursing, Toledo Campus, University of Castilla-La Mancha, Avda Carlos III, s/n, 45071 Toledo, Spain;
- Health Sciences Research Unit: Nursing (UICISA: E), The Nursing School of Coimbra (ESEnfC), 3004-011 Coimbra, Portugal
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