International Journal of Advanced Culture Technology

The International Promotion Agency of Culture Technology (국제문화기술진흥원)
권호 표지
DOI QR코드

DOI QR Code

A Conceptual Analysis of LGBTQ Cultural Competence for Nurses

  • Received : 2023.10.06
  • Accepted : 2023.11.05
  • Published : 2023.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

The purpose of this study was to clarify the concept of LGBT cultural competence in nurses. This study used Walker and Avant's 8 steps of conceptual analysis. The specific steps are: (1) selecting the concept, (2) selecting the purpose of concept analysis, (3) identifying the scope of concept use, (4) identifying the determinant attributes of the concept, (5) presenting model cases, (6) additional cases of the concept (boundary cases, opposite cases, and related cases), (7) identifying antecedents and consequences, and (8) presenting empirical evidence. As a result, five attributes of nurses' LGBT cultural competence were identified in the final 12 articles: cultural experience and cultural acceptance, cultural knowledge, cultural attitude and awareness, and cultural skills. Antecedents included diversification of society, heteronormative healthcare environment, continuing education and training, intercultural understanding, and open-mindedness. Outcomes of cultural competence were identified as reducing LGBT health inequalities and providing quality care. In conclusion, this study contributes to providing a basis for improving the quality of nursing care by providing more culturally appropriate care to the target population through conceptual analysis and understanding of nurses' LGBT cultural competence. Furthermore, it is necessary to continue research on the development of tools to measure nurses' LGBT cultural competence and the development of nursing intervention programmes that can be applied in nursing practice.

Keywords

References

  1. M.C. Cochat Costa Rodrigues, F. Leite, and M. Queiros, "Sexual minorities: The terminology," European Psychiatry, Vol. 41, No. 1, pp. 848, 2017. DOI: 10.1016/j.eurpsy.2017.01.1680
  2. Y.S. Chu, K.T. Kim, and B.M. Kim, Public Attitudes towards Social Minorities: The Case of South Korea(Research Report 2019-11), Korea Institute for Health and Social Affairs, 2019.
  3. M.J. Eliason, S. Dibble, and J. DeJoseph, "Nursing's silence on lesbian, gay, bisexual, and transgender issues: The need for emancipatory efforts," Advances in Nursing Science, Vol. 33, No. 3, pp. 206-218, 2010. DOI: 10.1097/ANS.0b013e3181e63e49
  4. K.I. Fredriksen-Goldsen, H.J. Kim, S.E. Barkan, A. Muraco, and C.P. Hoy-Ellis, "Health disparities among lesbian, gay, and bisexual older adults: Results from a population-based study," American Journal of Public Health, Vol. 103, No. 10, pp. 1802-1809, 2013. DOI: 10.2105/AJPH.2012.301110
  5. F.A. Lim and R. Hsu, "Nursing Students' Attitudes Toward Lesbian, Gay, Bisexual, and Transgender Persons: An Integrative Review," Nursing Education Perspectives. Vol. 37, No. 3, pp. 144-152, 2016. DOI: 10.1097/01.nep.0000000000000004
  6. K.N. Kaiafas and T. Kennedy, "Lesbian, Gay, Bisexual, Transgender, Queer Cultural Competency Training to Improve the Quality of Care: An Eviedence-Based practice Project," Journal of Emergency Nursing, Vol. 47, No. 1, pp. 645-660, 2021. DOI: 10.1016/j.jen.2020.12.007
  7. T. Traister, "Improving LGBTQ Cultural Competence of RNs Through Education," Journal of Continuing Education in Nurssing, Vol. 15, No. 1, pp. 359-366, 2020. DOI: 10.3928/00220124-20200716-05
  8. C. Dorsen, "An integrative review of nurse attitudes towards lesbian, gay, bisexual, and transgender patients," Canadian Journal of Nursing Research, Vol. 44, No. 3, pp. 18-43, 2012.
  9. C. Della Pelle, F. Cerratti, P. Di Giovanni, F. Cipollone, and G. Cicolini, "Attitudes towards and knowledge about lesbian, gay, bisexual, and transgender patients among Italian nurses: An observational study," Journal of Nursing Scholarship, Vol. 50, No. 4, pp. 367-374, 2018. DOI: 10.1111/jnu.12388
  10. E.D. Wyckoff, "LGBT Cultural Competence of Acute Care Nurse," Journal for Nurses Professional Development, Vol. 35, No. 3, pp. 125-131, 2019. DOI: 10.1097/NND.0000000000000524
  11. R.G. Schwindt, "LGBTQ cultural competence for pharmacists," Pharmacy Today, Vol. 26, No. 9, pp. 46-55, 2020. https://doi.org/10.1016/j.ptdy.2020.08.018
  12. M.S. Boroughs, C.A. Bedoya, C. O'Cleirigh, and S.A. Safren, "Toward Defining, Measuring, and Evaluating LGBT Cultural Competence for Psychologists," Clinical Psychology: Science and Practice, Vol. 22, No. 2, pp. 151-171, 2015. https://doi.org/10.1111/cpsp.12098
  13. D. Manzer, L. O'Sullivan, and S. Doucet, "Culturally Competent Care of LGBT Patients: The NP Experience," International Journal of Advanced Nursing Education and Research, Vol. 4, No. 3, pp. 53-68, 2019. DOI:10.21742/IJANER.2019.4.3.09
  14. L.O. Walker and K.C. Avant, Concept analysis. In: Walker, L.O., Avant, K.C. (Eds.), Strategies for Theory Construction in Nursing, London: Pearson, pp.163-186, 2010.
  15. K.I. Fredriksen-Goldsen, C.P. Hoy-Ellis, J. Goldsen, C.A. Emlet, and N.R. Hooyman, "Creating a vision for the future: Key competencies and strategies for culturally competent practice with lesbian, gay, bisexual, and transgender (LGBT) older adults in the health and human services," Journal of Gerontological Social Work, Vol. 57, No. 2-4, pp.80-107, (2014). https://doi.org/10.1080/01634372.2014.890690
  16. E. McEwing, "Delivering culturally competent care to the lesbian, gay, bisexual, and transgender (LGBT) population: Education for nursing students," Nurse Education Today, Vol. 94, pp. 1-7, 2020. DOI: 10.1016/j.nedt.2020.104573
  17. K.L. Strong and V.N. Folse, "Assessing undergraduate nursing students' knowledge, attitudes, and cultural competence in caring for lesbian, gay, bisexual, and transgender patients," Journal of Nursing Education, Vol. 54, No. 1, pp. 45-49, 2015. DOI: 10.3928/01484834-20141224-07
  18. Y.C. Wang, S.R. Chang, and N.F. Miao, "Taiwanese Nurses' Attitudes Towards and Knowledge About Sexual Minorities and Their Behavior of Providing Care to Sexual Minority Patients: Results of an Online Survey," Journal of Nursing Scholarship, Vol. 52, No. 6, pp. 605-612, 2020. DOI: 10.1111/jnu.12593
  19. H.Y. Kim and M.K. Kim, "Integrative Review on LGBT Cultural Competence of Nurses and Nursing Students," The Journal Of Humanities and Social Sciences 21, Vol. 12, No. 6, pp. 3179-3194, 2021. DOI http://dx.doi.org/10.22143/HSS21.12.6.224
  20. M.J. Kim, "A Study on Multicultural Attitude, Cultural Competence and Influencing Factors Among Nurses in Korea," The Journal Of Humanities and Social Sciences 21, Vol.10, No.1, pp. 159-174, 2019. DOI : 10.22143/HSS21.10.1.12
  21. G.M. Herek, "Heterosexuals' attitudes toward lesbians and gay men: Correlates and gender differences," Journal of Sex Research, Vol. 25, No. 4, pp. 451-477, 1988. DOI : https://doi.org/10.1080/00224498809551476
  22. M. Harris, J. Nightingale, and N. Owens, "Health care professionals' experience, knowledge, and attitudes concerning homosexuality," Journal of Gay and Lesbian Social Services, Vol. 2, No. 2, pp. 91-107, 1995. https://doi.org/10.1300/J041v02n02_06