lgbt community Created by Joshua Vrona Introduction Can you guess the estimated number of LGBT people in the United States 993 of all US counties Come from all walks of life Improving the healthcare experience for LGBT individuals ID: 793654
Download The PPT/PDF document "The healthcare system and the" is the property of its rightful owner. Permission is granted to download and print the materials on this web site for personal, non-commercial use only, and to display it on your personal computer provided you do not modify the materials and that you retain all copyright notices contained in the materials. By downloading content from our website, you accept the terms of this agreement.
Slide1
The healthcare system and the lgbt community
Created by Joshua Vrona
Slide2Introduction:
Can you guess the estimated number of LGBT people in the United States? 99.3% of all U.S counties
Come from all walks of life. Improving the healthcare experience for LGBT individuals
Hint:
Slide3Objectives:
Be able to understand the vulnerabilities and health disparities facing LGBT individuals. Use the root cause analysis to identify indicators of poorer quality of healthcare for LGBT population.
Utilize theories to help direct plan of care for LGBT individualsAssess the current state of healthcare and look for areas to improve quality for the LGBT populationProvide QSEN and ANA standards as guides to bettering ourselves within the
nursing profession.
Slide4Health Risks and disparities:
Can you name some health concerns for the LGBT population?
Slide5Continued:
Lesbian Health Concerns: Increased risk for being overweight or obese, and conditions associated with that risk.
Gay Health Concerns: Increased risk for HIV infection, other STI’s, and cardiovascular problems associated with HIV or antiretroviral treatments.Bisexual
Health Concerns: not much is known about bisexual health risks although recent studies have shown increased risk of eating disorders. Transgender: increased risk of violence from others, risk for mental health issues
All Groups: higher risk of smoking, illegal drug use, suicide, mental health issues, and homelessness.
Slide6Root Cause Analysis
V
LGBT community receives poorer quality of care compared to heterosexual people.
Not Enough Education of healthcare students.
LGBT Perceived discrimination of the health system.
Health Provider bias towards LGBT individuals.
Environmental barriers to healthcare
Slide7Education of New Nurses
Many new graduates feel unprepared for contact with LGBT patients.Poor education is having an impact on students
1/3 stated they would have problems working with LGBT patients. 7 hours of total lecture
Educators reported having limited knowledge on topics 70% reported not reading articles within the past two years.
Only issues like mental health, discrimination, and STI’s covered
Nursing Journals have limited articles on LGBT health issues In the past 5 years only 8 articles were found.
Slide8Slide9HealthCare Provider Bias:
Heteronormative bias?Makes assumptions based on sexual orientation “
Homonegativity in health care institutions can adversely affect LGBT-identified employee and patient satisfaction, choice and
loyalty.”Causes economic loss and decreased healthcare in the LGBT community Implicit Bias?
56% of LGBT patients stated they have felt discriminated upon. 34% of LGBT physicians have seen discrimination
Slide10Perceived Discrimination
Greatest threat to health is not having regular care! Hold back important informationThough greater then 75% of providers know it is not right to discriminate
“Felt bias”Risks of bias: increased psychiatric disorders, substance abuse and suicide ideation
LTC facility and discrimination
Slide11Slide12Environmental and Social Barriers
Reluctance to come outLarge proportion of homeless are LGBTPoor access to accepting providers
Lower rates of employment and thereby health insurance These all lead to lower perceptions of health
Slide13Nursing Theory: Modeling and Role Modeling Theory
Created by Helen Erikson, Evelyn Tomlin, and Mary Swain. Draws from many other theories
Modeling: the process in which the nurse looks to understand the patients world. Role modeling: process by which the nurse facilitates and nurtures the individual
in attaining, maintaining, and promoting health. Facilitation
, nurturance, and unconditional acceptance
Slide14Psychology Theory: Planned Behavior
Three predictors for a persons behavior
Affects both LGBT population and their beliefs on getting healthcare, and nurses in how they behave towards LGBT individuals.
What actions can we take to enhance positive behaviors.
Slide15Recommendations
Nursing Education Increase LGBT healthcare topics
Collaborate with LGBT groups or other programs to build lesson plans. Healthcare Provider
Change perceptions Autonomy Work with organizations that reach out to LGBT community
HospitalsDevelop non-discrimination policies
Do community research to make sure LGBT needs are met
Slide16QSEN and ANA Standards
QSEN: Patient Centered CarePatient is full partner in care with unique life and care needs
Make sure care does not just represent the majority.ANA Standards Collaboration
Resource UtilizationEthics
Slide17Analysis of Healthcare Environment
Nurses are on the forefront of change Equal visitation rights for all patients Non-discrimination policies
Federal grants Same sex benefits
Slide18Refrences
Eliason, M., Dibble, S., & DeJoseph
, J. (2010). Nursing's silence on lesbian, gay, bisexual, and transgender issues: the need for emancipatory efforts. Advances In Nursing Science, 33(3), 206-218 13p. doi:10.1097/ANS.0b013e3181e63e49
Klotzbaugh, R., & Spencer, G. (2015). Cues-to-Action in Initiating Lesbian, Gay, Bisexual, and Transgender-Related
Policies Among Magnet Hospital Chief Nursing Officers. Advances In Nursing Science, 38(2), 110-120 11p.
doi:10.1097/ANS.0000000000000069Lim, F. A., Brown Jr., D. V., & Sung Min Justin, K. (2014). Addressing Health Care Disparities in the Lesbian, Gay, Bisexual,
and Transgender Population: A Review of Best Practices. American Journal Of Nursing, 114(6), 24-35 12p. doi:10.1097/01.NAJ.0000450423.89759.36
Lim
, F., Johnson, M., &
Eliason
, M. (2015). A National Survey of Faculty Knowledge, Experience, and Readiness for
Teaching
Lesbian, Gay, Bisexual, and Transgender Health in Baccalaureate Nursing Programs. Nursing Education
Perspectives
, 36(3), 144-152 9p.
doi:10.5480/14-1355
Rounds, K. E.,
Mcgrath
, B. B., & Walsh, E. (2013). Perspectives on provider behaviors: A qualitative study of sexual and
gender
minorities regarding quality of care. Contemporary Nurse: A Journal For The Australian Nursing Profession,
44(1
), 99-110 12p.
doi:10.5172/conu.2013.44.1.99
Stover, C., Hare, P., & Johnson, M. (2014, November). Healthcare Experiences of Lesbian, Gay, and Bisexual College
Students
: Recommendations for the Clinical Nurse Specialist. Clinical Nurse Specialist, 28(6), 349-357.
Zelle
, A., & Arms, T. (2015). Psychosocial Effects of Health Disparities of Lesbian, Gay, Bisexual, and Transgender Older
Adults
. Journal
Of
Psychosocial Nursing & Mental Health Services, 53(7), 25-30 6p. doi:10.3928/02793695-20150623-04