Abstract
Purpose
As health care needs for Lesbian, Gay, Bisexual and Transgender (LGBT) are becoming increasingly important, it has become imperative for the nurses to be attentive towards their health problems and provide nursing care with an open-minded attitude. Due to limited opportunity to provide direct nursing care to LGBT patients, it is hypothesized that simulation would provide good opportunity for students to experience LGBT nursing care in a safe environment. This study was conducted to develop and apply simulation of LGBT nursing care to ultimately provide unbiased nursing care for LGBT population and prepare basic data for LGBT nursing education.
Methods
This study was a single-group pre-post experimental design study for 57 senior nursing students based on the comparison of existing LGBT knowledge, general attitude towards LGBT, and nursing attitude towards LGBT before and after simulation. The scenario content included discussion of coming out issue, providing sexual health information, and supportive nursing care for LGBT population. Data were analyzed with descriptive statistics and Wilcoxon signed rank.
Results
Simulation education-led to a significant increase in LGBT knowledge and nursing attitude. However, there was no change in the general attitude towards LGBT.
Conclusion
The results of this study suggest that LGBT education using simulation may be effective for nursing students and nurses from the point of concern for LGBT population. It is hypothesized that future LGBT educational programs might need more detailed information from both care recipients and nurses. Finally, LGBT education needs to be included in the nursing education curriculum.
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Table 1.
Table 2.
Table 3.
Scale | Items | Pre-test | Post-test |
---|---|---|---|
M±SD | M±SD | ||
ATLG | Lesbian just can’t fit into our society. | 1.57±0.87 | 1.42±0.84 |
A woman’s homosexuality should not be a cause for job discrimination in any situation.† | 1.25±0.57 | 1.28±0.72 | |
Female homosexuality is detrimental to society because it breaks down the natural divisions between the sexes. | 1.65±0.99 | 1.63±1.08 | |
State laws regulating private, consenting lesbian behavior should be loosened.† | 1.67±0.95 | 1.73±1.06 | |
Female homosexuality is a sin. | 1.63±1.19 | 1.61±1.13 | |
The growing number of lesbians indicates a decline in American morals. | 1.58±1.08 | 1.56±0.96 | |
Female homosexuality in itself is no problem, but what society makes of it can be a problem.† | 1.82±1.16 | 1.84±0.96 | |
Female homosexuality is a threat to many of our basic social institutions. | 1.89±1.17 | 1.86±1.18 | |
Female homosexuality is an inferior from of sexuality. | 1.40±0.86 | 1.47±0.94 | |
Lesbians are sick. | 1.30±0.73 | 1.39±0.79 | |
Male homosexual couples should be allowed to adopt children the same as hetero-sexual couples.† | 2.18±1.18 | 2.21±1.29 | |
I think male homosexuals are disgusting. | 1.70±0.94 | 1.67±1.02 | |
Male homosexuality should not be allowed to teach school. | 1.49±0.78 | 1.56±0.90 | |
Male homosexuality is a perversion. | 1.35±0.71 | 1.35±0.81 | |
Just as in other species, male homosexuality is natural expression of sexuality in human men.† | 1.89±1.08 | 1.91±1.13 | |
If a man has homosexual feelings, he should do everything he can to overcome them. | 1.77±0.94 | 1.77±1.05 | |
I would not be too upset if I learned that my son were a homosexual.† | 3.16±1.29 | 3.04±1.13 | |
Homosexual behavior between two men is just plain wrong. | 1.37±0.74 | 1.49±0.92 | |
The idea of male homosexual marriages seems ridiculous to me. | 1.46±0.73 | 1.46±0.73 | |
Male homosexuality is merely a different kind of lifestyle that should not be condemned.† | 1.58±0.96 | 1.49±0.80 | |
Total | 1.68±0.66 | 1.68±0.68 | |
ATLGBTP | I would prefer not to provide nursing care for LGBT patients.† | 4.70±0.82 | 4.75±0.54 |
I would refuse to care for an LGBT patient if I were aware they identify as LGBT.† | 4.80±0.63 | 4.56±0.96 | |
I feel competent to provide nursing care for LGBT patients. | 4.74±0.72 | 4.72±0.55 | |
LGBT patients do not have any specific health needs.† | 4.00±1.11 | 4.05±1.12 | |
I feel I would be able to talk with a patient who identifies as LGBT in a sensitive and appropriate manner. | 3.63±0.87 | 3.98±0.81 | |
Total | 3.97±0.40 | 4.06±0.41 |