The attitudes of the undergraduate nursing students towards lesbian women and gay men

Sexual education for university students and the community in a european project: study protocol

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.

Predictors of health professional students' attitudes toward LGBTI individuals: A cross-sectional study from Turkey

AIM

This study aimed to examine the relationships between the demographic characteristics, knowledge, and attitude of health professional students toward lesbian, gay, bisexual, transgender, and intersex (LGBTI) individuals.

METHODS

A total of 860 undergraduate health professional students were enrolled in this analytical cross-sectional study.

RESULTS

The attitudes of health professional students toward LGBTI individuals are moderately positive. Some variables such as gender, faculty/department, mother's working status, having knowledge about LGBTI, having friends who are openly LGBTI, and thoughts about being an LGBTI explained 17.1 % of the variance in attitudes toward LGBTI individuals.

CONCLUSION

Since negative attitudes may prevent LGBTI individuals from receiving effective health care, courses that increase students' awareness of their own prejudices and knowledge of LGBTI health and communication should be integrated into undergraduate programs.

The inclusion and representation of LGBTIQ+ content in undergraduate nurse education: A scoping review

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.

Religious-based negative attitudes towards LGBTQ people among healthcare, social care and social work students and professionals: A review of the international literature

There is a dearth of research on how negative religious attitudes towards LGBTQ people inform professional practice. This paper reports on a scoping review of 70 selected studies from 25 different countries. It explores key issues and knowledge gaps regarding the delivery of services to LGBTQ adults by religious healthcare, social care and social work organisations and/or practitioners with faith-based objections to LGBTQ people and their lives. The review identified four main themes: (1) a close connection between religious affiliation and negative attitudes towards LGBTQ people, among both students and professionals; (2) a heightening effect of religiosity, particularly among Christian and Muslim practitioners/students; (3) educators' religious attitudes informing curriculum design and delivery, and some highly religious students resisting and/or feeling oppressed by LGBTQ-inclusivity, if present; (4) examples of practice concerns raised by professionals and lay LGBTQ people. The article considers the ethical, practical, educational and professional standards implications, highlighting the need for further research in this area.

Attitudes toward, knowledge of, and beliefs regarding providing care to LGBT patients among student nurses, nurses, and nursing educators: A cross-sectional survey

BACKGROUND

Studies have assessed attitudes toward, knowledge of, and beliefs regarding providing care for lesbian, gay, bisexual, and transgender (LGBT) patients among student nurses, nurses, and nursing educators individually, but few studies have compared these aspects among these groups.

OBJECTIVES

To examine the attitudes toward, knowledge of, and beliefs regarding providing care for LGBT patients among student nurses, nurses, and nursing educators in Taiwan.

DESIGN

Cross-sectional survey.

SETTINGS

The study was advertised in 8 nursing schools, 14 nursing associations, 209 nursing homes, and 2 online chatrooms in Taiwan.

PARTICIPANTS

A total of 1150 participants were recruited: 447 student nurses, 475 nurses, and 228 nursing educators.

METHODS

Data were collected between August 2021 and January 2022 through a questionnaire with five sections: demographics, knowledge of LGBT health, the Knowledge about Homosexuality Questionnaire, the Attitude Toward Lesbian and Gay Men Scale, and the Gay Affirmative Practice Scale.

RESULTS

The results suggest that the participants had limited knowledge of LGBT health. The nursing educators had the lowest scores for knowledge of LGBT health and homosexuality and the most negative attitudes toward lesbians and gay men among the groups; however, they were most likely to report their beliefs regarding providing nursing care to LGBT patients than the other two groups.

CONCLUSIONS

The results indicate the importance of providing nursing educators with training courses and resources related to culturally competent care to improve education for nursing students and care for LGBT patients.

Implicit and explicit attitudes toward gay men and lesbian women among heterosexual undergraduate and graduate psychology and nursing students

Objectives

To examine implicit and explicit attitudes toward gay men and lesbian women among heterosexual undergraduate and graduate psychology and nursing students.

Methods

Implicit attitudes were measured via the Implicit Association Test and explicit attitudes via the Attitudes Toward Lesbian Women and Gay questionnaire.

Main results

All groups held negative implicit attitudes toward gay men and lesbian women. Among undergraduates, nursing students reported holding more negative explicit attitudes toward gay men and lesbian women than psychology students.

Conclusion

The curricula in both nursing and psychology studies need to address the medical and paramedical needs and issues of sexual minorities.

University Students’ Attitudes Toward Homophobia and Related Factors

Objective: The aim of this study was to determine the levels of homophobic attitudes and related factors among senior students at a university in Turkey. Methods: The descriptive study sample consisted of 317 senior undergraduate students who met the inclusion criteria and accepted to participate in the study between March 20 and April 24, 2017. The study data were collected using the “Personal Information Form” to determine the socio-demographic characteristics of the students and “Hudson-Ricketts Index of Homophobia” to determine their homophobic attitudes. Descriptive statistics, the independent samples t-test (Student’s t-test) for the comparison of two groups and the one-way ANOVA test for the comparison of the means of more than two groups were used in the analysis of the data. Results: In the study, it was determined that 156 (49.2%) students had low levels homophobic attitudes and 148 (46.7%) students had high levels homophobic attitudes. In addition, it was found that 13 (4.1%) students got 87 points and had neutral level homophobic attitudes. Among the students who participated in the study. it was found that the homophobic attitude levels of the students who were women and who had individuals with different sexual orientation in their social environment were found to be lower (p

The Role of Interpersonal Relationships and Household Socioeconomic Status in the Association Between Sexual Orientation and Health: A Moderated Mediation Analysis

Purpose: Emerging studies indicate that sexual minority youths experience worse health than their heterosexual peers, but few studies have examined the intervening mechanisms linking sexual orientation and health status. This study hypothesizes that interpersonal relationships, moderated by household socioeconomic status (HSES), are important mediators in the association between sexual orientation and health status. Methods: A total of 49,084 youths, consisting of 9499 youths who identified as sexual minority individuals and 39,585 youths who identified as heterosexual, were sampled from a national study on sexual and reproductive health conducted in China. Logistic regression analyses were performed to estimate the association between sexual orientation and self-rated health. Causal mediation and moderated mediation analyses were performed to analyze the mediating and moderating effects of interpersonal relationships and HSES, respectively. Results: Self-rated health was significantly poorer for sexual minority youths compared with heterosexual youths (p < 0.01). From 7.90% to 25.74% of the association between sexual orientation and self-rated health was mediated through poor interpersonal relationships with both parents and peers. A poor relationship with the father accounted for the highest percentage. HSES was found to moderate the mediation effect of interpersonal relationships, with the greatest effect found for sexual minority youths with lower HSES. Conclusion: HSES moderated the indirect effects of interpersonal relationships on the association between sexual orientation and self-rated health. Interventions focused on improving interpersonal relationships for sexual minority youths, especially those with low HSES, merit attention.

Sexual Competence in Higher Education: Global Perspective in a Multicentric Project in the Nursing Degree

Sexuality is an important issue in the university careers of nursing students to ensure that they provide comprehensive care. It is necessary according to the recommendation of the World Health Organization. However, research reveals deficiencies and the need for further development. The aim of the study is to describe the perspective of teachers and students on the content of sexuality in nursing education. The project aims to analyze the attitudes and beliefs of the students about the sexuality of their patients. Furthermore, the experience and sexual lives of the future nurses, as well the teaching of sexuality content in the curriculum, will be analyzed. As for the educators, their level of knowledge about sexuality and vision of sexuality education in undergraduate nursing education will be analyzed. This study is an exploratory and descriptive study with a quantitative-qualitative approach in a multi-center context. The sample is composed of students and professors of nursing courses from five universities (Portugal, Spain, Italy and United States). Questionnaires and semistructured interviews will be used for data collection. The results of the study will allow the inclusion of sexual competence in the curriculum from the beginning in higher education. This article describes the research protocol.

[The unpopularity of mental health/psychiatry care settings among nursing students: A systematic review]

In every population and country around the world, mental health needs are great and are on the rise. Through their training and their vast field of expertise, nurses are an important lever for addressing the issue of accessibility in these care settings. While the increase in the number of new nursing graduates should have helped this issue, recent data show a sharp increase in the shortage of nurses in these care settings. This systematic review (n=40) using the CINAHL, MEDLINE, PsycArticles, and Scopus databases aims to explore why psychiatric and mental health care settings are unpopular with the next generation of nurses. Guided by Parse's theory, this review identifies three major themes : (1) nursing students' perspectives on mental health issues, (2) the influences of educational interventions on these perspectives, and (3) the factors facilitating and constraining a career in these care settings for new nursing graduates. These results enable a better understanding of what can affect the recruitment of new graduate nurses in mental health/psychiatry, while proposing various levers of intervention to specifically address this issue.

Hungarian Medical Students' Knowledge About and Attitude Toward Homosexual, Bisexual, and Transsexual Individuals

Discrimination that LGBTQ individuals experience in health care settings might affect their health and intention of using health care services. However, health needs of LGBTQ patients are still inappropriately addressed in the medical curriculum. First-, third-, and fourth-year medical students (N = 569) from the four Hungarian medical universities participated in a study in 2017 to assess knowledge about homosexuality, homonegativity, and their attitude as health care professionals toward sexual minorities. We found that higher levels of knowledge about homosexuality were associated with lower levels of homonegativity, upper-grade level in university, not being religious, and having close LGBTQ acquaintances. Our results suggest that it may be necessary to introduce LGBTQ themes in the medical curricula (not only in Hungary, but also in other countries) in order to improve the knowledge and attitude of medical students and thereby improve the health care of LGBTQ individuals.

Nursing students' perspectives on the inclusion of course content on lesbian, gay, bisexual, and transgender health in the nursing curriculum: A descriptive qualitative study

The aim of the study was to examine nursing students' perspectives on why and how course contents on lesbian, gay, bisexual, and transgender health should be included in the nursing curriculum. This was a descriptive qualitative study. A purposive sample was used, and 17 students participated. Thematic analyses revealed four themes: "The need for knowledge and awareness"; "Communication"; "The need for practice-based learning"; and "Inclusion of course contents on lesbian, gay, bisexual and transgender health in the nursing curriculum". Almost all the students reported that the proportion of the course content that had been allocated to lesbian, gay, bisexual, and transgender health was inadequate and emphasized that it is necessary to improve both the theoretical and practical components of the nursing curriculum.

Determining attitudes of a group of nurses working in the northern region of Turkey towards LGBT individuals

Purpose: The aim of this study was to determine the attitudes of a group of nurses towards lesbian, gay, bisexual and transgender individuals. Materials and methods: This cross-sectional study was carried out with 358 nurses working in a hospital in the northern region of Turkey between December 2016- February 2017. The data were collected using the personal information form and the Hudson and Ricketts Homophobia Scale. Kruskal Wallis, Mann Whitney U test, Single Factor Variance Analysis, ttest and correlation were used in the analysis of the data. Ethical approval was obtained from the Clinical Research Ethics Committee of an university. Results: The mean score of the scale of the nurses was found as 111.5±20.7. Nurses who stated that they did not want to communicate with lesbian, gay, bisexual and transgender people were found to be more homophobic than the nurses who stated that they wanted to communicate with them. It was also found that the nurses who define themselves as ‘traditional’ were more homophobic than those who define themselves as ‘not traditional’ (p <0.05).The relationship between the nurses' knowledge towards lesbian, gay, bisexual and transsexual individuals and their attitudes towards these individuals was found to be significant similar to the previous international studies. Conclusions: The findings of this study indicate that the level of education, the level of acquaintance with LGBT individuals and the knowledge of LGBT individuals has an effect on the homophobic attitude