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Updated: Jan 20, 2026
01:13
Patient-centered Care
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Developing cultural competence in caring for LGBTQI+ patients.
Matthew Grundy-Bowers1, Max Read2
1Imperial College Healthcare NHS Trust, London, England.
Nursing Standard (Royal College of Nursing (Great Britain) : 1987)
|August 31, 2019
Summary
Discrimination against LGBTQI+ individuals persists in UK healthcare, leading to health inequalities and poor experiences. Nurses can improve care by advocating for LGBTQI+ patients and addressing specific health needs.
Area of Science:
- Healthcare Disparities
- Health Equity
- Nursing Practice
Background:
- Subconscious and intentional discrimination against LGBTQI+ individuals is prevalent in the UK healthcare system.
- LGBTQI+ populations face significant health inequalities, including mental health issues and inadequate healthcare.
- Existing healthcare structures often fail to meet the unique needs of LGBTQI+ patients.
Purpose of the Study:
- To explore the extent of discrimination and health inequalities faced by LGBTQI+ people in UK healthcare.
- To encourage nurses to recognize their role in advocating for LGBTQI+ patient rights and improving their healthcare experiences.
- To identify safety issues and specific considerations for LGBTQI+ patients' sexual health, mental health, and intellectual disabilities.
Main Methods:
- Literature review of existing evidence on discrimination and health inequalities.
- Analysis of survey data indicating suboptimal healthcare experiences for LGBTQI+ individuals.
- Discussion of nursing responsibilities and strategies for inclusive care.
Main Results:
- Evidence confirms ongoing discrimination impacting LGBTQI+ patients' health outcomes.
- Significant mental health burdens and negative healthcare encounters are reported by LGBTQI+ populations.
- Nurses are uniquely positioned to champion vulnerable patients and enhance future healthcare delivery.
Conclusions:
- Addressing discrimination is crucial for achieving health equity for LGBTQI+ individuals.
- Nurses must actively promote inclusive practices and advocate for LGBTQI+ patients.
- Specialized considerations for sexual health, mental health, and disabilities are essential for equitable LGBTQI+ care.
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