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"We're Moving in the Right Direction. Still a Long Way to Go": Experiences and Perceptions of the Climate for LGBTQ+

Sabra L Katz-Wise1,2,3, Elizabeth R Boskey3,4, Eli G Godwin1,3

  • 1Division of Adolescent/Young Adult Medicine, Boston Children's Hospital, Boston, Massachusetts, USA.

Journal of Homosexuality
|June 11, 2021
PubMed

Insights

A positive LGBTQ+ workplace climate is vital for healthcare staff and patient outcomes. However, LGBTQ+ employees reported less affirming environments and discrimination, highlighting areas for improvement in healthcare settings.

Area of Science:

  • Healthcare Management
  • Organizational Psychology
  • Diversity and Inclusion Studies

Background:

  • A positive LGBTQ+ workplace climate is crucial for healthcare employee satisfaction, productivity, and patient care.
  • Understanding the nuances of this climate is essential for improving healthcare environments.

Purpose of the Study:

  • To assess the LGBTQ+ workplace climate in a large urban pediatric hospital.
  • To identify specific domains of the climate and employee experiences within them.

Main Methods:

  • An online survey was administered to 791 employees.
  • The survey assessed employee attitudes, training, and experiences with LGBTQ+ colleagues, patients, and families.
  • Open-ended responses were analyzed for thematic components of the LGBTQ+ climate.

Main Results:

  • Most respondents perceived an affirming LGBTQ+ climate in several domains.
  • LGBTQ+ employees reported a less affirming climate compared to cisgender heterosexual employees.
  • LGBTQ+ employees, particularly transgender/nonbinary individuals, faced discrimination; high competence reported for caring for LGB and TNB patients/families.

Conclusions:

  • Findings reveal a need for targeted strategies to enhance LGBTQ+ employee experiences in healthcare.
  • Improving systemic, interpersonal, and grassroots initiatives can foster a more inclusive workplace.
  • Enhanced competency in caring for LGBTQ+ patients and families is achievable through focused interventions.

Keywords:
Cultural competencyLGBTQdiversityemployee well-beingpediatric hospitalsexual and gender minorityworkplace climate

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