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Building Culturally Competent Practice with Sexual and Gender Minorities Using Nonviolent Communication.

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Psychiatric-Mental Health nurses can improve care for Sexual and Gender Minorities (SGM) by understanding historical pathologization and minority stressors. Implementing Nonviolent Communication can help rebuild trust and address health inequities faced by the SGM community.

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Area of Science:

  • Psychiatric-Mental Health Nursing
  • Cultural Competence in Healthcare
  • LGBTQIA+ Health Disparities

Background:

  • Healthcare has historically pathologized identities central to Sexual and Gender Minorities (SGM).
  • Understanding SGM minority stressors and resultant health disparities is crucial for effective care.
  • Health inequities experienced by SGM individuals can be viewed as a form of cultural violence.

Purpose of the Study:

  • To outline strategies for Psychiatric-Mental Health nurses to build cultural competence when caring for SGM clients.
  • To identify key areas of knowledge and practice for improving SGM healthcare experiences.
  • To introduce the Nonviolent Communication Process as a tool for fostering trust.

Main Methods:

  • Reviewing the impact of historical pathologization on SGM identities.
  • Analyzing current and historical SGM minority stressors and their connection to health disparities.
  • Examining health disparities as cultural violence.
  • Proposing the Nonviolent Communication Process for clinical application.

Main Results:

  • Nurses can enhance cultural competence by learning about healthcare's pathologization of SGM identities.
  • Understanding SGM minority stressors and health inequities is essential for addressing disparities.
  • Framing inequities as cultural violence provides a critical lens for care.
  • The Nonviolent Communication Process offers a practical method to build trust.

Conclusions:

  • Building cultural competence requires nurses to understand the socio-historical context of SGM health.
  • Addressing health disparities necessitates recognizing cultural violence and its impact.
  • Implementing Nonviolent Communication can mitigate damaged trust between SGM individuals and healthcare providers.
  • Nurses play a vital role in fostering inclusive and equitable mental healthcare for SGM populations.