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Improving Care for LGBTQ+ Families: A Competency Bundle.

Becky Suttle1, Curry Bordelon, Christopher Jones

  • 1Author Affiliations: Department of Nursing. University of Alabama at Birmingham, School of Nursing, Birmingham, Alabama.

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|February 19, 2025
PubMed
Summary

Healthcare providers showed improved knowledge and reduced bias towards LGBTQ+ individuals after implementing an evidence-based LGBTQ+ competency bundle (CB). This initiative enhanced support for LGBTQ+ patients and families in labor and delivery settings.

Keywords:
LGBTQ+ cultural competencyLGBTQ+ cultural congruent careLGBTQ+ families

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Area of Science:

  • Healthcare Quality Improvement
  • Health Equity
  • Medical Education

Background:

  • Lack of LGBTQ+ cultural competence among healthcare providers contributes to discrimination and health disparities.
  • Provider bias, both conscious and unconscious, negatively impacts care for LGBTQ+ individuals.
  • Substandard care and oppression are risks for the LGBTQ+ community due to provider knowledge gaps.

Purpose of the Study:

  • To improve cultural competence in healthcare providers serving LGBTQ+ patients.
  • To implement an evidence-based LGBTQ+ competency bundle (CB) in Labor and Delivery and Mother-Baby Units.
  • To address discrimination and barriers to optimal health for the LGBTQ+ population.

Main Methods:

  • Utilized an evidence-based LGBTQ+ competency bundle (CB).
  • Administered the Ally Identity Measure (AIM) survey for cultural competency assessment.
  • Included provider training, electronic health record (EHR) integration of SOGI questions, and a resource bundle.

Main Results:

  • AIM scores indicated an overall increase in healthcare providers' knowledge and preparedness to support LGBTQ+ patients and families.
  • Significant improvements were observed in "Knowledge and Skill," followed by "Openness and Support," and "Oppression Awareness."
  • The competency bundle interventions successfully increased provider understanding of LGBTQ+ individuals.

Conclusions:

  • The evidence-based LGBTQ+ competency bundle effectively enhanced healthcare provider knowledge and understanding.
  • Implementation led to a reduction in perceived bias among healthcare providers towards LGBTQ+ individuals.
  • The initiative supports improved, equitable care for LGBTQ+ patients in maternity settings.