Assessing nursing students' clinical competence in caring for LGBT+ clients: a cross-sectional study in Hong Kong

Stigma and discrimination from healthcare providers represent significant barriers to healthcare access for lesbian, gay, bisexual, transgender, and other sexual orientations and gender identities (LGBT+) people.

This study aimed to examine the clinical competence of Hong Kong nursing students in caring for LGBT+ clients, to inform nursing curricula development and promote inclusive care.

An online survey was conducted from June to September 2024 with nursing students from seven institutions. Demographics and personal experiences were collected. Attitudes were evaluated with the Attitudes Towards Lesbians and Gay Men and Genderism and Transphobia Scale. Clinical competence was measured using the Lesbian, Gay, Bisexual, and Transgender Development of Clinical Skills Scale.

Among 336 participants, attitudes scores were generally positive. The mean clinical competence score was moderate (Mean = 4.52, SD = 0.615). Factors, such as younger age, females, identifying as homosexual, no religious affiliation, and higher household income were associated with more positive attitudes. Encounters with LGBT+ clients and relevant training were linked to enhanced clinical competence.

This study highlights gaps in nursing students' clinical competence regarding LGBT+ issues in Hong Kong. Integrating comprehensive LGBT+-related training into nursing education is essential to fostering an inclusive healthcare environment.