在美国南部实施LGBTQ文化适当肯定培训:基于证据的实践项目
Journal of continuing education in nursing
|December 8, 2023
概括
文化上适当的肯定培训 (CAAT) 显著改善了医疗保健工作人员的知识,态度和技能,为女同性恋,男同性恋,双性恋,跨性别者或酷尔 (LGBTQ) 社区提供护理. 这种培训增强了获得文化上合格的医疗保健 (CCH) 的机会.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医学教育 医学教育
- 健康差异 在健康上的差异
背景情况:
- 多样化的女同性恋,男同性恋,双性恋,跨性别者或酷尔 (LGBTQ) 社区需要具有文化能力的医疗保健 (CCH).
- 文化上适当的肯定培训 (CAAT) 被认为是弥合患者-提供者社会文化差距并改善CCH准入的方法.
研究的目的:
- 评估LGBTQ CAAT对医疗保健工作人员知识,态度和技能的影响.
- 评估CAAT在加强向LGBTQ个人提供CCH方面的有效性.
主要方法:
- 使用经过验证的仪器来测量人员变化,采用了测试前/测试后的设计.
- 这项研究包括美国南部一家非营利性诊所的11名工作人员.
- 统计分析包括威尔科克森签名等级测试和定性主题分析.
主要成果:
- 在培训后的知识 (p = .006) 和技能 (p = .005) 的医疗保健团队得分中观察到显著的改善.
- 定性分析揭示了参与者在不判断性地讨论敏感话题的能力,并将少数群体压力与患者提供者信任联系起来.
- 工作人员报告说,他们对为LGBTQ患者提供护理的信心增加了.
结论:
- LGBTQ CAAT有效地提高了医疗保健工作人员提供文化能力护理的能力.
- 通过CAAT提高员工能力预计将改善健康结果并减少LGBTQ健康差异.
- 广泛实施CAAT可以提高LGBTQ人口对CCH的访问.
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