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平等和包容LGBTQ+居民:从最初的长期护理平等指数 (LEI) 中吸取的经验教训
Michelle M Hilgeman1, Sylvia V Haigh2, Elizabeth Western3
1Research & Development Service, Tuscaloosa VA Medical Center, Tuscaloosa, AL, USA; Department of Psychology, The University of Alabama, Tuscaloosa, AL, USA.
Journal of the American Medical Directors Association
|August 17, 2024
概括
年长的LGBTQ+退伍军人可能会在VA养老院遇到歧视. 在VA社区生活中心 (CLC) 试点实施长期护理平等指数 (LEI),确定了改善LGBTQ+个人护理质量和包容性的领域.
科学领域:
- 老年学是一门学科.
- 改善医疗保健质量 改善医疗保健质量
- 在LGBTQ+健康方面
背景情况:
- 女同性恋,男同性恋,双性恋,酷尔,质疑,跨性别者和相关身份 (LGBTQ +) 社区的老年人经常担心在养老院接受不合格的护理或虐待.
- 由于历史上的歧视性军事政策,老年LGBTQ+退伍军人可能对退伍军人事务部 (VA) 社区生活中心 (CLC) 的护理特别担心.
研究的目的:
- 描述长期护理平等指数 (LEI) 在VA CLC中的试点实施.
- 确定在VA系统内的长期护理机构中提高LGBTQ+退伍军人护理质量和包容性的机会.
主要方法:
- 使用LEI进行了单个网站的形成性评估,LEI是为LGBTQ+居民和员工创造包容性环境的基准工具.
- 该LEI评估了关于非歧视和员工培训,LGBTQ+居民服务和支持,员工福利和政策以及居民和社区参与的设施.
- 合作涉及老年LGBTQ+退伍军人,CLC居民,CLC员工和领导,以及国家项目经理.
主要成果:
- 与退伍军人和居民进行的定性访谈为在居民手册和以人为中心的护理讨论中包括性别认同和性取向的建议提供了信息.
- 确定了加强员工培训和社区参与活动的需求,例如观察骄傲月.
- 开发了资源,以促进其他VA长期护理机构采用LEI.
结论:
- 该LEI提供了一个结构化的框架,用于评估和改进长期护理机构的公平护理.
- 该试点演示了LEI在确定VA CLC内部增长的特定领域的实用性.
- 为启动LEI实施的CLC和其他养老院提供了实际指导.
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