Date on Paper

7-2024

Document Type

Doctoral Paper

Degree Name

D.N.P.

Department

Nursing

Committee Chair

Ratchneewan Ross

Committee Member

Paul Clark

Author's Keywords

sexual and gender minorities; quality improvement; needs assessment; supervisory nursing; culturally competent care

Abstract

Background: In the United States, seven percent of adults identify as LGBT. The LGBT population is disproportionately affected by health disparities and barriers to care when compared to the cis-heterosexual population. Due to healthcare providers’ limited LGBT health education and experience, inconsistencies in LGBT culturally competent care perpetuate health disparities and barriers to care for the LGBT population.

Purpose: The purpose of this quality improvement project was to educate nurse leaders on LGBT cultural competency and facilitate nurse leaders’ behavior change.

Methods: This quality improvement project consisted of three LGBT cultural competence modules and two guided behavior change pathways. Outcomes include pre- and post-education knowledge and attitude; education satisfaction, transfer of knowledge intent, community outreach intent, transfer of knowledge, and community outreach.

Results: The mean score for the knowledge subscale increased 28.6% from pre-test (M=4.0, SD=1.53) to post-test (M=6.0, SD=.72). There was no change in the mean score for the attitude subscale from pre-test (M=6.4, SD=.77) to post-test (M=6.4, SD=.81). Approximately 93% of participants rated the education as satisfactory. Knowledge transfer intent (57%) exceeded the benchmark, while community outreach intent (14%) did not meet the benchmark. There was no participation in behavior change activities.

Conclusion: System-wide project expansion could strengthen nurse leaders’ capacity to provide CC care to LGBT individuals, influencing the quality of life and health of patients, aligning with Leininger’s theory of Culture Care Diversity & Universality.

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