Attitudes, knowledge and practice behaviours of oncology health care professionals towards lesbian, gay, bisexual, transgender, queer and intersex (LGBTQI) patients and their carers: A mixed-methods study.

Attitude Caregivers Female Health Knowledge, Attitudes, Practice Health Personnel Humans Sexual and Gender Minorities Transgender Persons
Cancer care Cultural competence Healthcare professionals Knowledge and attitudes LGBTQI Mixed-methods Training and education

Journal

Patient education and counseling
ISSN: 1873-5134
Titre abrégé: Patient Educ Couns
Pays: Ireland
ID NLM: 8406280

Informations de publication

Date de publication:
07 2022
Historique:
received: 01 10 2021
revised: 21 11 2021
accepted: 11 12 2021
pubmed: 10 1 2022
medline: 18 6 2022
entrez: 9 1 2022
Statut: ppublish

Résumé

There is growing recognition that health care professionals (HCPs) and policy makers are insufficiently equipped to provide culturally competent care to lesbian, gay, bisexual, transgender, queer and intersex (LGBTQI) cancer patients and their families. We examined HCP attitudes, knowledge, and practices regarding LGBTQI cancer care using a mixed-methods research design. Surveys were completed by 357 oncology HCPs in nursing (40%), medical (24%), allied health (19%), and clinical leadership roles (11%); 48 of the surveyed HCPs were interviewed. Most HCPs reported being comfortable treating LGBTQI patients, but reported low levels of confidence and knowledge and systemic barriers to LGBTQI cancer care. Most wanted more education and training, particularly on trans and gender-diverse people (TGD) and those born with intersex variations. Education of HCPs and health system changes are required to overcome barriers to the provision of culturally competent cancer care for LGBTQI patients. These findings reinforce the need for inclusion of LGBTQI content in HCP education and professional training curricula, and institutional support for LGBTQI-inclusive practice behaviours. This includes administrative and visual cues to signal safety of LGBTQI patients within cancer care, facilitating inclusive environments, and the provision of tailored patient-centred care.

Identifiants

DOI: 10.1016/j.pec.2021.12.008 PMID: 34998663
pubmed: 34998663
pii: S0738-3991(21)00785-0
doi: 10.1016/j.pec.2021.12.008
pii:
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Pagination

2512-2523

Informations de copyright

Copyright © 2022 The Authors. Published by Elsevier B.V. All rights reserved.

Auteurs

Jane M Ussher (JM)

Translational Health Research Institute, School of Medicine, Western Sydney University, Sydney, Australia. Electronic address: j.ussher@westernsydney.edu.au.

Janette Perz (J)

Translational Health Research Institute, School of Medicine, Western Sydney University, Sydney, Australia.

Kimberley Allison (K)

Translational Health Research Institute, School of Medicine, Western Sydney University, Sydney, Australia.

Rosalie Power (R)

Translational Health Research Institute, School of Medicine, Western Sydney University, Sydney, Australia.

Alexandra Hawkey (A)

Translational Health Research Institute, School of Medicine, Western Sydney University, Sydney, Australia.

Gary W Dowsett (GW)

Australian Research Centre in Sex, Health and Society, La Trobe University, Melbourne, Australia.

Martha Hickey (M)

Department of Obstetrics and Gynaecology, University of Melbourne and the Royal Women's Hospital, Melbourne, Australia.

Chloe Parton (C)

School of Health, Te Herenga Waka - Victoria University of Wellington, Wellington, New Zealand.

Fiona E J McDonald (FEJ)

Canteen and Faculty of Medicine and Health, The University of Sydney, Sydney, Australia.

Ian D Davis (ID)

Eastern Health Clinical School, Monash University and Eastern Health, Melbourne, Australia.

Gwendolyn P Quinn (GP)

Departments of OB-GYN, Population Health, Grossman School of Medicine, New York University, NY, USA.

Katherine Boydell (K)

Black Dog Institute, University of New South Wales, Sydney, Australia.

Kerry H Robinson (KH)

School of Social Sciences and Translational Health Research Institute, Western Sydney University, Sydney, Australia.

Suzanne Chambers (S)

Faculty of Health Sciences, Australian Catholic University, Brisbane, Australia.

Antoinette Anazodo (A)

Kids Cancer Centre, Sydney Children's Hospital and School of Women's and Children's Health, University of New South Wales, Sydney, Australia.

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Classifications MeSH

questionsmedicales.fr › Comportement et mécanismes comportementaux › Attitude › Attitudes, knowledge and practice behaviours...
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Personnel de santé › Aidants › Attitudes, knowledge and practice behaviours...
questionsmedicales.fr › Qualité, accès, évaluation des soins de santé › Prestations des soins de santé › Attitude envers la santé › Connaissances, attitudes et pratiques en santé › Attitudes, knowledge and practice behaviours...
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Personnel de santé › Attitudes, knowledge and practice behaviours...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Attitudes, knowledge and practice behaviours...
questionsmedicales.fr › Personnes › Disparités en matière de santé, minorités et populations vulnérables › Minorités sexuelles › Attitudes, knowledge and practice behaviours...
questionsmedicales.fr › Personnes › Disparités en matière de santé, minorités et populations vulnérables › Minorités sexuelles › Personnes transgenres › Attitudes, knowledge and practice behaviours...