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Staff competence in caring for LGBTQ+ patients in the paediatric emergency department.
Kelleher, Sean T; Barrett, Michael J; Durnin, Sheena; Fitzpatrick, Patrick; Higgins, Agnes; Hall, Dani.
Afiliação
  • Kelleher ST; Children's Health Ireland at Crumlin, Dublin, Ireland.
  • Barrett MJ; Department of Paediatric Emergency Medicine, Children's Health Ireland, Dublin, Ireland.
  • Durnin S; Women's and Children's Health, University College Dublin, Dublin, Ireland.
  • Fitzpatrick P; Department of Paediatric Emergency Medicine, Children's Health Ireland, Dublin, Ireland.
  • Higgins A; Discipline of Paediatrics, Trinity College Dublin, Dublin, Ireland.
  • Hall D; Department of Paediatric Emergency Medicine, Children's Health Ireland, Dublin, Ireland.
Arch Dis Child ; 108(7): 525-529, 2023 07.
Article em En | MEDLINE | ID: mdl-37094883
ABSTRACT

OBJECTIVE:

This study aimed to assess the competency of paediatric emergency department (PED) multidisciplinary staff in caring for LGBTQ+ (lesbian, gay, bisexual, transgender, queer/questioning, + inclusive of all identities) adolescents.

DESIGN:

This was an observational study within which participants were required to complete the LGBT-Development of Clinical Skills Scale self-assessment tool of clinical competence.

SETTING:

It was conducted across three PEDs and one urgent care centre pertaining to the Children's Health Ireland healthcare group.

PARTICIPANTS:

Doctors, nurses and healthcare workers were eligible to participate. EXCLUSION CRITERIA non-front facing staff; prior completion of an eLearning module intended to serve as a future educational intervention. MAIN OUTCOME

MEASURES:

Participants were assessed on (1) attitudinal awareness towards LGBTQ+ individuals; (2) knowledge of LGBTQ+ health issues and (3) clinical preparedness in caring for LGBTQ+ patients. Each domain is scored out of a maximum of 7 points.

RESULTS:

71 eligible participants completed the study. 40/71 (56%) were doctors, and 31/71 (44%) were nurses. The mean score for attitudinal awareness was 6.54/7 (SD 0.59), indicating overall positive attitudes. The mean score for knowledge was lower (5.34/7, SD 1.03) and lowest for clinical preparedness (3.39/7, SD 0.94). Participants were less confident in caring for transgender than LGB patients and scored very low when asked if they had received adequate training in caring for transgender young people (2.11/7).

CONCLUSIONS:

This study demonstrates positive attitudes towards LGBTQ+ patients among PED staff. However, there was a gap in knowledge and clinical preparedness. Increased training in caring for LGBTQ+ young people is necessary.
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Texto completo: 1 Temas: ECOS / Equidade_desigualdade Bases de dados: MEDLINE Assunto principal: Pessoas Transgênero / Minorias Sexuais e de Gênero Tipo de estudo: Observational_studies Aspecto: Equity_inequality Limite: Adolescent / Child / Female / Humans Idioma: En Revista: Arch Dis Child Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Irlanda

Texto completo: 1 Temas: ECOS / Equidade_desigualdade Bases de dados: MEDLINE Assunto principal: Pessoas Transgênero / Minorias Sexuais e de Gênero Tipo de estudo: Observational_studies Aspecto: Equity_inequality Limite: Adolescent / Child / Female / Humans Idioma: En Revista: Arch Dis Child Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Irlanda