A rapid review of end-of-life needs in the LGBTQ+ community and recommendations for clinicians.
Palliat Med
; 36(4): 609-624, 2022 04.
Article
em En
| MEDLINE
| ID: mdl-35176932
ABSTRACT
BACKGROUND:
Lesbian, gay, bisexual, transgender, and queer plus (LGBTQ+) adults face challenges accessing end-of-life care. Understanding the experiences of LGBTQ+ persons within the end-of-life context is crucial in addressing their needs and supporting equity at end of life.AIM:
Review recent literature documenting the experiences of LGBTQ+ adults nearing end-of-life, identifying needs, barriers to care, and translating this into clinical recommendations.DESIGN:
A rapid review design was chosen for prompt results. The process was streamlined by limiting the literature search to peer-reviewed articles, dissertations, theses, by date and language. Data collection used a predetermined set of items based on Meyer's Minority Stress and Bronfenbrenner's Ecological Models including participants' voices, needs, and barriers. Thematic analysis of collected data was conducted and presented results in a narrative summary. DATA SOURCES We searched six electronic databases (PubMed, Medline, ProQuest Dissertations and Theses A&I, ProQuest Dissertations and Theses, Open Access Theses and Dissertations, CINAHL, and Google Scholar) for articles published from 2016 to 2020.RESULTS:
We included and appraised for quality 33 articles. We uncovered three latent themes systemic barriers, a lack of lived experience within the literature, and treatment of LGBTQ+ as one homogeneous group.CONCLUSIONS:
The hybrid Meyer's Minority Stress and Bronfenbrenner Ecological model elucidated how stressors and social contexts may impact LGBTQ+ adults when accessing end-of-life care. Incorporating LGBTQ+ cultural competence training into continuing education and ensuring that LGBTQ+ individuals participate in the development of end-of-life care programming may better attend to the needs of this population.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Pessoas Transgênero
/
Minorias Sexuais e de Gênero
Tipo de estudo:
Guideline
/
Systematic_reviews
Limite:
Adult
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Female
/
Humans
Idioma:
En
Ano de publicação:
2022
Tipo de documento:
Article