Using Simulation to Improve Students’ Proficiency in Taking the Sexual History of Patients Identifying as LGBTQ: A Pilot Study

Self-disclosure of sexual orientation is one of the most difficult things to share with health care providers. A fear of stigmatization or discrimination, coupled with health care providers' lack of knowledge about lesbian, gay, bisexual, transgender, and queer (LGBTQ)-specific health issues, c...

Full description

Saved in:
Bibliographic Details
Published inClinical simulation in nursing Vol. 37; pp. 1 - 4
Main Authors Englund, Heather, Basler, Jennifer, Meine, Katherine
Format Journal Article
LanguageEnglish
Published Elsevier Inc 01.12.2019
Subjects
baccalaureate nursing students
heteronormativity
LGBTQ
nursing education
sexual history
sexual history
heteronormativity
LGBTQ
nursing education
baccalaureate nursing students
Online AccessGet full text

Cover

More Information
Summary:Self-disclosure of sexual orientation is one of the most difficult things to share with health care providers. A fear of stigmatization or discrimination, coupled with health care providers' lack of knowledge about lesbian, gay, bisexual, transgender, and queer (LGBTQ)-specific health issues, creates an environment that makes it difficult to divulge one's sexual orientation. The researchers sought to determine whether a low-fidelity simulation using role-playing and structured sexual history scenarios impacted students' self-confidence in taking sex histories and providing culturally competent care for LGBTQ patients. Using pretest–post-test survey methodology, researchers used the gay affirmative practice scale that measures the beliefs of health care providers regarding LGBTQ clients. A paired samples t-test revealed a statistically significant difference in pretest (M = 64.2, SD = 7.4) versus post-test (M = 70.0, SD = 6.7) mean scores, t(75) = -13.4, p < .000. The findings from this study suggest that the simulation is effective in improving students' gay affirmative practice beliefs.
ISSN:1876-1399
1876-1402
DOI:10.1016/j.ecns.2019.07.007