Nursing Pre-Licensure and Graduate Education for LGBTQ Health: A Systematic Review
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Abstract
Background: LGBTQ+ people experience persistent discrimination and health disparities compared to heterosexual cisgender people. Clinicians report discomfort and insufficient preparation for providing care to LGBTQ+ people and nursing has been slow to integrate LGBTQ+ health into curricula.
Purpose: Conduct a systematic review to examine/critically appraise peer-reviewed literature on nursing student knowledge, skills, and attitudes (KSAs) regarding LGBTQ+ health and the development/evaluation of LGBTQ+ health content in nursing curricula.
Method: A systematic review was conducted (N=1275 articles from PubMed, LGBT Health, CINAHL, ERIC, and Health Source-Nursing/Academic Edition).
Findings: Twenty articles met inclusion/exclusion criteria. Twelve studies described curricular interventions; however, there were few validated tools to evaluate content coverage or KSAs. Four themes emerged specific to LGBTQ+ health content inclusion.
Discussion: While a beginning science of LGBTQ+ nursing education has been identified, more work is needed to build and evaluate a comprehensive curricular approach for full programmatic integration of LGBTQ+ health topics.