Using simulation to address care of the transgender patient in nursing curricula

2017 ◽  
Vol 3 (2) ◽  
pp. 65-69 ◽  
Author(s):  
Desiree A Díaz ◽  
Annette Maruca ◽  
Laura Gonzalez ◽  
Cherrill Stockmann ◽  
Erica Hoyt

This descriptive study explored the use of simulation as a means to increase cognitive and reflective practice as well as determining if simulation can alter perceptions and attitudes related to the lesbian, gay, bisexual and transgender (LGBT) community. This manuscript describes how student nurses perceive their role when providing care to and, more specifically, the care of transgender patients. The research question asks: How does a transgender simulation impact the attitudes and beliefs of nursing students related to the LGBT community? One-hundred and fifty-nine students, with a subset of 120 students attending a school in central Florida and 50 students attending a Connecticut programme, participated in the completion of the instruments. The Gender Affirmative Practice (GAP) scale was used to evaluate their attitudes and practice concerning LGBT issues. Findings suggest that the majority of the students rarely or never discuss pertinent sexual orientation issues. Students are not comfortable creating a climate that allows for self-identification by gay/ lesbians, despite admitting to being open and accepting the LGBT community with their faculty. Limitations were based on multisite location and the use of the GAP. It is important for nursing students, and healthcare providers, to acknowledge and recognise the unique vulnerabilities of transgender persons who are seeking healthcare. The exposure to transgender individuals in a clinical setting may be limited; therefore, the use of simulation will offer the opportunity to examine their beliefs and reflect on their attitudes towards this population. Simulation incorporating mental health issues is a newer training technique in which psychosocial aspects of healthcare are addressed.

Author(s):  
Timothy Rich ◽  
Andi Dahmer ◽  
Isabel Eliassen

How does Asia compare to other regions in terms of LGBT (lesbian, gay, bisexual, and transgender) rights? While Asia lags behind the West on typical metrics of LGBT rights, this fails to capture the diversity of tolerance historically in the region. At the same time, conservative backlashes to LGBT policies are evident across the region, often invoking traditionalist or religious opposition, as also seen outside of the region. Moreover, much of the literature myopically focuses on one or two countries in Asia, rarely attempting to make broad comparisons across East, South, and Central Asia. Part of this is due to terminology differences, where “homosexual” is commonly used in some countries as a catch-all term for members of the LGBT community, compared to others in the region countries, especially in South Asia, with a longer history of specialized terminology for transgendered people. Yet broader comparisons in the absence of terminology differences remain rare despite growing attention to LGBT issues in public opinion polls, news, and academic work and despite the fact that the legal avenues chosen by LGBT rights proponents often mirror those chosen in the West. State policies on LGBT policies also range considerably in the region, with only Taiwan currently recognizing same-sex marriage at the national level, but with decriminalization and antidiscrimination policies at the national and local levels increasingly common. However, a commonly overlooked trend is that of harsher LGBT policies enacted by local governments. Meanwhile, despite trends in the West of growing public tolerance on LGBT issues, far less consistency emerges in Asia, further complicating state efforts. It is important to highlight Asia’s diversity in terms of rights and tolerance, but it is equally important to integrate evidence from Asia into cross-national research on LGBT issues to understand what is unique about the region and what may have been ignored in other regions.


2018 ◽  
Vol 3 (2) ◽  

Background: Healthcare providers’ empathetic attitude towards patient care significantly plays a role in the success of patient-centered outcome. However, across the empathy literature, there have been numerous studies which indicate that there had been a significant change in the level of empathy among nursing students in line with the length of their clinical exposure. Considering these studies, little is known on the factors affecting empathy. Hence, this study has purported to explore the factors influencing nursing students’ level of empathy. Methods: A descriptive-correlational research design was utilized. This study employed factor analysis to explore the factors which influence student nurses’ level of empathy. Data was analyzed through SPSS Version 21. Inclusion criteria are regular nursing students with at least 18 years of age, on their 15th week of RLE and are currently enrolled in the academic year 2017-2018. A total of 255 nursing students were purposively selected from a tertiary institution in Manila. Results: Nine factor dimensions identified namely: Engaging, Efficiency, Emic, Erratic, Encumbering, Enduing, Emotive, Embracing, and Enervating Factors. Out of the nine variables that were identified, only four have been identified to have a direct effect on empathy which are: Engaging, Efficiency, Erratic and Encumbering Factors. Moreover, Engaging and Efficiency Factors positively affect empathy while Erratic and Encumbering Factors negatively affect empathy. Notably, Engaging factors had the most impact among the student nurses’ level of empathy. Conclusion: Several factors affecting the nursing students’ empathy are combination of personal, patient and environmental. Since it was revealed that some factors can cause decrease in empathy among the nursing students, selection of educators who will serve as positive role models should be considered. Likewise, empathy trainings may be conducted such as self-awareness and reflective listening among the nursing students before they face their patients.


2021 ◽  
Vol 27 (1) ◽  
pp. 54-57
Author(s):  
Asala Alhamdoun ◽  
Mohammad Al Qadire ◽  
Khaldoun M Aldiabat ◽  
Omar Al-Rawajfah

Background: Health professionals must be knowledgeable and skilled in providing palliative care. This short report reviews the literature that has assessed student nurses' knowledge of palliative care. Method: The following databases were searched: CINHAL, ScienceDirect, Medline, PubMed and Google Scholar for manuscripts published from 2014 to 2020. Only six articles met the inclusion criteria and were thoroughly reviewed. Findings: Students were found to have a poor knowledge of palliative care, especially the management of a patient's symptoms and the definition of palliative care. Conclusion: Integrating palliative care education within nursing curricula is a priority, although the best method to accomplish this is yet to be established.


2020 ◽  
Vol 10 (2) ◽  
pp. 79-91
Author(s):  
Mickelle Emanuel-Frith ◽  
Cynthia Pitter ◽  
Chinwendu Felicia Agu

BACKGROUNDTeenage pregnancy is a multifaceted problem which is influenced by numerous issues including individual, family, and community characteristics. Its consequences affect the health, social and economic wellbeing of the teenagers and their children. The attitudes and behaviors of maternal healthcare providers were an essential component of quality as they impacted both positively and negatively on how the clients, their partners, and families observed and experienced maternal healthcare. This study was conducted to determine the general attitudes of student nurses towards teenage pregnancy and also to determine whether socio-demographic characteristics of the student nurses affected their attitude towards teenage pregnancy.METHODA quantitative descriptive, cross-sectional study was done in 2018. A total of 87 randomly selected fourth year student nurses completed a self-administered questionnaire. The data were analyzed using SPSS (Statistical Package for the Social Sciences). The study was approved by our local ethical boards and all ethical considerations were adhered to.RESULTSThe results of the study revealed that majority of the participants (93.1%) were single and attended church (90.8%). The majority of the sample was female (96.6%) between the ages 18–24 years old. The respondents' attitudes towards teen mothers were not affected by their relationship status, their age or gender or church attendance The results further revealed that the nursing students' had a moderately positive attitude towards teenage pregnancy. The only sociodemographic variable that affected attitude was the respondents having a teen mother in the family. The respondents with a teen mother in the family accounted for 29.9%.CONCLUSIONThis study adds to the body of knowledge on the attitudes of nursing students towards teenage pregnancy. The findings support the nursing curriculum that accentuates patient-centered care, reduce bias, and promotes professional values in Jamaica in order to deliver care to this vulnerable group.


2017 ◽  
Vol 7 (7) ◽  
pp. 11 ◽  
Author(s):  
Gordon Lee Gillespie ◽  
Paula L. Grubb ◽  
Kathryn Brown ◽  
Maura C. Boesch ◽  
Deborah L. Ulrich

Bullying is a known and ongoing problem against nurses.  Interventions are needed to prepare nursing students to prevent and mitigate the bullying they will experience in their nursing practice. The purpose of this article is to describe the development process and utility of one such intervention for use by nursing faculty with nursing students prior to their students’ entry into the profession. The educational program was critiqued by an advisory board and deemed to be relevant, clear, simple, and non-ambiguous indicating the program to have adequate content validity. The program then was pilot tested on five university campuses. Faculty members who implemented the educational program discussed (1) the program having value to faculty members and students, (2) challenges to continued program adoption, and (3) recommendations for program delivery. The proposed multicomponent, multiyear bullying educational program has the potential to positively influence nursing education and ultimately nursing practice. Findings from the pilot implementation of the program indicate the need to incorporate the program into additional nursing courses beginning during the sophomore year of the nursing curricula.


2014 ◽  
Vol 11 (1) ◽  
pp. 75-82 ◽  
Author(s):  
Caroline A. Burgess ◽  
Sheryl Reimer-Kirkham ◽  
Barbara Astle

AbstractNursing programs are increasingly offering international clinical experiences as part of nursing curricula. The purpose of this study was to understand what motivates student nurses to take part in these experiences. Related to motivation, student awareness of emerging nursing discourses on global citizenship was also examined. As part of a qualitative study, nine undergraduate nursing students were interviewed about their motivations for choosing a clinical placement to a low-income country. While students appeared to have a sincere desire to make a difference, closer examination of the data revealed that the majority approached their international clinical placement in ways that could be construed as paternalistic to some degree, rather than reflective of broader professional imperatives such as social justice. This finding suggests that additional education preparation may be needed prior to these experiences; global citizenship frameworks may be helpful in shifting perspectives towards a more critical enquiry of global issues.


2015 ◽  
Vol 5 (2) ◽  
pp. 1-11
Author(s):  
P. Ravi Shankar ◽  
Christopher Rose

Lesbian, gay, bisexual and transgender (LGBT) are ways of referring to someone's sexual orientation/preferences; gaining a better understanding as to how best serve the needs of the LGBT community are becoming increasingly important in medical education. While nations (especially developing ones) are making efforts to become more pluralistic societies that uphold and honor the rights of all their citizenry, members of the LGBT community continue to face hostility and violence. These factors cause many members of the LGBT community to be wary about identifying their sexual orientation. Curricular interventions to address LGBT issues are becoming increasingly common. The LGBT community faces a number of challenges and disparities in accessing healthcare. The authors facilitate a medical humanities (MH) module at the Xavier University School of Medicine, Aruba.. Small group, activity-based learning strategies are widely used during the module. Literature, case scenarios, paintings and role-plays are used to explore different aspects of MH. In this manuscript role-plays serve as vehicles to introduce LGBT issues to medical students during the module. The process of debriefing the role-play including students' comments are briefly discussed. One scenario deals with a young girl forced to become a worker in the sex trade, another contends with a night club owner who is diagnosed as HIV positive, a third situation portrays a young woman with a same gender life partner suffering from terminal cancer, the fourth situation explores the difficulties a female student faces when she reveals a sexual attraction for a same sex classmate. The role-plays serve to introduce students to an initial understanding of some of the issues faced by members of the LGBT community and an opportunity to put themselves in the position of a LGBT individual.


2019 ◽  
Vol 51 (4) ◽  
pp. 274-284
Author(s):  
Eloise C. J. Carr ◽  
Marc Hall ◽  
Cydnee Seneviratne

Background Pain, particularly chronic pain, represents a global health burden. The provision of undergraduate pain education for health professionals remains suboptimal, and yet pain features as an important competency for successful licensure in Canada. Purpose To explore what clinical events undergraduate nursing students identify as critical to their learning. If pain featured, then to describe the nature of the pain incident. Methods A retrospective cross-sectional design with a thematic analysis of year 3 undergraduate student nurses’ assignments was used. For the assignments identified as related to pain, a more detailed inductive content analysis was used to provide a condensed but broad description of the data. Results A total of 215 students participated. The most reported topics were pain (14.8%), patient assessment (10.2%), patient-/family-centered care (10.2%), and effective communication (9.8%). For those who described a pain encounter in their clinical experience, advocacy, managing the gap, and a lack of knowledge were the main focus. Conclusions This study provided valuable insights to the ways in which student nurses wrote about their experiences and management of pain in the clinical setting. Strengthening learning in the nursing curricula around advocacy and conflict management might provide new ways to improve pain education.


2019 ◽  
Author(s):  
Haynes Amanda ◽  
◽  
Schweppe Jennifer ◽  

Basic figures: – A large majority of respondents agreed or strongly agreed that gay men and lesbians (88%), bisexual people (87%) and transgender people (85%) “should be free to live their own life as they wish”. – Women were significantly more likely than men to agree with the above statement in respect to every identity group. People aged 25-34 years were significantly more likely than the general population to disagree with the statement. – On average, respondents were comfortable having people with a minority sexual orientation or gender identity as neighbours. Responses were significantly more positive towards having lesbians (M=8.51), bisexual people (M=8.40) and gay men (M=8.38) as neighbours compared to transgender people (M=7.98). – High levels of empathy were expressed with crime victims across all identity categories. Respondents were similarly empathetic towards heterosexual couples (M= 9.01), lesbian couples (M=9.05) and transgender persons (M=8.86) who are physically assaulted on the street. However, gay couples (M= 8.55) attracted significantly less empathy than a lesbian couple in similar circumstances. – Respondents were significantly more likely to intervene on behalf of a victim with a disability (M=7.86), than on behalf of an LGBT victim (M=6.96), but significantly more likely to intervene on behalf of an LGBT victim than an Irish Traveller (M= 5.82). – Respondents reported similar willingness to intervene on behalf of a lesbian pushed and slapped on the street by a stranger (M=7.38) and a transgender person (M= 7.03) in the same situation. Respondents were significantly more unlikely to intervene on behalf of a gay man (M=6.63) or bisexual person (M= 6.89) compared to a lesbian. – A third of respondents (33%) disagreed that violence against lesbians, gay men, bisexual and transgender people is a “serious problem in my country”, but more than half (58%) agreed that hate crimes hurt more than equivalent, non-bias, crimes.


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