Lesbian, gay, bisexual and transgender (LGBT) inclusion in nursing services: a reflective case study from stoma care

2020 ◽  
Vol 18 (Sup9) ◽  
pp. S26-S32
Author(s):  
Pip Chandler
Keyword(s):  
Role Models ◽  
Unmet Need ◽  
Care Staff ◽  
Equal Treatment ◽  
Same Sex ◽  
Unconscious Bias ◽  
Lgbt Rights ◽  
Health And Social Care ◽  
Bisexual And Transgender ◽  
Lgbt People

Speaking with a female patient and her same-sex partner about their experiences of colorectal cancer and ileostomy surgery led to reflection on how specialist nursing care could be made more inclusive of the needs of lesbian, gay, bisexual and transgender (LGBT) people. The LGBT community includes people who are attracted to the same sex and/or identify as a different gender to the one they were assigned at birth. LGBT people in the UK have experienced a long history of discrimination and only begun to win legal protections over the past two decades, an experience that still affects the older generation especially. Compared with the general population, LGBT people are more likely to report poor health status, experience mental health issues and engage in risky behaviours; however, many are reluctant to attend healthcare services due to fear of discrimination. UK LGBT rights charity charity Stonewall surveys have revealed some discriminatory attitudes and widespread unconscious bias among health and social care staff. For health professionals, it can be a challenge to use the correct terminology to avoid causing offen ce, and there is a largely unmet need for inclusion training to improve their understanding and confidence to speak with patients about sexual preference and gender identity. However, confident LGBT inclusivity can be achieved with simple communication skills, such as equal treatment for same-sex partners, acknowledgement of post-transition names and pronouns and discretion in documentation, as well as awareness of verbal and non-verbal cues. Clinic environments can be made more LGBT-friendly with gender-neutral toilets, as well as wearable LGBT symbols, inclusive imagery and posters and literature that promotes LGBT rights, inclusion and support groups. Specialist nurses can act as role models and advocates for LGBT patients and colleagues in their area through small but impactful actions.

Lesbian, Gay, Bisexual, and Transgender Issues

2020 ◽  
pp. 41-62
Author(s):  
Karolina Lisy ◽  
Nick Hulbert-Williams ◽  
Jane M. Ussher ◽  
Alison Alpert ◽  
Charles Kamen ◽  
...  
Keyword(s):  
Cancer Care ◽  
Healthcare Services ◽  
Background Information ◽  
Sex Partners ◽  
Same Sex ◽  
Heterosexual Identity ◽  
Healthcare Environments ◽  
Bisexual And Transgender ◽  
Lgbt People ◽  
After Cancer

People identifying as lesbian, gay, bisexual, or transgender (LGBT) often experience unique issues and needs in the context of cancer care. These include experiences and fear of discrimination within heteronormative healthcare environments, assumptions of cisgender/heterosexual identity, exclusion of same-sex partners from care, and a lack of relevant supportive care and information resources. There are also unique impacts of cancer and treatment on LGBT sexuality and fertility. To provide the best possible care for LGBT people living with and after cancer, providers must understand the specific needs of LGBT people and be aware of strategies to deliver inclusive healthcare services. This chapter presents key background information to contextualize the needs of LGBT people with cancer before discussing specific challenges that LGBT people may face when accessing cancer care. We provide guidance for general cancer care, as well as specific concerns regarding the sexual health and fertility needs of LGBT patients. Finally, we outline issues for consideration by healthcare services seeking to advance LGBT awareness and improve care for this patient group.

scholarly journals A Systematic Review of UK Educational and Training Materials Aimed at Health and Social Care Staff about Providing Appropriate Services for LGBT+ People

2019 ◽  
Vol 16 (24) ◽  
pp. 4976 ◽  
Author(s):  
Ros Hunt ◽  
Christopher Bates ◽  
Susan Walker ◽  
Jeffrey Grierson ◽  
Sarah Redsell ◽  
...  
Keyword(s):  
Health Professionals ◽  
Social Care ◽  
Care Staff ◽  
Behaviour Change Techniques ◽  
Narrative Synthesis ◽  
Educational Materials ◽  
Lgbt Issues ◽  
Training Materials ◽  
Health And Social Care ◽  
Lgbt People

Background: There is greater dissatisfaction with health services by LGBT people compared to heterosexual and cisgender people and some of this is from lack of equality and diversity training for health professionals. Core training standards in sexual orientation for health professionals have been available since 2006. The purpose of this project is to systematically review educational materials for health and social care professionals in lesbian, gay, bisexual, and transgender (LGBT) issues. Methods: A protocol was developed and searches conducted in six databases. Selection criteria: any studies reporting delivery or evaluation of UK education of health and/or social care professionals in LGBT issues, with no language or setting restrictions. Inclusions and data extraction were conducted in duplicate. Narrative synthesis of educational evaluations was used. Educational materials were assessed using thematic synthesis. Results: From the searches, 165 full papers were evaluated and 19 studies were included in the narrative synthesis. Three were successful action-research projects in cancer services and in residential care. Sixteen sets of educational/training materials have been available since 2010. These varied in length, scope, target audience, and extent of development as classroom-ready materials. Conclusions: Despite the availability of appropriate training programmes for post-qualifying staff, recommendations to undertake training, best practice examples, and statements of good intent, LGBT people continue to report that they are experiencing discrimination or direct prejudice from health and/or social care services. Better training strategies using behaviour change techniques are needed.

scholarly journals ‘We treat them all the same’: the attitudes, knowledge and practices of staff concerning old/er lesbian, gay, bisexual and trans residents in care homes

2016 ◽  
Vol 38 (5) ◽  
pp. 869-899 ◽  
Author(s):  
PAUL SIMPSON ◽  
KATHRYN ALMACK ◽  
PIERRE WALTHERY
Keyword(s):  
Sufficient Conditions ◽  
Direct Care ◽  
Care Staff ◽  
Care Homes ◽  
Legal Rights ◽  
Care Needs ◽  
Everyday Functioning ◽  
Lgbt Issues ◽  
Health And Social Care ◽  
Lgbt People

ABSTRACTThe distinct needs of lesbian, gay, bisexual and trans (LGBT) residents in care homes accommodating older people have been neglected in scholarship. On the basis of a survey of 187 individuals, including service managers and direct care staff, we propose three related arguments. First, whilst employees’ attitudes generally indicate a positive disposition towards LGBT residents, this appears unmatched by the ability to recognise such individuals and knowledge of the issues and policies affecting LGBT people. Statements such as, ‘We don't have any [LGBT residents] at the moment’ and ‘I/we treat them all the same’ were common refrains in responses to open-ended questions. They suggest the working of heteronormativity which could deny sexual and identity difference. Second, failure to recognise the distinct health and social care needs of LGBT residents means that they could be subject to a uniform service, which presumes a heterosexual past and cisgender status (compliance with ascribed gender), which risks compounding inequality and invisibility. Third, LGBT residents could be obliged to depend largely on the goodwill, knowledge and reflexivity of individual staff (including people of faith) to meet care and personal needs, though such qualities were necessary but not sufficient conditions for inclusion and no substitute for collective practices (involving commitment to learn about LGBT issues) that become integral to care homes’ everyday functioning. A collective approach is key to advancing inclusion, implementation of legal rights to self-expression and securing equality through differentiated provision.

scholarly journals Pengaturan Hubungan Menyimpang di Luar Perkawinan bagi Lesbian Dan Gay dalam Perspektif Hukum Hindu

2021 ◽  
Vol 2 (1) ◽  
pp. 83-87
Author(s):  
I Kadek Grendy Bhineka ◽  
I Nyoman Putu Budiartha ◽  
Ni Made Puspautari Ujianti
Keyword(s):  
Primary Data ◽  
Same Sex ◽  
Legal Research ◽  
Religious Perspective ◽  
Same Sex Marriage ◽  
Family Household ◽  
Marriage Behavior ◽  
Bisexual And Transgender ◽  
Lgbt People ◽  
The One

Marriage is a physical and mental bond between a man and a woman as husband and wife with the aim of forming a happy and eternal family (household) based on the One Godhead. Humans were created to pair men with women in order to continue the lineage, but there are a group of people who behave like the same sex and want to legalize their actions up to the level of marriage through the laws in force in their country. This of course cannot be accepted by some people who contradict same-sex marriage behavior which is commonly referred to as Lesbian, Gay, Bisexual and Transgender, hereinafter referred to as LGBT. This study aims to explain the arrangement of deviant relationships outside of marriage for LGBT people in the perspective of Hindu law. The second one describes the religious perspective in dealing with LGBT perpetrators. This research is designed to use normative legal research with a juridical approach through the hermenutic method. The data used are secondary and primary data which are analyzed qualitatively. The results show Hinduism, there is no single verse or ceremony which legalizes that gay and lesbi can have a marriage or relationship, meaning that it is not allowed to marry, especially with a sacred ceremony, Vedic mantra puja, the second one should not isolate or discriminate but provide education to treat Humanly, gay and lesbian perpetrators must provide protection or educate the perpetrator whether he is accommodated in a place and then given direction or counseling so that the perpetrator is aware of LGBT behavior.

scholarly journals Same-sex lives between the language of international LGBT rights, international aid, and anti-homosexuality

2018 ◽  
Vol 18 (3) ◽  
pp. 284-303 ◽  
Author(s):  
Hakan Seckinelgin
Keyword(s):  
International Development ◽  
International Aid ◽  
Development Aid ◽  
Same Sex ◽  
Political Leaders ◽  
Lgbt Rights ◽  
Political Actors ◽  
Aid Conditionality ◽  
Bisexual And Transgender ◽  
International Development Aid

This article considers how international development aid is used in engaging with sexuality rights in Africa. It considers both the emergence of lesbian, gay, bisexual, and transgender (LGBT) rights as aid conditionality in international aid relations and responses to these from African political leaders. The central issue identified is that political leaders for and against these rights have marginalized and ignored voices of the sexually diverse people in their engagements in African settings. Here, a problem emerges that people’s own claims for rights are subsumed within the broader agendas set by politicians at international and national levels. This article analyzes these relations and their outcomes for activists and civil society groups in diverse African settings by considering the language of LGBT rights used by international political actors and the ways in which African political leaders develop their own language on the issue.

Courts, the Law, and LGBT Rights in Asia

2020 ◽  
Author(s):  
Holning Lau
Keyword(s):  
Sexual Orientation ◽  
Same Sex ◽  
The West ◽  
Lgbt Rights ◽  
Same Sex Marriage ◽  
Political Actors ◽  
Anglophone Literature ◽  
Judicial Decisions ◽  
The World ◽  
Bisexual And Transgender

Courts have played an integral part in advancing the rights of lesbian, gay, bisexual, and transgender (LGBT) communities in many parts of Asia. Yet courts in other parts of Asia have entrenched LGBT subordination. A vast expanse separates Asia’s most progressive LGBT judicial decisions from the most oppressive. This divergence stems from various factors, including differences among Asian courts’ judicial philosophies and cultural backdrops. Judicial developments in Asia have disrupted conventional narratives in Anglophone literature about LGBT rights. Conventional wisdom says there is a standard sequence for developing LGBT rights. It is commonly believed that countries will protect sexual orientation rights before gender identity rights; that they will legislate against discrimination before legalizing same-sex marriage; and that legal protections of LGBT rights begin in the West, and then the rest of the world subsequently imports these legal constructs. Developments in Asia have, however, challenged these narratives. While many Asian courts have galvanized reforms to protect LGBT rights, it is important to remember that these courts are nonetheless constrained in their ability to effectuate change. Case studies from Asia demonstrate that protecting LGBT rights often requires political branches of government to cooperate with courts. Political actors may resist implementing court-ordered reforms, especially if public opinion does not support the reforms.

Extending Rights to Marginalized Minorities: Same-Sex Relationship Recognition in Mexico and the United States

2018 ◽  
Vol 18 (1) ◽  
pp. 3-26 ◽  
Author(s):  
Caroline Beer ◽  
Victor D. Cruz-Aceves
Keyword(s):  
United States ◽  
Gay Rights ◽  
National Level ◽  
Minority Rights ◽  
The United States ◽  
Same Sex ◽  
Bisexual And Transgender ◽  
Legal Equality ◽  
Lgbt People ◽  
Subnational Analysis

What explains the extension of greater rights to traditionally marginalized minorities? This article compares the extension of legal equality to lebian, gay, bisexual and transgender (LGBT) people in Mexico and the United States with a focus on the legal recognition of same-sex relationships. A national-level comparison of gay rights in Mexico and the United States presents a theoretical puzzle: most theories predict that the United States would have more egalitarian policies than Mexico, but in fact, Mexico has provided greater legal equality for LGBT people for a longer time than the United States. A subnational analysis of equal relationship rights in the United States and Mexico provides evidence to support social movement and partisan theories of minority rights. We find that religion plays a different role in Mexico than in the United States. The different findings at the national and subnational levels suggest the importance of subnational comparative analysis in heterogeneous federal systems.

Rebellious Wallflowers and QueerTangueras: The Rise of Female Leaders in Buenos Aires’ Tango Scene

2018 ◽  
Vol 36 (2) ◽  
pp. 173-197
Author(s):  
Juliet McMains
Keyword(s):  
Social Norms ◽  
Buenos Aires ◽  
Female Leaders ◽  
Same Sex ◽  
Overlapping Communities ◽  
Heterosexual Women ◽  
Bisexual And Transgender ◽  
History Of

This paper interrogates the history of same-sex dancing among women in Buenos Aires' tango scene, focusing on its increasing visibility since 2005. Two overlapping communities of women are invoked. Queer tangueras are queer-identified female tango dancers and their allies who dance tango in a way that attempts to de-link tango's two roles from gender. Rebellious wallflowers are women who practice, teach, perform, and dance with other women in predominantly straight environments. It is argued that the growing acceptance of same-sex dancing in Argentina is due to the confluence of four developments: 1) the rise of tango commerce, 2) innovations of tango nuevo, 3) changing laws and social norms around lesbian, gay, bisexual, and transgender rights, and 4) synergy between queer tango dancers and heterosexual women who are frustrated by the limits of tango's gender matrix. The author advocates for increased alliances between rebellious wallflowers and queer tangueras, who are often segregated from each other in Buenos Aires' commercial tango industry.

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