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Staff competence in caring for LGBTQ+ patients in the paediatric emergency department
OBJECTIVE: This study aimed to assess the competency of paediatric emergency department (PED) multidisciplinary staff in caring for LGBTQ+ (lesbian, gay, bisexual, transgender, queer/questioning, + inclusive of all identities) adolescents. DESIGN: This was an observational study within which partici...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10314017/ https://www.ncbi.nlm.nih.gov/pubmed/37094883 http://dx.doi.org/10.1136/archdischild-2022-325151 |
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author | Kelleher, Sean T Barrett, Michael J Durnin, Sheena Fitzpatrick, Patrick Higgins, Agnes Hall, Dani |
author_facet | Kelleher, Sean T Barrett, Michael J Durnin, Sheena Fitzpatrick, Patrick Higgins, Agnes Hall, Dani |
author_sort | Kelleher, Sean T |
collection | PubMed |
description | OBJECTIVE: This study aimed to assess the competency of paediatric emergency department (PED) multidisciplinary staff in caring for LGBTQ+ (lesbian, gay, bisexual, transgender, queer/questioning, + inclusive of all identities) adolescents. DESIGN: This was an observational study within which participants were required to complete the LGBT-Development of Clinical Skills Scale self-assessment tool of clinical competence. SETTING: It was conducted across three PEDs and one urgent care centre pertaining to the Children’s Health Ireland healthcare group. PARTICIPANTS: Doctors, nurses and healthcare workers were eligible to participate. Exclusion criteria: non-front facing staff; prior completion of an eLearning module intended to serve as a future educational intervention. MAIN OUTCOME MEASURES: Participants were assessed on: (1) attitudinal awareness towards LGBTQ+ individuals; (2) knowledge of LGBTQ+ health issues and (3) clinical preparedness in caring for LGBTQ+ patients. Each domain is scored out of a maximum of 7 points. RESULTS: 71 eligible participants completed the study. 40/71 (56%) were doctors, and 31/71 (44%) were nurses. The mean score for attitudinal awareness was 6.54/7 (SD 0.59), indicating overall positive attitudes. The mean score for knowledge was lower (5.34/7, SD 1.03) and lowest for clinical preparedness (3.39/7, SD 0.94). Participants were less confident in caring for transgender than LGB patients and scored very low when asked if they had received adequate training in caring for transgender young people (2.11/7). CONCLUSIONS: This study demonstrates positive attitudes towards LGBTQ+ patients among PED staff. However, there was a gap in knowledge and clinical preparedness. Increased training in caring for LGBTQ+ young people is necessary. |
format | Online Article Text |
id | pubmed-10314017 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-103140172023-07-02 Staff competence in caring for LGBTQ+ patients in the paediatric emergency department Kelleher, Sean T Barrett, Michael J Durnin, Sheena Fitzpatrick, Patrick Higgins, Agnes Hall, Dani Arch Dis Child Paediatric Emergency Medicine OBJECTIVE: This study aimed to assess the competency of paediatric emergency department (PED) multidisciplinary staff in caring for LGBTQ+ (lesbian, gay, bisexual, transgender, queer/questioning, + inclusive of all identities) adolescents. DESIGN: This was an observational study within which participants were required to complete the LGBT-Development of Clinical Skills Scale self-assessment tool of clinical competence. SETTING: It was conducted across three PEDs and one urgent care centre pertaining to the Children’s Health Ireland healthcare group. PARTICIPANTS: Doctors, nurses and healthcare workers were eligible to participate. Exclusion criteria: non-front facing staff; prior completion of an eLearning module intended to serve as a future educational intervention. MAIN OUTCOME MEASURES: Participants were assessed on: (1) attitudinal awareness towards LGBTQ+ individuals; (2) knowledge of LGBTQ+ health issues and (3) clinical preparedness in caring for LGBTQ+ patients. Each domain is scored out of a maximum of 7 points. RESULTS: 71 eligible participants completed the study. 40/71 (56%) were doctors, and 31/71 (44%) were nurses. The mean score for attitudinal awareness was 6.54/7 (SD 0.59), indicating overall positive attitudes. The mean score for knowledge was lower (5.34/7, SD 1.03) and lowest for clinical preparedness (3.39/7, SD 0.94). Participants were less confident in caring for transgender than LGB patients and scored very low when asked if they had received adequate training in caring for transgender young people (2.11/7). CONCLUSIONS: This study demonstrates positive attitudes towards LGBTQ+ patients among PED staff. However, there was a gap in knowledge and clinical preparedness. Increased training in caring for LGBTQ+ young people is necessary. BMJ Publishing Group 2023-07 2023-04-24 /pmc/articles/PMC10314017/ /pubmed/37094883 http://dx.doi.org/10.1136/archdischild-2022-325151 Text en © Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) . |
spellingShingle | Paediatric Emergency Medicine Kelleher, Sean T Barrett, Michael J Durnin, Sheena Fitzpatrick, Patrick Higgins, Agnes Hall, Dani Staff competence in caring for LGBTQ+ patients in the paediatric emergency department |
title | Staff competence in caring for LGBTQ+ patients in the paediatric emergency department |
title_full | Staff competence in caring for LGBTQ+ patients in the paediatric emergency department |
title_fullStr | Staff competence in caring for LGBTQ+ patients in the paediatric emergency department |
title_full_unstemmed | Staff competence in caring for LGBTQ+ patients in the paediatric emergency department |
title_short | Staff competence in caring for LGBTQ+ patients in the paediatric emergency department |
title_sort | staff competence in caring for lgbtq+ patients in the paediatric emergency department |
topic | Paediatric Emergency Medicine |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10314017/ https://www.ncbi.nlm.nih.gov/pubmed/37094883 http://dx.doi.org/10.1136/archdischild-2022-325151 |
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