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LGBT Cultural Competence of Acute Care Nurses

Journal for Nurses in Professional Development: May/June 2019 - Volume 35 - Issue 3 - p E11–E12
doi: 10.1097/NND.0000000000000552
Articles: Online Only


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Back to Top | Article Outline


PURPOSE: To present a study evaluating an educational intervention designed to increase lesbian, gay, bisexual, and transgender (LGBT) cultural competence among nurses.

LEARNING OBJECTIVES/OUTCOMES: After completing this continuing education activity, you should be able to

1. Recall healthcare issues relating to the LGBT population and how developing cultural competence in nurses can help.

2. Specify the methodology, results, and implications of the study.

  1. Caceres et al. (2017) found certain conditions to be more common in LGBT patients than in heterosexual patients, including
    1. asthma.
    2. cancer.
    3. diabetes.
  2. Fredriksen-Goldsen et al. (2013) found that LGBT patients
    1. are less likely to have health screenings.
    2. have higher levels of physical activity.
    3. have lower rates of obesity and of cigarette use.
  3. The author argues that LGBT individuals are less likely to seek health care because they
    1. experience rejection, prejudice, and discrimination.
    2. have fewer health events.
    3. typically have inadequate financial resources.
  4. Frost et al. (2015) found that health events were three times more likely to occur for those who
    1. demonstrated low self-efficacy.
    2. lacked a sufficient social support system.
    3. experienced a prejudice healthcare event.
  5. Gendron et al. (2013) reported that, following training for healthcare workers caring for LGBT older adults, participants demonstrated a significant increase in
    1. awareness of LGBT issues.
    2. job satisfaction and retention.
    3. positive behaviors toward LGBT patients.
  6. In the study by Hardacker et al. (2014), more initial knowledge regarding LGBT topics was found among
    1. older and more experienced nurses.
    2. nurse educators and clinical nurse specialists.
    3. nursing students and younger nurses.
  7. What percentage of nursing educators did Lim et al. (2015) find to be aware of issues in LGBT health?
    1. 36%
    2. 46%
    3. 56%
  8. In the study by Rounds et al. (2013), important factors for LGBT individuals in choosing healthcare providers included
    1. knowledge of LGBT issues.
    2. compassion.
    3. competence.
  9. Using Rosswurn and Larrabee's model, development of evidence-based practice guidelines and decisions occurs through the use of quantitative data, qualitative data, clinical experience, and
    1. healthcare legislation.
    2. expert opinion.
    3. circumstantial evidence.
  10. Leininger’s culture care theory of diversity and universality was used as the theoretical framework for the study because of its connection of care and
    1. cultural competence.
    2. diversity.
    3. universality.
  11. The Gay Affirmative Practice (GAP) Scale measures practitioners’
    1. knowledge.
    2. behaviors and beliefs.
    3. patient outcomes.
  12. Topics covered in the 34-slide educational intervention used in the study included
    1. common physical conditions.
    2. health disparities.
    3. mental health issues.
  13. What process was used to assess the effectiveness of the LGBT training intervention?
    1. completion of preintervention and postintervention GAP Scales
    2. completion of the GAP scale and a role-playing exercise
    3. completion of the GAP scale and clinical impact questionnaire
  14. For which question within the belief subscale did respondents reply strongly agree 43.3% of the time preintervention and 60% of the time postintervention?
    1. nurses should support diverse family makeup
    2. nurses should learn about diversity
    3. nurses should help clients reduce shame
  15. The strongly agree responses to the belief scale question “nurses should help patients develop positive identities” increased by what percentage postintervention?
    1. 10%
    2. 20%
    3. 30%
  16. The always response to the behavior subscale question “respondents seek to educate themselves about gay/lesbian concerns” rose from 10% preintervention to what percentage postintervention?
    1. 50%
    2. 60%
    3. 70%
  17. Consistent with current research findings, the results of the study found that use of educational intervention
    1. resulted in improved LGBT patient outcomes.
    2. encouraged LGBT patients’ trust in care providers.
    3. enhanced nurses’ LGBT cultural competence.
  18. What was one limitation of the study, as identified by the authors?
    1. design of the intervention
    2. potential for researcher bias
    3. small sample size
  19. The author suggests that greater support for the research findings would be provided through
    1. expansion of the sample to other healthcare providers.
    2. inclusion of other marginalized groups.
    3. expansion of the GAP Scale.
© 2019 by Lippincott Williams & Wilkins, Inc.