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LGBT nurses

LGBTQ+ nurses: Research can close knowledge gaps and enhance support

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By: Layla Bradley, RN/FNP

Today, more than ever, there is a need for nurse researchers to conduct studies on LGBTQ+ nurses to close the gaps and work together to rise above the current political climate surrounding the potential end of funding for diversity, equity, inclusion (DEI), and transgender care. DEI is a set of initiatives designed to address societal and workplace environments, enabling everyone to be valued and to succeed. After the presidential executive order eliminating DEI, the National Institutes of Health canceled grants for research on LGBTQ+ health and gender identity. These mandates not only prevent our developing understanding of these communities but also discount the contributions that individuals in these communities make every day in healthcare and other settings. At the same time, the current president and his administration recognize only two genders: male and female.

The exact number of individuals who identify as LGBTQ+ is difficult to calculate due to stigma and safety fears. These factors limit our ability to understand and support LGBTQ+ nurses. The lack of support will continue to create barriers and challenges not only for LGBTQ+ nurses but also for patients who identify as members of this community.

The American Nurses Association and the National League of Nursing, along with scholarly researchers, continue to emphasize the need for nurse researchers to conduct research and bring awareness to the LGBTQ+ community to bridge the gap in access to healthcare, knowledge of nurses in terminology and care delivery, and promotion of DEI. Most articles focused on identifying and creating an inclusive and safe work environment for LGBTQ+ healthcare workers have been written by physicians, psychologists, and sociologists. However, most written articles by nurse researchers focus on students, faculty, patients, and blue-collar workers who identify as LGBTQ. These articles and accompanying research provide much-needed education and insight into the lives and needs of this population, which can help providers offer culturally appropriate care and services.

Several studies have investigated the lack of LGBTQ+ knowledge among non-LGBTQ+ nurses and new nurses. An area that continues to see limited research is LGBTQ+ nurses’ experiences working in healthcare. Most articles about LGBTQ+ nurses date back to the early 2000s; the two most recent articles were written in 2023 and 2024. These studies are not enough to fully understand or support LGBTQ+ nurses.

Nursing organizations and other researchers highlight the lack of understanding of minority LGBTQ+ nurses and their work experience in healthcare. A need also exists for research that examines single identities (such as lesbian, gay, bisexual, transgender, or queer) of nurses’ experiences working in healthcare settings. Ultimately, the knowledge gained when we understand the lived experiences of minority nurses who identify as LGBTQ+ unifies nursing, fosters allies, and creates welcoming environments. Nurses have traditionally been a rallying point for underserved communities. Now is the time to rally around our LGBTQ+ colleagues to add their voices for understanding, compassion, and respect.


Layla Bradley, RN/FNP, is a Didactic Instructor at Arizona College of Nursing in Tucson, AZ.

References

Bizzeth SR, Beagan BL. “Ah, it is best not to mention that here”: Experiences of LGBTQ+ healthprofessionals in (heteronormative) workplaces in Canada. Front Sociol. 2023;8:1138628.doi:10.3389/fsoc.2023.1138628

Cancela D, Hulsheger UR, Stutterheim SE. The role of support for transgender and nonbinary employees:Perceived co-worker and organizational support’s associations with job attitudes and work behavior. Psychol Sex Orientat Gend Divers. 2022;9(1):49-57. doi:10.1037/sgd0000453.

Chan ASW, Wu D, Lo IPY, Ho JMC, Yan E. Diversity and inclusion: Impact on psychological wellbeing among lesbian, gay, bisexual, transgender, and queer communities. Front Psychol. 2022;13:726343. doi:10.3389/fpsyg.2022.726343

Eliason MJ, Streed C Jr, Henne M. Coping with stress as an LGBTQ+ health care professional. J Homosex.2018;65(5):561-78. doi:10.1080/00918369.2017.1328224

Fletcher L, Everly BA. Perceived lesbian, gay, bisexual, and transgender (LGBT) supportive practices andlife satisfaction of LGBT employees: The role of disclosure, authenticity at work, and identify centrality. JOccup Organ Psychol. 2021;94(3):485-508. doi:10.111/joop.12336

Galanza J, Picpican RR, Jimenez J, et al. Rainbow within and beyond: A qualitative study on the experiences of lesbian, gay, bisexual, and transgender staff nurses in the Philippine hospital settings. Belitung Nurs J.2024;10(5):538-47. doi:10.35546/bnj.3491

Katz-Wise SL, Boskey ER, Godwin EG, Thomson K, Post J, Gordon AR. “We’re moving in the right direction.Still, a long way to go”: Experiences and perceptions of the climate for LGBTQ+ employees at a Pediatric hospital. J Homosex. 2022;69(13):2286-2304. doi:10.1080/00918369.2021.1938468

Lim F, Jones PA, Paguirigan M. A guide to fostering an LGBTQ-inclusive workplace. Nurs Manage.2019;50(6):46-53. doi:10.1097/01.NUMA.0000558484.92567.db

Logie CH, Lys CL, Dias L, et al. “Automatic assumption of your gender, sexuality and sexual practices is alsodiscrimination”: Exploring sexual healthcare experiences and recommendations among sexually and gender diverse persons in Artic Canada. Health Soc Care Community. 2019;27(5):1204-13. doi:10.1111/hsc.12757

Matsutaka Y, Otsuka Y, Tsuno K, Iida J, Fuji K. Development and evaluation of a training program to reducehomophobia and transphobia among human resource staff and health professionals in the workplace: A randomized controlled trial. Psychol Sex Orientat Gend Divers. 2024;11(1):153-64. doi:10.1037/sgd0000590

National League of Nursing. Achieving Diversity and Meaningful Inclusion in Nursing Education. February 2016. www.nln.org/docs/default-source/uploadedfiles/professional-development-programs/vision-statement-achieving-diversity.pdf

Noronha E, Bisht NS, D’Cruz P. From fear to courage: Indian lesbians’ and gays’ quest for inclusive ethicalorganizations. J Business Ethics. 2022;177:779-97. doi:10.1007/s10551-022-0598-x

Norris AL, McGuire JK, Stolz C. Direct and indirect experiences of heterosexism: How slurs impact all students. Appl Dev Sci. 2016;22(2):154-67. doi:10.1080/1088691.2016.1245101

Papadaki V, Giannou D. To be or not to be out of the closet?—LGB social workers’ visibility management inthe workplace in Greece. J Gay and Lesbian Soc Serv. 2021;33(2):225-49. doi:10.1080/10538720.2021.1875945

Periard DA, Yanchus NJ, Morris MB, Barnes T, Yanovsky B, Osatuke K. LGB and heterosexual federalcivilian employee differences in the workplace. Psychol Sex Orientat Gend Divers. 2018;5(1):57-71. doi:10.1037/sgd0000257

Stokes L. ANA position statement: Nursing advocacy for LGBTQ+ populations. Online J Issues Nurs. 2018;24(1). doi:10.3912/OJIN.Vol24No01PoSCol02

Westafer LM, Freiermuth CE, Lall MD, Muder SJ, Ragone EL, Jarman AF. Experiences of transgender andgender expansive physicians. JAMA. 2022;5(6):e2219791. doi:10.1001/jamanetworkopen.2022.19791

*Online Bonus Content: These are opinion pieces and are not peer reviewed. The views and opinions expressed by Perspectives contributors are those of the author and do not necessarily reflect the opinions or recommendations of the American Nurses Association, the Editorial Advisory Board members, or the Publisher, Editors and staff of American Nurse Journal.

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