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Unveiling the Path to LGBTQ+ Inclusive and Culturally Competent Healthcare: A Multi-Dimensional Examination of Trainings, Policies, and Perspectives
Unveiling the Path to LGBTQ+ Inclusive and Culturally Competent Healthcare: A Multi-Dimensional Examination of Trainings, Policies, and Perspectives
상세정보
- 자료유형
- 학위논문 서양
- 최종처리일시
- 20250211150954
- ISBN
- 9798382834238
- DDC
- 305
- 저자명
- Yu, Hyunmin.
- 서명/저자
- Unveiling the Path to LGBTQ+ Inclusive and Culturally Competent Healthcare: A Multi-Dimensional Examination of Trainings, Policies, and Perspectives
- 발행사항
- [Sl] : University of Pennsylvania, 2024
- 발행사항
- Ann Arbor : ProQuest Dissertations & Theses, 2024
- 형태사항
- 312 p
- 주기사항
- Source: Dissertations Abstracts International, Volume: 85-12, Section: B.
- 주기사항
- Advisor: Bauermeister, Jose A.
- 학위논문주기
- Thesis (Ph.D.)--University of Pennsylvania, 2024.
- 초록/해제
- 요약LGBTQ+ individuals encounter enduring discrimination and adverse healthcare encounters within the healthcare system, with profound implications for their health and wellbeing. Policymakers have advocated for the adoption of LGBTQ+ inclusive and culturally competent healthcare, including training for health professionals, to promote health equity among LGBTQ+ populations. However, implementation of these policies within healthcare systems varies, posing structural and individual-level barriers. In this dissertation, I employ an ecological model of LGBTQ+ health disparities and a conceptual model of determinants of health disparities in vulnerable populations within the healthcare system to examine the impact of structural inequities on the implementation of LGBTQ+ inclusive policies and culturally competent healthcare practices. Through a systematic literature review, I synthesized existing research on LGBTQ+ cultural competency training for health professionals across disciplines and settings. Results indicated that participation in such training is associated with significant improvements in cultural competence, yet notable geographical and institutional disparities exist in their provision. To investigate the association between state and hospital-level factors and LGBTQ+ inclusion and cultural competency in healthcare settings, I conducted secondary data analysis of datasets related to hospital-level LGBTQ+ policies and practices, a hospital's Magnet status, state laws, political climate, and sociodemographic factors. Findings revealed that the implementation of LGBTQ+ inclusive policies and practices in hospitals is associated with Magnet status, hospital type, and the political landscape at the state level. To delve deeper into the factors influencing implementation, a qualitative descriptive study informed by implementation science theory examined nurse leaders' perceptions of facilitators and barriers to implementation. Multilevel determinants emerged, including state-level political climate and LGBTQ+ laws, organizational commitment to diversity, equity, and inclusion, leadership engagement, and LGBTQ+ community engagement. The results of this dissertation underscore the need for an ecological understanding of LGBTQ+ health disparities to effectively implement LGBTQ+ inclusion efforts in healthcare settings. Addressing inequities in healthcare policies and practices should prioritize initiatives aimed at mitigating legal constraints faced by LGBTQ+ individuals. Moreover, fostering collaboration among healthcare systems, academic institutions, and LGBTQ+ community organizations is crucial for ensuring equitable access to inclusive and affirming healthcare services for all.
- 일반주제명
- LGBTQ studies
- 일반주제명
- Nursing
- 키워드
- LGBTQ+
- 기타저자
- University of Pennsylvania Nursing
- 기본자료저록
- Dissertations Abstracts International. 85-12B.
- 전자적 위치 및 접속
- 로그인 후 원문을 볼 수 있습니다.
MARC
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■020 ▼a9798382834238
■035 ▼a(MiAaPQ)AAI30993485
■040 ▼aMiAaPQ▼cMiAaPQ
■0820 ▼a305
■1001 ▼aYu, Hyunmin.
■24510▼aUnveiling the Path to LGBTQ+ Inclusive and Culturally Competent Healthcare: A Multi-Dimensional Examination of Trainings, Policies, and Perspectives
■260 ▼a[Sl]▼bUniversity of Pennsylvania▼c2024
■260 1▼aAnn Arbor▼bProQuest Dissertations & Theses▼c2024
■300 ▼a312 p
■500 ▼aSource: Dissertations Abstracts International, Volume: 85-12, Section: B.
■500 ▼aAdvisor: Bauermeister, Jose A.
■5021 ▼aThesis (Ph.D.)--University of Pennsylvania, 2024.
■520 ▼aLGBTQ+ individuals encounter enduring discrimination and adverse healthcare encounters within the healthcare system, with profound implications for their health and wellbeing. Policymakers have advocated for the adoption of LGBTQ+ inclusive and culturally competent healthcare, including training for health professionals, to promote health equity among LGBTQ+ populations. However, implementation of these policies within healthcare systems varies, posing structural and individual-level barriers. In this dissertation, I employ an ecological model of LGBTQ+ health disparities and a conceptual model of determinants of health disparities in vulnerable populations within the healthcare system to examine the impact of structural inequities on the implementation of LGBTQ+ inclusive policies and culturally competent healthcare practices. Through a systematic literature review, I synthesized existing research on LGBTQ+ cultural competency training for health professionals across disciplines and settings. Results indicated that participation in such training is associated with significant improvements in cultural competence, yet notable geographical and institutional disparities exist in their provision. To investigate the association between state and hospital-level factors and LGBTQ+ inclusion and cultural competency in healthcare settings, I conducted secondary data analysis of datasets related to hospital-level LGBTQ+ policies and practices, a hospital's Magnet status, state laws, political climate, and sociodemographic factors. Findings revealed that the implementation of LGBTQ+ inclusive policies and practices in hospitals is associated with Magnet status, hospital type, and the political landscape at the state level. To delve deeper into the factors influencing implementation, a qualitative descriptive study informed by implementation science theory examined nurse leaders' perceptions of facilitators and barriers to implementation. Multilevel determinants emerged, including state-level political climate and LGBTQ+ laws, organizational commitment to diversity, equity, and inclusion, leadership engagement, and LGBTQ+ community engagement. The results of this dissertation underscore the need for an ecological understanding of LGBTQ+ health disparities to effectively implement LGBTQ+ inclusion efforts in healthcare settings. Addressing inequities in healthcare policies and practices should prioritize initiatives aimed at mitigating legal constraints faced by LGBTQ+ individuals. Moreover, fostering collaboration among healthcare systems, academic institutions, and LGBTQ+ community organizations is crucial for ensuring equitable access to inclusive and affirming healthcare services for all.
■590 ▼aSchool code: 0175.
■650 4▼aLGBTQ studies
■650 4▼aNursing
■653 ▼aCultural competence
■653 ▼aInclusive healthcare
■653 ▼aLGBTQ+
■653 ▼aHealthcare systems
■690 ▼a0492
■690 ▼a0569
■690 ▼a0769
■71020▼aUniversity of Pennsylvania▼bNursing.
■7730 ▼tDissertations Abstracts International▼g85-12B.
■790 ▼a0175
■791 ▼aPh.D.
■792 ▼a2024
■793 ▼aEnglish
■85640▼uhttp://www.riss.kr/pdu/ddodLink.do?id=T17160309▼nKERIS▼z이 자료의 원문은 한국교육학술정보원에서 제공합니다.
