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LGBT Discrimination in Health Care PPT

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LGBT Discrimination in Health Care PPT

  1. 1. LGBT Discrimination in Health Care Melissa A. Munoz Grand Canyon University Marianne Jankowski January 13, 2016
  2. 2. Problem Statement ▪ LGBT individuals experience discrimination ▪ 56% of LGB experience discrimination ▪ 73% of Transgendered felt they faced discrimination (Hanneman, 2014) ▪ Patients & staff feel unable to reveal they are LGBT. ▪ Patients unable to trust medical professionals
  3. 3. PICOT Question ▪For LGBT patients, would specialized diversity training aimed towards working with the LGBT community, compared to the current generic diversity training, reduce the perceived rate of discrimination within health care?
  4. 4. Solution Description ▪ Cultural competence training ▪ 2 or 4 hour sessions ▪ 3 month program ▪ Covers LGBT needs and issues
  5. 5. Objectives of Solution ▪ Increase the diversity training ▪ Decrease the perceived rate of discrimination based on being LGBT ▪ Increase the rate of LGBT community members seeking out health care services.
  6. 6. Pre & Post Test Scales Heterosexual Attitude toward Homosexuality Scale ▪ 21 question Likert-scale ▪ Ask questions pertaining to attitudes toward homosexuality and homosexual acts Sample Questions ▪ I would look for a new place to live if I found out my roommate was gay. ▪ Gays dislike members of the opposite sex. ▪ The love between two males or two females is quite different from the love between two persons of the opposite sex. Larsen, Reed, & Hoffman, 1980.
  7. 7. Implementation ▪ Pilot program to be implemented in local medical center ▪ Mandatory training to all employees ▪ Data collection & comparison of LGBT admittance ▪ Utilize ARCC model
  8. 8. ARCC Model ▪ Advancing Research & Clinical Practice Through Close Collaboration ▪ Assess culture in organization ▪ Strengths & Barriers of Organization ▪ EBP Mentorship ▪ Successful implementation of EBP Melnyk, Fineout-Overholt, Gallagher-Ford, & Stillwell, 2011
  9. 9. ARCC Model Cont. Melnyk, Fineout-Overholt, Gallagher-Ford, & Stillwell, 2011
  10. 10. Timeline 2 Month Before Program Start ▪ Reach out to LGBT advocates/educators - ▪ Gather information on LGBT patient satisfaction and admittance rate - ▪ Meet with educators to discuss desired topics to be covered ▪ Interview local medical centers 3 -4 Weeks before Program start ▪ Send out memos and emails/ post fliers ▪ Finalize training class schedules ▪ Begin sign up ▪ Select pilot medical center
  11. 11. Timeline Cont. Program Start – 3 Months ▪ Give pre-test and interviews to staff ▪ Training classes – 3 months ▪ Begin close up -1 week before end ▪ Administer post-test and final interviews 1-2 Week After ▪ Collect all data ▪ Send data to be analyzed ▪ Send out evaluations to staff ▪ Receive feedback
  12. 12. Timeline Cont. ▪ Receive data analysis ▪ Meet with training facilitators to revise topics covered and handouts ▪ 4-6 months after completion – gather information on LGBT patient satisfaction and admittance rates.
  13. 13. Barriers to Implementation ▪ The staff refusal to take part in the training sessions. ▪ Religious beliefs of workers hinder attendance ▪ Lack of financial support ▪ Possible protest from other community sects.
  14. 14. Proposal Budget Description Amount Interviewer $1,890 Training Facilitator/Trainer $10,000 Data Analyst $3,000 Workbooks $7,000 Misc. Handouts $300 Refreshments $3500 Computer Provided by facility Projector Provided by facility Sound System Provided by facility Total $25,690
  15. 15. References ▪ Hanneman, Tari. (2014). Healthcare equality index 2014: Promoting equitable and inclusive care for lesbian, gay, bisexual and transgender patients and their families. Retrieved from Human Rights Campaign Foundation website: http://hrc- assets.s3-website-us-east- 1.amazonaws.com//files/assets/resources/HEI_2014_high_interactive.pdf ▪ Larsen, K. S., Reed, M., & Hoffman, S. (1980). Attitudes of heterosexuals toward homosexuality: A Likert‐type scale and construct validity. The Journal of Sex Research,16(3), 245-257. doi:10.1080/00224498009551081 ▪ Melnyk, B.M., Fineout-Overholt, E., Gallagher-Ford, L., & Stillwell, S.B. (2011). Models to guide implementation of evidence-based practice. In Evidence-based practice in nursing & healthcare: A guide to best practice (2nd ed., pp. 241-275). Philadelphia, PA: Wolters Kluwer/Lippincott Williams & Wilkins.

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