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Staff competence in caring for LGBTQ+ patients in the paediatric emergency department.

dc.contributor.authorKelleher, Sean T
dc.contributor.authorBarrett, Michael J
dc.contributor.authorDurnin, Sheena
dc.contributor.authorFitzpatrick, Patrick
dc.contributor.authorHiggins, Agnes
dc.contributor.authorHall, Dani
dc.date.accessioned2024-10-25T09:53:43Z
dc.date.available2024-10-25T09:53:43Z
dc.date.issued2023-04-24
dc.identifier.pmid37094883
dc.identifier.doi10.1136/archdischild-2022-325151
dc.identifier.urihttp://hdl.handle.net/10147/643200
dc.descriptionObjective: 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.en_US
dc.language.isoenen_US
dc.relation.ispartofseriesHSE Library Open Access Research Awards 2024en
dc.rights© 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.
dc.rightsAttribution-NonCommercial 4.0 International*
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/*
dc.subjectadolescent healthen_US
dc.subjecthealthcare disparitiesen_US
dc.subjectMental healthen_US
dc.subjectPaediatric emergency medicineen_US
dc.titleStaff competence in caring for LGBTQ+ patients in the paediatric emergency department.en_US
dc.typeArticleen_US
dc.identifier.eissn1468-2044
dc.identifier.journalArchives of disease in childhooden_US
dc.source.journaltitleArchives of disease in childhood
dc.source.volume108
dc.source.issue7
dc.source.beginpage525
dc.source.endpage529
refterms.dateFOA2024-10-25T09:53:45Z
dc.source.countryEngland


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© 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.
Except where otherwise noted, this item's license is described as © 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.