Attitudes, knowledge and practice behaviours of oncology health care professionals towards lesbian, gay, bisexual, transgender, queer and intersex (LGBTQI) patients and their carers: A mixed-methods study

• DOI: 10.1016/j.pec.2021.12.008
• Publication Date: 2021-12-15T22:45:41Z
• Authors: Jane M. Ussher; Janette Perz; Kimberley Allison; Rosalie Power; Alexandra Hawkey; Gary W. Dowsett; Martha Hickey; Chloe Parton; Fiona E.J. McDonald; Ian D. Davis; Gwendolyn P. Quinn; Katherine Boydell; Kerry H. Robinson; Suzanne Chambers; Antoinette Anazodo
• Keywords: Health Knowledge, Attitudes, Practice; knowledge and attitudes; Health Personnel; 610; Nursing; FOS: Health sciences; Transgender Persons; cancer care; training and education; Sexual and Gender Minorities; 03 medical and health sciences; 0302 clinical medicine; Healthcare professionals; XXXXXX - Unknown; Knowledge and attitudes; Health services and systems; Cancer care; Humans; 10. No inequality; 360; mixed-methods; LGBTQI; Health sciences; Cultural competence; healthcare professionals; 3. Good health; Attitude; Caregivers; Female; cultural competence

There is growing recognition that health care professionals (HCPs) and policy makers are insufficiently equipped to provide culturally competent lesbian, gay, bisexual, transgender, queer intersex (LGBTQI) cancer patients their families. We examined HCP attitudes, knowledge, practices regarding LGBTQI using a mixed-methods research design.Surveys were completed by 357 oncology HCPs in nursing (40%), medical (24%), allied (19%), clinical leadership roles (11%); 48 of the surveyed interviewed.Most reported being comfortable treating patients, but low levels confidence knowledge systemic barriers care. Most wanted more education training, particularly on trans gender-diverse people (TGD) those born with variations.Education system changes required overcome provision for patients.These findings reinforce need inclusion content professional training curricula, institutional support LGBTQI-inclusive practice behaviours. This includes administrative visual cues signal safety within care, facilitating inclusive environments, tailored patient-centred