Factors Influencing Nurses' Culturally Competent Cancer Care for LGBT Individuals in Taiwan: A Qualitative Study Applying the Socio-Ecological Model

IF 3.4 3区医学 Q1 NURSING Journal of Advanced Nursing Pub Date : 2025-02-17 DOI:10.1111/jan.16831

Ya-Ching Wang, Nae-Fang Miao, Mei-Hui You, Frank T. Y. Wang, Chih-Yun Hsu

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Abstract

Aims

This study explored the factors associated with oncology nurses' behaviour and intention to provide cancer care to lesbian, gay, bisexual, and transgender (LGBT) individuals in Taiwan.

Design

A qualitative descriptive study.

Methods

Semi-structured interviews were conducted with 25 oncology nurses between August and October 2023. The interview data were analysed using the framework method (the socio-ecological model) and constant comparative techniques.

Results

Factors associated with oncology nurses' behaviour and intentions to provide cancer care for LGBT individuals were categorised and presented by the levels of the social-ecological model: (1) intrapersonal level: oncology nurses' attitudes toward LGBT populations and their experiences, confidence, and beliefs in providing cancer care for LGBT individuals; (2) interpersonal level: concerns or interactions with oncology nurses' colleagues, other heterosexual cancer patients, and managers; (3) community and organisation levels: organisational climate and related training courses; and (4) societal and policy level: policy regarding sexual orientation, gender identity collection, and social atmosphere.

Conclusion

Multilevel barriers associated with oncology nurses' behaviours and intentions to provide cancer care to LGBT individuals were identified. The study findings emphasised the importance of related training courses offered by organisations to reduce cancer care disparities among LGBT individuals. These courses also aim to enhance oncology nurses' confidence and comfort in delivering holistic and patient-centred cancer care for this population.

Impact

The study findings can be employed to assist in developing related training courses and understand the challenges oncology nurses face when providing cancer care to LGBT individuals.

Patient or Public Contribution

No patient or public contributions.

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影响台湾护士文化胜任性护理LGBT病患之因素：社会生态模型之质性研究

摘要本研究旨在探讨台湾地区肿瘤科护士对女同性恋、男同性恋、双性恋及跨性别（LGBT）病患提供癌症照护的行为及意向之相关因素。

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来源期刊

Journal of Advanced Nursing 医学-护理

CiteScore

6.40

自引率

7.90%

发文量

369

审稿时长

3 months

期刊介绍： The Journal of Advanced Nursing (JAN) contributes to the advancement of evidence-based nursing, midwifery and healthcare by disseminating high quality research and scholarship of contemporary relevance and with potential to advance knowledge for practice, education, management or policy. All JAN papers are required to have a sound scientific, evidential, theoretical or philosophical base and to be critical, questioning and scholarly in approach. As an international journal, JAN promotes diversity of research and scholarship in terms of culture, paradigm and healthcare context. For JAN’s worldwide readership, authors are expected to make clear the wider international relevance of their work and to demonstrate sensitivity to cultural considerations and differences.