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+AB 496
LGBT Cultural Competency
for Health Care Providers
Kirstee NovakGNRS 504Bioethics
April 8th, 2015
+Cultural & Linguistic Competency Education that equips providers to:
Provide culturally suitable health care to individuals whose cultures are different from their own
Diagnose and treat patients--crucial to health care
The Cultural and Linguistic Competency of Physicians Act of 2003 Patient’s ethnicity Language Customs Race Religion Social Status Personal identification
National Institute of Health; Gordon 2014
+LGBT & Intersex in Health CareNo education of LGBT & intersex
patients or health disparities of LGBT
communities
LGBT people often experience
unequal treatment from their HCPs due to lack of
education on LGBT issues
In 2013, 726,000 people identified as a
partner in a same-sex household
Important in providing equally superior health
care to all minority groups & creating safe environments
for all patients
U.S. Census Bureau, 2013; Gordon, 2014
+California Assembly Bill 496 Enhances cultural competency of HCPs
Provide safe & accessible health care Revises definition of CLC to “understanding that
race, sexual orientation, gender identity and expression all play a role in diagnosis, treatment, and clinical care”
Supporters of AB 496Equality CA
Medical Board of CAThe AIDS Legal Referral
Panel
Opposition of AB 496The California Right to Life
Committee
+AB 496 & Nurses
Currently in Nursing,
CEUs -National LGBT Health Education Center to enhance knowledge of nurses
Health Education About LGBT Elders (HEALE) clinics & nursing homes to more than 500 HCPs
Change in Curriculum at Johns Hopkins University Nursing NSNA 66% of vote Educate nursing students in BSN and MSN to ensure
adequate knowledge
Nurses are trained to be conscious of culture, race, ethnicity, and creed, but are not versed in LGBT issues
+ Utilitarianism
Based on the well-being, pleasure, happiness, and satisfaction for the greater good
Lack of LGBT education by HCPs hindering overall health of society
Increasing HCP competency Create safe environments for LGBT individuals & groups Obtain treatment & prevention education Increase in healthier individuals Less disease transmission Creation of a healthier community
Ex: transmittable diseases Hepatitis B, Hepatitis C, HIV & HPV were highest (61%) among gay & bisexual men in 2009
Beauchamp & Childress, 2009
+ Justice Involves the fair & equal treatment of individuals in
ALL communities and population groups
The fair opportunity rule and unfair discrimination Demands equality for all individuals in order to overcome
any unfortunate health circumstances
Provider attitudes toward LGBT patients indicate a sexual stigma such as homophobia or transphobia
Beauchamp & Childress, 2009
+ANA Nursing Code of Ethics
Provision 1: “The nurse is responsible for practicing compassion and
respect for the dignity of each individual without regards to personal characteristics”
Nursing care is to be “respectful and unrestricted” by sexual orientation
Provision 3:
“Nurses contribute to creating environments that foster quality health care through individual and collective action”
Welcoming for all individuals and groups
International Council of Nurses, 2013; ANA, 2010
+Spiritual Implications
LGBT people are deprived of spiritual wellness and respect
AB 496 aims to discontinue discrimination of LGBT individuals and communities.
+Conclusion
Education on LGBT & intersex minority groups will:
Create a health system where HCPs & nurses are more educated in order to provide equality care
Create safe environments and improve overall health of society
+References American Community Survey 1 Year Data (2013). In U.S. Census Bureau.
Retrieved March 19, 2015, from www.census.gov/acs
Beauchamp, T. L., & Childress, J. F. (2009). Principles of Biomedical Ethics (6th ed., pp. 240-350 & 333-340). New York, NY: Oxford University Press.
Continuing Education (2015). In National LGBT Health Education Center. Retrieved March 19, 2015, from http
://www.lgbthealtheducation.org/training/online-courses/continuing-education/
Fowler, M. D. (2010). Guide to the Code of Ethics for Nurses (pp. 1-8 & 71-85). Silver Spring, MD: American Nurses Association.
Gordon, R. (2013, July 19). AB 496. In Leginfo. Retrieved March 19, 2015.
Gordon, R. (2014, August 19). AB 496- LGBT Cultural Competency for Health Care Providers. In Equality California. Retrieved March 19, 2015.
Hopkins Nursing Curriculum to Address LGBT Cultural Competency (2010, December 9). In Johns Hopkins University School of Nursing.
Retrieved March 20, 2015.
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