+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.