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Adding silver to the rainbow: the development of the nurses' health education about LGBT elders (HEALE) cultural competency curriculum.
J Nurs Manag. 2014 Mar; 22(2):257-66.JN

Abstract

AIM

In 2009, the Howard Brown Health Center received funding from the US Department of Health and Human Services, and Health Resources and Services Administration to develop and disseminate a peer-reviewed, six-module curriculum entitled, Health Education about LGBT (lesbian, gay, bisexual and transgender) Elders (HEALE).

BACKGROUND

The HEALE curriculum targets nurses and health-care staff and is focused on the treatment of LGBT elders, a population that is largely misunderstood and discriminated against in health-care settings. The HEALE curriculum was presented in hospital academic centres, community-based clinics and nursing homes over a three-year period, and training staff provided education to over 500 nurses and health-care providers.

METHOD

A pre-test and post-test was administered to participants, and all data were collected and archived to measure knowledge gained. Participants also completed an evaluation at the conclusion of the training to report change in personal attitude and individual response to the curriculum.

RESULTS AND CONCLUSIONS

From March 2011 to June 2012, 848 individuals attended HEALE curriculum sessions at 23 locations in Chicago and surrounding areas. Participants were 40% white, 25% black, 9% Hispanic/Latino and 25% Asian race/ethnicity. The majority of participants were female and approximately 25% were under the age of 30 years. There were statistically significant gains in knowledge in each of the six modules both in nursing home/home health-care settings and in hospital/educational settings, although participants in nursing home/home health care settings had lower pre-test scores and smaller knowledge gains in each of the six modules than those in hospital/educational settings. Mean increases ranged from 6.4 points (an 8.7% increase) in module 1-14.6 points (a 26.2% increase) in Module 6 (P < 0.01).

IMPLICATIONS FOR NURSING MANAGEMENT

The HEALE curriculum sets a standard for best practices in nursing management and for LGBT cultural competency in geriatric education. As such, implementation of this cultural competency training will go a long way to establish fundamental concepts regarding LGBT elder care and provide long-term strategies for providing culturally sensitive patient care.

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Authors+Show Affiliations

Hardacker CT
Geriatric Education, Howard Brown Health Center, Chicago, IL, USA.
Rubinstein B
No affiliation info available
Hotton A
No affiliation info available
Houlberg M
No affiliation info available

MeSH

AgedBisexualityCultural CompetencyCurriculumFemaleHealth EducationHomosexuality, FemaleHomosexuality, MaleHuman RightsHumansInservice TrainingMaleNursing Methodology ResearchTranscultural NursingTransgender Persons

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

23869475

Citation

Hardacker, Cecilia T., et al. "Adding Silver to the Rainbow: the Development of the Nurses' Health Education About LGBT Elders (HEALE) Cultural Competency Curriculum." Journal of Nursing Management, vol. 22, no. 2, 2014, pp. 257-66.
Hardacker CT, Rubinstein B, Hotton A, et al. Adding silver to the rainbow: the development of the nurses' health education about LGBT elders (HEALE) cultural competency curriculum. J Nurs Manag. 2014;22(2):257-66.
Hardacker, C. T., Rubinstein, B., Hotton, A., & Houlberg, M. (2014). Adding silver to the rainbow: the development of the nurses' health education about LGBT elders (HEALE) cultural competency curriculum. Journal of Nursing Management, 22(2), 257-66. https://doi.org/10.1111/jonm.12125
Hardacker CT, et al. Adding Silver to the Rainbow: the Development of the Nurses' Health Education About LGBT Elders (HEALE) Cultural Competency Curriculum. J Nurs Manag. 2014;22(2):257-66. PubMed PMID: 23869475.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Adding silver to the rainbow: the development of the nurses' health education about LGBT elders (HEALE) cultural competency curriculum. AU - Hardacker,Cecilia T, AU - Rubinstein,Betsy, AU - Hotton,Anna, AU - Houlberg,Magda, Y1 - 2013/07/22/ PY - 2013/05/14/accepted PY - 2013/7/23/entrez PY - 2013/7/23/pubmed PY - 2015/4/15/medline KW - LGBT aging KW - LGBT cultural competency KW - LGBT health SP - 257 EP - 66 JF - Journal of nursing management JO - J Nurs Manag VL - 22 IS - 2 N2 - AIM: In 2009, the Howard Brown Health Center received funding from the US Department of Health and Human Services, and Health Resources and Services Administration to develop and disseminate a peer-reviewed, six-module curriculum entitled, Health Education about LGBT (lesbian, gay, bisexual and transgender) Elders (HEALE). BACKGROUND: The HEALE curriculum targets nurses and health-care staff and is focused on the treatment of LGBT elders, a population that is largely misunderstood and discriminated against in health-care settings. The HEALE curriculum was presented in hospital academic centres, community-based clinics and nursing homes over a three-year period, and training staff provided education to over 500 nurses and health-care providers. METHOD: A pre-test and post-test was administered to participants, and all data were collected and archived to measure knowledge gained. Participants also completed an evaluation at the conclusion of the training to report change in personal attitude and individual response to the curriculum. RESULTS AND CONCLUSIONS: From March 2011 to June 2012, 848 individuals attended HEALE curriculum sessions at 23 locations in Chicago and surrounding areas. Participants were 40% white, 25% black, 9% Hispanic/Latino and 25% Asian race/ethnicity. The majority of participants were female and approximately 25% were under the age of 30 years. There were statistically significant gains in knowledge in each of the six modules both in nursing home/home health-care settings and in hospital/educational settings, although participants in nursing home/home health care settings had lower pre-test scores and smaller knowledge gains in each of the six modules than those in hospital/educational settings. Mean increases ranged from 6.4 points (an 8.7% increase) in module 1-14.6 points (a 26.2% increase) in Module 6 (P < 0.01). IMPLICATIONS FOR NURSING MANAGEMENT: The HEALE curriculum sets a standard for best practices in nursing management and for LGBT cultural competency in geriatric education. As such, implementation of this cultural competency training will go a long way to establish fundamental concepts regarding LGBT elder care and provide long-term strategies for providing culturally sensitive patient care. SN - 1365-2834 UR - https://www.unboundmedicine.com/medline/citation/23869475/Adding_silver_to_the_rainbow:_the_development_of_the_nurses'_health_education_about_LGBT_elders__HEALE__cultural_competency_curriculum_ L2 - https://doi.org/10.1111/jonm.12125 DB - PRIME DP - Unbound Medicine ER -