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'Nurses don't deal with these issues': nurses' role in advance care planning for lesbian, gay, bisexual and transgender patients.
J Clin Nurs. 2016 Dec; 25(23-24):3707-3715.JC

Abstract

AIMS AND OBJECTIVES

We used a question from the Healthcare Equality Index to explore nurses' knowledge and understanding of medical advance directives, medical power of attorney and other legal documents for lesbian, gay, bisexual and transgender patients.

BACKGROUND

Until the landmark ruling in Obergefell vs. Hodges, lesbian, gay, bisexual and transgender individuals and same-sex couples have had limited relationship rights as only a few states recognised marriages and provided legal protections for same-sex couples. Health care providers' knowledge of and attitudes towards advance care planning plays a significant role in determining whether or not individuals successfully complete advance directives, yet advance care planning for lesbian, gay, bisexual and transgender individuals is poorly understood among both health care providers and same-sex couples.

DESIGN

These data were part of a larger research study that explored the current state of lesbian, gay, bisexual and transgender-sensitive nursing practice.

METHOD

Undergraduate nursing students recruited and interviewed nurse key informants (n = 268) about medical advance directives, medical power of attorney and other legal documents for lesbian, gay, bisexual and transgender patients.

RESULTS

Nearly 50% of key informants indicated a lack of knowledge of advance directives, over 26% reported the difficulties nurses face regarding advance directives are the same for both lesbian, gay, bisexual and transgender and heterosexual patients, and nearly 25% indicated difficulties including having to decide who has the legal right to make decisions for the patient.

CONCLUSION

The study demonstrated the need for education and training for practising nurses in advance care planning for lesbian, gay, bisexual and transgender patients and same-sex couples.

RELEVANCE TO CLINICAL PRACTICE

Nurses are in a position to act as educators, advocates and decision makers for their patients. Nurse's lack of understanding of advance care planning may negatively impact the type and quality of care lesbian, gay, bisexual and transgender patients receive.

Authors+Show Affiliations

School of Nursing, San Francisco State University, San Francisco, CA, USA.School of Nursing, San Francisco State University, San Francisco, CA, USA.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

27453528

Citation

Carabez, Rebecca, and Megan Scott. "'Nurses Don't Deal With These Issues': Nurses' Role in Advance Care Planning for Lesbian, Gay, Bisexual and Transgender Patients." Journal of Clinical Nursing, vol. 25, no. 23-24, 2016, pp. 3707-3715.
Carabez R, Scott M. 'Nurses don't deal with these issues': nurses' role in advance care planning for lesbian, gay, bisexual and transgender patients. J Clin Nurs. 2016;25(23-24):3707-3715.
Carabez, R., & Scott, M. (2016). 'Nurses don't deal with these issues': nurses' role in advance care planning for lesbian, gay, bisexual and transgender patients. Journal of Clinical Nursing, 25(23-24), 3707-3715. https://doi.org/10.1111/jocn.13336
Carabez R, Scott M. 'Nurses Don't Deal With These Issues': Nurses' Role in Advance Care Planning for Lesbian, Gay, Bisexual and Transgender Patients. J Clin Nurs. 2016;25(23-24):3707-3715. PubMed PMID: 27453528.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - 'Nurses don't deal with these issues': nurses' role in advance care planning for lesbian, gay, bisexual and transgender patients. AU - Carabez,Rebecca, AU - Scott,Megan, Y1 - 2016/07/25/ PY - 2016/04/11/accepted PY - 2016/7/28/pubmed PY - 2017/2/25/medline PY - 2016/7/26/entrez KW - advance care planning KW - advance directives KW - lesbian, gay, bisexual and transgender KW - surrogate decision maker SP - 3707 EP - 3715 JF - Journal of clinical nursing JO - J Clin Nurs VL - 25 IS - 23-24 N2 - AIMS AND OBJECTIVES: We used a question from the Healthcare Equality Index to explore nurses' knowledge and understanding of medical advance directives, medical power of attorney and other legal documents for lesbian, gay, bisexual and transgender patients. BACKGROUND: Until the landmark ruling in Obergefell vs. Hodges, lesbian, gay, bisexual and transgender individuals and same-sex couples have had limited relationship rights as only a few states recognised marriages and provided legal protections for same-sex couples. Health care providers' knowledge of and attitudes towards advance care planning plays a significant role in determining whether or not individuals successfully complete advance directives, yet advance care planning for lesbian, gay, bisexual and transgender individuals is poorly understood among both health care providers and same-sex couples. DESIGN: These data were part of a larger research study that explored the current state of lesbian, gay, bisexual and transgender-sensitive nursing practice. METHOD: Undergraduate nursing students recruited and interviewed nurse key informants (n = 268) about medical advance directives, medical power of attorney and other legal documents for lesbian, gay, bisexual and transgender patients. RESULTS: Nearly 50% of key informants indicated a lack of knowledge of advance directives, over 26% reported the difficulties nurses face regarding advance directives are the same for both lesbian, gay, bisexual and transgender and heterosexual patients, and nearly 25% indicated difficulties including having to decide who has the legal right to make decisions for the patient. CONCLUSION: The study demonstrated the need for education and training for practising nurses in advance care planning for lesbian, gay, bisexual and transgender patients and same-sex couples. RELEVANCE TO CLINICAL PRACTICE: Nurses are in a position to act as educators, advocates and decision makers for their patients. Nurse's lack of understanding of advance care planning may negatively impact the type and quality of care lesbian, gay, bisexual and transgender patients receive. SN - 1365-2702 UR - https://www.unboundmedicine.com/medline/citation/27453528/'Nurses_don't_deal_with_these_issues':_nurses'_role_in_advance_care_planning_for_lesbian_gay_bisexual_and_transgender_patients_ L2 - https://doi.org/10.1111/jocn.13336 DB - PRIME DP - Unbound Medicine ER -