Needs Assessment of LGBTQI Health Literacy

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Analysis of Learner Needs to Achieve Competence in LGBTQI Health Concepts
Summary of Instructional Problem
The healthcare needs of Americans are increasingly complex and healthcare reforms are charging providers at all levels to achieve significant improvements in the quality of the care provided. Standards of nursing care mandated by various practice and regulatory agencies such as the American Nurses Association (ANA), state licensing bodies, The Joint Commission (TJC) and facility practice policies required registered nurses to maintain competence in the care of individuals and families of diverse cultural backgrounds. In fact, TJC (the independent accrediting body for healthcare facilities that receive payment from Medicare) designates lesbian, gay, transgender, queer, and intersex (LGBTQI) persons as one such population warranting culturally competent care.
Current Conditions and Desired Conditions
Although registered nurses at every level of practice and education receive some instruction in the broad concept of cultural competence, LGBTQI populations are frequently overlooked as a group with its own unique cultural characteristics. This, in turn, contributes to a persistent disparity in healthcare. According to the Federal Interagency Forum on Aging-Related Statistics (2012), the Baby Boom generation will increase from 35 million to 72 million by 2030, encompassing nearly 20% of the U.S. population. Estimates of individuals who identify as gay, lesbian, bisexual or transgender are roughly 4% (Simone & Applebaum, 2009); these are very conservative estimates. This means that nurses will encounter 2-6 million aging LGBTQI Americans in need of healthcare at some point in their lives by 2030 (Simone & Applebaum, 2009).

Cu...

... middle of paper ...

...r professional development courses that included content on LGBTQI health?
Yes
No
Not Sure/Don't Recall

References
Ard, K. L. & Makadon, H. J. (2012). Improving the health care of lesbian, gay, bisexual and transgender (lgbt) people: Understanding and eliminating health disparities [PowerPoint slides]. Retrieved from http://www.lgbthealtheducation.org/wp-content/uploads/12- 054_LGBTHealtharticle_v3_07-09-12.pdf
Federal Interagency Forum on Aging-Related Statistics. Older Americans 2012: Key Indicators of Well-Being. Federal Interagency Forum on Aging-Related Statistics. Washington, DC: U.S. Government Printing Office. June 2012.
Holt, S. (2011). Lesbian, gay, bisexual, and transgender intimate partner violence: the california report. L. A. Gay & Lesbian Center Stop Partner Abuse/Domestic Violence Program.
Retrieved December 29, 2013 from www.nacvp.org.

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