Best Practices in Providing Culturally Sensitive Care to the LGBTQ Population in a Hospice Setting

Abstract

Lesbian, gay, bisexual, transgender, and/or queer (LGBTQ) persons are at risk for discrimination in the healthcare setting. Lack of education for healthcare providers on use of inclusive language and terminology is seen as a barrier in providing a safe environment for this vulnerable population. The purpose of this quality improvement project was to increase use of inclusive language and understanding of terminology by implementing an evidenced-based education module to nursing staff in an inpatient hospice setting. A one-hour CNE education module was developed and provided to 22 nurses and nursing assistants. The module was conducted through a face-to-face instruction using interactive methods. An evaluation was completed through post- survey immediately after the presentation. Anecdotal feedback was also solicited 4 weeks post-education module. Patterns from the evaluations and anecdotal notes were analyzed. Ninety-five percent of the attendees stated they were likely to implement inclusive language into practice. Patterns revealed three types of awareness: self, intellectual, and perceptual. These three types of awareness represented an overall recognition of the importance to intentionally use inclusive language to create a safe space for LGBTQ persons. The project was impactful as it was the first-time education on LGBTQ was presented at the organization. The project has been expanded into interprofessional education and has allowed for open discussion within the organization in providing holistic care to LGBTQ persons at end of life.