Progress!

A couple of months ago, I got an email that sent chills down my spine. And I mean the good kind of chills that you get when something you have hoped for and anticipated for a long time finally happens. The email was from a faculty member of a Midwestern College of Nursing announcing that their curriculum committee had approved a plan to integrate their entire undergraduate program with LGBTQ content. This was a unanimous decision by the committee, with only a little prompting from the one out lesbian faculty member on the committee. But as Fidel Lim found out when he surveyed nursing faculty about their willingness, comfort level, and knowledge about LGBTQ issues, willingness alone is not enough. The faculty needed training. I was invited to come to the school to present an LGBTQ basics lecture to faculty and students, and to talk to faculty about integrating their own courses. I gave the request a few moments of thought, but since I have been nagging nursing programs to do this for almost 30 years, how could I say no?

The experience raised a lot of questions for me. Thirty years ago, when I first began my career in nursing education, there was virtually no mention of LGBTQ issues in nursing journals. Happily, that is changing, but more slowly in nursing than in medicine and the social services and sciences. There is a vast body of literature about LGBTQ health disparities, but little of it in the nursing literature. Did we have a sufficient literature within nursing to guide our curricular integration? It’s time for a comprehensive bibliography of that work so we can take stock on what we know and where the gaps of knowledge are.

Secondly, in the course of developing the 3-hour basic training, I spent a lot of time agonizing about what to include. Some schools might only deliver a basic lecture, so it needs to be meaty enough to give students the essentials, but what are the essentials? I decided that it would be great to have an expert panel to develop this content, along with a bibliography of articles that could be used in specialized courses. This would need to be updated every few years. Perhaps the GLMA Nursing Section could do this, or the Expert Panel of AACN? I opted to focus primarily on the issues that cut across the subgroups of lesbians, gay men, bisexual people, and transgender people, with only a few slides on any specific group. I spent a lot of time on terminology, since nurses still seem to be unfamiliar with the labels and the differences between sexual and gender identities and expressions.

Thirdly, I brought along the Nurses’ Climate Scale developed by the GLMA Nursing Section last year. I discovered just how complex the issue of gathering this information was. Well-informed faculty and administrators were present, including highly renowned lesbian health researchers and local level activists within the healthcare system of the university, and no one could answer all the questions. I spent the plane ride home developing a worksheet to go with the one-page document, and plan to launch a study in the near future. Along with curricular changes, the climate of nursing schools and practice settings needs to change.

So my challenge to readers of this blog is this. We have reached a pivotal moment in nursing history, where schools/colleges of nursing have finally recognized the need for LGBTQ content and are willing and ready to start the integration. We need to provide the tools so that this effort does not stall in the implementation details. Are we ready?

Posted in Education, Join the discussion, LGBT Health, Nursing | 3 Comments

NSNA (National Student Nurses Association) passes two LGBTQ-related resolutions

Each year representatives among the 60,000 nursing students who belong to the NSNA gather for a convention, and consider a host of resolutions for action pertaining to a wide range of issues.  The 2016 conference was from March 30 – April 2 in Orlando, Florida.  It is inspiring and informative to read through the many resolutions that were discussed and passed by the House of Delegates, but of particular note are two resolutions that have a direct bearing on LGBTQ health!  You can see all of the resolutions, and refer to the full text of all of the 2016 resolutions on the NSNA website.

We are making the two LGBTQ-related resolutions available for download here, so that our readers can easily retrieve them and distribute to your colleagues and other organizations, seeking support for the actions that are called forth!

In Support of Nurses Educating Parents of Intersex Infants on All Available Approaches to Care.  Download here.  This resolution wwas prepared by students from Duquesne University

Improving Professional Support and Advocacy for Lesbian, Gay, Bisexual, Transgender, Questioning, Intersex, and Asexual (LCBTQIA) Nurses download here.  This resolution was prepared by students from Johns Hopkins University School of Nursing

Posted in Activism, Intersex, Join the discussion, LGBT Health, Political Process, Social Support | Leave a comment

The Importance of “Mirrors”

Years ago, I attended a concert of a prominent lesbian musician from Canada.  I was an instructor of nursing in a major university, and actively involved in the lesbian community as well.  There were about 400 people there – mostly women, and mostly lesbian.  I recognized a few friends from the lesbian community, but as usual, I did not see anyone comingOutSunelse there from my nursing and university communities.

About a week later, a graduate student approached me in the hall, and asked to speak – she had been at the concert, and she recognized me in the audience. She was a bit timid about actaully talking with me, but she told me that seeing me there meant more to her than I could know.  She was still struggling with family rejection since they found out she is lesbian, and had assumed she would need to be very careful about disclosing her identity in her nursing program.  She told me that seeing me there gave her courage that she was not alone – that just being there gave her hope that she too could be strong, out and proud!  I had provided, she said, a mirror of what her reality could be in nursing!

Mirrors have a significant place in all of our lives. We often take for granted the one on the bathroom wall as we peer at ourselves to get just the “look” we want several times throughout the course of a day. But there are other equally important “mirrors” that affirm our existence in ways that go deeper than physical appearance – including for example:

  • Movies that portray people who look like us, who behave in ways that we would like to emulate
  • People around us who we admire and want to fashion our own lives after
  • Characters in books and magazines who open up possibilities we can imagine for our own lives
  • Stories and “gossip” we exchange with our friends and families that reflect ways to deal with daily life – ways that we internalize and acquire as our own – or not.

But for many people, these “mirrors” do not reflect anything close to what they know to be the deep truths about themselves.  Some of these truths are pretty obvious – skin color being one of the most significant, and least accurately represented in many of the social and cultural images that abound in our culture.  People with dark skin colors and other physical features that are not white (and typically masculine) have far too few images that affirm and reflect who they are.

For LGBTQ people, these “mirrors” are almost non-existent.  No matter when a person begins to realize that they are, or might be LGBT or Q, one of the most important things that they need are “mirrors” to find out if there are others who have similar feelings and experiences, and if so, what their lives are like.  There are ample negative portrayals, and many messages from the culture that proclaim that they are either alone, abnormal, or sick.

But there are positive, affirming images and messages, and it is incumbent upon those of us in LGBTQ communities to make those images prominent, accessible, and easily visible. Living our lives in the open is the most important thing that any of us can do – by doing so we provide that “mirror” that might reflect something that someone needs.   The student who saw me at a concert glimpsed something of what her life could be by simply seeing me at a concert. From then on, we formed a friendship that included many hours of sharing stories of our lives, books and articles affirming our experiences, and images conveyed in our handling of difficult situations!

So here’s to being a mirror – every day, and in every way!  We never know when we are showing something that really matters to others!

 

Posted in Activism, Coming out, Mental Health, Overcoming "isms", Social Support | Leave a comment

Call for Abstracts

GLMA is calling for abstracts for its 34th Annual Conference on LGBT Health, which will be held September 14-17, 2016, in St. Louis, MO.

The GLMA Annual Conference on LGBT Health is the premier, interdisciplinary LGBT health conference and the world’s largest scientific gathering devoted to LGBT health issues and concerns. The conference educates practitioners, policy advocates, educators, administrators, researchers and students—from across the health professions—about the unique health needs of LGBT individuals and families. 

Conference Theme

Intersectionality in LGBT Communities: Gateways to New Understandings will highlight the intersection of sexual orientation and gender identity with other identities, including but not limited to race, ethnicity, HIV status, ability, religion, immigration status, socioeconomic status and/or geographic location and their impact on health and healthcare access. Abstracts and proposals addressing this theme will be prioritized.

Special Emphasis: Primary Care for LGBT Individuals 

In addition to the general topics detailed on the Call for Abstracts webpage, GLMA is issuing a special call for abstracts addressing primary care to improve the health and well-being of LGBT individuals.

*GLMA encourages the submission of clinically-focused, evidence-based abstracts.

Deadline for submission of abstracts:

April 22, 2016 (11:59pm Eastern)

To learn more about the Call for Abstracts and how to submit your abstract, visit www.glma.org/callforabstracts.

Look out for more Annual Conference updates online or contact us at annualconference@glma.org or 202-600-8037 if you have any questions.

Please feel free to share this with your networks!

See you in St. Louis!

Posted in Join the discussion | Leave a comment

Staying out of the closet: Emerging opportunities for senior care

Questions haunting aging LGBT seniors include: Will the nurses or other residents bully me? Will my partner be able to visit me and sleep over at this nursing home? Will my identity as an elderly transgender woman be accepted? Fear of discrimination in nursing steve moorshomes and assisted living communities drive many LGBT seniors back into the closet, indicating a need for specialized education and training of health care staff. This is particularly relevant to the elderly because research indicates discrimination can result in depression, substance abuse, and premature death. Today’s blog is the second in a series about the unique health, economic, legal, spiritual, and social challenges LGBT seniors face when planning for quality and affordable long-term care.

Without training, many healthcare facilities will remain unaware of the needs of their LGBT patients, even if they subscribe to the mantra that they “treat all patients equally”. LGBT seniors may not be open about their sexual orientation. They are the generation in which being “out” could result in: dismissal from a job, being threatened and ostracized by their church, family, and friends, and in extreme cases, institutionalization. Health care staff may assume that they do not have an LGBT patients because their patients don’t reveal this information. Distrust of institutions by some LGBT-seniors can make entry into a nursing home or assisted living community a fearful prospect. The documentary “Generation Silent”, by Stu Maddux, vividly illustrates the struggles of LGBT seniors:

Opportunities for specialized training of health care staff can help counter the feelings of invisibility, fear, and apprehension that many LGBT seniors experience. The Aging Services Foundation of Boulder County, Colorado, created a training, Project Visibility, targeting administrators and staff of nursing homes, assisted living residences, home care agencies, and other senior service providers. The foundation created a short film with the intent to “educate, counter stereotypes and develop compassionate care for all LGBT persons as they age”. Project Visibility is now being utilized by the Tucson, Arizona-based, Pima Council on Aging, suggesting that training models can be shared between local agencies. Please see the Project Visibility trailer below:

Similarly in South Florida, a new initiative called Protect our Elders (POE), is being coordinated by the national LGBT senior advocacy group, SAGE, and local LGBT organizations. POE will offer competency training for South Florida health care facilities and agencies serving seniors. The organization suggests that the training will result in higher patient satisfaction levels for Medicare reimbursements, positioning the training as a business and marketing opportunity so more local health care agencies will participate.

Do you know of any innovative LGBT-senior care training in your community? Please feel free to share in the comments section below.

Read more:  Project Visibility & Pima Council on Aging & Protect our Elders

(Photo: Steve Moors)

Posted in Join the discussion | 1 Comment