Using Simulation to Improve Students’ Proficiency in Taking the Sexual History of Patients Identifying as LGBTQ: A Pilot Study

Primary Healthcare Nurse’s Barriers and Facilitators to Providing Sexual and Reproductive Healthcare Services of LGBTQI Individuals: A Qualitative Study

“…In support, the use of simulation has been seen as the most effective method of improving knowledge, skills, and attitudes. This method also addressed the theory-practice gap [ 47 ]. Another study indicated that, in the United States, a summit was conducted, which revealed that LGBTQI-specific content in nursing curricula, practice guidelines, faculty development, and research will be necessary to improve the health of LGBQTI people [ 48 ].…”

Cultural Simulations, Authenticity, Focus, and Outcomes: A Systematic Review of the Healthcare Literature

“…No specifics reported * * ( Claramita et al, 2016 ) (i) CC,hierarchial cultures (ii) Indonesian FM, agrees with medical advise but influenced by family uses traditional remedies (Indonesian research) * ( Smith and Silk, 2011 ) (i)CC,hierarchial cultures (ii) Arab-American Muslim FM, white male physician, focus on greetings, touching, interpreters, familiy involvment, observance of Ramadan (screen-based interactive). Ozkara San (2020) (i)CC physical and cultural assessments THC (i)acute event 48-year-old trans women with breast cancer, treatment induced hypocalaemia and anxiety ( Englund, Basler and Meine, 2019 ) (i)CC assessment and communication (iia)Lily who identifies as bisexual has had several recent male and FM patners other than her husband, presenting with signs of clamidyia, (iib)Kyle,trans man, uterus in tact, having unprotected vaginal intercourse with male partner, pregnant. * ( Maruca, Diaz, Stockmann and Gonzalez, 2018 ) (i)Culturally sensitive communication THC (ii)Trans man in early stages of transition with migraine headache and anxiety ( Mauro et al, 2018 ) (i)Social determinants of health (iia) 82-year-old African American FM with hypertension, diabetes (iib) 9-year-old Latino male with chronic asthma * ( Meinema et al, 2017 ) (i) Social determinants of health, health education hypertension (ii) West African, Ghanaian and Surinamese patients * ( Weideman et al, 2016 ) (i)CC assessment and careplanning in pre and postnatal period,(ii) Amish patient and undeserved African-American patients (reflects local diversity).…”

“…These papers (n = 3) had a focus on individuals who identify as lesbian, gay, bisexual, transgender, or queer (LGBTQ) with an overall emphasis on transgender healthcare. Studies were premised on a view that delayed help-seeking due to prior negative experiences ( Ozkara San, 2020 ) or fear of stigmatization ( Englund et al, 2019 ) negatively impacts on LGBTQ sexual health and cancer outcomes. For example, one quasi-experimental study included transgender SP's portraying patients with breast cancer and treatment induced complications ( Ozkara San, 2020 ).…”

“…Of the two other studies, one utilized manikin-based simulation depicting a patient in early transition, with severe anxiety and migraine headaches ( Maruca et al, 2018 ) and the second, student role-play with scenarios pertaining to sexual behaviors ( Englund et al, 2019 ). The latter study included strategies to foster the disclosure of sexual histories and reported a significant increase in the belief/attitude dimension of the Gay affirmation practice (GAP) scale ( Crisp, 2006 ).…”

“…However, in some instances the reported scenarios had the potential to contribute to negative or stereotypical representations and oversimplify the cultural experience, ( Drevdahl, 2018 ). Examples include scenarios depicting Hispanic patients with alcohol dependency ( Fioravanti et al, 2018 ), Muslim patients fasting for Ramadan with negative health impacts ( Unver et al, 2019 ), Muslim females without autonomy of decision making ( Smith & Silk, 2011 ) and bisexual individuals with sexual transmitted disease linked to multiple sexual partners ( Englund et al, 2019 ). It seems likely that this risk is the highest in studies that involve short once-off interventions that reduce complexity in order to allow for measurable outcomes.…”