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Nurse Focused Cultural Competency Education for Patients with Differences of Sex Development

Hall, Tracy Lynn Pfeifer
http://rave.ohiolink.edu/etdc/view?acc_num=msjdn161944517472267

Abstract Details

2021, Doctor of Nursing Practice, Mount St. Joseph University, Department of Nursing.
Hospitals are collecting Sexual Orientation and Gender Identity (SO/GI) data through the Electronic Health Record (EHR). Although the SO/GI data is aimed at the lesbian, gay, bisexual, and transgender (LGBT) patient (CDC, 2019), intersex (I) is also an option in the EHR. While healthcare training exists for the LGBT population, nurses lack focused clinical training and cultural competency for the intersex/Differences of Sex Development (DSD) patient. Nurse education was implemented using a PowerPoint during Lunch-and-Learn sessions. Two questionnaires were administered pre-and post-education, a clinical knowledge survey, and a validated Health Belief Attitudes Instrument Survey (HBAS). Nineteen nurses attended the education sessions. A Wilcoxon signed-rank test was used to compare survey data. Before receiving education, 53% of healthcare workers surveyed for this project reported never having heard the term DSD and 58% didn’t know intersex was not the same thing as transgender. There were significantly improved knowledge scores after the education (median = 3 correct) compared to before the education (median = 1 correct), Z=-3.62, p=0.0003. The percent of nurses who had heard the term DSD increased from 47% pre-education to 100% post-education. Nurses' scores on a DSD/intersex knowledge assessment increased from 33% pre-education to 100% post-education. Finally, nurses’ Health Belief Attitudes Instrument scores significantly increased from pre-education (M = 4.65, SD = 0.68) to post-education (M = 4.94, SD = 0.66), p = .017. Qualitative feedback supported the need for this project. This work will complement the existing SO/GI material in the hospital with the goal of enhancing patient outcomes for patients with DSDs/intersex conditions.
Nancy Hinzman (Advisor)
92 p.
Cultural Anthropology; Curriculum Development; Gender Studies; Genetics; Health Care; Nursing
Intersex; Differences of Sex Development; DSD; Nursing; Cultural Competency; Sexual Orientation; Gender Identity; Transgender; Nursing Attitudes

Recommended Citations

Citations

  • Hall, T. L. P. (2021). Nurse Focused Cultural Competency Education for Patients with Differences of Sex Development [Doctoral dissertation, Mount St. Joseph University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=msjdn161944517472267

    APA Style (7th edition)

  • Hall, Tracy. Nurse Focused Cultural Competency Education for Patients with Differences of Sex Development. 2021. Mount St. Joseph University, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=msjdn161944517472267.

    MLA Style (8th edition)

  • Hall, Tracy. "Nurse Focused Cultural Competency Education for Patients with Differences of Sex Development." Doctoral dissertation, Mount St. Joseph University, 2021. http://rave.ohiolink.edu/etdc/view?acc_num=msjdn161944517472267

    Chicago Manual of Style (17th edition)

msjdn161944517472267
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© 2021, all rights reserved.
This open access ETD is published by Mount St. Joseph University Dept. of Nursing and OhioLINK.