LGBT Cultural Competence and Interventions to Help Oncology Nurses and Other Health Care Providers

Semin Oncol Nurs. 2018 Feb;34(1):80-89. doi: 10.1016/j.soncn.2017.12.005. Epub 2018 Jan 8.

Abstract

Objectives: To define and give an overview of the importance of lesbian, gay, bisexual, and transgender (LGBT) cultural competency and offer some initial steps on how to improve the quality of care provided by oncology nurses and other health care professionals.

Data sources: A review of the existing literature on cultural competency.

Conclusion: LGBT patients experience cancer and several other diseases at higher rates than the rest of the population. The reasons for these health care disparities are complex and include minority stress, fear of discrimination, lower rates of insurance, and lack of access to quality, culturally competent care. Addressing the health care disparities experienced by LGBT individuals and families requires attention to the actual needs, language, and support networks used by patients in these communities. Training on how to provide quality care in a welcoming and non-judgmental way is available and can improve health equity.

Implications for nursing practice: Health care professionals and institutions that acquire cultural competency training can improve the overall health of LGBT patients who currently experience significant health care disparities.

Keywords: LGBT; cancer; cultural competency; training.

Publication types

  • Review

MeSH terms

  • Cultural Competency*
  • Female
  • Health Facility Environment
  • Health Personnel
  • Humans
  • Male
  • Neoplasms / nursing*
  • Neoplasms / psychology
  • Nurse-Patient Relations*
  • Quality of Health Care
  • Self Disclosure
  • Sexual and Gender Minorities*
  • United States