Reframing Personal and Professional Values: A Substantive Theory of Facilitating Lesbian, Gay, Bisexual, Transgender and Intersex Youth-Inclusive Primary Health Care by Nurses

LGBTI youth are prone to health-care inequalities and experience poorer health outcomes than the general population. Nurses are not always equipped to effectively respond to LGBTI healthcare needs. The aim of the study was to develop substantive theory based on the social processes involved in facil...

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Bibliographic Details
Published in:Journal of homosexuality 2021-07, Vol.68 (8), p.1298-1319
Main Authors: Sefolosha, Annah, van Wyk, Neltjie, van der Wath, Annatjie
Format: Article
Language:English
Subjects:
Bisexuality
Clinical outcomes
Conflict
Covert
Differences of sex development
Frame analysis
Grounded theory
Health behavior
Health disparities
Health problems
Health services
Health services utilization
Health status
Help seeking behavior
homosexuality
Intersex people
Intersexuality
Lesbianism
LGBTI youth
LGBTQ people
Nurse patient relationships
Nurses
Primary care
primary health care
Professional ethics
Prone
Sexual orientation
Social processes
Substantive theory
Transgender persons
Work values
Youth
youth-inclusive health care
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Summary:LGBTI youth are prone to health-care inequalities and experience poorer health outcomes than the general population. Nurses are not always equipped to effectively respond to LGBTI healthcare needs. The aim of the study was to develop substantive theory based on the social processes involved in facilitating LGBTI youth-inclusive primary healthcare. Using a constructivist grounded theory approach, a sample of seven nurses was interviewed. The codes and categories, that emerged during data analysis were conceptualized to develop the theory: "reframing personal and professional values" which is outlined in three phases. Phase 1 illuminates subtle and covert ways that nurses used to identify value-laden tension and conflict as barriers to LGBTI youth-inclusive care. Phase 2 and 3 reflect thoughtful and reflexive strategies that nurses used to facilitate nurse-patient interaction to resolve value-laden tension and conflict. The substantive theory provides a way of improving the healthcare and health-seeking behavior of LGBTI youth.
ISSN:0091-8369
1540-3602
DOI:10.1080/00918369.2019.1696106