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Using Simulation With Nursing Students to Promote Affirmative Practice Toward the Lesbian, Gay, Bisexual, and Transgender Population: A Multisite Study
Open accessAbstract
AIM: The aim of this research was to evaluate the impact of a transgender simulation on nursing students’ affirmative practice when caring for a transgender person. BACKGROUND: There is a paucity of research that assesses the attitudes of nursing students toward lesbian, gay, bisexual, and transgender (LGBT) persons and a deficit in nursing curricula regarding LGBT content. METHOD: A nonexperimental, pretest-posttest design was used to evaluate nursing students’ affirmative practice when caring for a transgender patient using the Gay Affirmative Practice Scale. RESULTS: A Wilcoxon signed-rank test revealed a statistical significance in Gay Affirmative Practice scores after the simulation with a small effect size. These results suggest that the transgender simulation supported nursing students’ attitudes and affirmative practice when providing nursing care to a transgender person. CONCLUSION: Experiential learning in nursing education is an effective approach to teach cultural competence and sensitivity in caring for vulnerable populations.
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“Developing this self-awareness has been identified as one of the first steps to providing competent care (Maruca et al., 2018) and emerged as important learning in student reflections.”
From Demonstrating LGBTQ+ Affirmative Practice in Groups:: Developing Competence through Simulation-Based Learning (2022) · cites this paper as Maruca et al., 2018
In the citing paper
“Similarly, students’ false sense of awareness about LGBTQ + populations (the expert trap) has a negative impact on the quality of care that transgender patients receive from nurses (Maruca et al., 2018).”
From Demonstrating LGBTQ+ Affirmative Practice in Groups:: Developing Competence through Simulation-Based Learning (2022) · cites this paper as Maruca et al., 2018
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Metadata
- Authors
- Maruca, A. T., Diaz, D. A., Stockmann, C., & Gonzalez, L.
- Affiliations
- University of Connecticut (US)
- ORCID
- Stockmann, Cherrill
- Venue
- Nursing Education Perspectives
- Published
- 2018-07
- Volume
- 39
- Issue
- 4
- Pages
- 225-229
- ISSN
- 1536-5026 (ISSN-L)
- 1943-4685
- OpenAlex
- W2794741516
- Cited by
- 77
- References
- 20
- Citations by year
- 2026: 5 · 2025: 6 · 2024: 9 · 2023: 21 · 2022: 20 · 2021: 5 · 2020: 7 · 2019: 3
- FWCI
- 2.59
- Type
- journal article
- Language
- en
- Open access
- Locations
- Nursing Education Perspectives (publishedVersion)
- PubMed (publishedVersion)
- Journal of International Crisis and Risk Communication Research (submittedVersion)
- Topics
- Social Sciences › Education › Simulation-Based Education in Healthcare
- Social Sciences › Psychology › Social Psychology › LGBTQ Health, Identity, and Policy
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Cultural Competency in Health Care
- Keywords
- nursing students, affirmative practice, LGBTQ health, nursing education, cultural competence, experiential learning, nursing curriculum
- MeSH terms
- Sexual and Gender Minorities, Attitude of Health Personnel, Bisexuality, Female, Humans, Male, Students, Nursing, Patient Simulation, Transgender Persons
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