ABSTRACT

A positive LGBTQ+ (lesbian, gay, bisexual, transgender/nonbinary, queer) workplace climate is critical for healthcare employee satisfaction, productivity, and patient care. The current study assessed LGBTQ+ workplace climate among 791 employees from a large urban pediatric hospital. Several workplace climate domains were assessed in an online survey: employee attitudes, training, experiences related to working with LGBTQ+ colleagues, patients and families, and LGBTQ+-specific experiences. For most domains, half or more of respondents perceived an affirming LGBTQ+ climate. LGBTQ+ employees perceived a less affirming climate than cisgender heterosexual employees. LGBTQ+ employees, especially transgender/nonbinary employees, experienced numerous discriminatory situations. Over 90% of participants felt competent and qualified to work with LGB patients/families; 80% felt competent and qualified to work with TNB patients/families. Themes from open-ended survery responses reflected three LGBTQ+ climate components: systemic, interpersonal, and “grassroots” (affinity group) initiatives. Findings inform strategies to improve LGBTQ+ employee experiences and competency caring for LGBTQ+ patients and families.

摘要

积极的 LGBTQ+（女同性恋、男同性恋、双性恋、跨性别/非二元性别、酷儿）工作环境对于医疗保健员工的满意度、生产力和患者护理至关重要。目前的研究评估了一家大型城市儿科医院的 791 名员工的 LGBTQ+ 工作环境。在一项在线调查中评估了几个工作场所气候领域：员工态度、培训、与 LGBTQ+ 同事、患者和家人一起工作的经验，以及 LGBTQ+ 特定经验。对于大多数领域，一半或更多的受访者认为是肯定的 LGBTQ+ 气氛。与顺性别异性恋员工相比，LGBTQ+ 员工认为氛围不那么肯定。LGBTQ+ 员工，尤其是跨性别/非二元性员工，经历了许多歧视性情况。超过 90% 的参与者认为有能力和有资格与 LGB 患者/家庭一起工作；80% 认为有能力和有资格与 TNB 患者/家庭合作。开放式调查响应的主题反映了 LGBTQ+ 气候的三个组成部分：系统性、人际交往和“草根”（亲和团体）倡议。调查结果为改善 LGBTQ+ 员工体验和照顾 LGBTQ+ 患者和家庭的能力提供了依据。