Study objective

This scoping review was conducted to collate and summarize the published research literature addressing sexual and gender minority care in the emergency department (ED).

Methods

Using PRISMA-ScR criteria, an electronic search was conducted of CINAHL, Embase, Ovid Medline, and Web of Science for all studies that were published after 1995 involving sexual and gender minorities, throughout all life stages, presenting to an ED. We excluded non-US and Canadian studies and editorials. Titles and abstracts were screened, and full-text review was performed independently with 4 reviewers. Abstraction focused on study design, demographics, and outcomes, and the resulting data were analyzed using an ad hoc iterative thematic analysis.

Results

We found 972 unique articles and excluded 743 after title and abstract screening. The remaining 229 articles underwent full-text review, and 160 articles were included. Themes identified were HIV in sexual and gender minorities (n=61), population health (n=46), provider training (n=29), ED avoidance or barriers (n=23), ED use (n=21), and sexual orientation/gender identity information collection (n=9).

Conclusion

The current literature encompassing ED sexual and gender minority care cluster into 6 themes. There are considerable gaps to be addressed in optimizing culturally competent and equitable care in the ED for this population. Future research to address these gaps should include substantial patient stakeholder engagement in all aspects of the research process to ensure patient-focused outcomes congruent with sexual and gender minority values and preferences.

中文翻译：

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急诊科对性和性别少数群体的护理：范围审查

学习目标

进行范围审查是为了整理和总结已发表的研究文献，这些文献涉及急诊科 (ED) 中的性和性别少数群体护理。

方法

使用 PRISMA-ScR 标准，对 CINAHL、Embase、Ovid Medline 和 Web of Science 进行了电子搜索，以查找 1995 年之后发表的所有涉及性和性别少数群体、贯穿所有生命阶段的研究，并提交给 ED。我们排除了非美国和加拿大的研究和社论。筛选标题和摘要，并由 4 名审稿人独立进行全文审阅。抽象侧重于研究设计、人口统计和结果，并使用临时迭代主题分析对结果数据进行分析。

结果

我们发现了 972 篇独特的文章，并在标题和摘要筛选后排除了 743 篇。其余229篇文章进行了全文审查，纳入160篇文章。确定的主题是性和性别少数群体中的艾滋病毒（n=61）、人口健康（n=46）、提供者培训（n=29）、ED 避免或障碍（n=23）、ED 使用（n=21）和性取向/性别认同信息收集（n=9）。

结论

当前包含 ED 性和性别少数群体护理的文献分为 6 个主题。在为这一人群优化 ED 中具有文化能力和公平的护理方面存在相当大的差距需要解决。解决这些差距的未来研究应包括大量患者利益相关者参与研究过程的各个方面，以确保以患者为中心的结果与性和性别少数群体的价值观和偏好一致。