Nursing students' self-efficacy in caring for gender-diverse patients
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Background Gender-diverse patients (GDP) face barriers in healthcare, including discrimination and limited access to preventive care. Nursing curricula often lack GDP health content, leaving students underprepared to provide equitable care. This QI project aimed to improve RN-BSN students' self-efficacy and comfort in caring for GDP by integrating an educational module into their coursework. Methods A literature review revealed the need for increased education on GDP healthcare needs. An evidence-based educational module including a recorded presentation and an interactive case study was developed and implemented in an online course. Thirty-three RN-BSN students completed the module and pre- and post-intervention surveys, measuring interpersonal comfort (TABS) and self-efficacy (SEST). Changes in attitudes and beliefs were analyzed. Results The results demonstrated statistically significant improvements in students' recognition of non-binary identities and cultural self-awareness. The median SEST score increased significantly from 9.07 to 9.38 (p = .003), and notable gains were observed in students' ability to appreciate and recognize cultural nuances in healthcare. Conclusions The QI project highlights the importance of integrating LGBTQ health education into nursing curricula to address knowledge gaps and improve attitudes toward GDP care. Despite not meeting all objectives, the intervention yielded significant insights and positive shifts in attitudes, suggesting the need for broader implementation and further refinement of educational tools. IRB Approval IRB approval through exempt review. Co-Authors Miriam Butler, DNP, NP-C, FNP-BC; Lea Wood, DNP, MSN-RN; Anne Heyen, DNP-RN, CNE; Jan Sherman, PhD, RN, NNP-BC Learning Objective Describe the impact of targeted education on nursing students' self-efficacy in providing culturally competent care to gender-diverse patients.
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This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 License.