Training Needs Measure for Health Care of the LGBT+ Public

Dullius, Willian Roger; Martins, Lara Barros

doi:10.1590/1982-4327e3034

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Social Psychology • Paidéia (Ribeirão Preto) 30 • 2020 • https://doi.org/10.1590/1982-4327e3034 copy

Training Needs Measure for Health Care of the LGBT+ Public

Medida de Necessidades de Treinamento para Atenção em Saúde ao Público LGBT+

Medida de Necesidades de Entrenamiento para la Atención en Salud al público LGBT+

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

Inadequate and ineffective care provided by health professionals to the LGBT+ public can cause countless damages to those who demand care. An alternative to improve the service provided is to promote training actions for professionals that should be initiated by the Training Needs Analysis (TNA). This study aimed at building and validating, theoretically and statistically, a TNA instrument for health professionals related to humanized care for LGBT+ individuals for the Brazilian context. The data collection was done in two stages, in person and virtually, and had 449 professionals who responded to the TNA instrument built. The data was analyzed by means of content analysis, exploratory factors and internal consistency. The scale presented a uni-factorial structure with evidence of validity and reliability, and can be used as a diagnostic tool to verify the gaps in the competence of health professionals in the care of LGBT+ people.

Keywords:
health professionals; personnel training; factor analysis; minority groups

Items	Psychometric	Characteristics	Descriptive Craps		Concentration of Answers %*
Items	Factorial Loads	h ²	X	SD	1 to 5	6 to 15	to 25
1.Use the patient’s preferred pronoun.	0.444	0.197	7.98	3.72	48.6	48.9	2.5
2.Ask the patient about his or her sexual orientation.		0.154	8.08	4.28	41.8	54.6	3.7
3.Use the social name when addressing the patient.	0.465	0.216	7.56	4.97	56.8	39.7	3.4
4.Approach the topic of sexuality with the patient.	0.523	0.274	9.09	4.22	33.2	62.1	4.6
5.Addressing the issue of sexually transmitted infections with the patient.	0.557	0.310	9.18	4.45	34.4	59.3	6.4
6.To adapt the anamnesis to the singularities of the patient.	0.504	0.254	9.36	4.25	33.9	61	5.1
7.Demonstrate interest in learning with the patient subjects that I do not master.	0.401	0.161	8.19	3.92	46.5	49.8	3.7
8.Demonstrate respect for topics that the patient prefers not to talk about.		0.068	7.32	3.10	54.1	44.7	1.1
9.Discuss with the patient the legal regulations regarding their assistance in the health system.	0.637	0.405	11.77	5.36	18.5	65.4	16
10.Discuss prejudice against sexual and gender diversity internalized in the patient.	0.650	0.423	9.88	4.87	31.4	59.8	8.7
11.To reinforce the importance of patient participation in the social context.	0.665	0.442	9.08	4.34	36.7	57.5	5.7
12.Be alert to influences of religious beliefs that may interfere with patient care.	0.471	0.222	8.58	3.82	38.8	58.2	3.0
13.Explain the specifics of hormone therapy to the patient.	0.518	0.269	13.96	6.36	14.4	54.7	31.1
14.Encourage the patient to participate in daily activities of the health unit (e.g. operating groups, health care task forces, conversation wheels).	0.639	0.408	9.60	4.75	33	58.4	8.7
15.Guide the transsexual patient in breast and genital care.	0.633	0.401	12.64	6.21	20.1	56.7	23.2
16.Perform the hebiatry of transsexual adolescents.	0.437	0.191	14.85	6.58	12.8	49.5	37.7
17.Carry out the child care of transsexual children.	0.448	0.200	14.98	6.89	15.4	46.6	37.8
18.Carry out family planning with the patient.	0.631	0.398	11.21	6.04	29.4	53.2	17.5
19.Identify the barriers that patients face to obtain health care.	0.749	0.561	10.53	5.11	29	59.7	11.3
20.Identify the organic specificities within sexual and gender diversity.	0.719	0.518	12.44	5.76	18.3	60.5	21.2
21.Rewrite clinical protocols of care to meet the reality of the patient.	0.674	0.455	12.24	5.84	18.8	61	20.2
22.Adapt the terms of the medical record according to sexual and gender diversity.	0.706	0.499	10.36	5.55	32.8	55.6	11.4
23.Carry out the actions set forth in the National Policy for LGBT+ Integral Health.	0.751	0.564	13.15	6.00	15.8	60.8	23.4
24.Identify bioethical principles related to sexual diversity and gender.	0.692	0.478	12.26	5.72	18.4	60.9	20.7
25.Identify psychological specificities within sexual and gender diversity.	0.702	0.493	11.25	5.48	24.8	60.5	14.7
26.Identify vulnerability to patient illness due to discrimination in health spaces.	0.772	0.596	10.21	5.08	32	57.9	10.3
27.Execute awareness campaigns about the rights of LGBT+ people.	0.769	0.591	11.81	5.97	24.9	56.6	18.3
28.Seek help from other professionals if you have doubts about patient care.	0.607	0.369	8.28	4.27	50.2	45.2	4.7
29.Share with colleagues positive experiences of LGBT+ public care practices.	0.741	0.549	9.54	5.11	39.5	50.4	10.2
30.Correct discriminatory information about the patient in the multi-professional team.	0.668	0.447	8.84	4.33	41.3	53.6	5
31.Discuss legal regulations regarding patient care with other professionals.	0.683	0.467	12.97	5.81	15.5	61.3	23.2
32.Discuss with colleagues about forms of care with the patient.	0.730	0.533	9.25	4.54	37.6	55.1	7.3
33.Discuss prejudice against sexual and gender diversity in the multi-professional team.	0.726	0.527	9.42	4.71	38.6	53.6	7.8
34.Be alert to forms of discrimination against patients practiced by other professionals.	0.638	0.408	8.63	4.15	43.6	51.9	4.4
35.Be alert to the use of heteronormative patterns by professionals.	0.674	0.454	9.81	4.96	35.5	55.4	9.1
36.Encourage colleagues to participate in patient care training.	0.648	0.421	9.19	4.41	39.1	55	5.9
37.Provide an inclusive environment for the patient at the health care facility.	0.665	0.443	9.23	4.65	38.9	54.5	6.5
38.Demand the construction of LGBT+ population health policies from professional councils (CRP, CRM, Coren, etc.)	0.715	0.512	12.57	5.83	19.5	60.2	20.2
39.Discuss sexual and gender diversity with the health unit’s wider community.	0.781	0.611	11.64	5.85	25.2	55.4	19.5
40.Listen to the demands from the LGBT+ community.	0.711	0.506	10.21	5.38	35.2	53	11.8
41.Invite members of the LGBT+ community to discussions with the multidisciplinary team.	0.720	0.519	11.19	5.90	30.5	51.9	17.6

Universidade de São Paulo, Faculdade de Filosofia Ciências e Letras de Ribeirão Preto, Programa de Pós-Graduação em Psicologia Av.Bandeirantes 3900 - Monte Alegre, 14040-901 Ribeirão Preto - São Paulo - Brasil, Tel.: (55 16) 3315-3829 - Ribeirão Preto - SP - Brazil
E-mail: paideia@usp.br

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[1] Correspondence address: Willian Roger Dullius. IMED. Escola de Saúde, Psicologia. Rua Senador Pinheiro, 304, Passo Fundo-RS, Brazil. CEP 99.070-220. E-mail: rogerdullius@gmail.com