OTRNSystematic ReviewJournal of gerontological nursing2022

Advancing Gerontological Health Research With Sexual and Gender Minorities Across the Globe.

Jason D Flatt, Ethan C Cicero, Krystal R Kittle and 4 others

PMID 35343840

WHAT IT FOUND

Sexual and gender minority older adults feared discrimination in care settings, including residential care, and avoided long-term care.

Chosen family were often needed for support but were excluded from care planning.

Key findings

01Chosen family and partners were often needed for care and social support, especially when dementia or functional limitations were present, but health care professionals often excluded them from care planning.

02Sexual and gender minority older adults feared discrimination in residential care and avoided long-term care access and planning.

03Reviewed studies identified needs for health care provider training on stigma, asking about sexual orientation and gender identity, and inclusive care.

STILL TO COME

How it was doneWhat they foundWhat it means for OTsWhat it means for RNs

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What it does not show

Only English-language articles were included, so experiences from other languages and regions may be missing. The review covered 2013 to 2021 and searched only PubMed, CINAHL, Google Scholar, reference lists, authors' files, book chapters, and recent reviews, so relevant studies could have been missed. United States research was extensive and not all relevant studies were reviewed, so the summary may not capture all influential U.S. work. Most included studies were qualitative, so the review reports themes from experiences rather than measured intervention outcomes.

The easy way to misread this

Do not read this as proof that affirming care or provider training improves health outcomes. The paper is a scoping review of experiences and needs, not an intervention study.

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