RNQualitativeCurationis2026

Lived experiences of LGBTQI+ persons when accessing primary healthcare facilities in Gauteng, South Africa: An interpretative phenomenological inquiry.

George J Nkabinde-Thamae, Charlene Downing

PMID 42683712

WHAT IT FOUND

LGBTQI+ adults in Gauteng primary care described mistreatment, discrimination and confidentiality breaches by professional nurses.

They also reported more respectful care from some male and younger female nurses.

Key findings

01Sixteen LGBTQI+ adults described unfair treatment, discrimination and breaches of confidentiality in primary healthcare facilities.

02Participants said professional nurses imposed heterosexual and spiritual beliefs, lacked knowledge about LGBTQI+ needs, and treated them without kindness.

03Some participants reported more respectful and inclusive care from male nurses and younger female nurses.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

The study included only 16 self-identified LGBTQI+ adults recruited through snowball sampling, so the accounts may not represent all LGBTQI+ people in Gauteng. Only face-to-face unstructured interviews were used, and the study lacked methodological triangulation, so the experiences could not be checked against other data sources. The findings come from public primary healthcare facilities in five districts of one South African province, so they may not transfer to other settings or countries. Participants were asked to describe experiences with nurses and primary healthcare care, so the study does not show whether any specific nursing action caused better or worse care.

Declared interests

The research received no specific grant from any funding agency in the public, commercial or not-for-profit sectors.

The easy way to misread this

Do not treat the reported better care from male and younger female nurses as a proven way to improve services. These were experiences described by a small group in one province, not a comparison showing which nurses give better care.

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