Advice for chief nurses on integrating LGBTQ+ inclusive practices into the healthcare system through centred qualitative exploration DOI

Nguyen Cheirard,

Labrag Gretha

Safety and Health For Medical Workers, Год журнала: 2024, Номер 1(3), С. 127 - 141

Опубликована: Окт. 10, 2024

Objective: This research aims to uncover effective strategies for fostering an equitable environment LGBTQ+ individuals as well potential barriers achieving this and classifies these based using the Expert Recommendations Implementing Change (ERIC) framework.Methods: We conducted a qualitative exploration in-depth interviews with chief nurses at selected sample of healthcare organizations throughout Thailand. Thematic analysis was performed identify recurring themes classify according ERIC framework.Findings: The study highlighted five factors that influenced application LGBTQ+-inclusive practices: corporate training programs, clarity in organization policy directives, support from management, tackling culture organization, (5) staff participation continuous education. Training clear implementation, had largest hits amongst these. accessibility information, combined cultural behavioral changes, could be contributing recent increase segregation, authors argue, resistance continues significant barrier, suggesting targeted efforts are needed address underlying biases. Moreover, through community engagement digital learning tocreate breaking routes inclusivity emerged one innovative ways.Novelty: uniquely integrates ERIC-framework yield actionable recommendations nurses. It draws attention other seemingly overlooked including suggests creative solutions customized socio-cultural setting Thailand, not mentioned literature.Research Implications: insights provide practical advice executives who want foster inclusive settings patients. highlights many necessary conditions tailored strategy, training, implementation equity health-care delivery.” These will guidance Thailand areas where behaviours can govern clinical activity, they pathway wider adoption global systems.

Язык: Английский

Brief Report: Exploring Perceived Stigma From Healthcare Professionals in an Adult Sample With Eating Disorders DOI Creative Commons

Marta Marlais,

Maria Livanou

Mental Health Science, Год журнала: 2025, Номер 3(2)

Опубликована: Март 24, 2025

ABSTRACT This study aimed to develop and test a novel Perceived Stigma from Healthcare Professional's self‐report questionnaire in sample of female male young adults with eating disorders (EDs). An online cross‐sectional was conducted, recruiting community clinical 18 35‐year‐olds diagnosed or self‐identifying an ED ( N = 140). The utilised the Eating Disorder Inventory‐3 measure severity. Those who sought professional help for their proceeded answer Professionals 42). There large range total perceived stigma scores but, volitional weight discrimination were most frequently stigmatising views. A Pearson's correlation illustrated that greater healthcare professionals moderately associated severity, r (4) 0.49. p 0.001. results indicate heterogeneity experiences provide preliminary evidence may reflect common experiences. Greater might be linked worse outcomes those EDs. findings underscore importance further exploration into outcomes, using validated questionnaires larger samples.

Язык: Английский

Процитировано

0
A Lifeline or a Label? Patient Perspectives on the Severe and Enduring Eating Disorder (SEED) Classification in Eating Disorder Treatment DOI Creative Commons
Gabriel Lubieniecki,

Isabella McGrath,

Gemma Sharp

и другие.

Research Square (Research Square), Год журнала: 2025, Номер unknown

Опубликована: Март 26, 2025

Abstract Objective: The classification of severe and enduring eating disorders (SEED) was introduced to acknowledge the chronic nature that persist beyond standard treatment. However, concerns exist regarding its role in reinforcing prognostic pessimism, shaping clinician attitudes, influencing patient identity treatment trajectories. This study explores perspectives on SEED classification, examining how diagnostic language affects access, psychological outcomes, engagement with care. Method:An online survey employed collect demographic clinical history data, followed by in-depth semi-structured interviews 41 individuals longstanding across a range diagnoses. Reflexive thematic analysis examined participants’ experiences SEED. Results: Three key themes emerged: (1) as paradoxical participants describing term both validating restrictive; (2) justification for withdrawal, clinicians services interpreting an indicator futility, contributing reduced care opportunities systemic exclusion; (3) redefining through recovery-oriented frameworks, advocating alternative terminology, such “longstanding disorder,” models prioritising harm reduction, step-down care, sustained engagement. Discussion: These findings suggest is not merely descriptor but actively shapes decisions, agency, long-term inferred association between resistance contributed exclusion from reinforced therapeutic nihilism. Participants suggested need patient-centred, frameworks support continued access rather than rigid assumptions. Further research needed examine chronicity-based classifications influence decision-making, resource allocation, stigma, informing more inclusive responsive models.

Язык: Английский

Процитировано

0
Prevalence of Eating Disorders in Individuals With Schizophrenia Spectrum Disorder: A Systematic Review and Meta‐Analysis DOI

Swastik Subhankar Sahu,

Mahalaqua Nazli Khatib,

Rekha MM

и другие.

European Eating Disorders Review, Год журнала: 2025, Номер unknown

Опубликована: Апрель 19, 2025

ABSTRACT Background Eating disorders (EDs) are significant comorbidities in individuals with schizophrenia spectrum (SSDs), yet they often under recognized. This systematic review and meta‐analysis aimed to synthesise existing evidence on the prevalence of EDs SSD populations explore potential moderators such as geographical location diagnostic tools. Methods We conducted a search PubMed, Embase Web Science for studies reporting SSDs. Subgroup analyses examined influence screening tools estimates. Sensitivity funnel plot were used assess robustness findings publication bias. Results A total 13 studies, comprising 1135 participants, included review, 12 contributing using R v4.4. The pooled SSDs was 15.65% (95% CI: 8.04–28.26), prediction interval ranging from 1.62% 67.66%. analysis by revealed substantial variability, estimates 5.88% Southern Europe 28.99% Middle East North Africa. Studies questionnaire‐based reported higher (19.25%) compared those employing DSM‐based criteria (11.90%). Significant heterogeneity observed across ( I 2 = 87%). Conclusions study highlights considerable populations, emphasising need early identification integrated care. variability suggests that geographical, cultural methodological factors play an important role findings. Future research should focus longitudinal development standardized tools, inclusion underrepresented regions enhance understanding improve care this vulnerable population.

Язык: Английский

Процитировано

0
Developing an educational resource for people experiencing eating disorders during the menopause transition: A qualitative co-design study DOI Creative Commons
Gemma Sharp, Anne Nileshni Fernando, Susan R. Davis

и другие.

Journal of Eating Disorders, Год журнала: 2024, Номер 12(1)

Опубликована: Ноя. 14, 2024

Abstract Background The pronounced changes in reproductive hormones, such as oestradiol and progesterone, that occur during the menopause transition can contribute to increased risk of eating disorder onset or exacerbate a pre-existing disorder. Despite this heightened risk, there is lack available education support takes into consideration unique challenges experiencing an transition. This research aimed qualitatively explore perspectives people with lived experience transition, co-design option addressed their unmet needs. Methods A Double Diamond process was followed involving four phases: discover, define, develop, deliver. Seventeen women Australia participated online workshops across phases identify health educational needs develop potential solutions ultimately deliver prototype solution final phase. All were recorded, transcribed verbatim analysed using qualitative thematic analysis. findings from previous phase informed next leading creation. Results Qualitative analysis identified six major themes phases; awareness intersection disorders, education, limited stigmatising services, learning experience, resource impact development. Conclusions Findings study provided preliminary acceptability novel address Overall positive feedback on for improve knowledge empower treatment-seeking by experience.

Язык: Английский

Процитировано

2
Advice for chief nurses on integrating LGBTQ+ inclusive practices into the healthcare system through centred qualitative exploration DOI

Nguyen Cheirard,

Labrag Gretha

Safety and Health For Medical Workers, Год журнала: 2024, Номер 1(3), С. 127 - 141

Опубликована: Окт. 10, 2024

Objective: This research aims to uncover effective strategies for fostering an equitable environment LGBTQ+ individuals as well potential barriers achieving this and classifies these based using the Expert Recommendations Implementing Change (ERIC) framework.Methods: We conducted a qualitative exploration in-depth interviews with chief nurses at selected sample of healthcare organizations throughout Thailand. Thematic analysis was performed identify recurring themes classify according ERIC framework.Findings: The study highlighted five factors that influenced application LGBTQ+-inclusive practices: corporate training programs, clarity in organization policy directives, support from management, tackling culture organization, (5) staff participation continuous education. Training clear implementation, had largest hits amongst these. accessibility information, combined cultural behavioral changes, could be contributing recent increase segregation, authors argue, resistance continues significant barrier, suggesting targeted efforts are needed address underlying biases. Moreover, through community engagement digital learning tocreate breaking routes inclusivity emerged one innovative ways.Novelty: uniquely integrates ERIC-framework yield actionable recommendations nurses. It draws attention other seemingly overlooked including suggests creative solutions customized socio-cultural setting Thailand, not mentioned literature.Research Implications: insights provide practical advice executives who want foster inclusive settings patients. highlights many necessary conditions tailored strategy, training, implementation equity health-care delivery.” These will guidance Thailand areas where behaviours can govern clinical activity, they pathway wider adoption global systems.

Язык: Английский

Процитировано

0