Presenter Lilliana Levada, Nurse Education Consultant
Lilliana Levada is an experienced clinician with over 35 years of clinical experience in perioperative nursing (instrument, circulatory, anaesthetic, PACU, educator, consultant and manager nursing roles), intensive care nursing, patient flow management, after-hours hospital management and patient safety management.
Lilliana is passionate about nursing research and patient safety and uses this to translate science into practice. In the past, this has led her to become a lead reviewer for ACORN Standards and engage in providing consultancy for healthcare management.
She firmly believes that continuous improvements in nursing practice are paramount, and loves when nurses cause 'revolution' and evolution in healthcare practice.
She is also involved in medical missions donating her time and expertise to those causes.
The LGBTI community has a decade-long history of coming together to resist stigmatizing and marginalizing influences, and older adults in this population may remain cautious about disclosing their sexual orientation.
Many felt unsafe revealing their sexual orientation until relatively recently, and may still not be “out” to medical providers. When accessing health care services, many LGBTI adults may thus anticipate discriminatory or even condemnatory treatment from nurses, other staff, or other people in the environment. It is therefore important that LGBTI adults be considered a specific cultural group and appropriate attention paid by providers to their needs.
Due to fear of discrimination, many LGBTI adults may not disclose their sexual orientation to nurses or other kinds of providers. Studies suggest that as many as 36% of older LGBTI adults’ primary health care providers are unaware of their patients’ sexual orientation; and that 20% of older adults identifying as lesbian, gay or bisexual and 44% of those identifying as transgender felt that their relationships with other providers (i.e., hospital or nursing home staff) would be negatively affected if their sexual orientation/gender identity were known.
In addition, environments that do not clearly indicate an organizational culture of inclusiveness and affirmation with regard to LGBTI populations may be seen as potentially threatening to LGBTI adults. Another study found that the absence of inclusive language on forms or presumption of heterosexuality in interactions with personnel caused stress for LGBT adults.
Among LGBT populations, trauma can come from sources ranging from physical victimization to the psychological trauma of existing in a heterosexist and binary gendered social. The trauma of discrimination may be magnified in the health care setting via the dual impacts of stigmatization and betrayal. Stigmatization is the received sense of being in some way inferior or powerless due to some aspect of identity that may or may not be under the individual’s control.
In this session you will: