A rapid review of end-of-life needs in the LGBTQ+ community and recommendations for clinicians

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dc.contributor.authorLintott, Lisa
dc.contributor.authorBeringer, Robert
dc.contributor.authorDo, Annie
dc.contributor.authorDaudt, Helena
dc.date.accessioned2023-02-07T19:19:31Z
dc.date.available2023-02-07T19:19:31Z
dc.date.copyright2022en_US
dc.date.issued2022
dc.description.abstractBackground: Lesbian, gay, bisexual, transgender, and queer plus (LGBTQ+) adults face challenges accessing end-of-life care. Understanding the experiences of LGBTQ+ persons within the end-of-life context is crucial in addressing their needs and supporting equity at end of life. Aim: Review recent literature documenting the experiences of LGBTQ+ adults nearing end-of-life, identifying needs, barriers to care, and translating this into clinical recommendations. Design: A rapid review design was chosen for prompt results. The process was streamlined by limiting the literature search to peer-reviewed articles, dissertations, theses, by date and language. Data collection used a predetermined set of items based on Meyer’s Minority Stress and Bronfenbrenner’s Ecological Models including participants’ voices, needs, and barriers. Thematic analysis of collected data was conducted and presented results in a narrative summary. Data Sources: We searched six electronic databases (PubMed, Medline, ProQuest Dissertations and Theses A&I, ProQuest Dissertations and Theses, Open Access Theses and Dissertations, CINAHL, and Google Scholar) for articles published from 2016 to 2020. Results: We included and appraised for quality 33 articles. We uncovered three latent themes: systemic barriers, a lack of lived experience within the literature, and treatment of LGBTQ+ as one homogeneous group. Conclusions: The hybrid Meyer’s Minority Stress and Bronfenbrenner Ecological model elucidated how stressors and social contexts may impact LGBTQ+ adults when accessing end-of-life care. Incorporating LGBTQ+ cultural competence training into continuing education and ensuring that LGBTQ+ individuals participate in the development of end-of-life care programming may better attend to the needs of this population.en_US
dc.description.reviewstatusRevieweden_US
dc.description.scholarlevelFacultyen_US
dc.description.sponsorshipThe author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This project was supported by a Canadian Institutes of Health Research Planning and Development Grant (Fund 51229/Org: 54061), January 1, 2020 - December 31, 2020.en_US
dc.identifier.citationLintott, L., Beringer, R., Do, A., & Daudt, H. (2022). “A rapid review of end-of-life needs in the LGBTQ+ community and recommendations for clinicians.” Palliative Medicine, 36(4), 609-624. https://doi.org/10.1177/02692163221078475en_US
dc.identifier.urihttps://doi.org/10.1177/02692163221078475
dc.identifier.urihttp://hdl.handle.net/1828/14743
dc.language.isoenen_US
dc.publisherPalliative Medicineen_US
dc.subjectLGBTQ+en_US
dc.subjectLGBTQen_US
dc.subjectend-of-life careen_US
dc.subjectagingen_US
dc.subjectpalliative careen_US
dc.subjectlong-term careen_US
dc.subjectrapid reviewen_US
dc.subjecthealth services needs and demandsen_US
dc.titleA rapid review of end-of-life needs in the LGBTQ+ community and recommendations for cliniciansen_US
dc.typeArticleen_US

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