Tolerance and acceptace of gay nurses and patients

Nurses Relations

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There has been news recently of a transgender teen who committed suicide because her parents did not accept her and she felt society didn't, either. With that in mind, I started thinking about nursing culture and attitudes towards those who have alternative sexual orientations. How would this teen have been treated at our facility if she came in with an illness? Would we have treated her with respect? Would we have remembered to call her by her preferred name (obviously still checking name band with legal name)? What would have been our private thoughts about this patient: a messed-up kid, or a kid who knows who they are?

I have noticed -- and maybe it's just the area where I live -- that nurses seem to be tolerant and judgmental towards nurses of diverse cultures and backgrounds and disabilities, but when it comes to being homosexual there seems to be a lack of acceptance. There are a couple of nurses who have confided in me that other nurse coworkers are "probably gay" and list the reasons they think that. We have two openly gay staff and I have never seen them treated poorly because of this, but the ones who are "probably gay" are.

When I bring up the topic in a general way some nurses are offended or have strong opinions. One of my late-night talks with another nurse (charting at our stations) was about what we would do if one of our children revealed themselves to be gay. We were both agreeing that we would be accepting of it, but another nurse spoke out very strongly that none of her kids would ever be gay. Two others, who belong to a conservative religious movement that's big in our area decided they would get up and leave the conversation altogether.

When we've had a couple of peds patients with gay parents, I have been given a report that mentions that fact in a very judgmental way. When I was in nursing school I took care of a man with a male partner and found the same attitude existed with some of the nurses. To be fair, other nurses are very respectful but enough are not that it's bothersome.

I live in an area with many illegal immigrants who don't speak English and are non-paying patients. They are never treated any less for having this status, and I'm proud of that fact. They are sick, they have rights, and they and their families deserve respect. We have patients from different religious backgrounds and the parents wear traditional attire, and we make sure they are served food and have their times of prayer accommodated. We pass on cultural needs but I have never heard it mentioned in a derogatory way or with the eye rolls that accompany reports of the patients with gay parents. I have never seen medical care affected by this, but the attitude is there.

Has anyone else encountered this? What can be done about it?

I just call people out on it and make it known I will not tolerate their outward intolerance. Just like if someone were outwardly racist.

If you're gonna be a bigot then you can be a bigot by your damn self.

Forgive me, but that sounds pretty intolerant! And bigoted!

I understand your anger and I really don't care who is what religion, race, or sexual orientation/gender/preference/etc. I just don't care. Others seem to think I should care. But I have too much stuff happening in my own life to care very much if at all about others' personal issues.

I applaud the couple of nurses who left the conversation in the OP's post. I think we should not have to spend a lot of time on issues like the ones I've mentioned on the job or be forced to express our views, which are perfectly fine to have in a supposedly free America even if they are different than yours, because I'm going to take great care of all of my patients and I don't know of any staff who do differently.

I recently told a gay pal to stop apologizing for the air he breathes. He is always looking to see who is not accepting him, who dislikes him. Man, enough! Live your life and stop caring who thinks what, who says what! Yes, I understand his worries, I just don't want to be part of them or encourage them. As stated, I have my own cross to bear, my own responsibilities, my own troubles.

Can't we all just get along? The planet really is big enough for all of us!

BTW, Slinkyhead, how do show your non-tolerance of those who offend you? How do you call them out?

Specializes in Leadership Development.

I have worked with transgender and all sorts of "alternative" orientations. I have found that as nurses, we care for people. It never mattered what their orientation was to me or my coworkers. I have found tho "prejudice" against myself for thinking outside of the box and not being willing to gossip or fit into the status quo or because I was white (by non white coworkers and patients) so I really wonder if the object of the prejudice is the issue or just that within the rank of nursing we could do an all around better job of accepting.

I applaud the couple of nurses who left the conversation in the OP's post. I think we should not have to spend a lot of time on issues like the ones I've mentioned on the job or be forced to express our views, which are perfectly fine to have in a supposedly free America even if they are different than yours, because I'm going to take great care of all of my patients and I don't know of any staff who do differently.

BTW, Slinkyhead, how do show your non-tolerance of those who offend you? How do you call them out?

That was my first thought as well - the nurses who opted out of the conversation were doing the right thing.

I don't think either side should get in anyone's face at work - just do the best job for your patients and leave the politics or religion for another place/another time.

The only time I'd intervene is if the patient was not getting the care they deserved and that can come from a lazy nurse as well. Which, I've run into a few times. :(

I live in a rural area and I personally haven't run into staff mistreating patients or other staff simply due to their being gay or transgendered.

I actually think it's a good thing to discuss. To let others know that this really isn't an issue as much any more. It's part of a healing process.

example. I had a neighbor who thought folks didn't like her because of her skin color. She used this excuse alot. She was always looking for it. It just got old, folks got tired of hearing it. So they stopped coming around.

We HUMANS will fixate on an excuse for why folks don't like us. And will use it every time. Which means we never look to our own behavior as part of the problem. A CORRECTABLE problem.

Specializes in hospice.

I think you are confusing sexual orientation and gender, two very different things. The young person who ended her life recently was not homosexual. She was transgender, a woman trapped in a male body. The issues that transgender individuals deal with are not the same as those that plague homosexuals. Transgender individuals may or may not have sexual feelings towards individuals of their birth gender. A male to female transgender individual who continues to move through life in the male role will not face the discrimination faced by a gay man, but he will probably have to deal with some very uncomfortable feelings about his body. Sometimes making the transition allows the individual to learn to love themselves and become psychologically healthy.

I think it's good that you started this conversation. As nurses we all need to be aware of our prejudices so we can prevent them from creeping into patient care. Every single human being deserves the best that we can give them.

There has been news recently of a transgender teen who committed suicide because her parents did not accept her and she felt society didn't, either. With that in mind, I started thinking about nursing culture and attitudes towards those who have alternative sexual orientations.
Specializes in Public Health.
Forgive me, but that sounds pretty intolerant! And bigoted!

I understand your anger and I really don't care who is what religion, race, or sexual orientation/gender/preference/etc. I just don't care. Others seem to think I should care. But I have too much stuff happening in my own life to care very much if at all about others' personal issues.

I applaud the couple of nurses who left the conversation in the OP's post. I think we should not have to spend a lot of time on issues like the ones I've mentioned on the job or be forced to express our views, which are perfectly fine to have in a supposedly free America even if they are different than yours, because I'm going to take great care of all of my patients and I don't know of any staff who do differently.

I recently told a gay pal to stop apologizing for the air he breathes. He is always looking to see who is not accepting him, who dislikes him. Man, enough! Live your life and stop caring who thinks what, who says what! Yes, I understand his worries, I just don't want to be part of them or encourage them. As stated, I have my own cross to bear, my own responsibilities, my own troubles.

Can't we all just get along? The planet really is big enough for all of us!

BTW, Slinkyhead, how do show your non-tolerance of those who offend you? How do you call them out?

I tell them to keep their racist/homophobic/super-conservative/super-liberal comments to themselves. I don't want to hear about it. Hateful words are words I do not accept.

Specializes in Public Health.

And my message is love and happiness. Do what makes you happy as long as it doesn't hurt anyone, and we're good.

I don't go around forcing my beliefs down anyone's throats, I just speak up if someone is being hateful.

And btw, I am a straight African American woman. I am an ally, that is all.

Specializes in NICU, PICU, Transport, L&D, Hospice.

Song in my Heart indicated that she is a recovering bigot...

I think we are all recovering bigots at some level. We live in a nation that was built on bigoted and racist principles, we practiced a form a genocide with the Native Americans, we fought to protect the right to own human slaves as property. These societal attitudes, belief systems, and institutional biases do not go away in a decade or even in one person's lifetime, AEB the health of the KKK to this day.

As individuals we grow and evolve past that unenlightened type of thinking, but society is made of many many individuals with closeted fears and beliefs as well as newly found tolerance.

Have not noticed antigay sentiments in nursing, but have noticed negative statements concerning ethnicity and/or economic status, as well as negative reactions to generally nasty behavior, which can emanate from any demographic.

Come to think of it in my 12 years of nursing i have never heard a nurse openly dislike anyone from the LGBT community or be racist. I have had nurses state they felt awkward with a Trans patient but not in a rude way. Just an unfamiliar, not wanting to do or say the wrong thing way. I'm sure I have had coworkers who were in some way intolerant but they hide it well I guess.

Cali yes economic status is definitely the one i seen but it's usually connected to something more than that. Behavior towards staff, nelect, drug use etc. Places i have worked also had a fair number of suspected or known gang members which got a lot of negativity.

Specializes in ER.

Now we're not supposed to judge anyone? Frankly, that's hogwash. Most people are actually fairly opinionated about one thing or another. Now, the gay thing never was a big issue for me. I voted for Gay marriage, mainly because we are a free society and it really makes sense to err on the side of freedom, even if you don't quite view gay unions in the same light as straight. Speaking of heterosexuals, there's so much misbehavior in that demographic, we really have no business throwing stones.

But, yes, I DO harshly judge gangsters, child molesters, people who use meth, people who drive drunk, people who are ungrateful leeches on society. It's NOT all just a disease or a result of a bad upbringing. I believe human beings have free will. The negative things I mention are furthering the moral decay of our whole civilization.

I always, though, as a nurse and caregiver, try to model the best, the most compassionate behavior, and encourage improvement. I think I hide my opinions well.

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