Other Titles

Enhancing Nursing Education: Exploring the Affective Domain Through Film to Address LGBTQ+ Healthcare Disparities [Title Slide]

Abstract

Introduction: Existing evidence suggests that LGBTQ+ individuals experience numerous health and social inequalities (Gonzales & Henning-Smith, 2017). The American Association of Colleges of Nursing (2017) recommend that nurses be educated to provide inclusive, equitable, and culturally competent care, and the American Nurses Association (2018) identified LGBTQ+ community as a minority group requiring specialized care, specifically charging nurse educators with including care of LGBTQ+ persons in curriculum. While nurse educators seek to implement effective teaching pedagogies, they often find it challenging to develop strategies to support learning in the affective domain.

Purpose: The purpose of this study was to gain a better understanding of nursing student’s perceptions of care for LGBTQ+ persons after watching the “You Belong Here” documentary, a documentary developed as part of a suicide prevention grant focused on the disparity of suicide among youth in the LGBTQ+ population.

Method: A qualitative, descriptive, focus group research design was used in this study. Prelicensure nursing students were recruited from the Accelerated BSN program to participate in focus group interviews after viewing the “You Belong Here” documentary. Fourteen students agreed to participate in the focus group interview. The audio-recorded sessions and semi-structured questions led the interviews to explore how nursing students’ perceptions of nursing care may have changed since viewing the documentary. Interviews were transcribed verbatim by a third party. First and second cycle coding and thematic analysis was used to analyze focus group data.

Results: Themes identified 1) Nurse as advocate, 2) Enhanced holistic view, and 3) Internalizing values. Results suggests that participants left the experience with a different perspective that may positively influence future care.

Findings of this study are not generalizable due to the research design and it is possible that students may have responded in ways they thought socially desirable in front of peers and researchers.

Findings from this study reinforce the importance of the affective domain in learning and suggest the use of film as an effective teaching pedagogy to influence the affective domain of learning. Recommendations include consideration of film as a teaching pedagogy to enhance nursing student knowledge of caring for LGBTQ+ persons.

Notes

References:

Bartlett, R., Jøranson, N., & Breievne, G. (2021). Using documentary films to teach nurses about gender and the vulnerabilities facing older men with advanced dementia. Journal of Clinical Nursing. https://doi.org/10.1111/jocn.15600

Dutton, S., Cimino, A. N., Lombardo, M., Mackay, P., Borthwick, J., Wright, N., & Gerstenhaber, M. (2022). Assessing knowledge, attitudes, and beliefs of nurses about LGBTQ older adults using a documentary video. Nurse Education Today, 108, 105177.

Eickhoff, C. (2021). Identifying gaps in LGBTQ health education in baccalaureate undergraduate nursing programs. Journal of Nursing Education, 60(10), 552. http://dx.doi.org/10.3928/01484834-20210729-01

Gallup (2023). U.S. LGBT identification is steady at 7.2%. https://news.gallup.com/poll/470708/lgbt-identification-steady.aspx

Gedzyk-Nieman, S. A., & Hand, M. C. (2023). Improving LGBTQ+ health equity via nursing education. Teaching and Learning in Nursing. https://doi.org/10.1016/j.teln.2023.01.006

Hand, M. C., & Gedzyk-Nieman, S. (2022). Graduating nursing students' preparedness and comfort level in caring for LGBTQ+ patients. Journal of Professional Nursing, 41, 75–80. https://doi.org/10.1016/j.profnurs.2022.04.011

Park, H., & Cho, H. (2021). Effects of nursing education using films on perception of nursing, satisfaction with major, and professional nursing values. Journal of Nursing Research, 29(3), e150. https://doi.org/10.1097/JNR.0000000000000433

Pomeroy, Z.(2022) .You belong here. (Film) https://www.pittcountysadd.com/you-belong-here . Flecha Film Company.

Yu, H., Bauermeister, J. A., & Flores, D. D. (2023). LGBTQ+ health education interventions for nursing students: A systematic review. Nurse Education Today, 121, 105661 https://doi.org/10.1016/j.nedt.2022.105661

Description

This session explores nursing students' perceptions of care for LGBTQ+ individuals after viewing the "You Belong Here" documentary, aimed at addressing health disparities in this community. Participants will engage in discussions on how the film influenced their understanding and advocacy roles in nursing. Findings highlight the effectiveness of using film to foster empathetic, culturally competent care in nursing education.

Author Details

Mark Charles Hand, PhD, MSN, RN, CNE; Shannon B. Powell, PhD, MSN, RN, CNE; Sue Anne Pilgreen MSN, RN, CPN, AE-C; Breanna Culler, MSW

Sigma Membership

Beta Nu, Epsilon Tau at-Large

Type

Presentation

Format Type

Text-based Document

Study Design/Type

Descriptive/Correlational

Research Approach

Qualitative Research

Keywords:

Teaching and Learning Strategies, Health Equity, Social Determinants of Health, Competence, LGBTQ+, Nursing Students

Conference Name

48th Biennial Convention

Conference Host

Sigma Theta Tau International

Conference Location

Indianapolis, Indiana, USA

Conference Year

2025

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record. All permission requests should be directed accordingly and not to the Sigma Repository. All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

Abstract Review Only: Reviewed by Event Host

Acquisition

Proxy-submission

Date of Issue

2025-11-17

Click on the above link to access the slide deck.

Share

COinS
 

Exploring the Affective Domain through Film to Address LGBTQ+ Healthcare Disparities

Indianapolis, Indiana, USA

Introduction: Existing evidence suggests that LGBTQ+ individuals experience numerous health and social inequalities (Gonzales & Henning-Smith, 2017). The American Association of Colleges of Nursing (2017) recommend that nurses be educated to provide inclusive, equitable, and culturally competent care, and the American Nurses Association (2018) identified LGBTQ+ community as a minority group requiring specialized care, specifically charging nurse educators with including care of LGBTQ+ persons in curriculum. While nurse educators seek to implement effective teaching pedagogies, they often find it challenging to develop strategies to support learning in the affective domain.

Purpose: The purpose of this study was to gain a better understanding of nursing student’s perceptions of care for LGBTQ+ persons after watching the “You Belong Here” documentary, a documentary developed as part of a suicide prevention grant focused on the disparity of suicide among youth in the LGBTQ+ population.

Method: A qualitative, descriptive, focus group research design was used in this study. Prelicensure nursing students were recruited from the Accelerated BSN program to participate in focus group interviews after viewing the “You Belong Here” documentary. Fourteen students agreed to participate in the focus group interview. The audio-recorded sessions and semi-structured questions led the interviews to explore how nursing students’ perceptions of nursing care may have changed since viewing the documentary. Interviews were transcribed verbatim by a third party. First and second cycle coding and thematic analysis was used to analyze focus group data.

Results: Themes identified 1) Nurse as advocate, 2) Enhanced holistic view, and 3) Internalizing values. Results suggests that participants left the experience with a different perspective that may positively influence future care.

Findings of this study are not generalizable due to the research design and it is possible that students may have responded in ways they thought socially desirable in front of peers and researchers.

Findings from this study reinforce the importance of the affective domain in learning and suggest the use of film as an effective teaching pedagogy to influence the affective domain of learning. Recommendations include consideration of film as a teaching pedagogy to enhance nursing student knowledge of caring for LGBTQ+ persons.