The Denial of Care Rule, the Equality Act, and Nursing Ethics

The U.S. Department of Health and Human Services (HHS) Office of Civil Rights has released what they are referring to as “the final conscience rule protecting health care entities and individuals.” This rule is more broadly being referred to as the Denial of Care Rule, as it prohibits the government from penalizing practitioners or organizations for refusing to provide health care based upon religious conscience.

The president of GLMA, Gal Mayer, MD, has spoken out against this rule in no uncertain terms. In particular, he noted that, “The Denial of Care rule also stands in direct conflict with the Joint Commission and the major medical and health professional associations representing physicians, nurses, nurse practitioners, physician assistants, psychologists, social workers and other healthcare providers that have adopted standards to ensure all patients, including LGBTQ patients, are treated with respect and without bias and discrimination in all healthcare settings.”

The GLMA Nursing Section is in full agreement with President Mayer’s statement. It is absolutely unacceptable that HHS, whose mission is “to enhance and protect the health and well-being of all Americans” would issue a rule that facilitates denial of care for, among others, LGBTQ people.

The Code of Ethics for Nurses states in its first provision that “[t]he nurse practices with compassion and respect for the inherent dignity, worth, and unique attributes of every person.” It also states in provisions two and three that nurses prioritize the health and safety of the patient, both in terms of promoting health and safety and advocating for patients. Provision eight speaks to nurses’ obligation to protect human rights and reduce health disparities, and provision nine speaks to the importance of integrating social justice into both nursing and health policy.

In short, the American Nurses Association has made clear in over half the provisions of the Code that it is the responsibility of nurses to not only provide care to their patients based on their unique needs, but also to advocate for policies that ensure patients’ health and safety are protected. The Denial of Care rule, as Dr. Mayer stated in more general terms, is in direct conflict with the Code of Ethics for Nurses, and, in fact, requires nurses to speak out against this rule.

So, what can nurses do?  Plenty, at many different levels.  Talk about this rule with policy-makers in your workplace.  Bring it up with any of your professional organizations.  And most importantly, call your representative and ask them to support the Equality Act (HR 5/S 788).

Congratulations to Ralph Klotzbaugh!

Our colleague Ralph Klotzbaugh, our first GLMA Nursing Section Budget Officer, just let us know that he has been awarded a 50k internal grant at the University of New Mexico on a study with peer-led support groups for trans folks in New Mexico.  It’s through the Transdisciplinary Research for Equity and Engagement Center at the Health Sciences Center at UNM.  Here are the aims of the study:

  • Investigate an ongoing peer-led support group intervention to describe participant and facilitator demographics, the intervention, and the community-based sites providing this intervention for gender minorities in Albuquerque, Las Cruces, and Santa Fe, New Mexico.
  • Identify intervention participant and intervention peer-leaders’ perspectives on a) intersectional minority stress; b) outcomes of the intervention; and c) input for developing and delivering online peer-led support groups for gender minorities in New Mexico.
  • Develop a gender minority affirming, intersectional behavioral health outcomes measurement tool by operationalizing qualitative participant-informed outcome descriptions (from Aim 2), to inform future intervention research.

Congratulations, Ralph!  I know we will hear more about your work as it progresses!

Leadership Opportunity

This opportunity is open to all health professionals in training, including nursing students at all levels (pre-licensure, enrolled in a nurse residency program, pursuing an advanced degree). Official call for applications follows.

HPiT Co-Chair Call for Applications!

GLMA: Health Professionals Advancing LGBTQ Equality is seeking a motivated health professional student/trainee who has a passion for healthcare equality and strengthening their leadership skills to join the GLMA Board of Directors in the Health Professional in Training (HPiT) co-chair role. The one-year term begins in the fall with the opportunity for a one-year renewal.

The HPiT co-chair is the voice for the student and trainee members of GLMA. In addition to being a full voting board member, the position is responsible for co-chairing the HPiT committee, which is tasked with addressing issues important to GLMA student/trainee members. Students/trainees from diverse backgrounds including health profession and geographic locations are encouraged to apply. Residents and fellows are also eligible to apply.

DEADLINE to apply: April 8, 2019, at midnight (PST)

To learn more about the GLMA HPiT Board Member position, please reference the attached application.

Networking reminder!

Last October, I posted the following message on this blog – and I am posting it again – because we have been having a bit of a problem with the networking emails!  We are working on this – so bear with us – we will work it out!  If you are on the networking list and have the link to our Kanban view to find others in your region, the link I have sent before still works!  Wath for an update coming in the next couple of weeks!  And if you are not yet part of the networking group, information about how to join is below!

Our wonderful annual GLMA Nursing Summit is like an oasis in the desert for those of us who are able to attend, and the highlight is networking – meeting old and new friends, finding new connections with others who share our interests and passions for LGBTQIA+ health.  But what about the other 364 days of the year?  And what about possibilities a little bit closer to home?  The GLMA Nursing Section networking group might help!  There is nothing complicated about this group – it is simply a database that we can organize by region and showcase everyone in a gallery  makes it possible to find and connect with other LGBTQIA+ nurses and allies.

If you are not already signed up, here is the link to the form to sign up!  This is not GLMA membership, nor is it GLMA Nursing Section membership – it just gets you signed up for the networking database.  The benefit is that you will get a link to see a “kanban” view consisting off “cards” for everyone in the group, organized by your geographical region.  At this point, there are lots of regions (mostly states) that have no one – yet – and many that have only one or two people.  But over time that will change, and if you are part of the group, you can help change that! Your connection of course is not limited to just your region or neighboring regions – You can explore any region to find people who share your interest, and contact them by email

The Kanban view is password protected, and you have to have the link to sign in. Once you are part of the group, you will receive an email every few weeks reminding you of he link to the Kanban view, and a reminder of the password (which will change from time to time).  So join us! And if you already are in the group, encourage your friends to join us, and check the Kanban view frequently to welcome new networkers!

Networking, anyone?

Our wonderful annual GLMA Nursing Summit is like an oasis in the desert for those of us who are able to attend, and the highlight is networking – meeting old and new friends, finding new connections with others who share our interests and passions for LGBTQIA+ health.  But what about the other 364 days of the year?  And what about possibilities a little bit closer to home?  The GLMA Nursing Section networking group might help!  There is nothing complicated about this group – it is simply a database that we can organize by region and showcase everyone in a gallery  makes it possible to find and connect with other LGBTQIA+ nurses and allies.

If you are not already signed up, here is the link to the form to sign up!  This is not GLMA membership, nor is it GLMA Nursing Section membership – it just gets you signed up for the networking database.  The benefit is that you will get a link to see a “kanban” view consisting off “cards” for everyone in the group, organized by your geographical region.  At this point, there are lots of regions (mostly states) that have no one – yet – and many that have only one or two people.  But over time that will change, and if you are part of the group, you can help change that! Your connection of course is not limited to just your region or neighboring regions – You can explore any region to find people who share your interest, and contact them by email

The Kanban view is password protected, and you have to have the link to sign in. Once you are part of the group, you will receive an email every few weeks reminding you of he link to the Kanban view, and a reminder of the password (which will change from time to time).  So join us! And if you already are in the group, encourage your friends to join us, and check the Kanban view frequently to welcome new networkers!

2018 GLMA Nursing Summit – Overview

What Happened in Vegas

Shown clockwise from top left, our education panel (Briget Maley, Tara Noorani, Dylan Avery, Eileen Glover, Todd Tartavoulle, Jessica Landry, and Mimi Snyder), Hector Vargas, Eileen Glover & Todd Tartavoulle, Regina Washington, Paula Neira, crowd shot, Christine Rodriguez, Page Baker & Rachel Neuschatz, Gal Mayer, and TaMara Griffin. Photos taken by Sarah Bassett. Collage by Diane Verrochi.

This year’s GLMA Nursing Summit was so jam-packed with amazing content that it would be impossible to convey it all in a single blog post.  Therefore, there will be several!  For now, an overview.

We opened with remarks from our Chair, Caitlin Stover, who set the tone for the day and the commitment to keep to our schedule so that we could hear from all our amazing speakers, some of whom are in the collage above.  As is tradition, both GLMA’s executive director, Hector Vargas, and 2018 president, Gal Mayer, spoke briefly to welcome us and to voice their support of the Nursing Section.

Another tradition, started with the Portland Nursing Summit, is the Local Hero Award.  This year, that award went to past chair Michael Johnson.

Local Hero Award

Michael's acceptance

From there, we went into our speakers, listed here, and whose presentations you’ll hear more about in coming weeks.

While this was, of course, after the Summit and Conference, in light of the federal memo reported in the October 21 issue of the New York Times, it is important to note that GLMA has responded with vehement opposition to the attempt to narrow Title IX and other legal protections to a binary definition of gender based upon sex assigned at birth.  The Nursing Section similarly stands with our transgender and intersex members and communities against this attempt to erase their identities, experiences, and legal protections.

 

Summit, Conference, and Workplace Climate Scale

With the awards gala last night, #GLMA2018 has come to a close.  The Nursing Summit was amazing, and there will be plenty about it here in the upcoming weeks!

In the meantime, for those who either weren’t able to attend the Nursing Summit or meant to finish their paper survey but didn’t, here is your invitation to participate electronically in validating this assessment tool developed by the Nursing Section!

Nursing Setting Workplace Climate/Policy Study

We are conducting a needs assessment study of the workplace climate and policies for lesbian, gay, bisexual, and transgender (LGBT) people in nursing clinical and educational settings. We welcome your input on one or both of these settings, regardless of your own identifications. If you agree to participate, click on the link below to complete the survey. It takes about 10-15 minutes to complete. If you work in more than one setting, you can do the survey more than once, but make sure you focus on only one setting at a time. This study was approved by the IRB at San Francisco State University, and your participation is both voluntary and anonymous.

Please feel free to share this link with any other nurses you know who might consider participating. If you have any questions, feel free to contact Mickey Eliason (meliason@sfsu.edu) or Diane Verrochi (dverrochi@hartford.edu).

Link to survey:
https://www.surveymonkey.com/r/GXTB5SF 

Meanwhile, stay tuned for an overview of the Nursing Summit as a whole and then the individual sessions!

GLMA Nursing Summit 2018 Keynote

If last week’s agenda post was a little overwhelming, fear not!  We’ll share some of the details between now and October 10.

Our Keynote Speaker, Dr. TaMara Griffin, Sacred Soul SEXucator and Holistic Healer, will be speaking to us about the need for everyone, from clients to clinicians, to practice self care and heal old traumas.  Not just the big capital-T Traumas, but also the little daily traumas that often go unaddressed.

Intrigued?  Go check out her website and her books.  She has some absolutely fascinating and thought-provoking things to say!  And then get ready to come hear her speak at the Nursing Summit on October 10, 2018.

If you haven’t already registered, it’s not too late.  We’re into the late registration period, but better late than never, and we’d love to see you!

Nursing Summit 2018 Agenda

Today is the last day to register without a late fee for the GLMA Nursing Summit.  In case you are on the fence, here’s our agenda. It’s full of speakers and presentations you won’t want to miss!

Time Agenda Item/Speaker Topic
7:15 Registration and networking breakfast
8:00 Hector Vargas, JD, GLMA Executive Director

Gal Mayer, MD, MS, GLMA President

GLMA Nursing Section Leadership Team

Michael Johnson, RN, PhD, GLMA Nursing Section Past Chair

Welcome
8:30 Rachell A. Ekroos, PhD, APRN, FNP-BC, AFN-BC

she/her/hers

Sexual Violence among LGBTQ Idenfying Persons
9:15 Dawn Koonkongsatian, MSN Ed, RN, COI

she/her/hers

Healing environments for gender-diverse women
9:25 Amy Hequembourg, PhD

she/her/hers

The Role of Trauma in Alcohol Dependence among Sexual Minority Women
9:40 Paige Baker-Braxton, Psy.D.

she/her/hers

Rachel Neuschatz, MSN, RN

they/them/theirs

Centering the Narrative of TGNC Survivors: A Community Approach to Prevention & Intervention of Sexual Violence
10:00 Break 25 minutes
10:25 Kodiak Soled, MSN, RN (anticipated to be completed by Sept 2018);

she/her/hers

Healthcare Provider Knowledge Gaps and Acquisition of Transgender Health Education
10:35 Christine Rodriguez, APRN, FNP-BC, MDiv, MA

she/her/hers

Transgender Health: A look at Gender-Sensitive Healthcare
11:00 Amy Daly MBA, BSN, RN CCRN

they/them/theirs

Trans inclusive healthcare spaces
11:10 Regina Washington, DrPH

she/her/hers

Walking the Talk: Addressing E-ciggs in the LGBT community
12:00PM Lunch/Business Meeting

Mickey Eliason

she/her/hers

Diane Verrochi

she/her/hers

Business Meeting

Workplace Climate Scale validation  

1:00 Jerome (Jerry) Steffe, MSN, MPH, ARNP-C

he/him/his

VA Nurses providing care to LGB Veterans
1:10 Paula M. Neira JD, MSN, RN, CEN

she/her/hers

Serving Those Who Served: Caring for LGBTQ Veterans and Military Personnel
1:25 Dr. Tamara Griffin Keynote
2:25 Wendy A. Ritch, MA, MTS

she/her/hers

Rise of the Queerburb – Relationships Among the Domestic Migration of LGBTQ+ Populations, Health Policy, Health Equity, and Health Care Provider Cultural Competence
2:35 Break
3:00 Tara Noorani, BSN, RN, FNP Candidate

she/her/hers
Dylan Avery, BSN, RN

he/him/his

The Integration of LGBT Health into the NHWSN Nursing Curriculum
Randy E. Gross PhD, RN, NP, CNS, WHNP-BC, ACNS-BC, AOCNP®, AOCNS®

he/him/his
Bridget Maley MS, RN

she/her/hers

A Writing Assignment to Address Gaps regarding LGBT+ Health in the Curriculum for Associate Degree Nursing Students
Marianne Snyder PhD, MSN, RN

she/her/hers

Beliefs, Behaviors, and Experiences of Advanced Practice Nurses with Lesbian and Gay Patients: Qualitative Findings from a Mixed Methods Study
Eileen Glover, MSN, RN-BC, NEA-BC

she/her/hers

Patient satisfaction and culturally competent care for the LGBT population: a retrospective explanatory study
Todd Tartavoulle DNS, APRN, CNS-BC.

he/him/his
Jessica Landry, DNP, FNP-BC

she/her/hers

Advocacy Training: Delivering Culturally Sensitive Care to LGBTQI Patients
3:45 Maria McQuade, MA

she/her/hers

Faith-based Healthcare and the LGBT Community: Opportunities and Barriers for Equitable Care
4:00 Bryan Kutner, PhD, MPH

He/him/his

Stigma Toward Anal Sexuality is Linked to Discomfort in Health Care and Less Engagement in HIV Prevention among Cisgender MSM: Implications for Health Workers
4:10 Sarah Zollweg, RN, BSN

she/her/hers

Improving LGBTQIA Health: Nursing Policy Can Make a Difference
4:25 Caitlin Stover, PhD, RN

she/her/hers

Closing Remarks

Evaluation Collection

 

Continuing  Nursing Education  Credits

GLMA  is approved  by the California  Board of Registered  Nursing, Provider Number  16038, to provide nursing continuing  education credits. The GLMA Nursing Summit  is approved for 7.5 contact hours.

In  order  to cover  GLMAs administrative  costs, there will be  a $30 charge for issuance  of CE certificates. Those attending  and claiming credit for the GLMA Annual  Conference will only pay the administrative  fee once (for both the Nursing Summit certificate and  the Annual  Conference certificate).  CME is not available at  the Summit. Please see the  Registration Desk at the Summit for more information  or to  pay the  fee.

This agenda is subject, of course, to last-minute adjustments.  We hope nobody’s plane is canceled or delayed, for example, but if that (or similar) occurs for a presenter, the schedule will be adjusted accordingly.

We hope to see you there!

6 Days Left to Register!

There are six days left to register for the GLMA Nursing Summit at the regular registration price!

In addition to the topics mentioned earlier, we will be having a panel discussion on innovative strategies for promoting awareness among healthcare providers.  You won’t want to miss this, so save yourself a little money by registering to attend before the late registration fees go into effect on September 18!