A grounded theory study exploring lesbian patient self-disclosure of sexual orientation in acute care
Margaret Ruth Neese, PhD
- Sigma Affiliation
- Lambda Rho at-Large
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Background: Lesbians are a vulnerable population that has experienced discrimination in health care. Evidence-based strategies for supporting lesbian self-disclosure of sexual orientation have been developed for primary care, but not for acute care settings.
Purpose: The purpose of this study was to develop a grounded substantive theory to describe the process involved in lesbian self-disclosure of sexual orientation in acute care settings. Philosophical Underpinning: The philosophical underpinning was grounded theory as described by Strauss and Corbin (1998).
Methods: Twelve lesbians who had been hospital inpatients or Emergency Department patients within the previous twelve months were individually interviewed about the process of self-disclosure of sexual orientation to acute care providers. Interviews were audiotaped and transcribed verbatim by the researcher and analyzed using open, axial, and selective coding.
Results: The Neese Theory of Lesbian Self-Disclosure in Health Care was identified that consisted of antecedent conditions, the core category of personal risking, and the causal condition of fear. Personal risking was a two-stage process used by participants to manage the fear of self-disclosure and consisted of an anticipatory and interactional phase. Participants calculated the risk of self-disclosure and selected one of four interactional stances in encounters with acute care providers.
Conclusion: The Neese Theory of Lesbian Self-Disclosure in Health Care could be used to guide more inclusive acute care nursing practices for lesbian clients.
The author retains copyright.
This item has not gone through this repository's peer-review process, but has been accepted by the indicated university or college in partial fulfillment of the requirements for the specified degree.
|Review Type||None: Degree-based Submission|
|Evidence Level||Grounded Theory|
|Research Approach||Qualitative Research|
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