Homophobia and heterosexism: implications for nursing and nursing practice

Discrimination against lesbian, gay, bisexual and transgender people (LGBT) continues to exist in contemporary society and in institutions such as health care systems despite increasing social tolerance over the past three decades. This article explores the existence of discrimination against LGBT people among nurses and the implications this has for nursing and the quality of care delivered. The evidence suggests that LGBT patients and clients experience discrimination because of the homophobic and heterosexist attitudes of some nurses and other health professionals. Furthermore, some gay and lesbian health care workers also experience prejudice, discrimination and rejection from their colleagues. These experiences have detrimental effects for LGBT patients and staff. Strategies that may enhance the wellbeing of LGBT patients and staff are suggested.