Snelson, Sarah; (2025) Nursing Staff Experiences of Discrimination in Their Care for Delirium: A Qualitative Study. Doctoral thesis (D.Clin.Psy), UCL (University College London).

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Abstract

PURPOSE: Research looking at experiences of sexual and gender minority healthcare workers suggests they frequently encounter workplace discrimination. While most of the literature has focused on the experiences of medical trainees, less exists on fully accredited sexual and gender minority physical healthcare workers in the clinical setting. This review aims to synthesise qualitative literature in this area to understand this population’s experiences of discrimination, its impact and potential solutions. METHODS: Searches of three databases retrieved 2512 papers, following removal of duplicates, which were first screened by abstract and then full text. Thirteen papers were included in the review, which were analysed using thematic synthesis. RESULTS: Five main themes and twelve sub-themes were generated from the synthesis. The main themes were ‘Discrimination creates an unwelcome environment’, ‘Discrimination creates additional work’, ‘The toll of discrimination’, ‘Visibility can counteract discrimination’ and ‘Advocacy is everyone’s responsibility’. CONCLUSIONS: Despite limited research in this area, findings indicate that discrimination among sexual and gender minority healthcare workers is common and has significant effects on their professional lives and emotional wellbeing. Actions that institutions can take to create more inclusive and equitable workplaces for these groups are discussed, alongside suggestions for future research.

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