Clinician and Interdisciplinary Staff Perspectives on LGBTQ+ Inclusivity in Inpatient Pediatrics

OBJECTIVE This qualitative study explores the experiences and perspectives of pediatric inpatient health care providers and interdisciplinary clinical staff members caring for children and families with lesbian, gay, bisexual, transgender, queer, and other nonheterosexual and noncisgender identities (LGBTQ+), with a focus on identifying common perspectives and patterns related to inclusive practices, barriers, and opportunities for improvement. PATIENTS AND METHODS We conducted an inductive qualitative study at a 290-bed children’s hospital in the Mountain West region of the United States. Transcripts from 19 semistructured individual interviews were analyzed in 2 coding cycles. Methodological rigor was maintained via team discussions and reflexivity. RESULTS Thematic analysis revealed both challenges and opportunities in the collection and use of SOGI information in inpatient pediatric care. Three overarching themes were identified and explored: (1) confusion and discomfort in the context of anti-LGBTQ+ culture, (2) regret and variable awareness regarding harm and missed opportunities, and (3) hope for growth through education and protocol. CONCLUSIONS This study addresses a gap in the current literature on LGBTQ+ care in an inpatient setting and highlights opportunities to enhance inclusivity and patient-centered care. Addressing these areas can foster a more inclusive and equitable inpatient environment for LGBTQ+ pediatric patients and families.