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June 1, 20260 citationsOpen Access

Sexual and Gender Minority Nurses’ Minority Stress in the Workplace: A Scoping Review

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JCJustin ChavisRDRobin M. DawsonHFHein, Liam C., PhD, RN, FAAN

Key Points

  • This review aims to identify and analyze the workplace experiences of sexual and gender minority nurses, focusing on minority stress.
  • Utilized the Arksey and O'Malley Framework and PRISMA-ScR guidelines for scoping review.
  • Identified 1,846 records, with 56 assessed for full-text review, leading to analysis of seven articles.
  • SGM nurses experience identity-specific discrimination linked to the Minority Stress Model.
  • Minority stress manifests through societal stigma, concealment, and vicarious trauma.

Abstract

Background Sexual and gender minority nurses are underrepresented in the literature, which perpetuates the invisibility of their unique workplace experiences. Purpose This scoping review examined the body of literature on sexual and gender minority nurses’ workplace experiences from the context of minority stress. Methods The Arksey and O’Malley Framework and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping reviews (PRISMA-ScR) informed this scoping review. Initial database search identified 1,846 records, which then underwent title and abstract screening (n = 1,721), and assessment for full text review (n = 56). Full review and analysis of seven articles revealed that SGM nurses experience identity-specific discrimination, which is consistent with the Minority Stress Model. Discussion Although not explicitly defined in the literature, minority stress conceptually impacts SGM nurses as societal stigma, concealment and disclosure, vicarious trauma, and invisibility in the workplace. Silence of SGM nurses protects their professional credibility and financial survival and gatekeeps the professional image of nursing. Conclusion Many areas for future research would benefit from identifying minority stress processes that impact SGM nurses in the workplace, including how coping and fostering community support facilitate positive outcomes.

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Cite This Study

Chavis et al. (2026) studied this question.

synapsesocial.com/papers/6a1d22db02fbce91306387a3https://doi.org/10.1016/j.outlook.2026.102698">https://doi.org/10.1016/j.outlook.2026.102698</a></p
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