DNP Scholarly Projects


There is substantial evidence of disparities in access to healthcare and health outcomes affecting sexual and gender minority youth (SGMY). However, evidence of SGMY cultural sensitivity training for pediatric emergency health professionals is limited. This quality improvement research project in an urban pediatric emergency department (PED) used a cross-sectional, pre-test post-test design to improve health professionals’ knowledge, attitudinal awareness, and clinical preparedness in caring for this population. It was informed by the Institute for Healthcare Improvement’s Model for Improvement and completed in four Plan-Do-Study-Act (PDSA) cycles. Evidence-based pedagogical strategies were utilized for a 60-minute staff training session, including introducing foundational terminology and health disparities, utilizing a content expert, and incorporating an experiential learning role-play. After the sessions, participants demonstrated an increase in LGBT-DOCSS scores with a statistically significant increase in the clinical preparedness subscale. The content was well-received by staff, and the intervention was made sustainable by integrating a web-based module into new nurse onboarding.


Spring 4-16-2023

First Advisor

Dr. Elizabeth Morse

Scholarly Project Team Member

Dr. David Phillippi

Scholarly Project Team Member

Dr. Carolyn Howard

Scholarly Project Team Member

Del Ray Zimmerman

Scholarly Project Team Member

Brittney Aiello


Nursing, School of


Health Sciences & Nursing, Gordon E. Inman College of

Document Type

Scholarly Project


Doctorate of Nursing Practice (DNP)

Degree Level


Degree Grantor

Belmont University


sexual and gender minority youth, culturally sensitive care, health equity, continuing education, emergency care

Included in

Nursing Commons