Evidence map›Paper›PMID 39440463›Full record

ArticleResearch in nursing & health2025

The Relationship Between a Hospital's Magnet Status and LGBTQ+ Inclusivity in Policies and Practices in US Hospitals.

Hyunmin Yu, Stephen Bonett, Dalmacio Dennis Flores, Steven Meanley, Seul Ki Choi, Tari Hanneman, José A Bauermeister

Abstract read
In one paragraph

Article in Research in nursing & health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Hyunmin YuSchool of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania, USA.ORCID 0000-0002-6770-0808
Stephen BonettSchool of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Dalmacio Dennis FloresSchool of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Steven MeanleySchool of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Seul Ki ChoiSchool of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Tari HannemanHuman Rights Campaign Foundation, Washington, DC, USA.
José A BauermeisterSchool of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania, USA.

Funding

The authors received no specific funding for this work.
6 · The paper itself

Abstract

LGBTQ+ individuals face discrimination in healthcare settings. Magnet hospitals have been associated with positive patient outcomes, yet it remains uncertain whether Magnet designation is associated with hospitals' LGBTQ+ inclusivity in policies and practices. This study examined 801 American hospitals across 47 states that participated in the Healthcare Equality Index (HEI) in 2021. Multilevel modeling was utilized to investigate the association between Magnet status and HEI scores, adjusting for hospital type and state-level covariates, including LGBTQ+ inclusiveness in laws, political climate, racial/ethnic minority population, and Medicaid expansion status. Among the 801 hospitals, 32.1% (257 hospitals) held Magnet status. Magnet hospitals demonstrated higher HEI scores compared to non-Magnet hospitals (γ = 2.13, p = 0.022), despite significant variations across states (intraclass correlation = 0.22). No significant cross-level interactions were found. Overall, Magnet designation is independently associated with improved LGBTQ+ inclusivity in hospitals regardless of the state in which the hospital is located. Policymakers and healthcare leaders should consider leveraging the Magnet Recognition Program as a benchmark for promoting LGBTQ+ inclusivity within hospitals. Additionally, all healthcare institutions should prioritize comprehensive evaluations and improvements to their policies and practices to ensure inclusivity for LGBTQ+ patients.

Indexed as

Sexual and Gender MinoritiesFemaleHealthcare DisparitiesHospitalsHumansMaleUnited StatesHealthcare Equality IndexLGBTQ+ policiesMagnet hospitalmultilevel modelingsexual and gender minorities

Identifiers

PMID39440463
PMCPMC11707491

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.