Evidence map›Paper›PMID 41553250›Full record

ArticleAustralasian journal on ageing2026

LGBTIQA+ Inclusion in Aged Care: Perspectives From Providers and Community Stakeholders.

Daniel Tissot, Sara Karacsony, Sharon Andrews, Russell James

Abstract read
In one paragraph

Article in Australasian journal on ageing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

4 authors.

Daniel TissotSchool of Nursing, College of Health and Medicine, University of Tasmania, Hobart, Tasmania, Australia.ORCID https://orcid.org/0009-0007-4883-3748
Sara KaracsonySchool of Nursing, College of Health and Medicine, University of Tasmania, Hobart, Tasmania, Australia.ORCID https://orcid.org/0000-0003-4198-9559
Sharon AndrewsSchool of Nursing, College of Health and Medicine, University of Tasmania, Hobart, Tasmania, Australia.
Russell JamesSchool of Nursing, College of Health and Medicine, University of Tasmania, Hobart, Tasmania, Australia.ORCID https://orcid.org/0000-0003-0995-5586

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesExperiences across aged care services for older LGBTIQA+ individuals vary, with some receiving affirming care and others having unmet needs. Given the growing demand from this population, it is essential to examine both effective care aspects and ongoing challenges. This study aimed to explore the perspectives of aged care providers, carers and community stakeholders on opportunities and barriers to the consistent implementation of culturally safe care for older LGBTIQA+ Australians.

methodsAdopting an interpretive descriptive methodology, a thematic analysis using Braun and Clarke's six-step framework was conducted on LGBTIQA+-specific transcripts from the Royal Commission into Aged Care Quality and Safety Diversity Hearing (October 2019) in Melbourne, Australia.

resultsThematic analysis identified two main themes: Inclusive and Culturally Safe Care and Robust Governance for Inclusive Care. Findings revealed that engagement with aged care is severely undermined by historical trauma and a profound mistrust of formal services by some LGBTQIA+ older people. Systemic barriers persisted due to inconsistencies in governance and a lack of accountability for diversity standards. Stakeholders highlighted the critical necessity of mandatory, identity-affirming LGBTIQA+ workforce training and the vital role of advocacy and community connections in bridging access gaps and ensuring cultural safety.

conclusionsWhile policy frameworks and 'special needs' recognition exist, genuine inclusion for older LGBTIQA+ Australians hinges on operationalising cultural safety through consistent governance, stronger compliance mechanisms and a mandatory, well-resourced training regimen for the aged care workforce. These findings provide critical implications for policy reform and practice improvement under Australia's evolving aged care standards.

Indexed as

Culturally Competent CareHealth Services for the AgedSexual and Gender MinoritiesAgedAttitude of Health PersonnelAustraliaDiversity, Equity, InclusionHumansStakeholder ParticipationWorkforce Diversityagedclinical governancecultural sensitivityhealth workforce

Identifiers

PMID41553250
PMCPMC12814923

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.