{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T02:04:57Z","timestamp":1790129097567,"version":"4.0.1"},"reference-count":34,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T00:00:00Z","timestamp":1790035200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T00:00:00Z","timestamp":1790035200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Nursing"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To assess LGBT\u2010related clinical competence among nurses and identify sociodemographic and occupational factors associated with overall competence and its domains of clinical preparedness, attitudes, and knowledge.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Nationwide cross\u2010sectional study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A nationwide online cross\u2010sectional study was conducted between January and May 2026 among 861 registered nurses. Participants completed the Lesbian, Gay, Bisexual, and Transgender Development of Clinical Skills Scale (LGBT\u2010DOCSS) and a questionnaire assessing sociodemographic and occupational characteristics. Descriptive statistics and univariable and multivariable linear regressions identified factors associated with overall and domain\u2010specific LGBT\u2010related clinical competence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Reporting Method<\/jats:title>\n                    <jats:p>This study followed the STROBE Statement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The mean overall LGBT\u2010DOCSS score was 4.10\u2009\u00b1\u20090.53 on a 1\u20137 scale, with higher scores indicating greater competence. Nurses reported the highest average scores for attitudes (5.78\u2009\u00b1\u20090.86) and the lowest for clinical preparedness (2.48\u2009\u00b1\u20090.79). Rural residence was consistently associated with lower overall LGBT\u2010related clinical competence and lower competence across all three domains. Master's degree education was associated with higher overall competence and greater clinical preparedness. Nurses born in 1965\u20131994 reported lower clinical preparedness than those born in 1946\u20131964, whereas Generation Z nurses demonstrated higher knowledge. Working more than 200\u2009h per month was associated with lower knowledge.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Although nurses reported generally positive attitudes towards LGBT patients, important gaps in clinical preparedness and knowledge remain. Rural residence emerged as the strongest and most consistent predictor of lower LGBT\u2010related clinical competence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for the Profession and\/or Patient Care<\/jats:title>\n                    <jats:p>Undergraduate nursing education and continuing professional development should strengthen LGBT health content, with particular emphasis on practical clinical skills and targeted educational support for nurses working in rural settings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Impact<\/jats:title>\n                    <jats:p>The findings identify modifiable factors associated with LGBT\u2010related clinical competence among nurses and provide evidence to guide nursing education, continuing professional development, and workforce strategies that promote equitable, culturally competent care for LGBT patients worldwide.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jocn.70545","type":"journal-article","created":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T01:41:12Z","timestamp":1790127672000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Clinical Competence of Nurses in Caring for\n                    <scp>LGBT<\/scp>\n                    Patients: A National Cross\u2010Sectional Study"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4292-161X","authenticated-orcid":false,"given":"Stanis\u0142aw","family":"Manulik","sequence":"first","affiliation":[{"name":"Department of Nursing, Faculty of Nursing and Midwifery Wroclaw Medical University  Wroclaw Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3597-2048","authenticated-orcid":false,"given":"Ra\u00fal","family":"Ju\u00e1rez\u2010Vela","sequence":"additional","affiliation":[{"name":"Group for Research in Healthcare (GRUPAC), Faculty of Health Science University of La Rioja  Logro\u00f1o Spain"},{"name":"Institute of Biomedical Research of Salamanca (IBSAL) University of Salamanca  Salamanca Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2510-4071","authenticated-orcid":false,"given":"Christopher S.","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Nursing, Faculty of Nursing and Midwifery Wroclaw Medical University  Wroclaw Poland"},{"name":"Boston College William F. 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