Abstract
Background: LGBTQ+ clients face significant health disparities, while nursing students lack self-efficacy and preparedness to provide culturally competent care. Evidence shows that role-play interventions can effectively enhance self-efficacy in caring for LGBTQ+ patients.
Method: A structured role-play intervention was implemented in a BSN program to improve nursing students’ self-efficacy in caring for LGBTQ+ clients. Eighty of 99 students completed all project requirements. The SE-12 scale measured self-efficacy at pre-intervention, post-intervention, and one-month post-intervention.
Results: SE-12 scores significantly increased from pre-intervention to post-intervention (p = .04) and again at one-month follow-up (p < .001). Overall improvement from baseline to one month was statistically significant with a moderate effect size (d = 0.48), indicating a lasting impact. Exploratory factor analysis supported the construct validity of the scale.
Conclusion: Role-play is an effective intervention for increasing self-efficacy among undergraduate nursing students working with LGBTQ+ clients
Date of publication
4-2026
Document Type
DNP Scholarly Project
Language
english
Persistent identifier
http://hdl.handle.net/10950/5049
Committee members
Gina Nickels-Nelson
Degree
Doctor of Nursing Practice
Recommended Citation
Rudolph, Bethany, "DNP Final Report: Enhancing Nursing Student Self-efficacy with LGBTQ+ Clients Using Role-play" (2026). DNP Final Reports. Paper 82.
http://hdl.handle.net/10950/5049