Background: Gay men have adopted the use of people-nearby applications (PNA) to connect with members of the LGBT+ community. PNA uses global positioning system (GPS) data to locate other users in the area and facilitates communication between users through online profiles and instant messaging services. Objectives: This thesis explored gay men’s process of using PNA to connect with other users. Methods: The thesis work was conducted in two phases. The first phase was a review of the existing literature with literature synthesised into major themes. The second phase was an original qualitative study that used group sessions within a qualitative descriptive method and used thematic analysis to explore experiences of PNA use. Findings: The reviewed articles (n = 40) evolved into four major themes: risk, stigma, sexuality, and community. The theme of risk was overrepresented in the literature and comprised research that reviewed the sexual health risks of using PNA to meet partners. The review themes aligned closely with the four themes that emerged from participants’ (n = 6) experiences that were revealed in the original qualitative study: community, hope, stigma, and doubt. The themes of hope and doubt were found to be driving forces in a cyclical pattern of use reported by the participants, wherein users will repeatedly experience cycling phases of app use and disuse. Conclusion: Phase one of this thesis work exposed a gap in the knowledge related to the process of gay men using PNA. Phase two began to fill that gap by exploring the process of using PNA and furthering academic knowledge of how gay men interact and experience PNA use. The knowledge created in this thesis may assist nurses by providing them with improved cultural understanding of gay men and facilitate open communication between nurses and gay clients.

Abstract THE PIE REDEMPTION THEORY/WHEN THE FLOOD COMES HOW WILL YOU CHOOSE By Julie Hutchison Geen, MFA A thesis submitted in partial fulfillment of the requirements for the degree of Master of Fine Arts, Creative Writing, dual genre at Virginia Commonwealth University Virginia Commonwealth University July 2018 Director: Tom De Haven, Professor of Creative Writing, English Department The following document is the first 144 pages of a novel developed over the past three years at Virginia Commonwealth University. It is a dark comedy exploring the complexities of modern motherhood and marriage. Beginning on page 145 are 60 pages of creative nonfiction titled “When the Flood Comes How Will You Choose,” developed over the past three years at Virginia Commonwealth University. It is an excerpt of a longer work exploring the evolution of a love relationship with a woman with Dissociative Identity Disorder after a twenty-year marriage to a man.

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Made available in DSpace on 2016-08-29T15:33:39Z (GMT). No. of bitstreams: 1 tese_8937_Dissertacao_Andre_Tosta.pdf: 956155 bytes, checksum: 46b83915eff5ed94673d12d1dc80ad91 (MD5) Previous issue date: 2015-06-25 / Esta dissertação é o resultado da investigação realizada entre 2013 e 2014 no estado do Espírito Santo que analisou a atuação política de pessoas trans, indivíduos que se reconhecem como travestis e transexuais, conforme delimitação identitária do próprio movimento político. Apoiada numa proposta de investigação descritiva e interpretativa a pesquisa se apoia em três componentes teóricos: (a) a mobilização política decorre muitas vezes da existência de um sentimento de 'solidariedade' gerado por uma experiência compartilhada.; (b) o 'sujeito' é o resultado da articulação das vivências experienciadas, sendo elas individuais e coletivas; (c) os movimentos sociais podem ser compreendidos como 'campos' que geram mudanças subjetiva nos sujeitos mediante a incorporação por estes das lógicas estruturantes e estruturadas daquele. Por conclusão defende-se o argumento que, se o movimento LGBT (e as ativistas trans) pautam suas reivindicações em torno de ideais como 'visibilidade' e 'cidadania', é preciso questionar o sentido que essas lutas políticas encontram nas vivências concretas dessas pessoas. Antes de recorrer a especulação simplista de que a 'identidade' e a 'injustiça' sejam os elementos responsáveis pelo engajamento nos movimentos sociais, devemos compreender como tais elementos se acomodam e negociam com os 'quadros' coletivos dos apoiadores e opositores e, sobretudo, como eles se tornam 'oportunidades' de atuação e de mobilização. Palavras-chave: movimentos sociais; travestilidades; transexualidades, LGBT, identidade.

Mini Dissertation (MPhil (Human Rights and Democratisation in Africa))--University of Pretoria, 2021. / Centre for Human Rights / MPhil (Human Rights and Democratisation in Africa) / Unrestricted

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Many lesbian, gay, bisexual, and transgender (LGBT) individuals report experiencing discrimination in their health care that leads to avoidance of regular appointments with providers. Lack of regular primary care can delay diagnoses of preventable conditions and increase patient risks for chronic disease complications. A systematic review of the literature was conducted to understand LGBT cultural competencies for nursing and other health care providers. The Cochrane Handbook for Systematic Reviews and Melnyk's levels of evidence framed this systematic literature review. Articles for inclusion were limited to those published in English between 2008 and 2018. Keywords used in the literature search included LGBT health disparity, LGBT cultural competency orientation, and nursing LGBT education. The search yielded 70 article results, which were further reduced to 12 articles by critically analyzing the applicability of the literature to the practice-related questions and removing duplicate articles. Five articles met the criteria for Levels III-IV (case-control or cohort), 6 met the criteria for Level II (randomized control trials), and 1 was Level 1 (systematic review). The analysis of evidence demonstrated the importance of providing education to nurses and other health care providers regarding LGBT cultural competency. Recommendations are offered for best practice strategies regarding the inclusion of LGBT cultural competencies in nursing orientation modules. Application of the findings may lead to positive social change if knowledgeable health care providers engage the LGBT population in primary care leading to improved health care outcomes.

The documented experiences and perceptions of lesbian, gay, bisexual, and transgender (LGBT) patients receiving hospice or palliative care gives merit to the need for the implementation of LGBT affirming environments in hospice care settings. The guidelines for creating these affirming environments are described in this paper. Applying the Donabedian (1988) model of structure, process, and outcome this thesis project analyzes identified interventions relevant to the implementation of LGBT affirming environments in hospice care settings. Utilizing a formal PICO questioning method, a search strategy was devised and studies were identified based on established criteria. The results suggest that there is a paucity of data in relation to the implementation of LGBT affirming environments in hospice care settings. In an effort to assist in identifying existing interventions that have not been studied this project also includes a recommended survey tool to measure the active efforts of hospice organizations to implement LGBT affirming environments.

This dissertation examines the intersections among discourses of feminism, transgender studies, queer theory, film studies, and social activist practice. I address the question of how transphobia as a set of beliefs and behaviors is illustrated in four late-twentieth-century films, three produced in America and one originally released in Australia but later acquiring a significant following in this country. I define transphobia as the "fear of a transgendered person and the hatred, discrimination, intolerance, and prejudice that this fear brings" (Laframboise 2002) and transgender as a broad term that can apply to persons, behaviors, and filmic images, a "self-conscious politicization of identity that activates an investigation of gender relations within different s socio-spatial regimes" (Brooks 1) and "clearly disrupt[s] hegemonic notions of a stable trinity between sex, gender and sexuality" (Jennings and Lomine 146).I provide brief histories of feminist and queer theories to illustrate these fields' insufficiency in accounting for transgender experience and trace the establishment of transgender studies as an explicit field of study. Then, I examine works by transgender studies theorists and activists to explain the progression of thought that led to these writers' call for abolition of the binary gender system. In the following chapter, I trace the theoretical moves from a feminist theory of film to a queer theory approach to film, again pointing out the limited perspective that explicitly feminist analysis of film has frequently offered. Finally, I demonstrate the ways in which each film conforms to and/or defies heteronormative ideals of gender and sexuality and upholds the binary gender system. I suggest that ongoing efforts in transgender and other kinds of social activism might eventually bring about a postgenderist society wherein gender "roles" are no longer forced upon individuals, but may be adopted (or refused) by choice. To this end, I outline six criteria of what I term a positive film portrayal of transgender and explain how each film either meets or fails to meet these criteria, which generally focus on the degree to which the films allow their protagonists to maintain a gender identity that violates binary norms on a continual basis.