{"id":{"repo_id":"calgary","oai_identifier":"oai:ucalgary.scholaris.ca:1880/108703"},"canonical_url":"https://search.dev.ndltd.org/etd/calgary/oai:ucalgary.scholaris.ca:1880/108703","repository":{"repo_id":"calgary","name":"University of Calgary","base_url":"https://ucalgary.scholaris.ca/server/oai/request"},"display":{"title":"Disclosure of Sexual Orientation in Primary Health Care: Gay Men's Stories of Coming Out","abstract":"Access to primary health care is important for maintenance of health and well-being and the timely treatment of illness. Primary health carers address many dimensions of people’s health and social welfare. The literature suggests that experiences of primary health care might be problematic for gay men. For many reasons, it can be difficult for gay men to discuss their sexual orientation with primary providers. The health literature offers little guidance about how gay men experience primary health care. The health care literature about gay men is dominated by studies about the transfer and prevention of sexually transmitted diseases, and there is little exploration of patient-practitioner relationships in the context of primary health care. This study is a narrative inquiry into three gay men’s experiences of “coming out,” or disclosure of their sexual orientation in primary health care. Three narrative accounts form the basis for the development and discussion of three narrative threads: Disclosure and Connections, Opportunities Taken and Lost, and Making Maps for Connections. Recommendations for nursing practice, research, and policy development are made.","abstract_html":"Access to primary health care is important for maintenance of health and well-being and the timely treatment of illness. Primary health carers address many dimensions of people’s health and social welfare. The literature suggests that experiences of primary health care might be problematic for gay men. For many reasons, it can be difficult for gay men to discuss their sexual orientation with primary providers. The health literature offers little guidance about how gay men experience primary health care. The health care literature about gay men is dominated by studies about the transfer and prevention of sexually transmitted diseases, and there is little exploration of patient-practitioner relationships in the context of primary health care. This study is a narrative inquiry into three gay men’s experiences of “coming out,” or disclosure of their sexual orientation in primary health care. Three narrative accounts form the basis for the development and discussion of three narrative threads: Disclosure and Connections, Opportunities Taken and Lost, and Making Maps for Connections. Recommendations for nursing practice, research, and policy development are made.","abstract_has_math":false,"creators":["Cashen, Daniel Steven"],"institution":"Graduate Studies","degree_name":"Master of Nursing (MN)","degree_level":null,"degree_discipline":"Nursing","degree_department":null,"school":null,"contributors":[],"advisors":["Estefan, Andrew"],"committee_chairs":[],"committee_members":["Venturato, Lorraine","Dela Cruz, Añiela Marie","Ginn, Carla S.","Then, Karen L."],"year":2018,"date_issued":"2018-09-20","date_published":"2018-09-20","updated_at":"2026-07-24T01:30:36Z","subjects":["disclosure","Coming Out","Primary Care","Narrative"],"languages":["eng"],"rights":["University of Calgary graduate students retain copyright ownership and moral rights for their thesis. You may use this material in any way that is permitted by the Copyright Act or through licensing that has been assigned to the document. For uses that are not allowable under copyright legislation or licensing, you are required to seek permission."],"rights_urls":[],"identifier_entries":[{"key":"dc:identifier.doi","label":"DOI","values":["http://dx.doi.org/10.11575/PRISM/33056"],"render_values":[{"text":"http://dx.doi.org/10.11575/PRISM/33056","href":"http://dx.doi.org/10.11575/PRISM/33056","code":true}]}]},"links":{"outbound_url":"http://hdl.handle.net/1880/108703","outbound_label":"Handle","outbound_source":"dc:identifier.uri"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor.advisor","label":"Advisor","values":["Estefan, Andrew"]},{"key":"dc:contributor.committeemember","label":"Committee Member","values":["Venturato, Lorraine","Dela Cruz, Añiela Marie","Ginn, Carla S.","Then, Karen L."]},{"key":"dc:creator","label":"Author","values":["Cashen, Daniel Steven"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date","label":"Dc Date","values":["2018-11"]},{"key":"dc:date.accessioned","label":"Dc Date Accessioned","values":["2018-09-27T21:39:22Z"]},{"key":"dc:date.available","label":"Dc Date Available","values":["2018-09-27T21:39:22Z"]},{"key":"dc:date.issued","label":"Date","values":["2018-09-20"]},{"key":"dc:publisher.institution","label":"Dc Publisher Institution","values":["University of Calgary"]},{"key":"dc:type","label":"Dc Type","values":["master thesis"]},{"key":"thesis:degree_discipline","label":"Discipline","values":["Nursing"]},{"key":"thesis:degree_name","label":"Degree Name","values":["Master of Nursing (MN)"]},{"key":"thesis:institution_name","label":"Thesis Institution Name","values":["University of Calgary"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["disclosure","Coming Out","Primary Care","Narrative"]}]},{"id":"language_rights","label":"Language and Rights","entries":[{"key":"dc:language.iso","label":"Language (ISO)","values":["eng"]},{"key":"dc:rights","label":"Dc Rights","values":["University of Calgary graduate students retain copyright ownership and moral rights for their thesis. You may use this material in any way that is permitted by the Copyright Act or through licensing that has been assigned to the document. For uses that are not allowable under copyright legislation or licensing, you are required to seek permission."]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier.doi","label":"DOI","values":["http://dx.doi.org/10.11575/PRISM/33056"]},{"key":"dc:identifier.uri","label":"Identifier URI","values":["http://hdl.handle.net/1880/108703"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description.abstract","label":"Abstract","values":["Access to primary health care is important for maintenance of health and well-being and the timely treatment of illness. Primary health carers address many dimensions of people’s health and social welfare. The literature suggests that experiences of primary health care might be problematic for gay men. For many reasons, it can be difficult for gay men to discuss their sexual orientation with primary providers. The health literature offers little guidance about how gay men experience primary health care. The health care literature about gay men is dominated by studies about the transfer and prevention of sexually transmitted diseases, and there is little exploration of patient-practitioner relationships in the context of primary health care. This study is a narrative inquiry into three gay men’s experiences of “coming out,” or disclosure of their sexual orientation in primary health care. Three narrative accounts form the basis for the development and discussion of three narrative threads: Disclosure and Connections, Opportunities Taken and Lost, and Making Maps for Connections. Recommendations for nursing practice, research, and policy development are made."]},{"key":"dc:title","label":"Title","values":["Disclosure of Sexual Orientation in Primary Health Care: Gay Men's Stories of Coming Out"]}]}],"canonical_facts":{"dc:contributor.advisor":["Estefan, Andrew"],"dc:contributor.committeemember":["Venturato, Lorraine","Dela Cruz, Añiela Marie","Ginn, Carla S.","Then, Karen L."],"dc:creator":["Cashen, Daniel Steven"],"dc:date":["2018-11"],"dc:date.accessioned":["2018-09-27T21:39:22Z"],"dc:date.available":["2018-09-27T21:39:22Z"],"dc:date.issued":["2018-09-20"],"dc:description.abstract":["Access to primary health care is important for maintenance of health and well-being and the timely treatment of illness. Primary health carers address many dimensions of people’s health and social welfare. The literature suggests that experiences of primary health care might be problematic for gay men. For many reasons, it can be difficult for gay men to discuss their sexual orientation with primary providers. The health literature offers little guidance about how gay men experience primary health care. The health care literature about gay men is dominated by studies about the transfer and prevention of sexually transmitted diseases, and there is little exploration of patient-practitioner relationships in the context of primary health care. This study is a narrative inquiry into three gay men’s experiences of “coming out,” or disclosure of their sexual orientation in primary health care. Three narrative accounts form the basis for the development and discussion of three narrative threads: Disclosure and Connections, Opportunities Taken and Lost, and Making Maps for Connections. Recommendations for nursing practice, research, and policy development are made."],"dc:identifier.doi":["http://dx.doi.org/10.11575/PRISM/33056"],"dc:identifier.uri":["http://hdl.handle.net/1880/108703"],"dc:language.iso":["eng"],"dc:publisher.institution":["University of Calgary"],"dc:rights":["University of Calgary graduate students retain copyright ownership and moral rights for their thesis. You may use this material in any way that is permitted by the Copyright Act or through licensing that has been assigned to the document. For uses that are not allowable under copyright legislation or licensing, you are required to seek permission."],"dc:subject":["disclosure","Coming Out","Primary Care","Narrative"],"dc:title":["Disclosure of Sexual Orientation in Primary Health Care: Gay Men's Stories of Coming Out"],"dc:type":["master thesis"],"thesis:degree_discipline":["Nursing"],"thesis:degree_name":["Master of Nursing (MN)"],"thesis:institution_name":["University of Calgary"]},"updated_at":"2026-07-24T01:30:36Z"}