BACKGROUND:
Lesbian, Gay, Bisexual, Transgender, Intersex, and Queer (LGBTIQ+) individuals face significant health disparities, often exacerbated by stigma, discrimination, and a lack of cultural competence among healthcare providers.¹ Nurses, as frontline caregivers, are critical to mitigating these barriers and ensuring equitable health outcomes. Understanding their current knowledge and attitudes is an essential first step towards intervention.² This study aimed to assess the overall knowledge and attitudes of a cohort of nurses regarding LGBTIQ+ health within the eThekwini district and identify specific knowledge gaps and attitudinal barriers that may hinder the provision of affirmative and non-discriminatory care.

METHODS:
A quantitative, cross-sectional design was employed. Data was collected from 80 nurses in the eThekwini district across three healthcare facilities using a validated, self-administered questionnaire. The instrument measured: (a) knowledge of LGBTIQ+ health concerns, (b) attitudes towards sexual and gender minorities. Data analysis included descriptive and inferential statistics.

RESULTS:
Overall knowledge was moderate (mean score 62%), with significant gaps identified, particularly in transgender health protocols and correct terminology. While 71% (57/80 nurses) reported generally positive attitudes, 35% (28/80 nurses) expressed discriminatory views related to LGBTIQ+ acceptance. Crucially, only 42% (34/80 nurses) reported feeling adequately prepared to take a sensitive sexual and gender history, highlighting a readiness gap.

CONCLUSIONS:
A substantial portion of the eThekwini nursing workforce lacks the necessary knowledge and clinical confidence to provide optimal, affirming LGBTIQ+ care. These gaps contribute directly to health inequities. We recommend mandatory, comprehensive, and recurring cultural competence training integrated into both undergraduate and continuing professional development programs.