Perceptions of hospital-based Registered Nurses of care and discharge planning for people who are homeless: A qualitative study

Grech, Elizabeth; Raeburn, Toby

doi:10.1016/j.colegn.2020.02.004

Cited by 4 publications

(2 citation statements)

References 23 publications

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“…Nurses who violate caring relationships with their patients may exacerbate the patients’ sense of homelessness and suffering [ 14 ]. Similar to earlier research, this result suggests that it is imperative that RNs [ 41 , 42 ] and nursing students [ 24 , 43 ] reflect on their potentially stigmatising attitudes and associated behaviours towards homelessness in order to benefit members of the homeless population. This result aligns with health and social care guideline recommendations that health and social care services should promote engagement among people experiencing homelessness by providing services that are person-centred, empathetic, non-judgemental and that aim to address health inequities [ 44 ].…”

Section: Discussionsupporting

confidence: 78%

The relationship between attitudes to homelessness and perceptions of caring behaviours: a cross-sectional study among women experiencing homelessness, nurses and nursing students

et al. 2022

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Background Women experiencing homelessness have complex and multifaceted healthcare needs and yet they are an underserved population across healthcare services. Nurses are trained to perform an integral role in the provision of equitable healthcare and their attitudes towards homelessness may therefore influence the care that women experiencing homelessness receive. This study aimed to examine correlations between attitudes towards homelessness and caring behaviours, and to test if these correlations differed between the groups of women experiencing homelessness, registered nurses, and nursing students. Methods A cross-sectional design using convenience sampling was used to recruit women experiencing homelessness (n = 37), registered nurses (n = 90), and nursing students (n = 138) in Stockholm, Sweden between August 2019 and December 2020. The participants answered two questionnaires: the Attitudes Toward Homelessness Inventory and the Caring Behaviours Inventory-24. Correlations between ordinal variables were calculated using Spearman’s rank correlation ρ. Tests of equality between two independent correlations were performed using a Z-test applied to Fisher’s z-transformed correlations. An advisory board of women with lived experience of homelessness supported the interpretation of the results. Results Weak, negative correlations were identified between the Attitudes Toward Homelessness Inventory and Caring Behaviours Inventory-24. The Attitudes Toward Homelessness Inventory mean total scores (SD) were 4.1 (0.6), 4.2 (0.6), 4.1 (0.5) points for the women experiencing homelessness, registered nurse, and nursing student groups, respectively, with the corresponding scores for the Caring Behaviours Inventory-24 being 4.1 (1.1), 5.2 (0.5), 4.8 (0.7) points, respectively. Conclusions To promote equitable health for women experiencing homelessness, healthcare providers and nurse educators should consider the role of stigmatising attitudes in relation to caring behaviours.

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Section: Discussionsupporting

confidence: 78%

The relationship between attitudes to homelessness and perceptions of caring behaviours: a cross-sectional study among women experiencing homelessness, nurses and nursing students

et al. 2022

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“…Fifth, there aren’t enough release choices or suitable connections between public services and hospitals. There are many obstacles in the way of providing hospital-based health services, and nurses’ perspectives shed light on what it’s like to care for the homeless on a daily basis in medical settings (Grech and Raeburn, 2021).…”

Section: Resultsmentioning

confidence: 99%

Discharge Planning Patient Stroke a Nursing Science Philosophy: Systematic Review

Retnaningsih,

Pandin,

Nursalam

et al. 2023

Preprint

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ObjectivesThe quality of life and health of the patient are strongly influenced by the high incidence of stroke in a particular community or population. After the early recovery phase, recovery planning is crucial, as individuals who have suffered a stroke face uncertainty about the long-term recovery process as well as adjustments in everyday life. The objective of the research is to discuss the philosophical review of discharge planning for stroke patients from the points of view of ontology, epistemology, and axiology, with a focus on the philosophy of nursing science.Materials and methodsIn accordance with PRISMA (2017–2023) criteria, the study is a review of the literature. Keyword searches for “discharge planning,” “stroke,” “patients,” and “RCT” were conducted in the databases of Scopus, Science Direct, and ProQuest. The inclusion criteria encompassed quantitative research design, English-language publications, studies involving adult stroke patients, interventions related to discharge planning, and analysis evaluating discharge planning for stroke patients, yielding 281 identified papers. The Rayyan application is used in the selection process. PICO synthesis and grouping, which are based on the Cochrane Handbook for Systematic Review, are used in the analysis. Using the Joanna Briggs Institute Critical Assessment methodology, methodological quality assessment demonstrates that a multidisciplinary approach through ontological, epistemological, and axiological investigations offers a solid basis for enhancing health information systems and clinical practice.ResultsThere are twenty-two quantitative research findings that show the features of the respondents, who were family caregivers and stroke patients. Ensuring that stroke victims receive the best care possible when they leave the hospital is the aim of recovery planning. In the process, families, patients, and health care providers collaborate. Patient assessment, treatment planning, medication scheduling, patient and family education, advanced care planning, mental and spiritual health support, health service coordination, medical recordkeeping, and monitoring are all essential elements of recovery planning.ConclusionThorough recovery planning guarantees effective monitoring of medical records and coordination of treatment, improving the post-hospital experience for stroke patients. With an emphasis on the best possible recovery, this planning aims to offer focused and well-coordinated treatment. Stroke patients should anticipate comprehensive and well-coordinated post-hospital treatment, which will benefit both patients and families, thanks to the cooperation of health care professionals, patients, and families.

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Nurses’ perceptions of the skills, knowledge and attributes required to optimise scope of practice and improve access to care for people experiencing homelessness in Australia: A cross-sectional study

et al. 2023

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Perceptions of hospital-based Registered Nurses of care and discharge planning for people who are homeless: A qualitative study

Cited by 4 publications

References 23 publications

The relationship between attitudes to homelessness and perceptions of caring behaviours: a cross-sectional study among women experiencing homelessness, nurses and nursing students

The relationship between attitudes to homelessness and perceptions of caring behaviours: a cross-sectional study among women experiencing homelessness, nurses and nursing students

Discharge Planning Patient Stroke a Nursing Science Philosophy: Systematic Review

Nurses’ perceptions of the skills, knowledge and attributes required to optimise scope of practice and improve access to care for people experiencing homelessness in Australia: A cross-sectional study

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