The experiences of nurse practitioners providing health care to the homeless

Abstract

Study findings will assist healthcare providers to gain insight into the experience of providing health care to the homeless and learn what it takes to become successful in such an important and much needed role.

Lessons from the Homeless: Civil and Uncivil Interactions with Nurses, Self-Care Behaviors, and Barriers to Care

“…People who are homeless experience a much lower quality of health than people in the general population (Bernstein et al., ; Lebrun‐Harris et al., ; Seiler & Moss, ). They have a greater likelihood of suffering from untreated health problems complicated by anxiety, mental illness, and substance abuse (Irestig et al., ; Lebrun‐Harris et al., ; Seiler & Moss, ).…”

“…People who are homeless experience a much lower quality of health than people in the general population (Bernstein et al., ; Lebrun‐Harris et al., ; Seiler & Moss, ). They have a greater likelihood of suffering from untreated health problems complicated by anxiety, mental illness, and substance abuse (Irestig et al., ; Lebrun‐Harris et al., ; Seiler & Moss, ). Their health is apt to be further compromised by lack of insurance, inadequate nutrition, lack of privacy, threat of violence, and the physical toll of living outdoors (Bernstein et al., ; Lebrun‐Harris et al., ; Seiler & Moss, ).…”

“…They have a greater likelihood of suffering from untreated health problems complicated by anxiety, mental illness, and substance abuse (Irestig et al., ; Lebrun‐Harris et al., ; Seiler & Moss, ). Their health is apt to be further compromised by lack of insurance, inadequate nutrition, lack of privacy, threat of violence, and the physical toll of living outdoors (Bernstein et al., ; Lebrun‐Harris et al., ; Seiler & Moss, ). Mortality rates for the chronically homeless are higher than expected; on average, they live only 42–52 years (Bernstein et al., ).…”

Pengalaman Perawat IGD Merawat Pasien Do Not Resuscitate pada Fase Perawatan Menjelang Ajal

“…Perawatan menjelang ajal merupakan salah satu kompetensi yang harus dimiliki perawat IGD yang disebutkan dalam Emergency Nursing Association (Wolf, 2015). Kompetensi tersebut yaitu memiliki pengetahuan dan kemampuan melakukan perawatan pada fase menjelang ajal, bagaimana melakukan persiapan pada pasien maupun memberikan dukungan sosial menjelang kematian (Seiler, et al, 2012). Chan (2005) dan Wolf (2015) menyebutkan bahwa perawatan menjelang ajal dinilai masih kurang diterapkan dalam pelayanan kesehatan terutama di IGD.…”

Community-based Participatory Research Examining the Health Care Needs of African Americans who are Homeless with Mental Illness

“…26 A second sought to uncover characteristics of nurse practitioners that readied them for effective care for the homeless. 27 These included basic values and beliefs (“respect for social injustice” and personal empowerment), communication skills (“learning to listen”), and personality traits (patience and openness). Both suggested provider efforts are further hampered by differences in ethnic background of patients and providers.…”