Nurses’ perceptions on the skills, knowledge, and attributes required to provide healthcare to people experiencing homelessness in Australia: A qualitative study

IF 1.6 4区 医学 Q2 NURSING
Jane Currie , Lucy McWilliams , Vijeta Venkataraman , Martha Paisi , Jill Shawe , Anna Thornton , Matthew Larkin , Joanne Taylor , Sandy Middleton
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引用次数: 0

Abstract

Background

People experiencing homelessness have unmet healthcare needs often related to chronic health conditions and injury. Nurses are often the first and only point of contact for people experiencing homelessness accessing healthcare. However, education that prepares them to meet the needs of this vulnerable population is limited.

Aim

To qualitatively explore nurses’ perceptions on the skills, knowledge, and attributes required to provide healthcare to people experiencing homelessness in Australia that could underpin an educational pathway.

Design

Semi-structured interviews with registered nurses and nurse practitioners.

Methods

Participants of a national survey were invited to undertake an interview. Interview data were analysed thematically and reported here in accordance with the Consolidated Criteria for Reporting Qualitative Research guidelines.

Findings

The registered nurses (n = 11) and nurse practitioners (n = 6) had varying levels of experience providing care for homeless Australians. Overarching themes that arose from the registered nurse and nurse practitioner participants included equitable access to care, knowledge around homelessness, contribution of nursing, and nurses’ role. However, nurse practitioners had a greater sense of agency and empowerment to enact care, while registered nurses perceived being underprepared and overwhelmed by the unmet needs of people experiencing homelessness.

Conclusions

The findings suggest that nursing practice holds opportunities to improve access and care provision for people experiencing homelessness. Capitalising on these opportunities requires that nurses are educationally prepared with the skills, knowledge, and attributes to meet the needs of this vulnerable population without necessarily becoming nurse practitioners. These findings will be used to underpin the development of an educational pathway for nurses to enhance their response to homeless populations.

护士对向澳大利亚无家可归者提供医疗保健所需的技能、知识和属性的看法:一项定性研究
背景无家可归者的保健需求得不到满足,往往与慢性健康状况和伤害有关。护士往往是无家可归者获得医疗保健的第一个也是唯一的联系人。然而,使他们能够满足这一弱势群体需求的教育是有限的。目的定性地探讨护士对为澳大利亚无家可归者提供医疗保健所需的技能、知识和属性的看法,这可能是教育途径的基础。设计对注册护士和执业护士进行半结构化访谈。方法邀请全国调查对象进行访谈。访谈数据按主题进行分析,并根据报告定性研究准则的综合标准在此报告。研究结果注册护士(n = 11)和执业护士(n = 6)在为无家可归的澳大利亚人提供护理方面有不同程度的经验。从注册护士和执业护士参与者中产生的总体主题包括公平获得护理,关于无家可归的知识,护理的贡献和护士的角色。然而,执业护士在制定护理方面有更大的能动性和赋权感,而注册护士则被认为准备不足,被无家可归者的未满足需求所压倒。结论:研究结果表明,护理实践有机会改善无家可归者的接触和护理服务。利用这些机会需要护士在教育上具备技能、知识和属性,以满足这一弱势群体的需求,而不必成为护士从业人员。这些发现将用于支持护士教育途径的发展,以加强他们对无家可归者的反应。
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来源期刊
Collegian
Collegian NURSING-
CiteScore
2.70
自引率
6.70%
发文量
127
审稿时长
72 days
期刊介绍: Collegian: The Australian Journal of Nursing Practice, Scholarship and Research is the official journal of Australian College of Nursing (ACN). The journal aims to reflect the broad interests of nurses and the nursing profession, and to challenge nurses on emerging areas of interest. It publishes research articles and scholarly discussion of nursing practice, policy and professional issues. Papers published in the journal are peer reviewed by a double blind process using reviewers who meet high standards of academic and clinical expertise. Invited papers that contribute to nursing knowledge and debate are published at the discretion of the Editor. The journal, online only from 2016, is available to members of ACN and also by separate subscription. ACN believes that each and every nurse in Australia should have the opportunity to grow their career through quality education, and further our profession through representation. ACN is the voice of influence, providing the nursing expertise and experience required when government and key stakeholders are deciding the future of health.
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