Guirguis-Younger Manal, McNeil Ryan, Runnels Vivien
Faculty of Human Sciences, Saint Paul University, Ottawa, Ontario, Canada.
Can J Nurs Res. 2009 Jun;41(2):21-34.
Health-care workers serving homeless persons often face difficulties in addressing the needs of this population due to the complexity of the health challenges and gaps in clinical knowledge. How can health-care workers enhance their ability to care for this population? The authors explore the learning and knowledge-integration strategies of nurses and client care workers employed by organizations targeting homeless persons in a Canadian city. Semi-structured qualitative interviews were conducted with 8 health-care workers.The data were examined using narrative analysis and constant comparative analysis. Three strategies were identified: integrating past experiences into clinical practice, interacting with clients to identify care needs and boundaries, and engaging in interprofessional knowledge exchange. A better understanding of these strategies may help nursing programs and health-services organizations to equip health-care workers with the skills they need to serve homeless persons.
由于健康挑战的复杂性和临床知识的差距，为无家可归者提供服务的医护人员在满足这一人群的需求时往往面临困难。医护人员如何提高他们照顾这一人群的能力？作者探讨了加拿大一个城市中针对无家可归者的组织所雇佣的护士和客户护理人员的学习和知识整合策略。对8名医护人员进行了半结构化定性访谈。使用叙事分析和持续比较分析对数据进行了检查。确定了三种策略：将过去的经验融入临床实践、与客户互动以确定护理需求和界限，以及进行跨专业知识交流。更好地理解这些策略可能有助于护理项目和卫生服务组织使医护人员具备服务无家可归者所需的技能。
