Fordham Maria
Community Pract. 2015 Apr;88(4):32-4, 36-7.
ABSTRACT In this article, insights into the lived experience of homeless women arising from a PhD study on the specialist role of the SCPHN in homelessness are presented. A key narrative text of a rough sleeping pregnant woman is included. The reflexive narrative study, used an eclectic, philosophical framework which included reflective practice/guidance, narrative inquiry, and storytelling methodologies. Story texts uniquely illuminated complex knowledge about homelessness and homeless health care. Homeless women were found to be a heterogeneous group which included former health professionals. The women's stories were often shocking; they were frequently contextualised against a background of service exclusion, including GP services, learning disability services, mental health services, housing services and social services. The role of the specialist nurse (SCPHN) in engagement with homeless people is illuminated. A therapeutic model of 'Effective Engagement with Homeless People and Homeless Families' is presented to guide health professionals in holistic care. The author invites the reader to dialogue within their teams on how homeless people are included or excluded from SCPHN services. In this way, the term 'audiencing' rather than transferability of findings is used in a continuing dialogue with the reader to improve the health and wellbeing of homeless women.
摘要 本文介绍了一项关于社区公共卫生护理专家在无家可归者问题中所扮演的专业角色的博士研究中，对无家可归女性的生活经历的洞察。其中包含了一位露宿街头的孕妇的关键叙述文本。这项反思性叙述研究采用了折衷的哲学框架，包括反思性实践/指导、叙述性探究和故事讲述方法。故事文本独特地揭示了关于无家可归和无家可归者医疗保健的复杂知识。研究发现，无家可归女性是一个异质性群体，其中包括前卫生专业人员。这些女性的故事往往令人震惊；它们常常以被排除在包括全科医生服务、学习障碍服务、心理健康服务、住房服务和社会服务在内的服务背景为背景。文中阐明了专家护士（社区公共卫生护理专家）在与无家可归者接触中的作用。提出了一种“与无家可归者和无家可归家庭有效接触”的治疗模式，以指导卫生专业人员进行整体护理。作者邀请读者在其团队中就无家可归者如何被纳入或排除在社区公共卫生护理专家服务之外进行讨论。通过这种方式，在与读者的持续对话中使用了“受众参与”一词，而非研究结果的可转移性，以改善无家可归女性的健康和福祉。
