Astroth Kim Schafer, Jenkins Sheryl Henry, Kerber Cynthia, Woith Wendy Mann
Mennonite College of Nursing, Illinois State University, Normal, Illinois.
Nurs Forum. 2018 Oct;53(4):489-495. doi: 10.1111/nuf.12276. Epub 2018 Jun 27.
The health care needs of the homeless are more complex than those of the population at large. The purpose of this qualitative study was to explore undergraduate nursing students' perceptions of the homeless. Thematic content analysis of responses from 19 undergraduate nursing students yielded four themes describing student experiences with the homeless, their perceptions of homelessness and the health care of the homeless, and their suggestions for best teaching strategies. Students in this study had varying amounts of experience with and knowledge of the homeless. While our participants strongly believed that homeless people deserved compassionate, equitable nursing care, many of their statements suggested an implicit bias toward the homeless. This suggests that student nurses need more comprehensive education concerning the homeless and the health care needs of this vulnerable population. Few interventions aimed at educating student nurses about homelessness and changing their attitudes to mitigate bias are based on research, particularly research conducted from the perspective of the homeless, and few explore the impact of civil interactions on health outcomes. The findings of this study may assist nurse educators in developing education interventions to improve students' knowledge of homelessness.
无家可归者的医疗保健需求比普通人群更为复杂。这项定性研究的目的是探讨本科护理专业学生对无家可归者的看法。对19名本科护理专业学生的回答进行主题内容分析，得出了四个主题，描述了学生与无家可归者的经历、他们对无家可归现象及无家可归者医疗保健的看法，以及他们对最佳教学策略的建议。本研究中的学生对无家可归者的经历和了解程度各不相同。虽然我们的参与者坚信无家可归者应得到富有同情心、公平的护理，但他们的许多陈述都表明对无家可归者存在隐性偏见。这表明护理专业学生需要接受更全面的关于无家可归者及这一弱势群体医疗保健需求的教育。很少有旨在教育护理专业学生了解无家可归现象并改变他们的态度以减轻偏见的干预措施是基于研究的，特别是从无家可归者的角度进行的研究，而且很少有研究探讨公民互动对健康结果的影响。本研究的结果可能有助于护理教育工作者制定教育干预措施，以提高学生对无家可归现象的认识。
