Weber Jillian J
Homeless-PACT RN Care Manager, Community Outreach Division, Cincinnati VA Medical Center, Cincinnati, Ohio.
Public Health Nurs. 2019 Jan;36(1):96-106. doi: 10.1111/phn.12552. Epub 2018 Oct 23.
Homelessness is associated with poorer health status, and affects men, women, children, and veterans alike across the United States. With over half a million-people suffering from homelessness on any given night, it is imperative that the health care delivery system step in to help this vulnerable group. Registered nurses encounter people experiencing homelessness in hospitals, clinics, shelters, and across the public health sector. They have the necessary skills to help make positive health-related changes for homeless populations and improve their overall quality of life. Therefore, the purpose of this systematic review was to (a) assess existing nurse-led interventional studies with homeless populations, (b) highlight effective methods that nurses used to impact care, and (c) make recommendations about future research needed. PRISMA guidelines were used and multiple databases were searched for nurse-led interventional research with those experiencing homelessness. Recommendations include using a holistic nursing approach when working to improve outcomes for homeless populations to ensure optimal treatment for their complex physical, mental, and social health problems.
无家可归与较差的健康状况相关，在美国，它对男性、女性、儿童和退伍军人都会产生影响。在任何一个特定的夜晚，都有超过50万人无家可归，医疗保健系统必须介入以帮助这一弱势群体。注册护士在医院、诊所、庇护所及整个公共卫生部门都会接触到无家可归的人。他们具备必要的技能，能够帮助无家可归者做出与健康相关的积极改变，并改善他们的整体生活质量。因此，本系统评价的目的是：（a）评估现有的由护士主导的针对无家可归人群的干预性研究；（b）突出护士用于影响护理的有效方法；（c）对未来所需的研究提出建议。本研究采用PRISMA指南，并在多个数据库中检索由护士主导的针对无家可归者的干预性研究。建议包括在努力改善无家可归者的健康结局时采用整体护理方法，以确保针对他们复杂的身体、心理和社会健康问题进行最佳治疗。
