Friends Research Institute, Baltimore, Maryland.
Baltimore City Health Department, Baltimore, Maryland.
Public Health Nurs. 2023 Jul-Aug;40(4):487-496. doi: 10.1111/phn.13197. Epub 2023 Apr 27.
To describe the experiences of unstably housed, medically vulnerable residents living at the Haven, a novel, non-congregate integrated care shelter operating in a historic hotel during the COVID-19 pandemic.
A qualitative descriptive design.
SAMPLE/MEASUREMENT: Semi-structured qualitative interviews were conducted in February and March 2022 with a purposive sample of 20 residents living in the integrated care shelter. Data were analyzed in May and June 2022 using the thematic analysis methods described by Braun and Clarke.
Six women and 14 men, ages 23-71 (M = 50, SD = 14), were interviewed. Lengths of stay at the time of the interview ranged from 74 to 536 days (M = 311 days). Medical co-morbidities and substance use details were collected at baseline. Three themes were identified: (1) Autonomy, (2) supportive environments, and (3) stability and the need for permanent housing. Participants characterized the integrated care, non-congregate model as having multiple advantages over traditional shelter systems. Participants emphasized the role of nurses and case managers in providing a respectful, caring environment in the integrated shelter model.
Participants described acute physical and mental health needs which were largely met by the innovative integrated shelter care model. The effect of homelessness and housing insecurity on health is well documented, but few solutions exist that promote autonomy. Participants in this qualitative study emphasized the benefits of living in a non-congregate integrated care shelter and the services which promoted their self-management of chronic diseases.
Patients were the participants in the study, but were not involved in the design, analysis of interpretation of the data, or preparation of the manuscript. Due to this project's small scope, we could not involve patients or the public after the study concluded data collection.
描述在 COVID-19 大流行期间，在一家历史悠久的酒店内运营的新型非集中式综合护理庇护所 Haven 中居住的不稳定住房、医疗脆弱的居民的经历。
定性描述性设计。
样本/测量：2022 年 2 月和 3 月，对居住在综合护理庇护所的 20 名居民进行了有针对性的定性访谈。2022 年 5 月至 6 月，使用 Braun 和 Clarke 描述的主题分析方法对数据进行了分析。
六名女性和十四名男性，年龄 23-71 岁（M=50，SD=14），接受了采访。采访时的入住时间从 74 天到 536 天不等（M=311 天）。在基线时收集了医疗合并症和药物使用的详细信息。确定了三个主题：（1）自主性，（2）支持性环境，（3）稳定性和对永久性住房的需求。参与者将综合护理、非集中式模式描述为与传统庇护系统相比具有多个优势。参与者强调护士和个案经理在综合庇护模式中提供尊重、关怀环境的作用。
参与者描述了急性身体和心理健康需求，而创新的综合庇护护理模式在很大程度上满足了这些需求。无家可归和住房不安全对健康的影响已有充分记录，但很少有解决方案可以促进自主性。这项定性研究的参与者强调了居住在非集中式综合护理庇护所的好处，以及促进他们慢性疾病自我管理的服务。
患者是研究的参与者，但他们没有参与设计、分析、解释数据或准备手稿。由于该项目规模较小，在数据收集结束后，我们无法在研究结束后让患者或公众参与。
