Lived experiences during the provision of healthcare to homeless persons
Article Sidebar
Main Article Content
Abstract
Introduction: Nursing has made crucial contributions to the provision of healthcare to vulnerable persons, for example those who are homeless and suffer multiple limitations including a lack of basic support and assistance services and who experience adverse feelings such as senses of not belonging.
Objective: To reveal the lived experiences around the provision of healthcare to homeless persons.
Method: This is a hermeneutic phenomenological study based on Heidegger's principles. Eligible participants were identified through a reference chain sampling. Data were collected through phenomenological interviews which were later recorded and transcribed using Jefferson's method. The analysis of the information was carried out as a handcraft process.
Results: The participants were five homeless males between 19 and 50 years old living in a public urban shelter. The healthcare experience was lived as three ontological units: Healthcare in the shortage of resources of homeless persons; Centers of in-rehabilitation; and Surviving to not having a home. And this healthcare experience was also lived as two ontic units: Uncertainty regarding the future of homeless persons; and Final hope, faith, and religion.
Discussion: Surving in the subhuman conditions of being homeless has multiple negative impacts on health. Therefore, nursing professionals have the opportunity to design and implement interventions which can support the provision of healthcare to these needed persons.
Conclusions: Based on the life trajectory of homeless persons, nursing professionals can implement emancipating actions aimed at providing an individualized and integral attention.
Article Details
Dimensions citation
MÉTRICAS
References
(1) Vargas-Orozco CM. Sleeping on the streets: A perspective of migration in the border of Reynosa Tamaulipas, Mexico. Int. J. Soc. Sci. 2020; 9(1): 113-31. https://doi.org/10.20472/SS2020.9.1.007
(2) Peñata-Bedoya CA, Berbesí-Fernández D, Segura-Cardona ÁM. Factores asociados a la percepción del estado de salud en habitantes de calle de Medellín. Hacia Promoc. Salud. 2017; 22(1): 56-69. https://doi.org/10.17151/hpsal.2017.22.1.5
(3) Comisión Nacional de Derechos Humanos, El Caracol. Diagnóstico sobre las condiciones de vida, el ejercicio de los derechos humanos y las políticas públicas disponibles para mujeres que constituyen la población callejera 2019. Ciudad de México: CNDH/El Caracol; 2019. https://bit.ly/3yOPT8p
(4) Purkey E, MacKenzie M. Experience of healthcare among the homeless and vulnerably housed a qualitative study: Opportunities for equity-oriented health care. Int J Equity Health. 2019; 18: 101. https://doi.org/10.1186/s12939-019-1004-4
(5) Pastuña-Doicela R, Jara-Concha P. Desafíos para la formación de enfermeras en salud global. Enferm. investig. 2020; 5(3): 53-62. https://bit.ly/3ERFL2C
(6) Expósito-Concepción MY, Villarreal-Cantillo E, Palmet-Jiménez MM, Borja-González JB, Segura-Barrios IM, Sánchez-Arzuza FE. La fenomenología, un método para el estudio del cuidado humanizado. Rev. cuba. enferm. 2019; 35(1). https://bit.ly/3S8ROLN
(7) Altamira-Camacho R, De la Cruz-Alvarado MG. Trayectoria fenomenológica: una aproximación al camino hermenéutico de la experiencia de salud. Temperamentvm. 2022; 18: e13928 https://doi.org/10.58807/tmptvm20224971
(8) Heidegger M, (Trad. Rivera JE). Ser y tiempo. Santiago de Chile: Editorial Universitaria; 1997. https://bit.ly/3TryOtL
(9) Guerrero-Castañeda RF, De Oliva-Menezes TM, Do Prado ML. Phenomenology in nursing research: Reflection based on Heidegger’s hermeneutics. Esc. Anna Nery. 2019; 23(4): 1-7. https://doi.org/10.1590/2177-9465-EAN-2019-0059
(10) Bassi-Follari JE. El código de transcripción de Gail Jefferson: adaptación para las ciencias sociales. Quad. psicol. 2015; 17(1): 39-62. http://dx.doi.org/10.5565/rev/qpsicologia.1252
(11) Guarneros-Monterrubio A. La unidad del pensamiento. En-claves pensam. 2014; 8(16): 79-97. https://bit.ly/3CKeLPN
(12) Blesa-Aledo B, Cobo de Guzmán-Godino F, García-Jiménez M, Gehrig R, MuñozSánchez P, Palacios-Ramírez J, et al. Guía de criterios básicos de calidad en la investigación cualitativa. Murcia, España: Universidad Católica San Antonio de Murcia;
(13) Secretaría de Salud. Reglamento de la Ley General de Salud en Materia de Investigación para la Salud. México: Diario Oficial de la Federación; Última reforma 2014. https://bit.ly/3eHfuJQ
(14) Varley AL, Montgomery AE, Steward J, Stringfellow E, Austin EL, Gordon AJ, et al. Exploring quality of primary care for patients who experience homelessness and the clinicians who serve them: what are their aspirations? Qual Health Res. 2020; 30(6): 1-15. https://doi.org/10.1177/1049732319895252
(15) Leibler JH, Nguyen DD, León C, Gaeta JM, Perez D. Personal hygiene practices among urban homeless persons in Boston, MA. Int. J. Environ. Res. Public Health. 2017; 14(8): 1-9. https://doi.org/10.3390/ijerph14080928
(16) Amore K, Howden-Chapman PL. Mental healt and homelessness. En: Smith S. International encyclopedia of housing and home. New Zealand: Elsevier; 2012. p. 268-73. https://doi.org/10.1016/B978-0-08-047163-1.00336-2
(17) Gilmoor A, Vallath S, Regeer B, Bunders J. “If somebody could just understand what I am going through, it would make all the difference”: Conceptualizations of trauma in homeless populations experiencing severe mental illness. Transcult Psychiatry. 2020; 57(3): 455-67. https://doi.org/10.1177/1363461520909613
(18) Teixeira-Mendes K, Mota-Ronzani T, Santana-de Paiva F. População em situação de rua, vulnerabilidades e drogas: uma revisão sistemática. Psicol. Soc. 2019; 31: 1-15. https://doi.org/10.1590/1807-0310/2019v31169056
(19) Vilugrón-Aravena FP, Chaparro-Araya R, Cancino-Ulloa J, Bustos-Barrientos S. Calidad de vida relacionada con la salud y el consumo de alcohol en personas sin hogar. Rev Cubana Salud Pública. 2018; 44(4): 84-96. https://bit.ly/3mg1TwV
(20) Baggett TP, Kertesz SG. Health care of people experiencing homelessness in the United States. Países Bajos: UpToDate; Updated 2022. https://bit.ly/3TBfaLf
(21) Martin C, Andrés P, Bullón A, Villegas JL, De la Iglesia-Larrad JI, Bote B, et al. COVID pandemic as an opportunity for improving mental health treatments of the homeless people. Int J Soc Psychiatry. 2020; 67(4): 335-43. https://doi.org/10.1177/0020764020950770
(22) Echevería-Núñez M. Los invisibles de la sociedad ¿La calle un lugar para vivir o sobrevivir? [Tesis Maestría]. Santiago: Universidad Academia de Humanismo Cristiano; 2017. https://bit.ly/3DnQLnr
(23) Di Iorio J, Seidmann S, Gueglio C, Rigueiral G. Intervenciones psicosociales con personas en situación de calle: El cuidado como categoría de análisis. Psicoperspectivas. 2016; 15(3): 123-34. http://dx.doi.org/10.5027/psicoperspectivasVol15-Issue3-fulltext-838
(24) Moreno-Baptista C, Espinosa-Herrera G, Zapata-Piedrahita L. Entre el hogar y el asfalto: relatos y experiencia de vida de habitantes en condición de calle. Rev Lasallista Investig. 2017; 14(2): 65-72. https://bit.ly/3V5aT4Y
(25) Krishnan A, Metcalfe NH. Improving primary healthcare for the homeless. InnovAiT. 2020; 13(6): 361-4. https://doi.org/10.1177/1755738020910776
(26) Matulič-Domandzič MV. Procesos de inclusión social de las personas sin hogar en la ciudad de Barcelona: relatos de vida y acompañamiento social. Zerbitzuan. 2018; 37-49. https://doi.org/10.5569/1134-7147.67.03
(27) Grandón P, Vielma-Aguilera A, Castro-Alzate ES, Bustos C, Saldivia S. Caracterización de las personas en situación de calle con problemas de salud mental, que se encuentran en la Región del BíoBío. Rev. chil. neuro-psiquiatr. 2018; 56(2): 89-99. http://dx.doi.org/10.4067/s0717-92272018000200089
(28) Seidmann S, Di Iorio J, Rigueiral G, Gueglio-Saccone C. El cuidado en personas en situación de calle. Una perspectiva ética y política. Anu. investig. (Fac. Psicol., Univ. B. Aires). 2016; 23: 163-72. https://bit.ly/3gsw3K5
(29) Luffborough-III DE. Faith and homelessness: examining the influence of the faith-based component of a transitional housing program on the attitudes and behaviors of homeless men. [Dissertation]. San Diego: University of San Diego; 2017. https://bit.ly/3Ff8tZY
(30) Pérez-Pérez D. Estudio: Perspectiva vital de las personas sin hogar. [Tesis]. España: Universidad de La Laguna; 2020. https://bit.ly/3CKSbGS
(31) Consejo Internacional de Enfermeras. El papel de las enfermeras en el logro de los Objetivos de Desarrollo Sostenible. Ginebra, Suiza: CIE; 2017. https://bit.ly/404cEQJ
(32) American Nurses Association. American Nurses Association: Ethics and Human Rights Statement. Maryland, EE.UU.: ANA; 2017. https://bit.ly/3KXNTQL
(33) Organización Mundial de la Salud. Situación de la enfermería en el mundo 2020. Invertir en educación, empleo y liderazgo. Ginebra, Suiza: OMS; 2020. https://bit.ly/3MOsaLr
(34) Hidalgo-Mares B, Altamira-Camacho R. ¿Qué es y qué no es el cuidado de enfermería? Revenf. 2021; (40): 1-10. http://dx.doi.org/10.15517/revenf.v0i39.40788
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Enfermería Universitaria by Universidad Nacional Autónoma de México it is distributed under the License Creative Commons Attribution - NonCommercial - NoDerivatives 4.0 International
Accepted and published articles become open-access under the terms of the Creative Commons CC BY-NC-ND 4.0 license, which authorizes the reproduction and sharing without commercial purposes, provided the corresponding acknowledgments to their authors. Authors are allowed to manage a self-archive copy of the article’s published version so that they can open-access it in their personal or institutional web pages, and/or any other broad-diffusion space.
