Hostname: page-component-848d4c4894-r5zm4 Total loading time: 0 Render date: 2024-06-15T05:54:00.219Z Has data issue: false hasContentIssue false

The role of the public health nurse in meeting the primary health care needs of single homeless people: a case study report

Published online by Cambridge University Press:  31 October 2006

Brenda Poulton
Affiliation:
Institute of Nursing Research, School of Nursing, University of Ulster, Ulster, Ireland
Hugh McKenna
Affiliation:
Faculty of Life and Health Sciences, University of Ulster, Ulster, Ireland
Sinead Keeney
Affiliation:
Institute of Nursing Research, School of Nursing, University of Ulster, Ulster, Ireland
Felicity Hasson
Affiliation:
Institute of Nursing Research, School of Nursing, University of Ulster, Ulster, Ireland
Marlene Sinclair
Affiliation:
Institute of Nursing Research, School of Nursing, University of Ulster, Ulster, Ireland
Rights & Permissions [Opens in a new window]

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

Links between homelessness and ill health are well established. However, homeless people are less likely to access traditional health care due to administrative barriers and hostility of professionals. For this reason more flexible modes of health care delivery, including nurse led care, have been explored. There has been a rapid increase in innovative nursing roles over the last two decades and the literature suggests that a clear role definition, good interprofessional working and supportive cultures are some of the features which ensure role effectiveness. A large study exploring new roles in nursing and midwifery in Northern Ireland identified an innovative nurse led approach in meeting the needs of single homeless people. The aim of this paper is to explore the effectiveness of this role using a public health framework. A case study design was used incorporating semi-structured interviews with analysis of secondary sources and a period of observation. Results demonstrated that the role fitted within a public health framework in that it involved assessment of need, skills to meet need, facilitation of access to care, partnership working, health promotion, health protection and influencing policy, and strategy development. The conclusion is that the role met the set criteria for innovative nursing roles. Furthermore, this practitioner meets the criteria for advanced nursing practice, providing evidence of effective nurse led care that meets the health agenda of targeting inequalities in health.

Type
Original Article
Copyright
2006 Arnold