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Experience-based knowledge in the care of homeless people with severe illness and complex care needs
Ersta Sköndal University College.
Karolinska Institutet.
Ersta Sköndal University College ; KTH Royal Institute of Technology.ORCID iD: 0000-0002-4108-391X
Ersta Sköndal University College ; Jönköping University.
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2014 (English)In: Palliative Medicine: A Multiprofessional Journal, ISSN 0269-2163, E-ISSN 1477-030X, Vol. 28, no 6, p. 789-789, article id P396Article in journal, Meeting abstract (Refereed) Published
Abstract [en]

Background: The number of homeless people in Sweden amounts to approximately 34 000. Of those about 4500 live in streets or shelters. The mortality rate among homeless people outnumbers other groups in the society. Often they have severe, multiple mental and physical illnesses, drug abuse and a variety of complex care needs, including palliative. From an international perspective, research related to care for homeless people with severe illness and complex care needs is very sparse (no Swedish studies have been identified). Among the few that have been found, challenges related to the homeless situation and the illness panorama are reported. From the perspective of the homeless persons themselves, studies report stigmatisation, lack of respect and competence among health-care professionals, and insufficient organisation of health care.

Aim: The aim of this study is to explore the development of experience-based knowledge among health care professionals and social workers in a unique setting, in which advanced inpatient health -and social care, including palliative care is provided to homeless people.

Methods: In this on-going qualitative case-study, clinically relevant and applicable knowledge is focused. Repeated focus group discussions and coupled thematic interviews were performed with staff (physicians, social workers, mental carers, nurses). Analysis is performed with an interpretive descriptive method.

Results and implication: The results, which are currently being processed, will present staffs’ experiences of identification and assessment of individual care needs, specific knowledge development and requirement in relation to palliative care and homelessness, and challenges, obstacles and opportunities for meeting the needs of severely ill and dying homeless people. The results will provide knowledge of importance for the development of care for severely ill homeless persons.

Place, publisher, year, edition, pages
2014. Vol. 28, no 6, p. 789-789, article id P396
National Category
Nursing
Research subject
Health and Caring Sciences, Nursing
Identifiers
URN: urn:nbn:se:lnu:diva-62897DOI: 10.1177/0269216314532748OAI: oai:DiVA.org:lnu-62897DiVA, id: diva2:1095058
Conference
8th World Research Congress of the European Association for Palliative Care (EAPC), Lleida, Spain 5–7 June 2014
Available from: 2015-12-01 Created: 2017-05-11 Last updated: 2018-05-17Bibliographically approved

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Ekstedt, Mirjam

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