Scoping review: Scope of practice of nurse-led services and access to care for people experiencing homelessness.
access to healthcare
health services accessibility
homeless persons
homelessness
nurse-led
nurses
nurses'
nursing service
practice patterns
scope of practice
scoping review
Journal
Journal of advanced nursing
ISSN: 1365-2648
Titre abrégé: J Adv Nurs
Pays: England
ID NLM: 7609811
Informations de publication
Date de publication:
Nov 2022
Nov 2022
Historique:
revised:
02
05
2022
received:
18
11
2021
accepted:
20
06
2022
pubmed:
28
7
2022
medline:
20
10
2022
entrez:
27
7
2022
Statut:
ppublish
Résumé
To investigate the scope of practice of nurse-led services for people experiencing homelessness, and the influence on access to healthcare. A scoping review. On 20 November 2020, the following databases were searched: CINAHL, Embase, MEDLINE, PubMed and Scopus. Included studies focused on people experiencing homelessness aged 18 years and over, nurse-led services in any setting and described the nursing scope of practice. Studies were peer-reviewed primary research, published in English from the year 2000. Three authors performed quality appraisals using the mixed methods assessment tool. Results were synthesized and discussed narratively and reported according to the PRISMA-ScR 2020 Statement. Nineteen studies were included from the United States (n = 9), Australia (n = 4), United Kingdom (n = 4) and Canada (n = 2). The total participant sample size was n = 6303. Studies focused on registered nurses (n = 10), nurse practitioners (n = 5) or both (n = 4), in outpatient or community settings. The nursing scope of practice was broad and covered a range of skills, knowledge and attributes. Key skills identified include assessment and procedural skills, client support and health education. Key attributes were a trauma-informed approach and building trust through communication. Important knowledge included understanding the impact of homelessness, knowledge of available services and the capacity to undertake holistic assessments. Findings suggest that nurse-led care facilitated access to healthcare through building trust and supporting clients to access services. Optimized nursing scope of practice can facilitate access to healthcare for people experiencing homelessness. Key factors in enabling this include autonomy in nursing practice, organizational support and education. The broad range of skills, knowledge and attributes reported provide a foundation from which to design an educational framework to optimize the nursing scope of practice, thereby increasing access to healthcare for people experiencing homelessness.
Identifiants
pubmed: 35894221
doi: 10.1111/jan.15387
pmc: PMC9795912
doi:
Types de publication
Journal Article
Review
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
3587-3606Subventions
Organisme : St Vincent's Health Australia Inclusive Health Fund
Informations de copyright
© 2022 The Authors. Journal of Advanced Nursing published by John Wiley & Sons Ltd.
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