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Upplevelser av hälso- och sjukvård inom öppenvården hos personer som lever i hemlöshet: En litteraturöversikt
Marie Cederschiöld University, Department of Health Care Sciences.
Marie Cederschiöld University, Department of Health Care Sciences.
2023 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesisAlternative title
Experiences of health and medical care in outpatient care inpeopleliving in homelessness : A literature review (English)
Abstract [sv]

Bakgrund: Hemlöshet är ett globalt problem med över 1,6 miljarder drabbade. Orsakerna är komplexa, inkluderande fattigdom, missbruk och psykisk ohälsa. I Sverige finns ca 33 000 hemlösa. Definitionen av hemlöshet varierar internationellt, men den inkluderar inte bara avsaknad av tak över huvudet, utan även social isolering. Hemlösa har sämre fysisk och psykisk hälsa än icke-hemlösa, och sjuksköterskor som vårdar dem står inför komplexa hälsoutmaningar.

Syfte: Syftet var att beskriva upplevelser av hälso- och sjukvård i öppenvården hos personer som lever i hemlöshet. 

Metod En allmän litteraturöversikt av tio vetenskapliga originalartiklar genomfördes. 

Resultat Tre teman framkom av litteraturöversikten: Upplevelser av tillgängligheten, upplevelser av bemötande samt upplevelser av samorganisation och kommunikation.

Slutsats Personer i hemlöshet stöter på hinder när de söker till hälso- och sjukvård, inklusive avstånd, identifieringskrav, adressbehov, ekonomiska hinder, negativ vårdpersonal och komplexa system. Detta skapar känslor av otillgänglighet och frustration. Stigmatisering av hemlösa av vårdpersonal leder till felbehandling och avskräcker från vård. Specialiserade tjänster som uppsökande vård och hemlösa vårdcentraler förbättrar tillgången och resulterar i bättre hälsa för denna grupp.

Abstract [en]

Background: Homelessness is a global issue affecting over 1.6 billion people. The causes are complex, including poverty, substance abuse, and mental health issues. In Sweden, there are approximately 33,000 homeless individuals. The definition of homelessness varies internationally, but it encompasses not only a lack of shelter but also social isolation. Homeless individuals have worse physical and mental health than non-homeless individuals, and nurses providing care to them face complex health challenges.

Aim: The aim was to describe experiences of open healthcare among individuals experiencing homelessness.

Method: A general literature review of ten scientific original articles was conducted.

Results: Three themes emerged from the literature review: Experiences of accessibility, experiences of interaction, and experiences of co-organization and communication.

Conclusions: Individuals experiencing homelessness encounter barriers when seeking healthcare, including distance, identification requirements, address prerequisites, financial obstacles, negative healthcare staff attitudes, and complex systems. This fosters feelings of inaccessibility and frustration. Stigmatization of homeless individuals by healthcare personnel leads to misdiagnosis and discourages seeking care. Specialized services such as outreach healthcare and homeless healthcare centers enhance access and result in improved health for this group.

Place, publisher, year, edition, pages
2023. , p. 48
Keywords [en]
Homelessness, Experiences, Health, Accessibility, Healthcare
Keywords [sv]
Hemlöshet, Upplevelser, Hälsa, Tillgänglighet, Hälso- och sjukvård
National Category
Nursing
Identifiers
URN: urn:nbn:se:esh:diva-10519OAI: oai:DiVA.org:esh-10519DiVA, id: diva2:1815664
Educational program
Bachelor of Science in Nursing
Uppsok
Medicine
Supervisors
Examiners
Available from: 2023-11-29 Created: 2023-11-29 Last updated: 2023-11-29Bibliographically approved

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