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Experiences of Homeless People in the Health Care Delivery System

A Descriptive Phenomenological Study

Bibliographic Data

ID23340784
AuthorsDiane C Martins (0000-0002-5580-9080, University of Rhode Island, corresponding author)
Year2008
Volume25
Issue5
Pages420-430
Publication date2008-09-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenuePublic Health Nursing (JOURNAL)
Journal identifiersISSN: 0737-1209 • E-ISSN: 1525-1446
PublisherWiley (PUBLISHER • GB)
DOI10.1111/j.1525-1446.2008.00726.x
PMID18816359
OpenAlexW2009418886
LanguageEN
Citations received55
References cited16

Objective: The objective of this research is to understand the experiences of homeless people with the health care system. Design: A descriptive Phenomenological research design is used. Phenomenology is the philosophical underpinning of this research. Sample: The purposive sample consists of 15 homeless adults. Method: Interviews were conducted, tape‐recorded, transcribed, and then analyzed the transcripts using Colaizzi's descriptive phenomenological method. Results: 4 major themes emerged: (1) living without essential resources compromises health; (2) putting off health care until a crisis arises; (3) encountering barriers to receiving health care to include (a) social triage, (b) feeling labeled and stigmatized, (c) a nonsystem for health care for the homeless, (d) being treated with disrespect, and (e) feeling invisible to health care providers; and (4) developing underground resourcefulness. Conclusions and Implications: Although homeless persons articulated many problems in the health care system encounters, they also described their own resourcefulness and the strategies they employ to manage being marginalized by society and the health care system. An increased understanding of health care experiences from the homeless persons' perspective can guide public health nursing emancipatory actions.

Descriptive research · Feeling · Health care · Interpretative phenomenological analysis · Phenomenology (philosophy) · Psychiatry · Public health · Qualitative research · Social science · Sociology · Triage · Health, Nursing, Elderly Care · Homelessness and Social Issues · Medicine · Nursing · Psychology · Social Psychology · Youth, Drugs, and Violence

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Unique citing works55
Citations per year3,44
Citation span2010 - 2026 (17)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 53

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