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Improving The Rate Of Hand Hygiene Immediately Before And After Wound Care In The Street Nurse Microsystem, Amanda Ramos Sandoval

Master's Projects and Capstones

The street nurse team of Sacramento, CA provides many services to patients who are experiencing homelessness, including a substantial amount of wound care. While the street nurses were performing hand hygiene (HH) prior to and after wound care, they would often not be performing it immediately prior and post-wound care. Because the nurses hike to their patients (who are living on the streets or in out of the way camps) the street nurses would often perform hand hygiene while at their cars prior to going to the patient and again when they returned to their cars after performing wound care. …

Improving Diabetic Foot Screening In A Primary Care Clinic For Homeless Adults: A Quality Improvement Project, Theresa Causa

Doctor of Nursing Practice

The purpose of this project was to increase the adherence of clinic providers at the homeless primary care clinic by implementing the American Diabetes Association Clinical Guidelines for the evaluation and management of Type 2 diabetes with foot care. Type 2 diabetes is a chronic condition that affects 13% of the Texas adult population (Centers for Disease Control and Prevention, 2014). The homeless person's main method of transportation is walking. The complications of undiagnosed foot problems include reduced mobility, pain, lower limb amputations, and difficulty controlling chronic diseases including diabetes and depression. Provider responsibilities include screening for diabetes in all …

Pathways To Homelessness: Exploring The Mental Health Experiences Of Refugees Experiencing Homelessness In Canada, Bridget Annor

Electronic Thesis and Dissertation Repository

BACKGROUND: Homelessness among refugees continues to be a growing issue in Canada. Recent reports indicate the rapidly growing population of refugees, most especially refugee claimants, accessing emergency shelters in Canada. Research to date has been limited on how the diversity of factors, such as refugee’s mental health experiences, could potentially play a role as pathways to shelter. The purpose of this study therefore is to explore the mental health experiences of refugees through their pathways to homelessness in Canada.

METHODS: This study, a secondary analysis, is framed within the critical theoretical perspective and an intersectional lens. The study sample …

Exploring The Homeless Persons Perception Of Living In A Long-Term Care Facility, Janice Woods

Dissertations

Objective:The purpose of this study was to explore the lived experiences of homeless persons admitted to a nursing home facility. Originally, the study was to explore their understanding of and their experience with advance health care planning; coincidently, the participants were more open to their experience of living in a long-term care facility.

Method:A convenience sample of 13 participants (12 male, 1 female) at four long-term care facilities in Southern California were interviewed about their perception of advanced health care planning, including the physician’s orders for life sustaining treatment (POLST); a consent form required in all nursing homes. …

Screening, Brief Intervention And Referral To Treatment (Sbirt): Process Improvement In A Nurse-Managed Clinic Serving The Homeless, Ryan Kerrins, Ryan Kerrins, Jean Hemphill Phd

Ryan Kerrins