“Stripped of dignity” - Women in homelessness and their perspectives of healthcare services: A qualitative study

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“Stripped of dignity” - Women in homelessness and their perspectives of healthcare services : A qualitative study

Kneck, Åsa, 1973- (author): Ersta Sköndal Bräcke högskola,Institutionen för vårdvetenskap,Ersta Sköndal Bräcke University College, Sweden,Ersta Sköndal Bräcke Univ Coll, Dept Hlth Care Sci, Stigbergsgatan 30, Box 111 89, S-10061 Stockholm, Sweden

Mattsson, Elisabet, 1959- (author): Uppsala universitet,Ersta Sköndal Bräcke högskola,Institutionen för vårdvetenskap,Ersta Sköndal Bräcke University College, Sweden; Uppsala University,Klinisk psykologi i hälso- och sjukvård,Ersta Sköndal Bräcke Univ Coll, Dept Hlth Care Sci, Stigbergsgatan 30, Box 111 89, S-10061 Stockholm, Sweden

Salzmann-Erikson, Martin, 1977- (author): Högskolan i Gävle,Med-Vårdvetenskap,Univ Gävle, Fac Hlth & Occupat Studies, Dept Caring Sci, S-80176 Gävle, Sweden

Klarare, Anna (author): Uppsala universitet,Ersta Sköndal Bräcke högskola,Institutionen för vårdvetenskap,Ersta Sköndal Bräcke University College, Sweden; Uppsala University,Klinisk psykologi i hälso- och sjukvård,Ersta Sköndal Bräcke Univ Coll, Dept Hlth Care Sci, Stigbergsgatan 30, Box 111 89, S-10061 Stockholm, Sweden

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Elsevier BV, 2021
2021
English.
In: International Journal of Nursing Studies. - : Elsevier BV. - 0020-7489 .- 1873-491X. ; 120

Related links:: https://doi.org/10.1...; show more...; https://doi.org/10.1...; https://hig.diva-por... (primary) (Raw object); https://uu.diva-port... (primary) (Raw object); https://urn.kb.se/re...; https://doi.org/10.1...; https://urn.kb.se/re...; https://urn.kb.se/re...; show less...

Journal article (peer-reviewed)

Abstract Subject headings

Background: A much more substantial European evidence base on the accessibility of healthcare services among women experiencing homelessness across healthcare systems in Europe is warranted.Objective: To give voice to women with experiences of homelessness, and to explore their perspectives of healthcare services in an EU country with universal healthcare.Design: The study is part of a research program striving to promote equal healthcare through co-production with women in homelessness. An advisory board of women with lived experience of homelessness was established and a qualitative, interpretive and exploratory design was employed.Participants: 26 women with experience of homelessness were interviewed. Their median age was 46 years (range 42) and 70% were roofless/houseless.Methods: Data were analyzed with content analysis. Co-production and joint analyses were conducted by researchers and three women with experience of homelessness, using the DEPICT model for collaborative analysis. Results: The analysis resulted in one overall theme: Visiting healthcare from the outskirts of society, comprising three sub-themes: Demand for a life in order - Exclusion in action; Unwell, unsafe and a woman - Multifaceted needs challenge healthcare; and Abuse versus humanity – power of healthcare encounters to raise or reduce. Women's experiences of care encounters were disparate, with prevalent control, mistrust and stigma, yet healthcare professionals that demonstrated respect for the woman's human dignity was described both as life-altering and lifesaving.Conclusions: Women in homelessness live on the outskirts of society and have multiple experiences of exclusion and loss of dignity within healthcare services. The multifaceted care needs challenge healthcare, leading to women feeling alienated, invisible, disconnected and worthless. We urge registered nurses to take actions for inclusion health, i.e. focusing health efforts of people experiencing extreme health inequities. We can lead the way by speaking up and confronting discriminating behaviors, protecting and restoring human dignity in caring relationships, and framing healthcare services for all citizens.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Omvårdnad (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Health Sciences (hsv//eng)

Keyword

Co-production
Health inequity
Homelessness
Human rights
Inclusion
Health
Nursing
Women

Publication and Content Type

ref (subject category)
art (subject category)

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MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Health Sciences; and Nursing

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By the university: Marie Cederschiöld högskola; University of Gävle; Uppsala University

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