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Open Access Learning and Knowledge-Integration Strategies of Nurses and Client Care Workers Serving Homeless Persons Stratégies d'apprentissage et d'intégration des connaissances chez les infirmières et les intervenants au service des sans-abri

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Abstract:

Health-care workers serving homeless persons often face difficulties in addressing the needs of this population due to the complexity of the health challenges and gaps in clinical knowledge. How can health-care workers enhance their ability to care for this population? The authors explore the learning and knowledge-integration strategies of nurses and client care workers employed by organizations targeting homeless persons in a Canadian city. Semi-structured qualitative interviews were conducted with 8 health-care workers. The data were examined using narrative analysis and constant comparative analysis. Three strategies were identified: integrating past experiences into clinical practice, interacting with clients to identify care needs and boundaries, and engaging in interprofessional knowledge exchange. A better understanding of these strategies may help nursing programs and health-services organizations to equip health-care workers with the skills they need to serve homeless persons.

French
Répondre aux besoins des sans-abri est souvent une tâche difficile pour le personnel de la santé, vu les problèmes complexes qui touchent cette population et les lacunes en matière de connaissances. Comment améliorer la capacité des intervenants à dispenser des soins aux sans-abri? Les auteurs ont analysé les stratégies d'apprentissage et d'intégration des connaissances mises en œuvre par des infirmières et des travailleurs de la santé employés par des organismes de services aux sans-abri dans une ville canadienne. Huit intervenants ont participé à des entrevues semi-structurées; les données ont été soumises à une analyse narrative ainsi qu'à une analyse comparative constante. On a cerné trois stratégies : intégration des expériences passées dans l'exercice clinique; interaction avec les clients pour cerner leurs besoins et leurs limites; échange de connaissances entre professionnels. Une meilleure appréciation de ces méthodes pourrait inciter les programmes de sciences infirmières et les organismes de santé à mieux transmettre aux intervenants les compétences nécessaires pour dispenser des soins aux sans-abri.

Keywords: EDUCATION; EVIDENCE-BASED MEDICINE; HOMELESS PERSONS; NURSING

Document Type: Research Article

Publication date: June 1, 2009

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