INTRODUCTION: Tobacco remains the key modifiable risk factor for the development of a number of diseases, including cardiovascular disease, cerebrovascular disease, lower respiratory infections, chronic obstructive pulmonary disease, tuberculosis and cancer. Among priority populations, smoking prevalence remains high, smokers tend to relapse more often and earlier and fewer are able to sustain quit attempts. This systematic review provides an update on the literature.
Naturalistic inquiry was used to compare the characteristics of families of origin of homeless women with never-homeless women. The women's experiences in their families of origin were explored during in-depth interviews using Lofland and Lofland's conceptions of meanings, practices, episodes, roles, and relationships to guide the analysis. The two groups were similar with respect to family abuse history, transience, and loss.
The purpose of this study was to answer the research question, What is the structure of the lived experience of feeling cared for? The participants were 10 women volunteers who were struggling with lack of economic, social, or interpersonal resources and who were or had been homeless. The Parse research method, a phenomenological-hermeneutic method, was used to discover the meaning of feeling cared for. The major finding of this study is the structure: Feeling cared for is contentment with intimate affiliations arising with salutary endeavors, while honoring uniqueness amid adversity.
The concept of resiliency has been explored extensively in the fields of developmental psychology as an adaptive life process. Increasingly nurses have begun to study resiliency in a wide variety of settings and client populations. This article explores the concept of resiliency in nurses. Resiliency was described through the use of personal exemplar, tracing the author's odyssey of nursing homeless men in an emergency shelter. The author proposes that the traits of resiliency in nurses are widespread and largely unrecognized.
In keeping with the CafÈs philosophy of reciprocal transformation, the students and guests both were effected and changed by the encounter. The guests actively participated in the intervention, discussed HIV risk-reduction behaviors, and shared their knowledge with others. Participation in the onsite HIV testing project increased, and the guests, CafÈ staff, and the program coordinator of the agency providing HIV testing expressed gratitude for the student intervention. The students were effected as well.
Beginning baccalaureate students recorded their thoughts, feelings, and observations after participating in a clinical experience with the homeless. A content analysis protocol was used to uncover the meaning of the encounter. The findings suggest that assigning students to a homeless clinic is one way to help students identify professional values, such as altruism, equality, and human dignity.
Canadian Journal of Occupational Therapy. Revue Canadienne D'ergotherapie
Practice in shelters for people who are homeless is an exciting and challenging opportunity for occupational therapists. However, there is a paucity of knowledge about the occupational performance needs of this population. In the present study, 25 persons at a shelter were interviewed using the Canadian Occupational Performance Measure (COPM). Data were analyzed using both qualitative and quantitative methods.
A male patient was admitted to the acquired immune deficiency syndrome (AIDS) unit for hemodialysis. His history revealed that he was homeless and that he had tested positive for human immunodeficiency virus (HIV+). He also had a history of alcohol and intravenous drug abuse and tuberculosis. Based on the results of a chest X-ray, he was placed in respiratory isolation. During the next few days of his hospitalization, he exhibited nonadherent behavior toward the treatment regime.
We conducted Community-Based Participatory Research (CBPR), using a qualitative focus group design, to assess factors that might impact participation of high-risk impoverished adults in future HIV Vaccine Trials (HIVVTs). The participants were 40 homeless and low-income adults recruited from subsidized apartments and homeless shelters in Los Angeles. Findings revealed that the participants expressed both concerns and interest in future HIVVTs. Concerns centered on the impact of the vaccine on their physical health, the possibility of seroconverting and its associated stigma.
Journal of Health Care for the Poor and Underserved
At medical schools across the United States, students operate free clinics that have the potential to provide health benefits to patients while furnishing unique educational opportunities for students. While they provide the energy necessary to make these clinics successful, students must, due to their inexperience, collaborate with faculty, clinic preceptors, community members and medical school administrators to ensure that their clinics attain high standards in health care and education.