Date of Award

2024

Document Type

Project

College/School

College of Nursing

Degree Name

Doctor of Nursing Practice (DNP)

Project Mentor

Bonnie Bowie

Readers

Bernice G. Gulek-Bakirci

Abstract

Unstable housing is a well-documented and significant risk factor for poor health outcomes. Unhoused persons have higher rates of morbidity and mortality when compared to the general population (Onapa et. al, 2021). This DNP project aims to improve understanding of, and quality of care delivered to this vulnerable population through a health needs assessment of unhoused men and using the results to influence policies and procedures of a new RN-run health clinic within a homeless shelter. The needs assessment followed a cross-sectional survey design, residents were interviewed about their unique health needs. The responses were individually reviewed and coded to identify motifs and patterns. Most respondents reported at least one chronic health care concern, the most prevalent being mental health diagnoses. Additionally, most participants reported at least one significant barrier to receiving healthcare. The most common barrier to accessing care was a lack of transportation, followed by health insurance issues and cost. The results of this project highlight several opportunities to improve the health of this community. By establishing trusting relationships with this marginalized population, providers can assist in connecting them with resources to improve access to care and engaging in education about overall health promotion and disease prevention.

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