RNSystematic ReviewJournal of advanced nursing2023

Promoting community institutional partnerships to improve the health of intimate partner violence survivors experiencing homelessness.

Emma Jagasia, Jennifer J Lee, Patty R Wilson

PMID 35841325

WHAT IT FOUND

Shelter-based partnerships serving people experiencing homelessness rarely addressed intimate partner violence survivors specifically.

Nurse-led in-shelter care offered primary care, mental health support, insurance help and referrals, but the review did not show these improved patient outcomes.

Key findings

01The review found 17 articles on partnerships addressing the health of people experiencing homelessness, and only one highlighted health services for intimate partner violence survivors.

02Nurses and nursing students were main health care providers in three partnerships, and eight studies described interdisciplinary teams.

03In the described shelter health suite, registered nurses and community health nurses provided episodic care, health promotion, insurance assistance, referrals, support groups and links to primary care, mental health, physical exams, immunizations and dental care.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

The review included only U.S. studies, so it may not apply elsewhere. Intimate partner violence survivor services were rarely represented in the included literature. Most included studies described partnerships or student service-learning rather than measured patient health outcomes. The search was not limited by publication year, so some included material may not reflect current health infrastructure. Health outreach done by intimate partner violence centres but not published or indexed may have been missed.

Declared interests

The paper reports no author conflict of interest. The shelter health suite example was funded by private foundations and local institutions.

The easy way to misread this

Do not read this as evidence that shelter partnerships improve health outcomes for people experiencing homelessness after intimate partner violence. The review described service models. It found few services specific to intimate partner violence survivors, and evaluation often focused on student learning rather than patient outcomes.

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