Evidence map›Paper›PMID 35894221›Full record

ArticleJournal of advanced nursing2022

Scoping review: Scope of practice of nurse-led services and access to care for people experiencing homelessness.

Lucy McWilliams, Martha Paisi, Sandy Middleton, Jill Shawe, Anna Thornton, Matthew Larkin, Joanne Taylor, Jane Currie

Open access · hybridAbstract readScoping Review
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of advanced nursing, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
5.6field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 23 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 2 countries.

Lucy McWilliamsSt Vincent's Hospital Sydney, Darlinghurst, New South Wales, Australia.ORCID https://orcid.org/0000-0002-9096-0384
Martha PaisiSchool of Nursing and Midwifery, University of Plymouth, Plymouth, UK.ORCID https://orcid.org/0000-0001-5718-008X
Sandy MiddletonSt Vincent's Hospital Sydney, Darlinghurst, New South Wales, Australia.ORCID https://orcid.org/0000-0002-7201-4394
Jill ShaweSchool of Nursing and Midwifery, University of Plymouth, Plymouth, UK.ORCID https://orcid.org/0000-0002-2766-7302
Anna ThorntonSt Vincent's Hospital Sydney, Darlinghurst, New South Wales, Australia.
Matthew LarkinSt Vincent's Hospital Sydney, Darlinghurst, New South Wales, Australia.
Joanne TaylorSt Vincent's Hospital Sydney, Darlinghurst, New South Wales, Australia.
Jane CurrieSt Vincent's Hospital Sydney, Darlinghurst, New South Wales, Australia.ORCID https://orcid.org/0000-0002-8721-089X
St Vincent's Hospital Sydney · AUQueensland University of Technology · AURoyal Cornwall Hospital · GBUniversity of Plymouth · GB

Funding

St Vincent's Health Australia Inclusive Health Fund
6 · The paper itself

Abstract

aimsTo investigate the scope of practice of nurse-led services for people experiencing homelessness, and the influence on access to healthcare.

designA scoping review. DATA SOURCES: On 20 November 2020, the following databases were searched: CINAHL, Embase, MEDLINE, PubMed and Scopus. REVIEW

methodsIncluded studies focused on people experiencing homelessness aged 18 years and over, nurse-led services in any setting and described the nursing scope of practice. Studies were peer-reviewed primary research, published in English from the year 2000. Three authors performed quality appraisals using the mixed methods assessment tool. Results were synthesized and discussed narratively and reported according to the PRISMA-ScR 2020 Statement.

resultsNineteen studies were included from the United States (n = 9), Australia (n = 4), United Kingdom (n = 4) and Canada (n = 2). The total participant sample size was n = 6303. Studies focused on registered nurses (n = 10), nurse practitioners (n = 5) or both (n = 4), in outpatient or community settings. The nursing scope of practice was broad and covered a range of skills, knowledge and attributes. Key skills identified include assessment and procedural skills, client support and health education. Key attributes were a trauma-informed approach and building trust through communication. Important knowledge included understanding the impact of homelessness, knowledge of available services and the capacity to undertake holistic assessments. Findings suggest that nurse-led care facilitated access to healthcare through building trust and supporting clients to access services.

conclusionOptimized nursing scope of practice can facilitate access to healthcare for people experiencing homelessness. Key factors in enabling this include autonomy in nursing practice, organizational support and education. IMPACT: The broad range of skills, knowledge and attributes reported provide a foundation from which to design an educational framework to optimize the nursing scope of practice, thereby increasing access to healthcare for people experiencing homelessness.

Indexed as

Ill-Housed PersonsNurse PractitionersAdolescentAdultHealth Services AccessibilityHumansNurse's RoleScope of Practiceaccess to healthcarehealth services accessibilityhomelessnesshomeless personsnurse-lednursesnurses'nursing servicepractice patternsscope of practicescoping review

Identifiers

PMID35894221
PMCPMC9795912
OpenAlexW4288050363

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.