Homeless adult Women Analysis 2022

NURSING
NURBN 3022 Literature Review
Name of Student:
Name of Institution

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PICO Question
The management of homeless adult women, their crisis of health in Australia, what are the
reasons for health problems and the solution proposed?
Introduction
Homelessness is a growing health and social issue in Australia, exacerbated by the
deinstitutionalization of mental care and prospering shortlists for open lodging. On the 2016
Census night, there were 116,427 homeless individuals in Australia. While the Census gauge
likens to under 1% of the Australian population, individuals who are homeless are immensely
over-spoke to in almost all mobility and mortality measurements. Resting unpleasant on the
road is the most noticeable type of homelessness yet represents about 7% of Australia's
homeless population (Speirs, Johnson & Jirojwong, 2013). The author elaborates and aims to
determine effective physical and psychosocial interventions for homeless women. The paper
explores the questions of PICO by analysing the current evidence on literature measuring
determine effective physical and psychosocial interventions for homeless women. Several
searches were conducted from the database. The methodologies for interventions included the
randomised controlled trials, quasi‐experimental and a comparative study about the health
problems among homeless women. A literature table will be designed to facilitate the critical
appraisal and synthesis of the selected literature. Diversity of the designs, measurement tools,
interventions and outcomes of these studies, narrative synthesis was used to appraise their
effectiveness. In the end, a conclusion will be established with validation of further research
into this area.

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Literature Search Flow Chart
The flow chart was from the literature review steps published on the topic of homeless
people in Australia and health crisis.
An online search for the homelessness
and health crisis (online medical, public
health, nursing, and biomedical journals)
Keywords: Homeless adult
women and their crisis of
health in australia
Refined articles Peer-
reviewed journals
50 articles from 2010-2019
Inclusion criteria: relate to
homelessness and health
Exclusion criteria: all article not related to the
health challenges of homelessness
20 articles
selected
Various analysis
16 articles
Health refined
articles

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Study Origin Study
design
Sample
size and
populati
on
Analysis Description and findings
1 Donovan &
Shinseki
(2013)
US Random
sampling
524
homeless
people
Thematic
analysis
Various trauma risk factors such as
Contusions, lacerations, sprains,
bruises, and superficial burns affect
the homeless population.
2 Fajardo-
Bullón, Igor,
Isobel
& Lars (2019)
Spain Survey
design,
Multino
mial
logistic
regressio
n
modeling
2437
homeless
adults
Factor
analysis
Discusses about factors that affect
the health of homeless people
3 Henriques-
Gomes (2019)
Australi
a
Survey
design
6343
study
sample
Thematic
analysis
Health conditions that sometimes
causes homelessness may result from
mental ill-health.
4 Baptista
(2016)
Spain Systemat
ic
sampling
289
populatio
n sample
Factors
analysis
Homelessness is associated with high
emergency services.Homeless
patients overuse emergency services

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design thereby increasing the cost of health
provision. Homeless people have
multiple health complications that
require high medical attention and
highly specialized care.
5 Henriques-
Gomes
(2019)
Australi
a
Random
sampling
692
homeless
patients
Descriptive
analysis
Homelessness has a huge impact on
the medical service provision. The
solution is needed for addressing the
impact on health. Impact of a health
crisis due to homelessness does not
require treatment as the solution but
to deal with the root cause of health
crisis.
6 Waldbrook
(2015)
Canada Mixed
methods
design
452
homeless
patients
Descriptive
and statistical
analysis
Various types of homelessness and
the impact on the health of patients.
Causes of homelessness and the
subsequent health effects of
homelessness.
7 Nielsen,
Hjorthøj,
Denmar
k
Cohort
study
5682
populatio
n sample
Thematic
analysis
Various people are affected with the
issue of homelessness.

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Erlangsen
& Nordentoft,
(2011)
8 Henwood,
Cabassa,
Craig
& Padgett,
(2013)
USA Random
sampling
method
12000
populatio
n sample
Factors
analysis
Despite the increase and
improvement of health facilities, the
level of homelessness is also on the
rise.
9 Heatherington
& Hamlet
(2018)
UK Survey
design
852
homeless
adults
Descriptive
analysis
Minority groups and the health care
services that are required for
homeless people.
10 Zech,
Moore,
Kuperman
& Shapiro
(2015)
UK Mixed
methods
1034
populatio
n sample
Description
analysis and
statistical
analysis
Statistic data evidence of
homelessness and its trends. The
statistical evidence that help shows
various areas affected by
homelessness and health
implications.
11 Wolf,
Anderson,
UK Random
sampling
design
730
homeless
adults
Thematic
analysis
The risk of homelessness in
Australia. The people most likely to
be affected in the near future are the
children and vulnerable people.

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Van den Dries
& Filipovic-
Hrast, (2016)
12 Zajacova,
Huzurbazar
& Todd,
(2017)
Intervie
w survey
design
84
populatio
n sample
Statistical
analysis
Facts about homeless people and
their health impacts.
13 Malmusi,
Artazcoz,
Benach
& Borrell
(2012)
Thematic
analysis
Prevention of homeless means
addressing the problem of health
associated with homelessness.
14 Fang &
McNeil (2017)
US Populati
on-based
sampling
39000
populatio
n sample
Descriptive
analysis
System problems increase the
homeless health crisis that may also
affect other related issues. Health
system issues or housing system
issues are a recipe for a homeless
health crisis.
15 Keane,
Magee
Australi
a
Mixed
methods
858
patients
Retro
perspective
analysis
Homelessness as a public health
issue present the issue as an
important health concern.

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& Lee (2015)
16 Chang et al
(2015)
US Random
sampling
method
244
homeless
adults
Factors
analysis and
thematic
analysis
Self-rated health (SRH) is similar for
both women and men and affects
their judgment on health.
Literature review
Among all the literature review mentioned above factor analysis, thematic analysis,
descriptive analysis, statistical analysis and retro perspective analysis is shown. It discusses
about the different interventions and the different reasons for problems on health of homeless
women.
Homelessness causes serious problems that make patients and the general population
feel inhuman and depressed. Factors that determine the risk for health complications interacts
to ensures that people receive satisfactory care within various health care facilities. Some
health complications that lead to trauma may be prevented within the homeless people group
to avoid overburden on health facilities. There are some faster responses for addressing the
risk of trauma among homeless people (Donovan & Shinseki, 2013). The author identifies
various trauma related health issues that normally require faster attention to ensure that health
is maintained. If the attention is not given to these health factors the patient may suffer from
depression.
Domestic violence is a major cause of homelessness in the country that highly
contribute to the poor health of homeless people. People drive outside of their home are also

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affected by poor health that arises from violence. Weather is a common health risk factor that
highly contribute to ill-health among homeless individuals. There are many health related
factors that enhances risk among street dwellers thus increases health risk (Amanda & Wood,
2017). The author indicates the need to deal with homelessness as it contribute to these health
related factors.
More care is needed for mental patients to prevent homelessness. Ill health as a
determinant of homelessness requires argent attention to prevent more homeless among the
mental health patients (Fajardo-Bullón et al., 2019).
Integrated care is highly required for homeless patients as they often have
comorbidities. A number of homeless people that are admitted within hospital facilities are
connected to homeless conditions or factors. Emergency health services are overstretched due
to a high number of patients from street families (Henriques & Gomes, 2019). In conclusion,
the issue of homeless causes more emergency requirement as compared to other social
determinants of health.
A key feature of addressing the issue of homelessness is the provision of home
services to the homeless. This is a government support service that can improve the public
health service delivery to citizens suffering from the issue of homelessness (Baptista, 2016).
The research defines homelessness and cause. This is important for the determination
of the cause that can be addressed by the ministry of health. The research is also concerned
with various ways that can be used to address the impact of homelessness on public health
(Waldbrook, 2015). Despite the type of homelessness, the impact of homelessness on the
public health is severe and solution will improve health care.

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Homelessness people shows the importance of providing a solution to homelessness
in country. The reduction of homelessness in country require more efforts. A major concern
is where these homeless people live. Their lives remain important than wealth (Nielsen et al.,
2011). The environment where these homeless people lives enable faster contacting diseases
or safer. Many homeless people lives in a risky environment characterized with diseases.
Factors that determine the increase in health crisis resulting from leaving alone
homeless people. This leaves a high cost of medical services to these homeless people within
the country. Many social factors has contributed to increasing cases of health crisis due to
homelessness (Henwood et al., 2013).
Addressing the cause of homelessness among the minority people in the country. The
risk factors for homelessness in the country. Providing the health requirement for homeless
people especially the minority people (Henriques & Gomes, 2019). Equitable health service
provision to minority groups help minimize the impact of homelessness within the health
service provision.
The trend in figure and its future projection of the number of homelessness is key to
dealing with homelessness. Database and the numerical description of the health crisis
resulting from the high rate of homelessness are key for health improvement (Heatherington
& Hamlet, 2015). The government and the required factors to deal with homelessness is
contained within the statistic. Homeless facts that statistic shows and it's determinant of
health
The health risk that homeless poses to the general population may reveal what needs
to be done. The root cause of homelessness reveals the next generation of people to be in the
homeless people category. Women and children are the most vulnerable people in the issue of
homelessness as compared to adult men (Zech et al., 2015). More efforts should be directed

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towards prevention than addressing the already worsening situation.The homeless situation is
worsening in the country as number keep n growing with time. Addressing the issue of
homelessness is becoming futile.
The interaction between general health and homeless people has a high significance in
future health concerns. Each night many people remain homeless than can be imagined.
Homeless facts contained within statistics reveals the gap in medical health service associated
with homelessness. Many children remain homeless with the majority facing health issues
than normal children. Children from minority people of Australia are highly affected by the
issue of homelessness (Wolf et al., 2016).
The homeless situation is worsening in the country as number keep n growing with
time. Addressing the issue of homelessness is becoming futile. The interaction between
general health and homeless people has a high significance in future health concerns. Each
night many people remain homeless than can be imagined. Homeless facts contained within
statistics reveals the gap in medical health service associated with homelessness. Many
children remain homeless with the majority facing health issues than normal children
(Zajacova, Huzurbazar & Todd, 2017). Children from minority people of Australia are highly
affected by the issue of homelessness.
Prevention through addressing the root cause of homeless means preventing the
possible health complication that arises from homelessness. Support to people affected with
homelessness or the risk of being homeless addresses the issue of homelessness (Malmusi et
al., 2012). Various ways to address the issue of homeless and examples of ways that have
been adopted to cope up with homelessness situations. Health remedy for homeless ill-health
people and prevention of health complications are key issues.

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Public health models show various ways to deal with the homeless issue as it forms
the core public health foundation. A poor housing system means a poor public health strategy
for the government. Government public health system is aligned to a good housing system.
Homelessness is major cause of public health complications that need urgent attention to
address as it has increasing trend. Author indicates the possibility of increasing number of
homeless people that has more worrying disease trends (Fang & McNeil, 2017). Some of the
most important health complication that highly affects homeless people is chronic diseases
such as asthma and deadly diseases such as pneumonia. Sleeping outside causes cold related
illness that is worst if not given attention (Keane, Magee & Lee, 2015).
The social determinant is key homeless factors that enable determination of the level
of health quality. Poor health quality is connected to homelessness in most countries.
Countries with good housing facilities have good social amenities and good health. Social
determinants of health include decent housing that enables people to stay healthy (Chang et
al., 2015). Homelessness as social determinants is known to cause stress related
complications that require faster attention to ensure life is maintained. Poor social life means
poor quality of health and this has been general health concern among many citizens
prompting serious research.
Analysis of the reviewed literature
Regardless, there was a nearness of understanding towards adequacy of both the
correlation intercessions saw inside the assessed writing. In spite of the fact that, difference
was additionally settled as far as adaptability of the usage of these mediations. Financial and
absence of information into various parts of both the mediations were the recognized subjects
in the assessed writing. The limitations of the researched literature concluded to be the
smaller and generalised sample sizes. Likewise, there were insufficient investigations

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directed to address this worry. The hole in this paper was ineffectual assessment of both the
intercessions together. The quality of this paper was noted to be the enough accessibility of
trustworthy writing recovered to address the exchange point. Nonetheless, it neglected to
address the created PICO address as equivalent measures of proof was accessible to help
every intercession. Moreover, examines were likewise characteristic of victories in lessening
the danger of weight wounds if these mediations were to be executed related to one another
yet were restricted. Consequently, there was insufficient proof congregated to demonstrate
the adequacy of repositioning over the weight calming beddings.
Conclusion
We can conclude by saying that this paper aims to determine effective physical and
psychosocial interventions for homeless women. The author was able to justify his work by
providing answers related to literature review and analysis of the PICO question. The aspects
of the effective interventions could form the basis of community nursing programs for our
communities. Further research is required to ensure that homeless women and their children
receive effective nursing interventions. Development of community nursing and trial
programs for homeless women could help in reduction of health problems.

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References
Amanda, S. & Wood, L. (2017). Tackling Health Disparities for People Who Are Homeless?
Start with Social Determinants. Int J Environ Res Public Health. Dec; 14(12): 1535.
DOI: 10.3390/ijerph14121535
Baptista, I. (2016). Strategically moving forward in combatting homelessness in Spain.
European Journal of Homelessness, 10:89–110.

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Chang, H-L, Fisher, F.D., Reitzel, L.R., Kendzor, D.E., Nguyen, M.A.H., Businelle, M.S.
(2015). Subjective sleep inadequacy and self-rated health among homeless adults. Am
J Health Behav.;39:14–21. https://doi.org/10.5993/AJHB.39.1.2.
Donovan, S. & Shinseki, E. (2013). Homelessness Is a Public Health Issue. Am J Public
Health. 2013 December; 103(Suppl 2): S180. DOI: 10.2105/AJPH.2013.301727
Fajardo-Bullón, F., Igor E., Isobel A. & Lars B. (2019) Homelessness and self-rated health:
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(1081) https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-019-
7380-2.ris
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