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A grounded theory study of how homeless veterans manage their chronic health problems

Weber, Jillian J
http://rave.ohiolink.edu/etdc/view?acc_num=ucin1468512132

Abstract Details

2016, PhD, University of Cincinnati, Nursing: Nursing - Doctoral Program.
Purpose: The purpose of this study was to develop theory to describe the process by which homeless veterans manage their chronic health problems and to explore the role of the emergency department, the Department of Veterans Affairs, and other community resources in their care. In the United States, over 550,000 people will experience homelessness on any given night. Of these over 11 percent are veterans, many of whom suffer from at least one chronic disease. Homeless veterans face numerous barriers to receiving optimal healthcare and often overutilize emergency departments and underutilize primary care services. Design: This qualitative study used grounded theory methodology with a sample of homeless veterans from one large Midwestern city in the US. Methods: Participants included male veterans who were homeless with at least one chronic disease. Recruitment was completed at a VA Medical Center emergency department, a homeless shelter, and a soup kitchen. Audio recorded interviews were verified and then coded by a research team using line-by-line, substantive, and finally theoretical coding. Findings: Semi-structured interviews with 34 participants resulted in a theory describing and explaining four different ways homeless veterans manage their chronic health problems amidst the competing demands of daily survival. Additionally, three categories were identified that describe homeless veterans' experiences receiving care in an emergency department. Conclusions & Clinical Relevance: In order to end veteran homelessness, it is vital that healthcare providers and policy makers first seek understanding from the individuals living this experience. The findings from this study will help guide the future delivery of healthcare to homeless veterans including how the profession of nursing can best care and support this vulnerable population in hospitals, clinics, and across the public health sector.
Rebecca Lee, Ph.D. (Committee Chair)
Gary Dick, Ph.D. (Committee Member)
Donna Martsolf, Ph.D. R.N. (Committee Member)
165 p.
Nursing
veterans; chronic disease; homeless; theory

Recommended Citations

Citations

  • Weber, J. J. (2016). A grounded theory study of how homeless veterans manage their chronic health problems [Doctoral dissertation, University of Cincinnati]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1468512132

    APA Style (7th edition)

  • Weber, Jillian. A grounded theory study of how homeless veterans manage their chronic health problems. 2016. University of Cincinnati, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=ucin1468512132.

    MLA Style (8th edition)

  • Weber, Jillian. "A grounded theory study of how homeless veterans manage their chronic health problems." Doctoral dissertation, University of Cincinnati, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1468512132

    Chicago Manual of Style (17th edition)

ucin1468512132
200
© 2016, some rights reserved.Creative Commons License A grounded theory study of how homeless veterans manage their chronic health problems by Jillian J Weber is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License. Based on a work at etd.ohiolink.edu.
This open access ETD is published by University of Cincinnati and OhioLINK.