Evaluating the impact of nurse practitioner services on perceived health status, use of the emergency department, and self-identification of substance abuse with subsequent use of a substance abuse program at a homeless shelter
The purpose of this clinical doctorate capstone project was to evaluate the effect of primary care services provided by an advanced practice registered nurse (APRN) on the perception of health status of homeless men at a faith-based shelter, Room In The Inn (RITI). RITI is a seasonal winter shelter for homeless men in Lexington, KY. Invited guests assemble each evening at a downtown location where the clinic is located to be picked up by the host churches. As an outreach program of the Lexington Rescue Mission (LRM), primary care services were provided by an APRN at the shelter hosted by Central Christian Church. If men residing at the shelter self identified substance abuse, treatment services were available. Primary care services provided by the APRN included evaluation and treatment of common acute and chronic illnesses, health maintenance and referral, social services, mental health, and other specialty care. The perception of health status by homeless men was measured pre- and post intervention using the SF 36 Quality Metric Survey. The study had a small nonrandomized sample size (n=24). Sixty-three percent of subjects completed the postintervention surveys. There were changes in health-related quality of life indicators with the most significant improvements in mental health, social functioning, and a reduction in bodily pain. There was self-identification of substance use with one patient, who went to an inpatient substance abuse treatment facility. Overall use of emergency services over the five-month period decreased from eighty percent to twelve and a half percent. This project demonstrated increased perception of health status by the provision of APRN care for this vulnerable population.
Add tags for Evaluating the impact of nurse practitioner services on perceived health status, use of the emergency department, and self-identification of substance abuse with subsequent use of a substance abuse program at a homeless shelter