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The Journal of School Nursing
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Research Article

The Impact of Homelessness on the Health of Families

Rita I. Morris, RN, PhD

Rita I. Morris, RN, PhD, is professor emeritus of the School of Nursing, San Diego State University, San Diego, CA

Linda Strong, RN, MSN, MBA

Linda Strong, RN, MSN, MBA, is a school nurse at the Memorial Academy Charter School in San Diego, CA

Qualitative research using the symbolic interactionism framework and grounded theory methodology was employed to discover the perceived health problems and dangers that homeless families with children endure. Data were collected using semistructured interviews from 34 homeless volunteer participants with 87 children. An in-depth analysis of the data using the constant comparative method led to recurrent descriptors and patterns, which were synthesized under four themes: external locus of control, deterrents to health, economic barriers, and lack of support. The findings indicate that there is an urgent need for preventive approaches to alleviate homelessness and its attendant health problems. Recommendations consistent with current federal, state, and local strategies and plans for the early identification and prevention of homelessness are presented. School nurses have an important role as advocates, health educators, and coordinators to promote realistic strategies, programs, and policies in the delivery of services to homeless families.

Key Words: access to health care • economic barriers • health problems • homeless children • homelessness • policies • preventive measures

The Journal of School Nursing, Vol. 20, No. 4, 221-227 (2004)
DOI: 10.1177/10598405040200040701
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