Nurse Educator M.S.
Background: With the increase of IV drug use, Hepatitis C viral (HCV) infections have increased considerably among the homeless population. The introduction of direct-acting antiviral (DAA) medications has made treating marginalized populations much easier. However, getting homeless patients and people who inject drugs (PWID) linked to care remains a challenge worldwide. More research is needed to ensure that all persons with HCV are able to access treatment regardless of social or economic status. Purpose: The purpose of this critical review of research is to identify models of care for treating HCV among the homeless. This review was done to support research regarding linkage to care for homeless patients with HCV currently being conducted by Hennepin County’s Healthcare for the Homeless and Hennepin Healthcare Gastroenterology and Liver Clinic located in Minneapolis, Minnesota. Results: Following the framework of Nola Pender’s Health Promotion Model, the research identifies that homelessness comes with significant barriers to receiving HCV education, testing, and treatment interrupting the goal of health promotion. Conclusion: This review regarding HCV healthcare models indicate that navigating homeless patients through the HCV care continuum is challenging and requires further research. Implications for Research and Practice: Gaps in HCV education, testing, and treatment among the homeless provides continued opportunities for nurses to educate both communities and students in an effort to decrease disease burden. Nursing research should focus on understanding what type of enhanced support is most effective in getting homeless patients through the HCV care continuum.
M.S. Nurse Educator
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Higley, E. H. (2020). Hepatitis C Education, Testing, and Treatment in Homeless Shelters: Models for Linkage to Care in High-risk Populations [Masterʼs thesis, Bethel University]. Spark Repository. https://spark.bethel.edu/etd/292