Staying safe, feeling welcome, being seen: How spatio‐temporal configurations affect relations of care at an inclusive health and wellness centre

Plage, S; Baker, K; Parsell, C; Stambe, R; Kuskoff, E; Mansuri, A

Staying safe, feeling welcome, being seen: How spatio‐temporal configurations affect relations of care at an inclusive health and wellness centre

Plage, S Baker, K Parsell, C Stambe, R Kuskoff, E Mansuri, A

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Publisher:: Wiley
Publication Type:: Journal Article
Citation:: Health Expectations, 2023, 26, (6), pp. 2620-2629
Issue Date:: 2023-12

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Field	Value	Language
dc.contributor.author	Plage, S
dc.contributor.author	Baker, K
dc.contributor.author	Parsell, C
dc.contributor.author	Stambe, R
dc.contributor.author	Kuskoff, E
dc.contributor.author	Mansuri, A
dc.date.accessioned	2024-05-28T04:53:13Z
dc.date.available	2023-08-18
dc.date.available	2024-05-28T04:53:13Z
dc.date.issued	2023-12
dc.identifier.citation	Health Expectations, 2023, 26, (6), pp. 2620-2629
dc.identifier.issn	1369-6513
dc.identifier.issn	1369-7625
dc.identifier.uri	http://hdl.handle.net/10453/179273
dc.description.abstract	BACKGROUND People experiencing homelessness also experience poorer health and frequently attend acute care settings when primary health care would be better equipped to meet their needs Existing scholarship identifies a complex mix of individual and structural level factors affecting primary health care engagement driving this pattern of health services utilisation We build on this existing knowledge by bringing the spatio temporal configurations of primary health care into focus Specifically we interrogate how space and time inflect situated practices and relations of care METHODS This study took an ethnographic approach and was conducted 2021 2022 at an inclusive health and wellness centre the Centre in Southeast Queensland Australia The data consists of 46 interviews with 48 people with lived experience of homelessness including participants who use the services offered at the Centre n 26 and participants who do not n 19 We also interviewed 20 clinical and non clinical service providers affiliated with the Centre and observed how service delivery took place Interviews and observations were complemented by visual data including participant produced photography All data were analysed employing a narrative framework RESULTS We present three interrelated themes demonstrating how space and time affect care that is staying safe feeling welcome and being seen Staying safe captures the perceptions and practices around safety which sit in tension with making service users feel welcome Feeling welcome attends to the sense of being invited to use services free of judgment Being seen depicts capacities to see a health care provider as well as being understood in one s lived experience CONCLUSION Spatio temporal configurations such as attendance policies consultation modalities and time allocated to care encounters afford differential opportunities to nurture reciprocal relations We conclude that flexible service configurations can leverage a relational model of care PATIENT
dc.format	Print-Electronic
dc.language	eng
dc.publisher	Wiley
dc.relation.ispartof	Health Expectations
dc.relation.isbasedon	10.1111/hex.13858
dc.rights	info:eu-repo/semantics/openAccess
dc.subject	1110 Nursing, 1117 Public Health and Health Services, 1701 Psychology
dc.subject.classification	Public Health
dc.subject.classification	4203 Health services and systems
dc.subject.classification	4206 Public health
dc.subject.mesh	Humans
dc.subject.mesh	Fitness Centers
dc.subject.mesh	Australia
dc.subject.mesh	Health Facilities
dc.subject.mesh	Health Personnel
dc.subject.mesh	Ill-Housed Persons
dc.subject.mesh	Humans
dc.subject.mesh	Health Personnel
dc.subject.mesh	Health Facilities
dc.subject.mesh	Fitness Centers
dc.subject.mesh	Australia
dc.subject.mesh	Ill-Housed Persons
dc.subject.mesh	Humans
dc.subject.mesh	Fitness Centers
dc.subject.mesh	Australia
dc.subject.mesh	Health Facilities
dc.subject.mesh	Health Personnel
dc.subject.mesh	Ill-Housed Persons
dc.title	Staying safe, feeling welcome, being seen: How spatio‐temporal configurations affect relations of care at an inclusive health and wellness centre
dc.type	Journal Article
utslib.citation.volume	26
utslib.location.activity	England
utslib.for	1110 Nursing
utslib.for	1117 Public Health and Health Services
utslib.for	1701 Psychology
pubs.organisational-group	University of Technology Sydney
pubs.organisational-group	University of Technology Sydney/Faculty of Health
utslib.copyright.status	open_access	*
pubs.consider-herdc	true
dc.date.updated	2024-05-28T04:53:12Z
pubs.issue	6
pubs.publication-status	Published
pubs.volume	26
utslib.citation.issue	6

Abstract:

BACKGROUND People experiencing homelessness also experience poorer health and frequently attend acute care settings when primary health care would be better equipped to meet their needs Existing scholarship identifies a complex mix of individual and structural level factors affecting primary health care engagement driving this pattern of health services utilisation We build on this existing knowledge by bringing the spatio temporal configurations of primary health care into focus Specifically we interrogate how space and time inflect situated practices and relations of care METHODS This study took an ethnographic approach and was conducted 2021 2022 at an inclusive health and wellness centre the Centre in Southeast Queensland Australia The data consists of 46 interviews with 48 people with lived experience of homelessness including participants who use the services offered at the Centre n 26 and participants who do not n 19 We also interviewed 20 clinical and non clinical service providers affiliated with the Centre and observed how service delivery took place Interviews and observations were complemented by visual data including participant produced photography All data were analysed employing a narrative framework RESULTS We present three interrelated themes demonstrating how space and time affect care that is staying safe feeling welcome and being seen Staying safe captures the perceptions and practices around safety which sit in tension with making service users feel welcome Feeling welcome attends to the sense of being invited to use services free of judgment Being seen depicts capacities to see a health care provider as well as being understood in one s lived experience CONCLUSION Spatio temporal configurations such as attendance policies consultation modalities and time allocated to care encounters afford differential opportunities to nurture reciprocal relations We conclude that flexible service configurations can leverage a relational model of care PATIENT

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http://hdl.handle.net/10453/179273