Senior Honors Projects, 2010-2019

Creative Commons License

Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.

Date of Graduation

Spring 2018

Document Type


Degree Name

Bachelor of Science in Nursing (BSN)


School of Nursing


Tammy Kiser

Erika Metzler Sawin

Linda Sobel


Background: The homeless population is exposed to many difficulties and barriers while attempting to manage Type II Diabetes Mellitus (DMII), which involves complex medication regimens and dietary and exercise modifications. The aim of this literature review is to increase awareness among healthcare professionals, to improve their understanding and ability to educate the homeless population, to help reduce health disparities and promote chronic disease management.

Methods: Access to two electronic search engines, CINAHL and PubMed, was obtained through James Madison University’s Library Database. The Ratings System for Level of Evidence was used to determine articles for inclusion based on reliability, sample size, relevance.

Results: Eight articles were selected for inclusion after meeting the eligibility criteria. These articles offered key information to barriers and limitations that homeless individuals encounter. The information obtained from this literary review was then further synthesized to develop an educational program for nursing students to better prepare them for working and educating the homeless population.

Discussion: Healthcare professionals have limited experience or preparation to inform and make the appropriate referrals to the homeless population. Education for homeless patients, nursing students and other healthcare professionals is a key component to help reduce disparities among vulnerable populations. Future research must focus on the long-term impact that educational programs and teaching strategies have on promoting DMII disease management among homeless individuals.



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