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This study aimed to explore healthcare professionals\u2019 experiences and perceptions of asking about violence and abuse among patients experiencing homelessness.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>This study used a qualitative, interpretive, and exploratory design. We performed focus group discussions with healthcare professionals (<jats:italic>n<\/jats:italic>\u2009=\u200922) working at an integrative healthcare unit for people experiencing homelessness. Data were analysed using reflexive thematic analysis, following Braun and Clarke\u2019s six-phase approach. Findings are reported according to the Consolidated Criteria for Reporting Qualitative Research (COREQ) checklist.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>The overarching theme of the analysis is that addressing violence and abuse is at risk of \u201cfalling through the cracks\u201d. The theme is supported by three sub-themes: <jats:italic>Hesitance to address violence and abuse<\/jats:italic>, <jats:italic>The complex dynamics of violence and abuse in homelessness<\/jats:italic>, and <jats:italic>Challenges in addressing violence and abuse amidst competing priorities and collaborative efforts.<\/jats:italic> The normalisation of violence and abuse within the context of homelessness perpetuates a \u201ccycle\u201d where the severity and urgency of addressing violence and abuse are overlooked or minimised, hindering effective interventions. Moreover, healthcare professionals themselves may inadvertently contribute to this normalisation. The hesitance expressed by healthcare professionals in addressing the issue further reinforces the prevailing belief that violence and abuse are inherent aspects of homelessness. This normalisation within the healthcare system adds another layer of complexity to addressing these issues effectively.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>The findings underscore the need for targeted interventions and coordinated efforts that not only address the immediate physical needs of people experiencing homelessness but also challenge and reshape the normalised perceptions surrounding violence and abuse. By prioritising awareness, education, and supportive interventions, we can begin to \u201cbreak the cycle\u201d and provide a safer environment where violence and abuse are not accepted or overlooked.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12913-024-10914-3","type":"journal-article","created":{"date-parts":[[2024,4,26]],"date-time":"2024-04-26T08:02:14Z","timestamp":1714118534000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Asking about violence and abuse among patients experiencing homelessness: a focus group study with healthcare professionals"],"prefix":"10.1186","volume":"24","author":[{"given":"Sophie Nadia","family":"Gaber","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ing-Britt","family":"Rydeman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elisabet","family":"Mattsson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00c5sa","family":"Kneck","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,4,26]]},"reference":[{"key":"10914_CR1","volume-title":"Seventh overview of Housing Exclusion in Europe","author":"Fondation Abb\u00e9 Pierre and FEANTSA","year":"2022","unstructured":"Fondation Abb\u00e9 Pierre and FEANTSA. 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The research received ethical approval from the Swedish Ethical Review Authority (Dnr 2021\u201302181 and 2022-00696-02). Participants were informed that their participation was voluntary and that they could withdraw from the study at any time without any negative consequences. Written informed consent, including consent to audio record the focus groups, was collected from all participants prior to each focus group.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"531"}}