NURS 8210 Week 8 blog: THE INTERSECTION OF SOCIAL DETERMINANTS OF HEALTH ON HIT AND PATIENT OUTCOMES
THE INTERSECTION OF SOCIAL DETERMINANTS OF HEALTH ON HIT AND
PATIENT OUTCOMES
Health literacy is defined by the World Health Organization (WHO) as, “the cognitive and social
skills which determine the motivation and ability of individuals to gain access to, understand,
and use information in ways that promote and maintain good health” (n.d.). The American
Medical Association (AMA) defines health literacy as, “a constellation of skills, including the
ability to perform basic reading and numerical tasks required to function in the health care
environment” (Baker, 2006). These definitions highlight the importance of health literacy for
both healthcare workers and patients.
Whether it is the ability to fully analyze and interpret a researched study, or to speak to patients
in a way that gains their trust and develops their understanding, health literacy directly relates to
patient care.
However, understanding the importance of health literacy does not directly correlate to effective
health literacy, so how does health literacy impact patient outcomes? What barriers or social
determinants might impact health literacy?
For this Discussion, reflect on your understanding of health literacy, health information
technology, and health economics. Consider the impact of each of these topics and explore how
they are related to patient care. You will also recommend strategies to overcome potential
barriers as they relate to the topics.
References:
Baker, D. W. (2006). The meaning and measure of health literacy. Journal of General Internal
Medicine, 21(8), 878–883. doi:10.1111/j.1525-1497.2006.00540.x
World Health Organization. (n.d.). Health promotion. https://www.who.int/teams/health-
promotion/enhanced-wellbeing/seventh-global-conference/health-
literacy#:~:text=Health%20Literacy%20has%20been%20defined,promote%20and%20maintain
%20good%20health
TO PREPARE
Review the Learning Resources associated with the topics: Health Literacy, Health
Information Technology (HIT) on Patient Outcomes, and Health Economics.
Consider the role of each of these topics in influencing how healthcare is delivered
and practiced in your healthcare organization or nursing practice.
Reflect on how COVID-19 might have impacted each of these topics, including
potential barriers or challenges for future implementation.
BY DAY 3 OF WEEK 8
Post a cohesive response that addresses the following:
Explain how Health Literacy, HIT on Patient Outcomes, and Health Economics
may be integrated into and impact clinical practice for your healthcare
organization or nursing practice. Be specific and provide examples.
Describe your understanding of the concept of health literacy. Why is it
important to understand implications for the lack of health literacy for nursing
practice?
Discuss and evaluate how COVID-19 may have impacted each of these topics for
healthcare delivery and nursing practice. Be specific.
Recommend at least two strategies you might implement for overcoming
challenges/barriers related to these topics in your healthcare organization or
nursing practice.
Resources
Sipes, C. (2020). Project management for the advanced practice nurse (2nd ed.).
Springer Publishing.
o Chapter 5, “Implementation/Execution—Phase 3” (pp. 121–146)
o Chapter 6, “Monitoring and Controlling: Project
Management—Phase 4”
(pp. 147–168)
American Nurses Association. (2015). Nursing informaticsLinks to an external
site.: Scope and standards of practice (2nd ed.).
o “Standard 5: Implementation” (pp. 73–74)
o “Standard 5a: Coordination of Activities” (p. 75)
o “Standard 6: Evaluation” (p. 78)
o “Standard 11: Communication” (p. 86)
o “Standard 12: Leadership” (pp. 87–88)
o “Standard 15: Resource Utilization” (p. 92)
The Office of the National Coordinator for Health Information Technology.
(n.d.). Health IT: Advancing America’s health careLinks to an external site..
https://www.healthit.gov/sites/default/files/pdf/health-information-
technology-fact-sheet.pdf
Social Determinants
Palakshappa, D., Scheerer, M., Semelka, C. T., & Foley, K. L. (2020). Screening for
social determinants of health in free and charitable clinics in North
CarolinaLinks to an external site.. Journal of Health Care for the Poor and
Underserved, 31(1), 382–397. doi:10.1353/hpu.2020.0029
Links to an external site.Shah, G. H., Shankar, P., Schwind, J. S., & Sittaramane, V.
(2020). The detrimental impact of the COVID-19 crisis on health equity and
social determinants of healthLinks to an external site.. Journal of Public Health
Management and Practice, 26(4), 317–319.
doi:10.1097/PHH.0000000000001200
Sharma, S. V., Chuang, R. J., Rushing, M., Naylor, B., Ranjit, N., Pomeroy, M., &
Markham, C. (2020). Social determinants of health–related needs during
COVID-19 among low-income households with childrenLinks to an external
site.. Preventing Chronic Disease, 17, 200–322. doi:10.5888/pcd17.200322
Yao, R. (2019). The future of consumer healthcareLinks to an external site..
https://medium.com/ipg-media-lab/the-future-of-consumer-healthcare-
71ff82d6ee25
HIT on Patient Outcomes
HealthIT.gov. (2019). Improved diagnostics & patient outcomesLinks to an
external site.. https://www.healthit.gov/topic/health-it-and-health-
information-exchange-basics/improved-diagnostics-patient-outcomes
Health Economics
Hammeken, L. H., Baunwall, S. M. D., Hvas, C. L., & Ehlers, L. H. (2021). Health
economic evaluations comparing faecal microbiota transplantation with
antibiotics for treatment of recurrent Clostridioides difficile infection: A
systematic reviewLinks to an external site.. Health Economics Review, 11(3).
doi:10.1186/s13561-021-00301-7
Links to an external site.Seixas, B. V., Dionne, F., & Mitton, C. (2021). Practices
of decision making in priority setting and resource allocation: A scoping review
and narrative synthesis of existing frameworksLinks to an external site.. Health
Economics Review, 11(2). doi:10.1186/s13561-020-00300-0
Links to an external site.Xu, X., Lazar, C. M., & Ruger, J. P. (2021). Micro-costing
in health and medicine: A critical appraisalLinks to an external site.. Health
Economics Review, 11(1). doi:10.1186/s13561-020-00298-5
Required Media
Let’s Learn Public Health. (2017, June 25). Social determinants of health – an
introductionLinks to an external site. [Video]. YouTube.
Other resources
Brenner, S. K., Kaushal, R., Grinspan, Z., Joyce, C., Kim, I., Allard, R. J., Delgado,
D., & Abramson, E. L. (2016). Effects of health information technology on
patient outcomes: A systematic reviewLinks to an external site.. Journal of the
American Medical Informatics Association, 23(5), 1016–1036.
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