The social determinants of health
The social determinates of health include factors other than access to health care, such as socioeconomic status, economic stability, access to quality education, physical environment, support networks, employment, etc. Although efforts to improve healthcare within the United States usually point to responsibilities within the healthcare system, there is a growing recognition that these social determinants of health are also critical—from the individual to the population level.
As a DNP-prepared nurse, you will consider and address the social determinants of health when working with patients. Think about the ways in which this will positively impact your patients’ experiences and outcomes, as well as the communities you serve.
Resources
Be sure to review the Learning Resources before completing this activity. Click the weekly resources link to access the resources.
WEEKLY RESOURCES
Learning Resources
PDF Creation Resources
· Lacoma, T. (2024, February 20). How to save a webpage as a PDF on desktop and mobileLinks to an external site. . Digital Trends Media Group. https://www.digitaltrends.com/computing/how-to-save-a-webpage-as-a-pdf/
· Microsoft. (n.d.). Save an Outlook message as a .eml file, a PDF file, or as a draftLinks to an external site. . https://support.microsoft.com/en-us/office/save-a-message-as-a-file-4821bcd4-7687-4d6d-a486-b89a291a56e2
· Apple. (n.d.). Save emails as files or PDFs in Mail on MacLinks to an external site. . https://support.apple.com/guide/mail/save-emails-as-files-or-pdfs-mlhlp1044/mac
Practicum Resources
Meditrek Resources
Ethics Resources
· Clark, K., Rödlach, A., Ballesteros, M., Davis, R., Holmes, L., Miller, J., Minnich, M., & Schultz, A. (2024). The role of doctor of nursing practice programs’ mission, vision, and values statements in the development of students’ professional identity: A qualitative studyLinks to an external site.. Nurse Education Today, 134, Article 106096. https://doi.org/10.1016/j.nedt.2024.106096
· Fornili, K. S. (2022). Expanded conceptual framework for ethical action by nurses on the “further upstream and farther downstream” determinants of health equityLinks to an external site.. Journal of Addictions Nursing, 33(3), 203–214. https://doi.org/10.1097/jan.0000000000000484
· Green, C. (2022). Applying the Nightingale pledge in reducing health disparities: A hospital-acquired pressure injury case studyLinks to an external site.. Advances in Skin and Wound Care, 35(3), 180–183. https://doi.org/10.1097/01.asw.0000815492.11595.61
· Khaghanizadeh M, Koohi A, Ebadi A, Vahedian-Azimi A. (2023). The effect and comparison of training in ethical decision-making through lectures and group discussions on moral reasoning, moral distress and moral sensitivity in nurses: A clinical randomized controlled trialLinks to an external site.. BMC Medical Ethics, 24, Article 58. https://doi.org/10.1186/s12910-023-00938-5
· Torkaman, M., Heydari, N., & Torabizadeh, C. (2020). Nurses’ perspectives regarding the relationship between professional ethics and organizational commitment in healthcare organizationsLinks to an external site.. Journal of Medical Ethics and History of Medicine, 13(17), 1–10. https://doi.org/10.18502/jmehm.v13i17.4658
Social Change Resources
· Abu, V. K., & Moorley, C. R. (2023). Social justice in nursing education: A review of the literatureLinks to an external site.. Nurse Education Today, 126, Article 105825. https://doi.org/10.1016/j.nedt.2023.105825
· Johanson, L., Urso, P. P., & Priode, K. (2022). Factors influencing the development of social change involvementLinks to an external site.. Journal of Excellence in Nursing and Healthcare Practice, 4(1). https://doi.org/10.5590/JENHP.2022.4.1.01
· Walden University. (n.d.). Social changeLinks to an external site. [Multimedia]. https://www.waldenu.edu/why-walden/social-change
· Walden University Center for Social Change. (n.d.). Scholars of changeLinks to an external site. [Videos]. https://academicguides.waldenu.edu/social-change/scholars-of-change Note: The approximate length is 15 minutes combined for these media pieces.
SDOH Resources
· Centers for Disease Control and Prevention. (2022, December 8). Social determinants of health (SDOH)Links to an external site. . https://www.cdc.gov/socialdeterminants/index.htm
· Davis S. (2022). The evolving role of social determinants of health to advance health equityLinks to an external site.. In D. Seibert, B. Malone, & P. DeLeon (Eds.), Shaping nursing healthcare policy: A view from the inside (pp. 1–102). Academic Press. https://www.sciencedirect.com/science/article/pii/B9780323999939000160
· National Academies of Sciences, Engineering, and Medicine. (2021). The future of nursing 2020–2030: Charting a path to achieve health equityLinks to an external site. . National Academies Press. https://doi.org/10.17226/25982
· Reising, V., Diegel-Vacek, L., Dadabo, L., Martinez, M., Moore, K., & Corbridge, S. (2022). Closing the gap: Collaborative care addresses social determinants of healthLinks to an external site.. Nurse Practitioner, 47(4), 41–47. https://doi.org/10.1097/01.npr.0000822572.45824.3f
· Walden Library. (n.d.). What are the social determinants of healthLinks to an external site. . https://academicguides.waldenu.edu/Library/sdoh
· Walden University. (n.d.). Social determinants of health: Understanding vision health equityLinks to an external site. . https://www.waldenu.edu/online-masters-programs/master-of-science-in-nursing/resource/social-determinants-of-health-understanding-vision-health-equity
· World Health Organization. (2022). Social determinants of healthLinks to an external site. . https://www.who.int/health-topics/social-determinants-of-health
Optional Resources
· Bryant, S. G. (2023). Screening for social determinants of health in transitional care patients and partnering with the faith community to address food insecurityLinks to an external site.. Professional Case Management, 28(5), 235–242. https://doi.org/10.1097/NCM.0000000000000613
· Davis, S. (2023). Leadership for meaningful transformation: The National League for Nursing/Walden University College of Nursing Institute for Social Determinants of Health and Social ChangeLinks to an external site.. Nursing Education Perspectives, 44(6), 384–385. https://doi.org/10.1097/01.NEP.0000000000001203
· Sheingold, S. H., Zuckerman, R. B., De Lew, N., & Chappel, A. (2023). Social determinants of health, quality of public health data, and health equity in the United StatesLinks to an external site.. American Journal of Public Health, 113(12), 1301–1308. https://doi.org/10.2105/AJPH.2023.307423
Previous
To prepare:
· Review the Learning Resources that address the importance and value of taking the SDoH into consideration as a DNP-prepared nurse.
· Consider why and how you intend to begin shifting your thinking and practice related to the SDoH from the relatively smaller scope of patient care to the broader perspective of organizations, communities, and the larger field of nursing (e.g., advocating at the policy level, meeting with stakeholders, utilizing esearch and data, etc.).
· Select one SDoH Domain that is of particular interest to you on which to focus for this Discussion.
· Using Walden Library and the internet, search for and identify three scholarly, peer-reviewed articles (within the last 5 years) that address the SDoH Domain you selected from the broader perspective of organizations, communities, and the larger field of nursing.
By Day 3 of Week 6
Post the following:
· An explanation of the importance and value of taking the SDoH into consideration as a DNP-prepared nurse.
· Identify the one SDoH Domain you selected and explain why it is particularly important to you.
· An explanation of why and how you intend to shift your thinking and practice related to the SDoH from the patient-level to the organizational, community, and/or larger field of nursing levels. Be specific, provide examples, and cite the three scholarly resources you identified to support your points.
Note: Your posts should be substantial (1000 words minimum), supported with scholarly evidence from your research and/or the Learning Resources, and properly cited using APA Style. Personal anecdotes are acceptable as part of a meaningful post but cannot stand alone as the entire post.
RESPOND TO THIS DISCUSSION POST.
FW
Social Determinants of Health (SDOH) are non-medical factors that significantly influence health outcomes in communities (Social Determinants of Health, 2023). These factors, such as socio-economic conditions, birthplace, work environment, residence, religious beliefs, age, race, and ethnicity (SDOH, 2023), are not just statistics but real-life circumstances that shape individuals’ health. SDOH is also profoundly affected by policies that influence development, healthcare, social networks, and other community agencies vital for healthy living.
Recognizing SDOH
Being in tune with one’s community is a step in recognizing the social determinants that affect that community. As a prospective Doctor of Nursing Practice (DNP) professional, knowing what affects your community is the first step in being a change agent to address the issue.
One of the most pressing SDOH issues is access to quality education in minority communities. Education, far from being just a means of personal advancement, it is a transformative force that can break the cycle of poverty and improve health literacy (SDOH, 2023). It is crucial that every community, regardless of its socio-economic status, has access to quality formal and informal education, offering hope for a healthier future.
Unfortunately, not everyone has what the National Conference for Community and Justice defines as a privilege. Privilege is the unearned access to resources that enhance one’s chances of meeting needs or having a better quality of life (National Conference for Community and Justice, 2021). These privileges, whether earned or unearned, can significantly improve a person’s quality of life and health, making it easier to live a healthier and longer life (Davis, 2022). However, these privileges are often foreign concepts to many in most minority communities, leading to significant disparities in educational outcomes.
DNP Nurse roles
A DNP-prepared nurse has a significant role in addressing the root causes of social determinants. Their expertise and ethical obligation empower them to dismantle systems that encourage inequity, creating privilege for some while others are not given that same level of support (Davis, 2022). This role is not just important, it’s empowering, and it is a call to action for all DNP professionals.
As a prospective DNP nurse who plans to practice in the clinical setting, I believe it is imperative to engage in or initiate strategies that address the root cause of education inequities. This could involve working with local schools, community organizations, and government agencies to develop and implement programs that promote equal access to quality education. I plan to work with these stakeholders to level the playing field so that every community can access quality education.
Conclusion
Whether practicing in clinical settings or not, DNP professionals should engage stakeholders to address educational inequities and advocate for initiatives that equalize access to quality education across all communities. This is not just a suggestion, it is a commitment, and the determination to ensure that no one receives greater punishment or substandard education because of the color of their skin. This is a call to action for all DNP-prepared partitioners to foster more inclusive policies to support underserved populations.
References
Brown, E. A., Anspach , G., Vaught , E., Brigham , L., & White , B. M. (2024). Educating Students about Personal Privilege as a Social Determinant of Health through an Interactive Modified Privilege Walk: A Pilot and Quality Improvement Study. Journal of the Scholarship of Teaching and Learning, 24(3). https://doi.org/10.14434/josotl.v24i3.35597Links to an external site.
Centers for Disease Control and Prevention. (2023). Social Determinants of Health (SDOH). Centers for Disease Control and Prevention. https://www.cdc.gov/about/priorities/why-is-addressing-sdoh-important.htmlLinks to an external site.
Davis, S. (2022). The evolving role of Social Determinants of Health to Advance Health Equity. Shaping Nursing Healthcare Policy, 91–105. https://doi.org/10.1016/b978-0-323-99993-9.00016-0Links to an external site.
National Conference for Community and Justice. (2021). What is Privilege? https://www.nccj.org/what-privilegeLinks to an external site.
Owens, J. (2022). Double jeopardy: Teacher biases, racialized organizations, and the production of racial/ethnic disparities in school discipline. American Sociological Review, 87(6), 1007–1048. https://doi.org/10.1177/00031224221135810Links to an external site.
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