NURS 459 Social Determinants of Heal Essay

NURS 459 Social Determinants of Heal Essay

NURS 459 Social Determinants of Heal Essay

Social Determinants of Health Sample Essay

Social determinants of health (SDOH) are pivotal in shaping the health outcomes and well-being of various at-risk and marginalized populations. These determinants, including economic stability, education, healthcare access, neighborhood environments, and social contexts, can either uplift or hinder the health course of individuals (U.S. Department of Health and Human Services, 2020). When dealing with marginalized communities such as the homeless experiencing financial difficulties and restricted employment options, their ability to obtain quality healthcare and nourishing foods is undermined. This disparity in economic resources directly translates into diminished health outcomes, with higher susceptibility to chronic conditions like heart disease and diabetes.

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The social and community context, including exposure to discrimination and violence, perpetuates stress and negatively impacts mental health. Inequities become especially evident in neighborhoods with suboptimal built environments, where access to parks, safe streets, and green spaces is lacking. This deficiency reduces opportunities for physical activity, exacerbating obesity rates and associated health problems (U.S. Department of Health and Human Services, 2020). Such disparities are also amplified by education quality and access. Marginalized populations often face limited educational opportunities due to resource constraints, perpetuating a cycle of reduced career prospects and income. This directly affects their ability to afford quality housing and healthcare.

From the SDOH Public Health Actions and Equitably Addressing Social Determinants of Health and Chronic Disease websites, I learned that SDOH significantly impact health outcomes, with factors like socioeconomic status, education, and access to healthcare playing pivotal roles. These determinants contribute to health disparities and the unequal distribution of health resources, leading to poorer health outcomes for marginalized communities (CDC, 2022). The Public Health Professionals Gateway also emphasizes addressing SDOH to improve population health. In my nursing practice, I could use this information to advocate for holistic patient care by considering patients’ social and economic backgrounds, collaborating with other healthcare professionals to develop interventions that address SDOH-related barriers, and participating in community health initiatives to promote health equity by addressing root causes of health disparities.

In collaboration with relevant stakeholders, the nursing profession can undertake multifaceted social justice and advocacy actions to address health inequities stemming from various social determinants of health. Firstly, nurses can work with community leaders and policymakers to promote economic stability by advocating for living wage policies, affordable housing initiatives, and job training programs (University of Kansas, 2021). Secondly, partnerships with educators can enable nurses to support equitable access to quality education through school-based health services, health education curricula, and mentorship programs.

Thirdly, nurses can enhance healthcare access and quality by advocating for universal healthcare coverage, increasing culturally sensitive care training, and expanding telehealth services in underserved areas. Furthermore, collaboration with urban planners and architects can help nurses advocate for safer neighborhoods, parks, and recreational spaces, addressing the built environment’s impact on health (Healthy People 2020, 2020). Lastly, forging partnerships with local organizations and social workers can aid nurses in addressing social isolation, promoting mental health resources, and organizing support networks, thus tackling the broader social and community context that affects health outcomes.

Nurses identify and address SDOH that impact vulnerable populations. One such specialty is community health nursing (CHN), where nurses work with at-risk populations like homeless individuals. For example, nurses serving homeless populations address issues like lack of stable housing and limited access to healthcare (Schoon & Porta, 2022). The significant SDOH affecting this population are economic instability and healthcare access. Economic instability leads to homelessness, preventing access to necessities and contributing to poor health. Limited healthcare access exacerbates health issues due to delayed or inadequate medical attention. These SDOHs collectively deteriorate the health status of homeless individuals, leading to chronic illnesses and reduced life expectancy.

In my practice as an upstream-focused community health nurse, I would engage in social justice and advocacy actions to mitigate the negative effects of SDOH on homeless individuals. This could involve collaborating with community organizations to provide housing and employment assistance, advocating for improved healthcare services tailored to the homeless population’s needs, and promoting policies that address poverty and inequality (Schoon & Porta, 2022). By working collaboratively with local government, non-profit organizations, and other healthcare professionals, I would strive to reduce health inequities experienced by the homeless, aiming to create a holistic support system that addresses immediate needs and underlying SDOH to improve their health outcomes.

References

CDC. (2022, December 8). Social determinants of health. Centers for Disease Control and Prevention. https://www.cdc.gov/about/sdoh/addressing-sdoh.html

Healthy People 2020. (2020). Healthy People 2020 | health.gov. Health.gov. https://health.gov/our-work/national-health-initiatives/healthy-people/healthy-people-2020#:~:text=Healthy%20People%202020%20set%20overarching

Schoon & Porta, (2022). Chapter 13, Evidence of Commitment to Social Justice, pp. 285-296.

U.S. Department of Health and Human Services. (2020). Social determinants of health. Healthy People 2030; U.S. Department of Health and Human Services. https://health.gov/healthypeople/priority-areas/social-determinants-health

University of Kansas. (2021). Chapter 17. analyzing community problems and solutions | section 5. addressing social determinants of health and development | main section | community toolbox. Ku.edu. https://ctb.ku.edu/en/table-of-contents/analyze/analyze-community-problems-and-solutions/social-determinants-of-health/main

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College of Nursing and Health Sciences F 23

Evidence-Based Discussion Forum 1: Social Determinants of Health

15 Points

GOAL: Students explore the impact of the social determinants of health that result in health inequities among at-risk and marginalized populations in order to identify social justice and advocacy actions they might take to mitigate health inequities.

OBJECTIVES:

1. Describe the social determinants of health.
2. Identify the impact of the social determinants of health on at-risk and marginalized populations and resulting health inequities.
3. Identify social justice and advocacy actions that could be taken by the nursing profession in collaboration with others to reduce or eliminate the health inequities that are a result of one or more social determinants of health.
4. Propose actions you might take to become more aware of the impact of social determinants of health if you are working in one of the PHN/CHN specialty roles.

 DIRECTIONS:

1. READ AND VIEW
   296. Read Schoon & Porta, (2024). Chapter 13, Evidence of Commitment to Social Justice, pp. 285-296.
   297. Review Healthy People 2030 Social Determinants of Health content at Social Determinants of Health – Healthy People 2030 | health.gov. Read about the five domains of the SDOH and some of the related evidence (research) and efforts to address the SDOH in different communities.
   298. See D2L Module 2/Week 2 Social Determinants of Health Expanded folder.

• Review the Social Determinants of Health (Schoon) power point presented in Week 1 class.
• Review one or more of the additional CDC SDOH websites:
  1. SDOH Public Health Actions
  2. Public Health Professionals Gateway

• Equitably Addressing Social Determinants of Health and Chronic Disease.

1. Review University of Kansas. (2020). Community Toolbox – Addressing Social Determinants of Health and Development at

Chapter 17. Analyzing Community Problems and Solutions | Section 5. Addressing Social Determinants of Health and Development | Main Section | Community Tool Box (ku.edu)

1. See D2L Module 2/Week 2 PHN/CHN Specialty Roles.

1) View the PHN/CHN power point (Eardley & Schoon, 2022).

2) Review the two additional resources on school health.

2. Review Grading Rubric criteria before writing post.
3. Post your responses in D2L Open Discussion Forum: EBDF 1 Social Determinants of Health (This discussion forum is open to all class members).
   1. Individual Post

Respond to the questions below in the open discussion forum:

1. Describe the social determinants of health as defined and how they are organized into different segments. Discuss the disparate impact they have on one or more specific at-risk and marginalized populations. Cite Healthy People 2030 Social Determinants of Health and Schoon & Porta textbook.
2. Discussed one or more social justice and advocacy actions that could be taken by the nursing profession in collaboration with others to reduce or eliminate the health inequities that result from specific social determinants of health with citations from textbook, one or more of the additional SDOH websites, and the Community Toolbox.
3. Identify a PHN/CHN specialty role and the at-risk population served by nurses in that PHN/CHN specialty role. Describe at least two SDOH that affect the health status of that at-risk population and the impact of these SDOH on the health status of that population. Make sure you have reviewed the power point by Eardley & Schoon on PHN/CHN specialty roles.
4. Discuss one or more social justice and advocacy actions that could be taken by you if you were practicing in the specialty role you identified to reduce the negative impact of the SDOH on your clients/patients. How would you work collaboratively with others to reduce or eliminate the health inequities experienced by that at-risk population? Cite Chapter 13 in your textbook and the Community Toolbox.

• Cite sources of information and include a Reference List in APA format.

1. Peer Review Response Postings

1. Respond to two classmates who have selected a different PHN/CHN specialty role.
2. Compare one or more points from your initial discussion with the initial discussion of two of your peers.
3. Compare how the social determinants of health affected the health of the at-risk populations your peers discussed with how the social determinants of health impacted the population you discussed.
4. Compare the social justice and advocacy actions you identified for your at-risk population with the advocacy and social justice advocacy actions of your peers.
5. Cite sources of information and include a Reference List in APA format.

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NURS 459 EBDF Social Determinants of Health Grading Rubric

Student:                                                         Instructor:            

Grade: ____/15

Criteria	Grade
Initial Post 1.     Described the social determinants of health and impact they have on different at-risk and marginalized populations with citations from textbook, Healthy People 2030 and/or Community Toolbox. (2 pts.) 2.     Discuss important points your learned from one or more of the following websites: SDOH Public Health Actions, Public Health Professionals Gateway, Equitably Addressing Social Determinants of Health and Chronic Disease. How could you use this information in your own nursing practice or in your community? (2 pts.) 3.     Discussed one or more social justice and advocacy actions that could be taken by the nursing profession in collaboration with others to reduce or eliminate the health inequities that result from specific social determinants of health with citations from two of the following: textbook, Healthy People 2020, and/or Community Toolbox. (2 pts.) 4.     Identify the PHN/CHN specialty role and the at-risk population served. Cite Eardley & Schoon’s power point. Describe at least 2 SDOH that affect that at-risk population’s health. (1 pt.) 5.     Describe what and what social justice and advocacy actions you could take if you were practicing in that PHN/CHN specialty role to reduce the impact of the SDOH on the at-risk population’s health status. Cite Chapter 13 in textbook to support your actions. (2 pt.)	/9 pts.
Peer Responses – Respond to each peer individually. 1.     Compare one or more of the points you made in your initial discussion with the initial discussions of two peers. (1 pt.) 2.     Responded to two peers comparing how the social determinants of health affected the health of the populations your peers discussed with the impact of the social determinants of health on the population you discussed in your initial post. (1.5 pts.) 3.     Compare the advocacy actions you described with the advocacy actions your peers described. when working in a specific PHN/Specialty role. (1.5 pts.)	/4 pts.
APA & Writing Style ·       Citations and References are included and in correct APA format with 2 mistakes or less in both initial and peer responses. (1 pt.) ·       Discussion demonstrates critical thinking, and is organized with correct spelling and grammar. (1 pt.)	/2 pts.