Integrating a Social Determinants of Health Framework into Nursing Education

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The purpose of this ground-breaking Textbook is to describe and illustrate, with pedagogical features, the process by which social determinants of health (SDOH) has been integrated throughout all courses in the Nell Hodgson Woodruff School of Nursing. Specifically, the authors describe initial steps to develop a comprehensive SDOH model for nursing education, followed by rigorously designed faculty educational materials, exemplars of SDOH instructional materials, and evaluation of this process from faculty and students. It describes a comprehensive framework that guides the development, implementation, and evaluation of SDOH across the pre-licensure and post-licensure curriculum and illustrate the process integrating SDOH throughout all aspects of didactic, simulation, and clinical education. 

Among the subjects addressed, the history of nursing and SDOH and the value of SDOH content in nursing courses to alleviate health disparities are described and mandates to integrate SDOH content into nursing curriculum by the leading nursing organizations are summarized. The authors also include a review of existing SDOH frameworks used in public health and medicine and present a comprehensive SDOH model for nursing education. A SDOH educational course content for faculty is detailed (Social Determinants of Health 101) and exemplars from faculty and students are provided along with an evaluation after the first year. The authors conclude with a discussion from faculty leadership; what they learned and their suggestions to other nursing programs.

Although there are books published, no books exist on this topic for nursing education and practicing nurses, yet SDOH is foundational to nursing curriculum and practice. The leading nursing organizations are all mandating that SDOH be integrated into nursing courses. Hence this textbook will be a key resource for Schools of Nursing in the US and globally. The intended audience of this book are leaders and faculty of nursing education programs, national professional nursing organizations, practicing nurses at hospitals and health systems, community and public health agencies, and ambulatory care.

Author(s): Jill B. Hamilton, Beth Ann Swan, Linda McCauley
Publisher: Springer
Year: 2023

Language: English
Pages: 218
City: Cham

Foreword
Acknowledgments
Contents
1: Social Determinants of Health: Call for Nursing Education Reform
Introduction
Nursing History and SDOH
Nursing Care to Reduce Health Disparities
Call to Action
References
2: Integrating a Social Determinants of Health Framework into Nursing Education
Introduction
Review of SDOH Frameworks
The Nell Hodgson Woodruff School of Nursing Social Determinants of Health Framework
Social Conditions
Systemic Racism, Power Imbalance, and Social Conditions
Historical Context of Systemic Racism and Social Conditions
Current and Persistent Social Influences on Health Inequities
Social Support as a Resource from Family and Friends
Cultural Conditions
Environmental (Physical) Conditions (Part I)
Environmental (Social) Conditions (Part II)
Policies/Laws
References
3: Canvas Faculty Development Site
Introduction
Course Design
Part 1: Introduction to Social Determinants of Health—Pre-test
Part 1: Introduction to Social Determinants of Health—Interactive Learning
Part 2: Addressing Instruction—Interactive Learning
Part 2: Addressing Instruction—Incorporating SDOH into Teaching Practice Discussion
Part 3: Considering Learning—Interactive Learning
Part 3: Considering Learning—Building a Community of Practice Discussion
Post-test and Handbook
Summary
Appendix
References
4: Curriculum Mapping: Integrating Social Determinants of Health Within Nursing Education
Introduction
Curriculum Mapping Defined
Curriculum Mapping Process
Step 1: Establish SDOH Learning Goals, Objectives, and Outcomes
Step 2: Create a Baseline Curriculum Map
Step 3: Implement Individual Course Analysis
Step 4: Build an Integrative and Comprehensive Map
Step 5: Review for Ongoing Sustainability
Summary
References
5: SDOH in Action: Exemplars of Incorporating SDOH Content in Entry-Level and Advanced-Level Nursing Education
Introduction
Entry-Level Professional Nursing Education Exemplars
Pediatric Nursing
Background
Course Description
Description of Course Activities and Assignments
Student Assignment Exemplars
Reflection: Faculty
Mental Health Nursing
Background
Course Description
Description of Course Assignment
Student Assignment Exemplars
Reflection: Faculty
Pharmacology for Nursing Practice
Background
Course Description
Description of Course Activities and Assignments
Student Assignment Exemplars
Reflection: Faculty
Art and Science of Nursing Practice
Background
Course Description
Description of Course Assignment
Student Assignment Exemplars
Book Presentation and Student Reflection by Alyssa Meadows (Fig. 5.3)
Book Presentation by Lindsey Allen (Fig. 5.4)
Book Presentation and Student Reflection by Isake Slaughter (Fig. 5.5)
Book Presentation and Student Reflection by Caitlyn Plattel (Fig. 5.6)
Reflection: Faculty
Social Responsibility and Bioethics
Background
Course Description
Description of Course Assignment
Reflection: Faculty
Evidence-Based Practice for the Professional Nurse
Background
Course Description
Description of Course Assignment
Student Assignment Exemplars (Figs. 5.7, 5.8, 5.9, 5.10, and 5.11)
Reflection: Faculty
Reflection: Student
Undergraduate Nursing Honors Program
Background
Course Description
Description of Course Assignment
Student Assignment Exemplar
Reflection: Faculty
Advanced-Level Nursing Education Exemplars
Advanced Health Assessment
Background
Course Description
Description of Course Assignment
Student Assignment Exemplars
Reflection: Faculty
Omics in Health and Disease (PhD Course)
Background
Course Description
Description of Course Assignment
Student Assignment Exemplar
Reflection: Faculty
Reflection: Student
Analysis of Complex Systems for Populations and Organizations (DNP Course)
Background
Course Description
Description of Course Assignment
Student Assignment Exemplar (Fig. 5.12)
Reflection: Faculty
DNP Scholarly Project
Background
Course Description
Description of Course Assignment
Student Assignment Exemplar
Reflection: Faculty
Reflection: Student
Simulation for Entry- or Advanced-Level Nursing Education
Compassionate Care and Respectful Communication: SDOH and DEI
Background
Simulation Description
SDOH Pillars Relevant to the Case Include: Social, Cultural, Policy
AACN Essentials
Domains/Competencies/Sub-competencies
Concepts
Reflection: Student, Sofia Biller
Reflection: Student, Dejuan Charles
Reflection: Student, Isabella Upchurch
References
6: Evaluating Social Determinants of Health Integration in Nursing Curricula
Introduction
Social Accountability in Nursing Education
Overview of SDOH Integration
Faculty Evaluation
Student Evaluation
Course Evaluation
Exemplar: Social Determinants of Health (SDOH) Curriculum Integration Evaluation Model
Alternative Models of Evaluation
Conclusion
References
7: Aligning SDOH Pillars to Learning Outcomes and Assessments
Introduction
Integrating SDOH Pillars into the Nursing Curriculum
Constructive Alignment of SDOH
Curriculum Mapping in Nursing Education
Assessment in Nursing Education
Reviewing Nursing Courses for Alignment
Findings in the Nursing Courses Analyses
Summary
References
8: Lessons Learned
Introduction
Summary