Posted: January 28th, 2024

Identify the social determinants of health (SDOH) that affect families

Community/Public Health Nursing And Social Determinants Of Health

Topic 1 DQ1

Identify the social determinants of health (SDOH) that affect families and communities. Describe the impact of health disparities and SDOH on care outcomes. Explain the role of the community health nurse in addressing these SDOH. Describe how the community health nurse can advocate for practices to advance diversity, equity, and inclusion.

Initial discussion question posts should be a minimum of 200 words and include at least two references cited using Ace homework tutors – APA format.

Topic 1 DQ2

Develop a nursing intervention for community health goals (local or global in nature) using the nursing process to address any health issue. Select and describe one community resource that can aid in the implementation process of the intervention. Identify two ethical principles to protect the health and safety of diverse populations when implementing the proposed nursing intervention.

Initial discussion question posts should be a minimum of 200 words and include at least two references cited using Ace homework tutors – APA format.

Topic 1 DQ1
The social determinants of health (SDOH) that most significantly affect families and communities include socioeconomic status, education, neighborhood and physical environment, employment status, and social support systems (Healthy People 2030, 2022). Lower socioeconomic status is associated with poorer health outcomes and higher rates of chronic disease due to limited access to nutritious foods, safe housing, transportation, and medical care (Braveman & Gottlieb, 2014: 2024 – Essay Writing Service | Write My Essay For Me Without Delay). Disparities in health are exacerbated by SDOH, as marginalized groups face greater barriers to health-promoting resources.
The community health nurse plays an integral role in addressing SDOH through advocacy, education, and care coordination. Nurses conduct needs assessments to identify local SDOH challenges and collaborate with community partners to develop interventions (American Nurses Association [ANA], 2021). For example, they may establish food banks, job training programs, or mobile health clinics to improve access for underserved populations. Educating patients and families about disease self-management empowers them to overcome SDOH barriers (ANA, 2021). By addressing root causes of health inequities, nurses can help reduce disparities and optimize care outcomes for all.
Topic 1 DQ2
A proposed nursing intervention is to establish a community health worker program to improve management of chronic conditions among low-income residents. Based on the nursing process, nurses would first assess needs through surveys and interviews with local clinics. Goals would be set to reduce rates of uncontrolled hypertension and diabetes through the community health worker (CHW) model. CHWs are lay members of the community trained to provide culturally competent education, social support, and basic screening (Centers for Disease Control and Prevention [CDC], 2022).
One local resource that could support implementation is the county health department. Nurses would partner with department leaders to train and supervise CHWs. Ethical principles of autonomy and beneficence would guide the intervention. CHWs would empower patients to self-direct care, while aiming to maximize benefits and minimize harms (Faden & Beauchamp, 1986). Consent would be obtained to respect patient autonomy. By addressing social and cultural factors through CHWs, the intervention seeks to improve health equity for vulnerable groups.

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