Social Work and Nursing Students’ Perceptions of the Social Determinants of Health Based on Practice and Educational Experiences

Janet U. Schneiderman, J. Cederbaum, E. Olshansky
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引用次数: 1

Abstract

PURPOSE Although social workers and nurses work together in healthcare settings, there are tensions between their roles. Both professions embrace the concept of the social determinants of health (SDOH), but less is known about how the professions understand SDOH. METHODS Using semi-structured interviews with 25 masters’ level nursing and social work students, this qualitative descriptive study explored the educational and practice experiences relating to the SDOH. RESULTS Both nursing and social work students recognized that socioeconomic, patient/client educational, and access factors contribute to health and healthcare. Subtle differences in emphasis included a broader focus among social work students of the influence of SDOH on vulnerability/disparities and communities. While nursing students focused on vulnerability/disparities, they emphasized the effects of SDOH on specific health conditions. Both groups of students expressed that their exposure to people unlike themselves in their clinical/field educational experiences helped them learn about the SDOH. Nursing students stressed that interprofessional teamwork was vital to addressing SDOH, whereas social work students emphasized cultural awareness and avoiding stereotypes were necessary elements. All students wanted more information about health policies. CONCLUSION The shared understanding of both nursing and social work graduate students have on the effect that SDOH have on health and healthcare can provide a common language. Employing SDOH as a framework for interprofessional education could encourage shared understanding among professions and a purpose for interprofessional educational field opportunities, that would both support learning about the SDOH and collaborative practice with underserved communities.
基于实践和教育经验的社会工作和护理学生对健康社会决定因素的认知
虽然社会工作者和护士在医疗机构中一起工作,但他们的角色之间存在紧张关系。这两个专业都接受健康的社会决定因素(SDOH)的概念,但对这些专业如何理解SDOH知之甚少。方法采用半结构化访谈法,对25名护理与社会工作专业硕士生进行定性描述性研究,探讨与护理与社会工作专业相关的教育与实践经验。结果护理专业和社会工作专业的学生都认识到社会经济、患者/客户教育和可及性因素对健康和医疗保健的影响。在重点方面的细微差别包括,社会工作专业的学生更广泛地关注社会健康对脆弱性/差距和社区的影响。虽然护理专业的学生关注脆弱性/差异,但他们强调了特殊健康状况下的特殊健康状况。两组学生都表示,他们在临床/实地教育经历中接触到与自己不同的人,这有助于他们了解SDOH。护理专业的学生强调跨专业的团队合作对于解决SDOH至关重要,而社会工作专业的学生强调文化意识和避免刻板印象是必要的因素。所有学生都想了解更多关于健康政策的信息。结论护理专业研究生和社会工作专业研究生对SDOH对健康和保健的影响的共同认识可以提供一个共同的语言。将SDOH作为跨专业教育的框架可以鼓励专业之间的共同理解,并为跨专业教育领域提供机会,这既可以支持学习SDOH,也可以支持与服务不足的社区的合作实践。
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