Assessing social determinants of health competencies among nurses

IF 3.7 2区医学 Q1 NURSING

Nursing Outlook Pub Date : 2025-02-18 DOI:10.1016/j.outlook.2025.102380

Roxana C. Chicas , Christiana Reene , Autherine Abiri , Shankar Bhat , Rebekah Chance-Revels , Jill Hamilton , JoAnna Hillman , Jasmine Irish , Lalita Kaligotla , Quyen Phan , Nikki Rider , Carrie McDermott

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Abstract

Background

Multiple national nursing organizations have advocated for improving health professionals' understanding of social determinants of health (SDOH) to enhance healthcare access, quality, and outcomes.

Purpose

This project developed a self-assessment questionnaire to evaluate nursing professionals' self-perceptions of competencies in addressing SDOH, as few tools exist to measure this.

Methods

A total of 690 nurses completed the 23-item questionnaire.

Findings

In total, 690 nurses answered the SDOH self-assessment questionnaire. Cronbach’s Alpha was 0.99. Nurses reported the highest competencies in health literacy, access to primary care, and nutritious foods. The lowest competencies were in addressing immigration status, climate change, and civic participation.

Discussion

The questionnaire demonstrated high internal consistency and reliability, with variation observed across different SDOH topics. Targeted education is needed to improve knowledge in addressing the more challenging SDOH factors.

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评估护士健康能力的社会决定因素

背景：多个国家护理组织提倡提高卫生专业人员对健康社会决定因素（SDOH）的理解，以提高卫生保健的可及性、质量和结果。目的：本项目开发了一份自我评估问卷，以评估护理专业人员对解决SDOH问题能力的自我认知，因为很少有工具可以测量这一点。方法对690名护士进行问卷调查。结果共690名护士参与了SDOH自我评估问卷。Cronbach’s Alpha为0.99。护士在卫生知识普及、获得初级保健和营养食品方面的能力最高。能力最低的是处理移民身份、气候变化和公民参与问题。问卷显示出高的内部一致性和信度，在不同的SDOH主题中观察到差异。需要有针对性的教育，以提高解决更具挑战性的SDOH因素的知识。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Nursing Outlook 医学-护理

CiteScore

6.20

自引率

7.00%

发文量

109

审稿时长

25 days

期刊介绍： Nursing Outlook, a bimonthly journal, provides innovative ideas for nursing leaders through peer-reviewed articles and timely reports. Each issue examines current issues and trends in nursing practice, education, and research, offering progressive solutions to the challenges facing the profession. Nursing Outlook is the official journal of the American Academy of Nursing and the Council for the Advancement of Nursing Science and supports their mission to serve the public and the nursing profession by advancing health policy and practice through the generation, synthesis, and dissemination of nursing knowledge. The journal is included in MEDLINE, CINAHL and the Journal Citation Reports published by Clarivate Analytics.