Improving Social Determinants of Health Screening in Schools with Group Concept Mapping

IF 1.8 4区医学 Q2 HEALTH POLICY & SERVICES

Journal of Pediatric Health Care Pub Date : 2025-09-01 DOI:10.1016/j.pedhc.2025.07.010

Vera Borkowski PhD, APRN, FNP-C, Alvin Jeffery PhD, RN-BC, CCRN-K, FNP-BC, Marianna LaNoue PhD, MS

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引用次数: 0

Abstract

Category/Date

Clinical Research Poster presented at NAPNAP’s 46^th National Conference on Pediatric Health Care, Posters on the Move, March 10, 2025

Introduction

We sought feedback from key stakeholders regarding social determinants of health in school-based health centers, using asthma as our clinical condition, given exacerbations are preventable, costly, and a common cause of school absenteeism.

Method

Using group concept mapping, we interviewed families/caregivers, school nurses, school staff, and school-based health center providers (N=31). We elicited information regarding conditions relevant to asthma exacerbations. Participants prioritized the concepts identified as most impactful and feasible to address.

Results

Our participants produced 84 statements grouped into 10 clusters. The highest rated clusters were Exposure to smoking/vaping and Caregiver/Child lack of asthma education. Complex, compounding factors can be highly impactful yet not as feasible to address.

Discussion

Stakeholders identified salient social determinants of health to address in schools. Clinical implications include development of informatics resources to improve social risk screening, ultimately to decrease suffering for children with chronic conditions like asthma.

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利用群体概念图改进学校健康筛查的社会决定因素

类别/日期临床研究海报在NAPNAP的第46届全国儿科卫生保健会议上发表，海报在移动中，2025年3月10日引言我们从学校卫生中心的主要利益相关者那里寻求关于健康的社会决定因素的反馈，将哮喘作为我们的临床疾病，鉴于恶化是可预防的，昂贵的，并且是学校缺勤的常见原因。方法采用群体概念图法，对家庭/照顾者、学校护士、学校工作人员和校本保健中心提供者进行访谈（N=31）。我们获得了与哮喘恶化相关的信息。与会者对确定为最具影响力和最可行的概念进行了优先排序。结果我们的参与者产生了84个语句，分为10组。评分最高的类别是吸烟/吸电子烟和照顾者/儿童缺乏哮喘教育。复杂、复合的因素可能影响很大，但解决起来并不可行。讨论利益攸关方确定了要在学校解决的健康问题的突出社会决定因素。临床意义包括开发信息学资源，以改善社会风险筛查，最终减少患有哮喘等慢性疾病的儿童的痛苦。

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

Journal of Pediatric Health Care NURSING-PEDIATRICS

CiteScore

3.40

自引率

10.70%

发文量

140

审稿时长

24 days

期刊介绍： The Journal of Pediatric Health Care, the official journal of the National Association of Pediatric Nurse Practitioners, provides scholarly clinical information and research regarding primary, acute and specialty health care for children of newborn age through young adulthood within a family-centered context. The Journal disseminates multidisciplinary perspectives on evidence-based practice and emerging policy, advocacy and educational issues that are of importance to all healthcare professionals caring for children and their families.