Knowledge, Attitudes, and Practices of Nurses Addressing Social Determinants of Health in the Emergency Department.

IF 1 Q4 NURSING

Advanced Emergency Nursing Journal Pub Date : 2025-09-11 DOI:10.1097/TME.0000000000000594

Juan Manuel Gonzalez, Johis Ortega, John McFadden, Kenya Snowden, Catherine Nadeau, Lila de Tantillo, Michele Upvall

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引用次数: 0

Abstract

Background: The emergency department (ED) serves as a safety net for individuals with limited access to primary care. ED nurses are often the first point of contact for those with few resources. Literature shows a link between social determinants of health (SDoH) and frequent ED use.

Purpose: This qualitative descriptive study explored ED nurses' knowledge, attitudes, and practices in addressing SDoH, aiming to better understand this issue and elevate nurses' voices.

Methods: A qualitative descriptive design examined how ED nurses address SDoH and their related knowledge, attitudes, and practices.

Results: Eighteen ED nurses participated in semi-structured interviews. Thematic analysis yielded 45 codes, 17 categories, and six themes: practical wisdom, navigating barriers, integrated solutions, professional and ethical stewardship, time constraints and institutional influences, and educational empowerment.

Conclusions: Results highlight the complexity of addressing SDoH in the ED and the need for more resources, education, and research on interventions and long-term outcomes.

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急诊科护士处理健康社会决定因素的知识、态度和实践。

背景：急诊科（ED）作为一个安全网的个人获得有限的初级保健。急诊护士通常是那些资源有限的人的第一个联络点。文献显示健康的社会决定因素（SDoH）和频繁使用ED之间存在联系。目的：本定性描述性研究探讨急诊科护士在处理SDoH方面的知识、态度和做法，旨在更好地了解这一问题，提高护士的发言权。方法：定性描述性设计调查急诊科护士如何处理SDoH及其相关知识、态度和实践。结果：18名急诊科护士参加了半结构化访谈。专题分析产生了45项准则、17个类别和6个主题：实践智慧、克服障碍、综合解决方案、专业和道德管理、时间限制和制度影响以及教育赋权。结论：结果强调了在ED中解决SDoH问题的复杂性，需要更多的资源、教育和干预措施和长期结果的研究。

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

Advanced Emergency Nursing Journal NURSING-

CiteScore

0.90

自引率

0.00%

发文量

期刊介绍： Advanced Emergency Nursing Journal is a peer-reviewed journal designed to meet the needs of advanced practice clinicians, clinical nurse specialists, nurse practitioners, healthcare professionals, and clinical and academic educators in emergency nursing. Articles contain evidence-based material that can be applied to daily practice. Continuing Education opportunities are available in each issue. Feature articles focus on in-depth, state of the science content relevant to advanced practice nurses and experienced clinicians in emergency care. Ongoing Departments Include: Cases of Note Radiology Rounds Research to Practice Applied Pharmacology