Playing for Change: A New Approach to Social Determinants of Health Education.

IF 1.9
Natasha Nurse-Clarke, Nicole M Stephens, Gwendolyn Lancaster, Charleen Jacobs-McFarlane
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引用次数: 0

Abstract

Background: Nursing students often have limited opportunities to apply social determinants of health (SDOH) concepts to patient experiences and clinical reasoning. This study evaluated a facilitated, game-based learning intervention to reinforce person-centered, socially responsive care.

Method: A mixed-methods pretest-posttest design was used with junior-level undergraduate nursing students at a public university. Students participated in a structured board game during class. Matched pre/post surveys (n = 47) were analyzed using paired-samples t-tests, and open-ended reflections underwent content analysis.

Results: Significant improvements were found in endorsement of socioeconomic considerations in health care delivery (p = .020) and incorporating patient priorities into care plans (p = .026). Qualitative themes reflected increased awareness of SDOH, holistic thinking, engagement, and critical reflection.

Conclusion: A brief, facilitated game-based intervention may strengthen application of SDOH concepts within person-centered care. Findings support continued refinement and further study with larger, multi-site, and longitudinal designs.

为改变而战:健康教育的社会决定因素的新方法。
背景:护理专业的学生通常有有限的机会将健康的社会决定因素(SDOH)概念应用于患者经验和临床推理。本研究评估了一种便利的、基于游戏的学习干预,以加强以人为本的、社会反应性的护理。方法:采用混合方法的前测后测设计,对某公立大学护理本科三年级学生进行调查。学生们在课堂上参与了一个结构化的棋盘游戏。配对前后调查(n = 47)采用配对样本t检验进行分析,开放式反思进行内容分析。结果:在卫生保健服务中社会经济因素的认可(p = 0.020)和将患者优先级纳入护理计划(p = 0.026)方面发现了显着改善。定性主题反映了对SDOH、整体思维、参与和批判性反思意识的提高。结论:一个简短的、便利的基于游戏的干预可以加强SDOH概念在以人为本的护理中的应用。研究结果支持在更大的、多地点和纵向设计中继续改进和进一步研究。
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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