Caring for the poor: Lessons learned from a simulation on social determinants of health.
Poverty is a dominant social determinant of health (SDOH). One in 10 people in the United States lives in poverty. During the pandemic unemployment increased exponentially, swelling the number of individuals and families with limited resources. Adverse health outcomes and challenges in accessing hea...
| Publicado en: | Applied Nursing Research Vol. 67 |
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| Autores principales: | , , |
| Formato: | research Journal Article |
| Publicado: |
Elsevier B.V.
Oct2022
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=159170510&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 159170510 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 08971897 44Z jtl: Applied Nursing Research issn: 08971897 maglogo: N pubinfo: dt: Oct2022 vid: 67 pid: 82545 pub: Elsevier B.V. place: Philadelphia, Pennsylvania artinfo: ui: 159170510 159170510 159170510 10.1016/j.apnr.2022.151623 159170510 ppct: 1 formats: tig: atl: Caring for the poor: Lessons learned from a simulation on social determinants of health. aug: au: Killion, Cheryl M. Sfiligoj, Rita Williams, Elizabeth A. affil: Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, OH 44106, United States of America sug: subj: Nursing Care Education Poverty Social Determinants of Health Simulations Human Case Studies Collaboration Students, College Schools, Nursing Problem Solving Role Playing Focus Groups Thematic Analysis Content Analysis ab: Poverty is a dominant social determinant of health (SDOH). One in 10 people in the United States lives in poverty. During the pandemic unemployment increased exponentially, swelling the number of individuals and families with limited resources. Adverse health outcomes and challenges in accessing healthcare for the poor are well documented. This paper describes a simulation comprised of case study enactments to increase collaboration among future healthcare providers as they mitigate the negative impact of SDOH, with particular focus on poverty. University students from schools of nursing, public health, and medicine, joined by health care and social service providers from the community, engaged in problem solving through role playing enactments of case studies. Focus groups were conducted to explicate the process and capture challenges, triumphs, and problem solving strategies associated with SDOH, particularly poverty. Directed content analysis and thematic analysis were used to analyze the focus groups. Six themes emerged from simulation debriefings that provide critical lessons related to SDOH and caring for the poor: "When it Rains, it Pours," "Coming of Age Too Soon," Delay and Deny, "Time is Money," "When You Don't Know Your Options, You Don't Have Any," and "Walking in the Shoes of Others." Recommendations included using simulations, with focus groups as a primary methodological approach, for preparing and updating the skills of the present and future healthcare workforce in addressing SDOH especially as recovery from the pandemic takes place. • Simulations of real life situations can facilitate an understanding of poverty and other social determinants of health • Experiential inter-professional learning enhances collaborative problem solving and critical review • Focus groups can elicit common meaning through multiple sharing of experiences, reflections, and actions. • Structural and systemic indiscretions in the healthcare system were suggested from the findings pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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