What are social determinants of health? NRS 428 -

What are social determinants of health? NRS 428

What are social determinants of health? NRS 428

What are social determinants of health? Explain how social determinants of health contribute to the development of disease. Describe the fundamental idea that the communicable disease chain model is designed to represent. Give an example of the steps a nurse can take to break the link within the communicable disease chain.

Resources within your text covering international/global health, and the websites in the topic materials, will assist you in answering this discussion question.

Social determinants of health include biological, environmental, social, and economic factors that influence the access and maintenance of health (Green, 2018). For example, those living in low socioeconomic areas may not have the resources to obtain fresh food and will oftentimes rely on fast food chains. According to a study posted by the American Journal of Public Health (2012), low-income areas had 2.5 times more fast-food chains than those living in more affluent areas. As a result of this many minorities living in low-income areas have a great risk of obesity and comorbidities such as type II diabetes and hypertension. While the study done by the American Journal of Public Health was more than five years ago, the results of their study continue to be prevalent as the Center for Disease Control and Prevention (2021) states children and adolescents are more likely to be obese than their higher-income counterparts. This is an example of how social determinants of health contribute to the development of disease. The child who has grown up with a poor diet is less likely to change their diet habits as adults resulting in fatal health conditions.

Social determinants also contribute to the spread of communicable diseases due to crowding, sanitization, uncontaminated water, and access to health care (Green,2018). The infectious disease process of communicable diseases is represented by the chain model also known as the chain of infection. The chain of infection begins with the infectious organism and describes how the organism reproduces and spreads through contact, droplets, or surfaces (Green,2018). As the nurse taking care of an individual with a communicable disease the simplest and most effective form of breaking the chain is by proper hand-washing. The nurse can also contribute to the stop of the chain by wiping down surfaces with the proper cleaning agents, placing the appropriate PPE outside of the patient’s room, and clustering care to avoid excessive time inside of the patient’s room. All of these interventions contribute to the stop of the transmission phase of the chain model.

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What are social determinants of health? NRS 428 Reference:

Centers for Disease Control and Prevention. (2021). About Social Determinants of Health (SDOH). https://www.cdc.gov/socialdeterminants/about.html

Green, S. Z. (2018). Community & Public Health: The Future of Health Care. Retrieved from

https://lc.gcumedia.com/nrs427vn/community-and-public-health-the-future-of-health-

care/v1.1/#/chapter/2

Hilmers, A., Hilmers, D. C., & Dave, J. (2012). Neighborhood disparities in access to healthy

foods and their effects on environmental justice. American journal of public

health, 102(9), 1644–1654. https://doi.org/10.2105/AJPH.2012.300865

Hi Shana, great post this week! ” The core components to health require quality and quantity health care information, services, programs, and facilities for every person despite age, sex, location, and socioeconomic status (WHO, 2017b).” (Green, 2018) SDOH is important because it determines the over health of an individual or population. Because of this we need to be sure health care information is provided, services, programs and facilities are available for all locations and no matter the socioeconomic status as well. Another way a nurse can break the chain of infection could be to wear the proper PPE and knowing how to put on and off the equipment when coming out of a room.

What are social determinants of health? NRS 428 Resources

Grand Canyon University (Ed). (2018). Community & public health: The future of health care. Retrieved from https://lc.gcumedia.com/nrs427vn/community-and-public-health-the-future-of-health-care/v1.1/

Replies

Hi Shana, I agree with you on keeping the environment clean by wiping down surfaces, washing hands, and clustering care in order to break the chain of within the communicable disease. According to Infection prevention and you, approximately 1 in 31 people die each year with infections. Many of those infection could have been prevented by proper infection practices such as, cleaning hands and making sure that everyone that takes care of the patient cleans their hands, if patient sis scheduled for surgery ask if they should shower with a germ killing soap ahead of time, instruct patients to take their medications as directed, especially when it comes to antibiotics, cover sneezes and coughs, implementing safe injection practices ( Infection Prevention and You, n.d.).

Infection Prevention and You (n.d.). Infection Prevention Basics. Infection Prevention Basics | infectionpreventionandyou.org

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Social determinants of health are “conditions contributing or hindering a person’s well-being” such as “where people are born, grow, live, play, learn, worship, work, and age” and “affect a person’s ability to have and maintain good health” (Grand Canyon University, 2018). These can include health disparities which impair good health, such as poverty and lack of resources, poor nutrition, lack of housing. One example of a disparity, poor sanitation can contribute to the development of disease by promoting environments that contain more contact with pathogens.

The chain of infection represents that communicable diseases are cyclical and go through different phases of their lifespan. A nurse’s role within the communicable disease chain is to prevent pathogens from exiting their hosts and transmitting to other susceptible hosts in the hospital environment. Breaking the chain of infection by interrupting the method of transmission or portal of entry are conceptually among a nurse’s responsibilities. Transmission can include direct contact between two hosts, or indirect contact where the pathogen is in the air first or lands on medical equipment or ends up in another person’s surgical wound (Grand Canyon University, n.d.); the nurse can prevent this from happening by adhering to hospital policies, keeping wounds covered to prevent infection, cleaning ports on IVs with alcohol, and educating patients. They can also prevent communicable diseases from entering the environment by encouraging hygiene and following policies.

What are social determinants of health? NRS 428 References

Grand Canyon University. (n.d.). Chain of Infection. Retrieved from https://lc.gcumedia.com/nsg403c/chain-of-infection/chain-of-infection-v1.1.html

All patients deserve quality and accessible health care, and nurses have been instrumental in achieving this objective for a long time. To enhance outcomes, health care professionals apply different approaches such as collaboration and partnerships. Operation frameworks from states action coalitions have been pivotal in improving health and strengthening nursing. Action coalitions usually work to advance the Institute of Medicine (IOM) report’s recommendations. This discussion explores how Florida’s action coalition’s work aligns with IOM recommendations and the state’s progress toward meeting the recommendations.

Florida’s Action Coalition and IOM Recommendations

The IOM report on the future of nursing recommends four action areas for building a healthier America. They include nurses to deliver services to the full extent of their competence, nurses achieving the highest level of education possible, collaboration in practice, and effective workforce planning (Rekha, 2020). Florida’s action coalition’s work aligns with the four recommendations to a significant degree. For Floridians to access safe and high-quality care, the Florida Action Coalition leads in advancing the nursing profession and works towards a health care system where nurses work as essential partners in health care delivery (Campaign for Action, n.d.). The coalition has also established committees to work on the various action areas, including collaboration and workforce planning. On education, Florida is working to increase the number of registered nurses with a baccalaureate in nursing to 80% (FA Coalition, 2020). Undeniably, there are visible efforts to address each recommendation.

Florida Action Coalition has made remarkable progress towards meeting the IOM recommendations. For instance, the coalition’s membership has various entities, including co-leads, partners, and stakeholders, supporting action on the report recommendations. The entities further engage coalition partners at the state and local levels to improve Floridians’ health (Adams, 2021). Getting nurses to work on community boards promotes nursing leadership and education models to streamline learning to earn advanced degrees transform nursing education. Such interventions enable nurses to work to the best of their capacity.

What are social determinants of health? NRS 428 Conclusion

The IOM report guides states’ action coalitions in building healthier communities. Through action coalitions, nurses serve as essential partners in health care provision. Florida Action Coalition’s vision is creating a healthier America supported by nurses as essential partners. The coalition also promotes leadership and collaboration, enabling nurses to deliver services to the full extent of their competence, as the IOM report recommends.

What are social determinants of health? NRS 428 References

Adams, J. (2021). Nursing Action Coalition for Florida. Campaign for Action. https://campaignforaction.org/nursing-action-coalition-of-florida/

Campaign for Action. (n.d.). Florida Action Coalition. https://campaignforaction.org/state/florida/

FA Coalition. (2020). Florida Action Coalition. https://digitalcommons.unf.edu/cgi/viewcontent.cgi?article=3416&context=flablue_text

Rekha, S. G. (2020). The future of nursing: leading change, advancing health. Journal of Pediatrics and Nursing Science, 3(3), 60-63. DOI:10.18231/j.ijpns.2020.013