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Structural competency: A pilot study
Colleen Woolsey1, Robin Narruhn1
1Seattle University, Seattle, WA, USA.
Public Health Nursing (Boston, Mass.)
|June 6, 2020
Summary
This study explored structural competency (SC) for nursing students, finding they understand structural terms and desire systemic change but need tools to prevent burnout. Further curriculum development is essential.
Area of Science:
- Nursing Education
- Public Health
- Social Determinants of Health
Background:
- Traditional nursing education often overlooks the structural determinants of health.
- There is a need to equip nursing students with frameworks beyond individualistic perspectives.
Purpose of the Study:
- To assess the impact of a structural competency (SC) educational module on nursing students.
- To evaluate students' understanding of structural influences on health and their readiness for systemic change.
Main Methods:
- A mixed-methods pilot study utilizing a concurrent nested strategy.
- Second-year doctor of nursing practice students participated in a 3-hour SC educational module.
- A survey tool measured short-term impacts, including knowledge, strategizing, readiness for change, and burnout.
Main Results:
- Students demonstrated understanding of structural terms and a willingness to create systemic change.
- Participants identified a lack of necessary tools to implement changes, indicating a potential for burnout.
- The educational module covered knowledge of structural terms, effects on health, and change strategies.
Conclusions:
- Incorporating structural competency into nursing curricula is crucial for addressing health disparities.
- Developing strategies to equip students with practical tools and mitigate burnout is necessary.
- Further research is needed to refine SC education and its long-term impact on nursing practice.
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