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The TOLERance Model for Promoting Structural Competency in Nursing.

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    The TOLERance model trains nursing students to recognize how societal structures impact patient health. This approach equips nurses to address social determinants of health and advocate for policy change, fulfilling their professional commitment.

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    Area of Science:

    • Nursing Education
    • Public Health
    • Social Determinants of Health

    Background:

    • Structural competency is crucial for understanding how societal factors influence health outcomes.
    • Existing training often overlooks nursing students and the inclusion of marginalized patient perspectives.

    Purpose of the Study:

    • To analyze a novel structural competency training model for nursing students.
    • To introduce the TOLERance model, incorporating patients as trainers.

    Main Methods:

    • The study analyzed the TOLERance model, comprising Theory, Observations, Learning from patients, Engagement, and Research.
    • This model integrates patient experiences into nursing education.

    Main Results:

    • The TOLERance model enhances understanding of the link between clinical practice and sociopolitical structures.
    • It promotes active engagement in health-related policy issues and advocacy.

    Conclusions:

    • Nurses have a moral obligation to address structural factors affecting patient health.
    • The TOLERance model equips nursing students with essential skills to meet this commitment and advocate for patients.