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Knowledge, Attitudes, and Practices of Nurses Addressing Social Determinants of Health in the Emergency Department
Juan Manuel Gonzalez1, Johis Ortega, John McFadden
1Author Affiliations: University of Miami School of Nursing and Health Studies, Coral Gables, Florida (Drs Gonzalez, Ortega, and Snowden); Barry University, School of Nursing, Miami Shores, Florida (Dr McFadden); University of South Florida College of Nursing, Tampa, Florida (Dr Nadeau); The University of Southern Mississippi College of Nursing and Health Professions (Dr de Tantillo); and Barry University College of Health and Wellness (Dr Upvall).
Background:
The emergency department (ED) serves as a safety net for individuals with limited access to primary care. ED nurses are often the first point of contact for those with few resources. Literature shows a link between social determinants of health (SDoH) and frequent ED use.
Purpose:
This qualitative descriptive study explored ED nurses' knowledge, attitudes, and practices in addressing SDoH, aiming to better understand this issue and elevate nurses' voices.
Methods:
A qualitative descriptive design examined how ED nurses address SDoH and their related knowledge, attitudes, and practices.
Results:
Eighteen ED nurses participated in semi-structured interviews. Thematic analysis yielded 45 codes, 17 categories, and six themes: practical wisdom, navigating barriers, integrated solutions, professional and ethical stewardship, time constraints and institutional influences, and educational empowerment.
Conclusions:
Results highlight the complexity of addressing SDoH in the ED and the need for more resources, education, and research on interventions and long-term outcomes.
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