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评估护士健康能力的社会决定因素
Roxana C Chicas1, Christiana Reene2, Autherine Abiri1
1Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA.
Nursing outlook
|February 19, 2025
概括
护士报告说,他们对解决健康的社会决定因素 (SDOH) 的信心不同. 虽然在诸如健康素养等领域很强,但针对性教育对于移民和气候变化等复杂因素是必要的.
科学领域:
- 护理教育 护理教育
- 公共卫生 公共卫生
- 医疗保健的不平等 医疗保健的不平等
背景情况:
- 国家护理组织强调需要更好地了解健康的社会决定因素 (SDOH).
- 增强SDOH知识对于改善医疗保健获取,质量和患者结果至关重要.
- 解决SDOH问题越来越被认为是护理核心能力.
研究的目的:
- 开发和验证护理专业人员的自我评估问卷.
- 评估护士在解决健康的社会决定因素 (SDOH) 方面的自我认知能力.
- 解决现有工具的差距,以衡量SDOH在护理方面的能力.
主要方法:
- 对690名护士进行了23项自我评估问卷.
- 评估了心理测量特性,包括内部一致性.
- 数据分析的重点是确定自我认知能力高和低的领域.
主要成果:
- 调查问卷显示出良好的内部一致性 (克朗巴赫的α=0.99).
- 护士报告在健康素养,获得初级保健和获得营养食品方面的自我认知能力最高.
- 护士报告说,在解决移民状况,气候变化和公民参与方面的自我认知能力最低.
结论:
- 开发的问卷是评估护士SDOH能力的可靠和有效工具.
- 护士自我感知能力在解决不同SDOH因素方面存在显著差异.
- 有针对性的教育干预是必要的,以提高护士的知识和技能,以解决复杂的SDOH问题.
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