NURS6051- Module 4: Week 9: Discussion- Social Determinants of Health

Introduction: Use Walden White paper or the CDC 

According to the Centers for Disease Control and Prevention (2022), “Social determinants of health (SDOH) are the nonmedical factors that influence health outcomes. They are the conditions in which people are born, grow, work, live, and age, and the wider set of forces and systems shaping the conditions of daily life… SDOH are one of three priority areas for Healthy People 2030, along with health equity and health literacy. Healthy People 2030 sets data-driven national objectives in five key areas of SDOH: healthcare access and quality, education access and quality, social and community context, economic stability, and neighborhood and built environment. Some examples of SDOH included in Healthy People 2030 are safe housing, transportation, and neighborhoods; polluted air and water; and access to nutritious foods and physical health opportunities”. 

https://www.cdc.gov/about/sdoh/index.htmlLinks to an external site. 

Resources

Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources. 

WEEKLY RESOURCES

To Prepare:

• Reflect on the concept of social determinants of health as presented in the resources. 

• Contemplate whether digital inclusion or broad band access should be added to the 5 key areas of social determinants of health.  
• Using the optional outside resources or other peer reviewed journal articles, consider how electronic health records, mobile health, patient portals, or telemedicine can impact and be impacted by the social determinants of health.  

By Day 3 of Week 9

Post a description of your views on whether or not digital inclusion or broad band access should be added as a key area to the social determinants of health. Be specific and provide examples that support your position. Explain how electronic health records, mobile health, patient portals, or telemedicine can impact and be impacted by the social determinants of health. Support your explanation with the required or optional resources.   

By Day 6 of Week 9

Respond to at least two of your colleagues on two different days using one or more of the following approaches: 

• Respond to a colleague whose views differed from yours on whether digital inclusion of broad band access should be added as a key area to the social determinants of health. Expand on your colleagues’ posting by providing additional insights or contrasting perspectives based on the readings. 
• Respond to a colleague who discussed a different health IT system than you did. Share an insight from having read your colleagues’ posting, synthesizing the readings to provide new perspectives on how the system can impact or be impacted by the social determinants of health. 

Learning Resources

Required Readings

• McGonigle, D., & Mastrian, K. G. (2022). Nursing informatics and the foundation of knowledge (5th ed.). Jones & Bartlett Learning.
  • Chapter 14, “The Electronic Health Record and Clinical Informatics” (pp. 293–316)
  • Chapter 15, “Informatics Tools to Promote Patient Safety, Quality Outcomes, and Interdisciplinary Collaboration” (pp. 323–349)
  • Chapter 16, “Patient Engagement and Connected Health” (pp. 357–378)
  • Chapter 17, “Using Informatics to Promote Community/Population Health” (pp. 383–397)
  • Chapter 18, “Telenursing and Remote Access Telehealth” (pp. 403–432)
    
• Benda, N. C., Veinot, T. C., Sieck, C. J., & Ancker, J. S. (2020). Broadband internet access is a social determinant of health!Links to an external site.. American Journal of Public Health, 110(8), 1123-1125. https://doi.org/10.2105/AJPH.2020.305784 
  
• Dykes, P. C., Rozenblum, R., Dalal, A., Massaro, A., Chang, F., Clements, M., Collins, S. …Bates, D. W. (2017). Prospective evaluation of a multifaceted intervention to improve outcomes in intensive care: The Promoting Respect and Ongoing Safety Through Patient Engagement Communication and Technology Study Download Prospective evaluation of a multifaceted intervention to improve outcomes in intensive care: The Promoting Respect and Ongoing Safety Through Patient Engagement Communication and Technology Study. Critical Care Medicine, 45(8), e806–e813. doi:10.1097/CCM.0000000000002449
  
• HealthIT.gov. (2018c). What is an electronic health record (EHR)?Links to an external site. Retrieved from 
  https://www.healthit.gov/faq/what-electronic-health-record-ehr
  
• Rao-Gupta, S., Kruger, D. Leak, L. D., Tieman, L. A., & Manworren, R. C. B. (2018). Leveraging interactive patient care technology to Improve pain management engagementLinks to an external site.. Pain Management Nursing, 19(3), 212–221. 
  
• Sieck, C. J., Sheon, A., Ancker, J. S., Castek, J., Callahan, B., & Siefer, A. (2021). Digital inclusion as a social determinant of healthLinks to an external site.. NPJ Digital Medicine, 4(1), 52.  https://doi.org/10.1038/s41746-021-00413-8 
  
• Skiba, D. (2017). Evaluation tools to appraise social media and mobile applicationsLinks to an external site.. Informatics, 4(3), 32–40. 
  
• Sharma, P., & Patten, C. A. (2022). A need for digitally inclusive health care service in the United States: Recommendations for clinicians and health care systemsLinks to an external site.. Permanente Journal, 26(3). https://doi.org/10.7812/TPP/21.156 

Required Media

• Walden University, LLC. (Producer). (2018). Public Health Informatics [Video file]. Baltimore, MD: Author.

https://waldenu.instructure.com/courses/108835/external_tools/retrieve?display=borderless&url=https%3A%2F%2Fwaldencanvasprod.kaf.kaltura.com%2Fbrowseandembed%2Findex%2Fmedia%2Fentryid%2F1_4xixvc26%2FshowDescription%2Ffalse%2FshowTitle%2Ffalse%2FshowTags%2Ffalse%2FshowDuration%2Ffalse%2FshowOwner%2Ffalse%2FshowUploadDate%2Ffalse%2FplayerSize%2F766x431%2FplayerSkin%2F51364222%2F

• Walden University, LLC. (Producer). (2018). Electronic Records and Managing IT Change [Video file]. Baltimore, MD: Author.

https://waldenu.instructure.com/courses/108835/external_tools/retrieve?display=borderless&url=https%3A%2F%2Fwaldencanvasprod.kaf.kaltura.com%2Fbrowseandembed%2Findex%2Fmedia%2Fentryid%2F1_qjw4a77q%2FshowDescription%2Ffalse%2FshowTitle%2Ffalse%2FshowTags%2Ffalse%2FshowDuration%2Ffalse%2FshowOwner%2Ffalse%2FshowUploadDate%2Ffalse%2FplayerSize%2F766x431%2FplayerSkin%2F51364222%2F

Optional Resources

• Iott, B. E., Adler-Milstein, J., Gottlieb, L. M., & Pantell, M. S. (2022). Characterizing the relative frequency of clinician engagement with structured social determinants of health dataLinks to an external site.. Journal of the American Medical Informatics Association, 30(3), 503-510. https://doi.org/10.1093/jamia/ocac251 Links to an external site.
  
• Lyles, C. R., Sharma, A. E., Fields, J. D., Getachew, Y., Sarkar, U., & Zephyrin, L. (2022). Centering health equity in telemedicineLinks to an external site.. The Annals of Family Medicine, 20(4), 362-367. https://doi.org/10.1370/afm.2823 
  
• Romain, C. V., Trinidad, S., & Kotagal, M. (2022). The effect of social determinants of health on telemedicine access during the COVID-19 pandemicLinks to an external site.. Pediatric Annals, 51(8), e311-e315. https://doi.org/10.3928/19382359-20220606-04 
  
• Singh, P., Jonnalagadda, P., Morgan, E., & Fareed, N. (2022). Outpatient portal use in prenatal care: differential use by race, risk, and area social determinants of healthLinks to an external site.. Journal of the American Medical Informatics Association, 29(2), 364-371. https://doi.org/10.1093/jamia/ocab242 
  
• Ye, J., & Ma, Q. (2021). The effects and patterns among mobile health, social determinants, and physical activity: a nationally representative cross-sectional studyLinks to an external site.. AMIA Summits on Translational Science Proceedings, 653-662. 
  https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8378627/

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