To be eligible for a Doctorate in Nursing Practice Degree, candidates for the DNP degree must have a minimum of 500 practice hours related to the DNP Essentials. A portion of these hours will be required experiences with associated assignments in the DNP core project courses, but most are chosen by the student.
Social Determinants of Health (SDOH) are the conditions in the environment where people are born, live, learn, work, play, worship, and age that affect a wide range of health, functioning, and quality of life outcomes and risks. SDOH are a visible concept in the Essentials. Nursing practices such as assessment, health promotion, access to care, and patient teaching support improvements in health outcomes. The SDOH are closely interrelated with the concepts of DEI, health policy, and communication.
Communication is defined as an exchange of information, thoughts, and feelings through a variety of mechanisms. Communication also includes intentionality, mutuality, partnerships, trust, and presence. Effective communication between nurses and individuals and between nurses and other health professionals is necessary for the delivery of high-quality, individualized nursing care. With increasing frequency communication is delivered through technological modalities. Communication also is a core component of team-based, interprofessional care and closely interrelated with the concept Social Determinants of Health.
The conditions in the environment where people are born, live, learn, work, play, worship, and age that affect a wide range of health, functioning, and quality of life outcomes and risks.
Let's Learn Public Health (2017). Social Determinants of Health - an introduction. (6:27) and/or Let's Learn Public Health (2020). Determinants of Health - A practical approach! (4:08)
These are a good, brief intro to the topic.
CDC (2021). Social Determinants of Health. U.S. Department of Health & Human Services.
This index page has links to general information, CDC Research on SDOH, CDC Programs Addressing SDOH, Sources for Data on SDOH, SDOH Tools, and Policy Resources.
Office of Disease Prevention and Health Promotion. (n.d.). Social Determinants of Health. Healthy People 2030. U.S. Department of Health and Human Services.
This page has numerous resources on each of the 5 domains of SDOH you can explore in-depth.
Braveman, P., & Gottlieb, L. (2014). The social determinants of health: it's time to consider the causes of the causes. Public health reports (Washington, D.C.), 129(Suppl 2), 19–31. https://doi.org/10.1177/00333549141291S206
Young, R. (writer, director), Schwartz, E. (producer) & Kramer, F. (producer) (2021). The Healthcare Divide (Season 2021, Episode 11) [TV series episode] Frontline. PBS. (54:23)
Adelman, L. (Director) (2008). Unnatural Causes [Video]. California Newsreel. Retrieved from Kanopy. (7 videos, 242 mins total) [CSS login required]
The Public Health Commute. A medical school curriculum supplement developed for Columbia Vagelos College of Physicians and Surgeons.
Each topic has text, videos, podcasts, references, and a section on how to learn more. Plan 1-1/2 - 3 hours for each.
Chick, D. (2021). Caring with Compassion. American College of Physicians, Inc.
Caring with Compassion is designed to provide advanced clinical learners with the knowledge needed to provide care for socioeconomically disadvantaged populations: homeless, uninsured, and underserved patients. Clinicians will learn how to use team-based skills and bio-psychosocial models of care to provide personalized care for at-risk patients. Free registration is required for full access and Continuing Medical Education (CME) credits.
Culture Care Connection. Social Determinants of Health. Status Health.
This page has several sections with resources and learning opportunities
MACPAC (2021, April). Racial and Ethnic Disparities in Medicaid: An Annotated Bibliography. Medicaid and CHIP Payment and Access Commission.
The studies annotated in this PDF document that Black, Hispanic, and AIAN Medicaid beneficiaries experience poorer outcomes and experience more barriers to care than white beneficiaries. The articles provide a useful overview across a broad range of policy targets (e.g., coverage, access to specific types of services, data) and across multiple age and racial and ethnic groups.
AMA. Health equity CME & education resources.
AMA offers learning modules to “equip physicians and other learners with core health equity concepts....” There are many modules, including Historical Foundations of Racism in Medicine, Research and Data for Health Equity and Root Cause & Considerations for Health Care Professionals. Each takes about 1 hour to complete. You can also just watch the videos.
National Academy of Medicine (2021). The Future of Nursing 2020-2030. National Academy of Sciences.
This site includes a report on Charting a Path to Achieve Health Equity, webinars and podcasts on the future of nursing
ACH. Resources: Videos. Academy of Communication in Healthcare.
This organization offers dozens of videos in many areas, including Compassion/Empathy, Smith's Patient-Centered Interviewing, Patient-Clinician Communication.
Sivanathan, N. (2019, May). The counterintuitive way to be more persuasive [Video]. TED Conferences. (10:41)
What's the best way to make a good point? Organizational psychologist Niro Sivanathan offers a fascinating lesson on the "dilution effect," a cognitive quirk that weakens our strongest cases -- and reveals why brevity is the true soul of persuasion.
Dhar, J. (2018, October). How to disagree productively and find common ground [Video]. TED Conferences. (14:47)
Drawing on her background as a world debate champion, Julia Dhar offers three techniques to reshape the way we talk to each other so we can start disagreeing productively and finding common ground -- over family dinners, during work meetings and in our national conversations.
Pagano, M. P. (2015). Communication Case Studies for Health Care Professionals: An Applied Approach (2nd Ed.). Springer Publishing Company.
The purpose of this book is to offer an interactive method for exploring a wide variety of health communication interactions. The goals of this interactive approach enable: (a) use the examples provided to increase awareness, contemplation, analysis, and discussion of the various topics and theories; (b) use critical thinking to recreate the interaction using more effective communication behaviors and enhance the interpersonal relationship of the interactants; and (c) develop communication strategies that seek to enhance information sharing, trust, and goal attainment for all interactants. [CSS login required]
The Schwartz Center for Compassionate Healthcare. Compassion in Action Webinar Series [Video playlist]. Youtube.
There are several dozen videos of approximately 1-hour each in this series. You may find yourself watching one after another.
Old Dominion University (2021, May 20). ODU C-TIER Telehealth Etiquette Playlist [Video playlist]. Youtube. (8, 40 second - 22 minute videos)
Old Dominion University (2021, May 20). ODU C-TIER Telehealth Physical Exams Playlist [Video playlist]. Youtube. (12, 2 - 27 minute videos)