Identify the social determinants of health (SDOH) that affect families and communities. Describe the impact of health disparities and SDOH on care outcomes. Explain the role of the community health nurse in addressing these SDOH. Describe how the community health nurse can advocate for practices to advance diversity, equity, and inclusion.
Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format.
American Association of Colleges of Nursing Core Competencies for Professional Nursing Education
This assignment aligns to AACN Core Competencies 7.2, 9.2
Social Determinants of Health (SDOH) Impacting Families and Communities
Social Determinants of Health (SDOH) are the conditions in which individuals are born, grow, live, work, and age, shaping health outcomes and quality of life. Key SDOH include access to healthcare, education, economic stability, social and community context, and neighborhood environment. For example, families living in poverty may experience food insecurity, lack of access to quality healthcare, and unsafe living conditions, all of which increase susceptibility to chronic diseases and mental health challenges.
Health disparities arise when SDOH negatively affect certain populations disproportionately. These disparities often correlate with race, ethnicity, socioeconomic status, and geographic location. For instance, African American communities in underserved areas frequently experience higher rates of hypertension and diabetes due to limited access to healthy foods, preventive healthcare, and safe recreational spaces. Such inequities result in poorer health outcomes, increased hospitalizations, and higher healthcare costs.
Role of the Community Health Nurse in Addressing SDOH
Community health nurses play a pivotal role in mitigating the adverse effects of SDOH by serving as advocates, educators, and care coordinators. They assess community needs, identify resources, and connect families to services that address gaps in care. For example, a community health nurse may implement educational programs promoting preventive care, or facilitate access to affordable housing and nutritious food through local partnerships.
Advocating for Diversity, Equity, and Inclusion
To advance diversity, equity, and inclusion (DEI), community health nurses must actively engage in policy advocacy and cultural competency training. They can collaborate with policymakers to address systemic barriers such as healthcare access and discrimination in underserved populations. Additionally, promoting inclusivity in care delivery—such as providing culturally tailored interventions and interpreters—ensures that diverse patient needs are met. By fostering equitable practices, community health nurses empower families and communities to achieve optimal health outcomes regardless of their circumstances.
References
American Association of Colleges of Nursing. (2021). The essentials: Core competencies for professional nursing education. AACN. https://www.aacnnursing.org
Centers for Disease Control and Prevention. (2022). Social determinants of health: Know what affects health. CDC. https://www.cdc.gov/socialdeterminants