Use of Social Determinants of Health Screening among Primary Health Care Nurses of Developed Countries: An Integrative Review

The aims of the study are to evaluate and synthesise research that has investigated social determinants of health screening by primary healthcare nurses; how and when primary health care nurses perform social determinants of health screening; and implications for advancing nursing practice. Systemat...

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Main Authors: Deirdre A. McGowan, Carey Mather, Christine Stirling
Format: Article
Language:English
Published: MDPI AG 2023-02-01
Series:Nursing Reports
Subjects:
Online Access:https://www.mdpi.com/2039-4403/13/1/20
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author Deirdre A. McGowan
Carey Mather
Christine Stirling
author_facet Deirdre A. McGowan
Carey Mather
Christine Stirling
author_sort Deirdre A. McGowan
collection DOAJ
description The aims of the study are to evaluate and synthesise research that has investigated social determinants of health screening by primary healthcare nurses; how and when primary health care nurses perform social determinants of health screening; and implications for advancing nursing practice. Systematic searches in electronic databases identified fifteen published studies which met the inclusion criteria. Studies were synthesised using reflexive thematic analysis. This review found little evidence of primary health care nurses using standardised social determinants of health screening tools. Eleven subthemes were identified and collapsed into three main themes: organisation and health system supports are required to enable primary health care nurses; primary health care nurses are often reluctant to perform social determinants of health screening; and the importance of interpersonal relationships for social determinants of health screening. The social determinants of health screening practices of primary health care nurses are poorly defined and understood. Evidence suggests that primary health care nurses are not routinely using standardised screening tools or other objective methods. Recommendations are made for valuing therapeutic relationships, social determinants of health education and the promotion of screening by health systems and professional bodies. Overall, further research examining the best social determinant of health screening method is required.
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spelling doaj.art-ca70c7859d074706bb4584818efa60b72023-11-17T13:03:14ZengMDPI AGNursing Reports2039-439X2039-44032023-02-0113119421310.3390/nursrep13010020Use of Social Determinants of Health Screening among Primary Health Care Nurses of Developed Countries: An Integrative ReviewDeirdre A. McGowan0Carey Mather1Christine Stirling2School of Nursing, College of Health and Medicine, University of Tasmania, Glebe, TAS 7000, AustraliaAustralian Institute of Health Services Management, College of Business and Economics, University of Tasmania, Launceston, TAS 7250, AustraliaSchool of Nursing, College of Health and Medicine, University of Tasmania, Glebe, TAS 7000, AustraliaThe aims of the study are to evaluate and synthesise research that has investigated social determinants of health screening by primary healthcare nurses; how and when primary health care nurses perform social determinants of health screening; and implications for advancing nursing practice. Systematic searches in electronic databases identified fifteen published studies which met the inclusion criteria. Studies were synthesised using reflexive thematic analysis. This review found little evidence of primary health care nurses using standardised social determinants of health screening tools. Eleven subthemes were identified and collapsed into three main themes: organisation and health system supports are required to enable primary health care nurses; primary health care nurses are often reluctant to perform social determinants of health screening; and the importance of interpersonal relationships for social determinants of health screening. The social determinants of health screening practices of primary health care nurses are poorly defined and understood. Evidence suggests that primary health care nurses are not routinely using standardised screening tools or other objective methods. Recommendations are made for valuing therapeutic relationships, social determinants of health education and the promotion of screening by health systems and professional bodies. Overall, further research examining the best social determinant of health screening method is required.https://www.mdpi.com/2039-4403/13/1/20healthhealth screeningintegrativenursesprimary caresocial determinants of health
spellingShingle Deirdre A. McGowan
Carey Mather
Christine Stirling
Use of Social Determinants of Health Screening among Primary Health Care Nurses of Developed Countries: An Integrative Review
Nursing Reports
health
health screening
integrative
nurses
primary care
social determinants of health
title Use of Social Determinants of Health Screening among Primary Health Care Nurses of Developed Countries: An Integrative Review
title_full Use of Social Determinants of Health Screening among Primary Health Care Nurses of Developed Countries: An Integrative Review
title_fullStr Use of Social Determinants of Health Screening among Primary Health Care Nurses of Developed Countries: An Integrative Review
title_full_unstemmed Use of Social Determinants of Health Screening among Primary Health Care Nurses of Developed Countries: An Integrative Review
title_short Use of Social Determinants of Health Screening among Primary Health Care Nurses of Developed Countries: An Integrative Review
title_sort use of social determinants of health screening among primary health care nurses of developed countries an integrative review
topic health
health screening
integrative
nurses
primary care
social determinants of health
url https://www.mdpi.com/2039-4403/13/1/20
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