McGowan Deirdre A, Mather Carey, Stirling Christine
School of Nursing, College of Health and Medicine, University of Tasmania, Glebe, TAS 7000, Australia.
Australian Institute of Health Services Management, College of Business and Economics, University of Tasmania, Launceston, TAS 7250, Australia.
Nurs Rep. 2023 Feb 7;13(1):194-213. doi: 10.3390/nursrep13010020.
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.
本研究的目的是评估和综合已调查初级保健护士进行健康筛查的社会决定因素的研究；初级保健护士如何以及何时进行健康筛查的社会决定因素；以及对推进护理实践的影响。在电子数据库中进行的系统检索确定了15项符合纳入标准的已发表研究。采用反思性主题分析法对研究进行综合。本综述发现，几乎没有证据表明初级保健护士使用标准化的健康筛查社会决定因素工具。确定了11个子主题，并归纳为三个主要主题：需要组织和卫生系统支持以赋能初级保健护士；初级保健护士通常不愿意进行健康筛查的社会决定因素；以及人际关系对健康筛查社会决定因素的重要性。初级保健护士的健康筛查实践中的社会决定因素定义不清且理解不足。有证据表明，初级保健护士没有常规使用标准化筛查工具或其他客观方法。针对重视治疗关系、健康教育的社会决定因素以及卫生系统和专业团体促进筛查提出了建议。总体而言，需要进一步研究以检验健康筛查的最佳社会决定因素方法。
