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解决护理学生对健康公平和健康的社会决定因素的理解问题:一种创新的教学策略。

Addressing Nursing Students' Understanding of Health Equity and Social Determinants of Health: An Innovative Teaching-Learning Strategy.

机构信息

About the Authors The authors are faculty at the Emory University Nell Hodgson Woodruff School of Nursing, Atlanta, Georgia. Beth Ann Swan, PhD, RN, FAAN, is Charles F. and Peggy Evans Endowed Distinguished Professor for Simulation and Innovation. Nicholas A. Giordano, PhD, RN, is an assistant professor. This work was supported by a grant from the Woodruff Fund, Inc. For more information, contact Dr. Swan at

出版信息

Nurs Educ Perspect. 2023;44(5):318-320. doi: 10.1097/01.NEP.0000000000001182. Epub 2023 Aug 3.

DOI:10.1097/01.NEP.0000000000001182
PMID:37594430
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10453340/
Abstract

Immersive learning opportunities across care settings enhance nursing students' understanding of the environmental, social, cultural, and policy factors that influence patients' health (e.g., social determinants of health) and care utilization. Hotspotting happens when care teams visit patients with frequent hospital admissions to coordinate outpatient care. However, geographic limitations may inhibit the delivery of hotspotting learning opportunities available to students. Delivering immersive hotspotting opportunities over virtual reality helps to overcome this barrier. This overview summarizes the design and implementation of a virtual reality hotspotting experience designed to aid students in understanding the impact of social determinants of health on care transitions.

摘要

沉浸式学习机会贯穿护理实践环境,可增强护生对影响患者健康(如健康的社会决定因素)和护理利用的环境、社会、文化和政策因素的理解。当护理团队为经常住院的患者提供上门服务以协调门诊护理时,就会出现热点问题。然而,地理限制可能会阻碍学生获得热点学习机会。通过虚拟现实提供沉浸式热点学习机会有助于克服这一障碍。本文概述了虚拟现实热点体验的设计和实施,旨在帮助学生了解健康的社会决定因素对护理交接的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cfe9/10453340/8e9e902e282b/nep-44-318-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cfe9/10453340/8e9e902e282b/nep-44-318-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cfe9/10453340/8e9e902e282b/nep-44-318-g001.jpg

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本文引用的文献

1
Health Care Hotspotting: A Scoping Review.医疗保健热点问题:范围综述。
J Nurs Care Qual. 2022;37(4):362-367. doi: 10.1097/NCQ.0000000000000644. Epub 2022 Aug 15.
2
Self-efficacy and empathy development through interprofessional student hotspotting.通过跨专业学生热点追踪实现自我效能感和同理心发展。
J Interprof Care. 2021 Mar-Apr;35(2):320-323. doi: 10.1080/13561820.2020.1712337. Epub 2020 Apr 1.
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Health Care Hotspotting - A Randomized, Controlled Trial.医疗保健热点研究——一项随机对照试验
N Engl J Med. 2020 Jan 9;382(2):152-162. doi: 10.1056/NEJMsa1906848.
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Association between cultural factors and readmissions: the mediating effect of hospital discharge practices and care-transition preparedness.文化因素与再入院率之间的关系:医院出院实践和护理过渡准备的中介作用。
BMJ Qual Saf. 2019 Nov;28(11):866-874. doi: 10.1136/bmjqs-2019-009317. Epub 2019 May 21.
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A Call to Bridge Across Silos during Care Transitions.呼吁在照护过渡期间跨越壁垒。
Jt Comm J Qual Patient Saf. 2018 May;44(5):270-278. doi: 10.1016/j.jcjq.2017.10.006.
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Student Hotspotting: Teaching the Interprofessional Care of Complex Patients.学生热点问题:教授复杂患者的跨专业护理。
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For many patients who use large amounts of health care services, the need is intense yet temporary.对于许多使用大量医疗服务的患者来说,这种需求是强烈的,但却是暂时的。
Health Aff (Millwood). 2015 Aug;34(8):1312-9. doi: 10.1377/hlthaff.2014.1186.