Author Affiliation: University of Wisconsin-Eau Claire College of Nursing and Health Sciences.
Comput Inform Nurs. 2024 Nov 1;42(11):772-779. doi: 10.1097/CIN.0000000000001171.
Addressing social determinants of health in nursing care is important for improving health outcomes and reducing health inequities. Using standardized nursing terminologies to capture this information generates sharable data that can be used to achieve these goals and create new knowledge. The purpose of this integrative review was to examine use of standardized nursing terminologies for collecting social determinants of health data in nursing research and practice. The CINAHL, MEDLINE, and Web of Science databases were searched using the terms "social determinants of health" [and] "nursing" [and] "standardized terminology" or names for each of the 12 American Nurses Association-approved terminologies. Limiters included peer-reviewed and English language. After removal of duplicates, 120 articles were found and screened for relevance and quality using a three-step process. This yielded a final sample of seven articles. Article data were extracted and analyzed for themes. In all articles, retrospective, observational, or secondary analysis research designs were used to analyze previously collected data from large, deidentified datasets or research studies. The Omaha System was the only standardized nursing terminology represented in the sample. All operational definitions of social determinants of health included behavioral items. In most studies, a social determinants of health index score was calculated, and data were analyzed using descriptive statistics and visualization methods. Results reported across the articles were diverse; some themes were identified. This review revealed published literature on this topic is limited. More quality improvement and multisite studies that examine the use of standardized nursing terminologies by nurses to collect and use social determinants of health data are needed.
在护理中解决健康的社会决定因素对于改善健康结果和减少健康不平等至关重要。使用标准化的护理术语来捕捉这些信息可以生成可共享的数据，用于实现这些目标和创造新知识。本综合评价的目的是考察在护理研究和实践中使用标准化护理术语来收集健康的社会决定因素数据的情况。在 CINAHL、MEDLINE 和 Web of Science 数据库中，使用了“健康的社会决定因素”[和]“护理”[和]“标准化术语”或美国护士协会批准的 12 个术语中的每个术语的名称进行搜索。限制条件包括同行评议和英语。去除重复项后，发现了 120 篇文章，并使用三步流程对相关性和质量进行筛选。这产生了最终的 7 篇文章样本。提取文章数据并进行主题分析。在所有文章中，回顾性、观察性或二次分析研究设计用于分析来自大型、匿名数据集或研究的先前收集的数据。奥马哈系统是样本中唯一代表的标准化护理术语。健康的社会决定因素的所有操作性定义都包含行为项目。在大多数研究中，计算了健康的社会决定因素指数得分，并使用描述性统计和可视化方法分析数据。文章中报告的结果多种多样，确定了一些主题。这项综述表明，关于这个主题的文献有限。需要更多的质量改进和多地点研究，以检查护士使用标准化护理术语收集和使用健康的社会决定因素数据的情况。
