Nell Hodgson Woodruff School of Nursing, 1520 Clifton Rd, Atlanta, GA 30322, United States of America.
J Prof Nurs. 2024 Sep-Oct;54:198-204. doi: 10.1016/j.profnurs.2024.06.016. Epub 2024 Jul 1.
Nurses have frequent opportunities to address social determinants of health (SDOH) in practice. However, many nurses graduate without completing coursework in SDOH, and there remain barriers to incorporating SDOH content into nursing curricula.
We propose the revision of nursing pre-requisites to include substantive, introductory coursework on SDOH.
We explored the history and professional context surrounding nursing's current pre-requisite course expectations. We also performed an assessment of the credit hour requirements and pre-requisite course titles for the nation's 100 top-ranked nursing programs.
Our assessment revealed that the allocation of credit hour requirements for most programs leaves little room for SDOH-focused credits once nursing coursework starts; also, based on title analyses, foundational coursework on SDOH may be missing from most programs' pre-requisite listings.
Nursing pre-requisites should include SDOH content for reasons including the limited availability of credit hours for SDOH-focused electives and the importance of students developing a strong foundation in SDOH before their nursing coursework begins.
护士在实践中有很多机会解决健康的社会决定因素（SDOH）问题。然而，许多护士在毕业时没有完成 SDOH 课程，并且在将 SDOH 内容纳入护理课程方面仍然存在障碍。
我们建议修订护理先决条件，包括关于 SDOH 的实质性、入门课程。
我们探讨了围绕护理当前先决条件课程期望的历史和专业背景。我们还评估了全国 100 个顶尖护理项目的学分要求和先决条件课程名称。
我们的评估显示，大多数课程的学分要求分配，一旦开始护理课程，几乎没有空间用于关注 SDOH 的学分；此外，根据标题分析，大多数课程的先决条件清单中可能缺少关于 SDOH 的基础课程。
护理先决条件应包括 SDOH 内容，原因包括关注 SDOH 的选修课的可用学分有限，以及学生在开始护理课程之前在 SDOH 方面建立坚实基础的重要性。
