利用叙事反思写作，通过捕捉“小瞬间”向护理专业学生传授健康的社会决定因素。
Leveraging Narrative Reflective Writing to Teach Nursing Students About Social Determinants of Health by Harnessing "Small Moments".
作者信息
Kaligotla Lalita, Bhat Shankar, Chicas Roxana, Irish Jasmine, McDermott Carrie, Chance-Revels Rebekah
机构信息
Author Affiliations: Nell Hodgson Woodruff School of Nursing (Drs Kaligotla and Chicas, Ms Irish, and Dr Chance-Revels), Rollins School of Public Health (Mr Bhat), Emory University, Atlanta, Georgia; and Emory Healthcare (Dr McDermott), Atlanta, Georgia.
出版信息
Nurse Educ. 2025;50(2):67-72. doi: 10.1097/NNE.0000000000001763. Epub 2024 Nov 26.
BACKGROUND
There is increasing recognition that social determinants of health (SDOH) profoundly affect health outcomes. Frontline nurses must grasp how SDOH shape health disparities and inequities.
PURPOSE
This paper describes an innovative pedagogical approach that leverages didactic, experiential, and reflective methods, specifically a "small moments" writing activity, to enhance students' understanding of SDOH.
METHODS
Nursing students (n = 135) from a southeastern U.S. university participated in the activity, and 72 provided consent for inclusion in this analysis. Themes related to students' understanding of SDOH were identified, and implications for nursing practice were considered.
RESULTS
This integrative approach deepened students' understanding of SDOH. Narratives highlighted economic instability, cultural barriers, and systemic inequities as drivers of health disparities. Students described greater awareness, empathy, and culturally competent care.
CONCLUSION
Student narratives showed evidence of critical thinking, empathy, and advocacy, crucial skills for addressing health disparities.
背景
人们越来越认识到健康的社会决定因素（SDOH）对健康结果有着深远影响。一线护士必须掌握SDOH如何塑造健康差异和不平等。
目的
本文描述了一种创新的教学方法，该方法利用讲授、体验和反思方法，特别是“小瞬间”写作活动，以增强学生对SDOH的理解。
方法
来自美国东南部一所大学的135名护理专业学生参与了该活动，其中72名同意纳入本分析。确定了与学生对SDOH理解相关的主题，并考虑了对护理实践的影响。
结果
这种综合方法加深了学生对SDOH的理解。叙述强调经济不稳定、文化障碍和系统性不平等是健康差异的驱动因素。学生们表示有了更强的意识、同理心和具备文化胜任力的护理能力。
结论
学生的叙述显示出批判性思维、同理心和倡导能力的证据，这些是解决健康差异的关键技能。
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