Bridging the Gap: Investigating Barriers and Motivations for Social Determinants of Health Screening Among Emergency Department Nurses
Frangos, Demetrios
Frangos, Demetrios
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Pre-print
Date
2024-04-30
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Nursing
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DOI
https://doi.org/10.34944/z00e-0v69
Abstract
Introduction: Social determinants of health (SDOH) screening is crucial in emergency departments (EDs), yet compliance with hospital standards remains inconsistent. This study explored barriers and facilitators to SDOH screening among ED nurses in an urban Philadelphia hospital.
Methods: Qualitative focus groups were conducted with 18 ED nurses. Thematic analysis was used to identify barriers, facilitators, and potential recommendations for improving SDOH screening compliance.
Interviewer: Primary interviewer was Demetrios Frangos, a BSN who completed this project and relevant training toward obtaining his DNP. He was also a registered nurse working in the same department as the conducted study. Laura Sinko provided technical support for the focus groups and assisted with introductions, no other researchers were involved in the interviews.
Results: Barriers included perceived lack of time, skepticism about the screening tool's efficacy, discomfort with sensitive conversations, inadequate training, and resistance to punitive enforcement. Facilitators encompassed user interface features, intrinsic motivation to address social needs, fear of disciplinary action, desire for recognition, and perceived patient vulnerability. Recommendations focused on improving the user interface, enhancing workflow, educating staff on SDOH goals and resources, and reconsidering disciplinary approaches.
Conclusion: Addressing identified barriers and leveraging facilitators can improve SDOH screening compliance in urban EDs. Future research should evaluate the impact of implementing these recommendations on screening rates.
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Frangos D, Sinko L, Huer B. Bridging the Gap: Investigating Barriers and Motivations for Social Determinants of Health Screening Among Emergency Department Nurses. [Preprint]. April 30, 2024.
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