Organizational Systems and Structure

The World Health Organization defines social determinants of health as the conditions in which people are born, grow, live, work, and age. Social determinants of health influence the health of a community, and in turn they also influence what is needed from healthcare organizations.
In your discussion, this week, include the following:
• Discuss how economic, environmental, social, and demographic factors contribute to the evolution of healthcare organizations located within communities that have vulnerable populations.
• How are nurses and nurse leaders uniquely positioned to foster positive relationships between healthcare systems and local communities?
• Consider a healthcare organization within which you currently work or have previously worked. Did that organization develop community partnerships that addressed the needs based on social determinants of health? If so, what were they? If not, what partnerships would you recommend?

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The World Health Organization’s definition of social determinants of health (SDOH) highlights the profound impact of factors like economic status, environment, social connections, and demographics on community health. These factors significantly influence the needs of healthcare organizations serving vulnerable populations. Here’s a breakdown of how SDOH contribute to the evolution of healthcare organizations:

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Economic Factors:

  • Low income: Limited resources can lead to poor nutrition, inadequate housing, and difficulty accessing preventive care. Healthcare organizations in such communities might need to offer sliding scale fees, financial assistance programs, and on-site social workers to address these challenges.
  • Unemployment: Job insecurity can lead to stress and unhealthy behaviors. Healthcare organizations might partner with job training programs or offer mental health services to address these issues.

Environmental Factors:

  • Pollution: Exposure to air and water pollution can exacerbate respiratory and other health problems. Healthcare organizations might need to advocate for cleaner air and water initiatives or provide resources for residents to mitigate exposure.
  • Lack of green space: Limited access to parks and nature can contribute to mental and physical health issues. Healthcare organizations might partner with community gardens or recreation programs to promote physical activity and well-being.

Social Factors:

  • Social isolation: Lack of social support networks can lead to depression and other health problems. Healthcare organizations might offer social support groups or community outreach programs to combat loneliness.
  • Food insecurity: Difficulty accessing healthy food options can lead to malnutrition and chronic diseases. Healthcare organizations might partner with food banks or offer nutrition education programs.

Demographic Factors:

  • Aging population: As communities age, healthcare organizations might need to adapt to provide more geriatric care services and support for chronic conditions.
  • Immigration: Immigrant populations might have unique healthcare needs related to language barriers, cultural differences, or lack of access to previous medical records. Healthcare organizations might need to offer translation services or culturally sensitive care programs.

The Role of Nurses and Nurse Leaders

Nurses and nurse leaders are uniquely positioned to foster positive relationships between healthcare systems and local communities due to several factors:

  • Community Connection: Nurses often live and work in the communities they serve, giving them a deeper understanding of local needs and challenges.
  • Patient Advocacy: Nurses are strong patient advocates and can identify how social determinants impact their patients’ health. They can advocate for services and programs that address these needs.
  • Public Health Focus: Nurses have a strong foundation in public health principles and can champion preventative care and community outreach initiatives.
  • Communication Skills: Nurses excel at communication and can build trust and rapport with community members. They can act as liaisons between the healthcare system and the community.

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