Show simple item record

dc.contributor.advisorNancy Morris, PhD, RN
dc.contributor.authorNatale, Susan
dc.date2022-08-11T08:09:04.000
dc.date.accessioned2022-08-23T16:16:45Z
dc.date.available2022-08-23T16:16:45Z
dc.date.issued2018-08-22
dc.date.submitted2018-09-08
dc.identifier.doi10.13028/hdk5-5478
dc.identifier.urihttp://hdl.handle.net/20.500.14038/34403
dc.description.abstractPURPOSE The purpose of this study was to explore how primary care registered nurses address unmet social needs in patients. SPECIFIC AIMS Explore how RNs in a safety-net, primary care setting develop an awareness of and address patient's unmet social needs. Describe how information about unmet social needs are integrated into nursing assessment and intervention activities, and are shared with other members of the health care team. Describe the challenges primary care RNs face when addressing unmet social needs. FRAMEWORK Critical caring theory provided the framework for this study. DESIGN This study used a descriptive, qualitative design. Semi-structured interviews were conducted with seventeen nurses working in 11 different safety-net primary care clinics within a hospital-based system. RESULTS Three major themes emerged. Key findings included the importance of the nurse-patient relationship, the establishment of trust, and a caring, nonjudgmental approach to patients with unmet social needs. Nurses used knowledge of unmet needs to coordinate patient care, provide social support, and work collaboratively with care team members to refer patients to resources within the health care system and in the community. CONCLUSION Unmet social needs contribute to adverse health outcomes, and addressing social and medical needs is critical to eliminating health inequities and reducing health care costs. In this study, primary care nurses described relationships with patients that allowed for the sharing of sensitive information, leading the nurse to identify and address unmet social needs that could impact patient health.
dc.language.isoen_US
dc.rightsCopyright © 2018 Natale
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectunmet social needs
dc.subjectsocial determinants of health
dc.subjectprimary care
dc.subjectprimary care registered nurse
dc.subjectcritical caring theory
dc.subjectHealth Services Administration
dc.subjectMedicine and Health
dc.subjectNursing
dc.subjectPrimary Care
dc.titleThe Role of Primary Care Nurses in Addressing Unmet Social Needs
dc.typeDoctoral Dissertation
dc.identifier.legacyfulltexthttps://escholarship.umassmed.edu/cgi/viewcontent.cgi?article=1068&context=gsn_diss&unstamped=1
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/gsn_diss/55
dc.legacy.embargo2018-09-08T00:00:00-07:00
dc.identifier.contextkey12809643
refterms.dateFOA2022-08-30T04:43:53Z
html.description.abstract<p>PURPOSE</p> <p>The purpose of this study was to explore how primary care registered nurses address unmet social needs in patients.</p> <p>SPECIFIC AIMS <ul> <li>Explore how RNs in a safety-net, primary care setting develop an awareness of and address patient's unmet social needs.</li> <li>Describe how information about unmet social needs are integrated into nursing assessment and intervention activities, and are shared with other members of the health care team.</li> <li>Describe the challenges primary care RNs face when addressing unmet social needs.</li> </ul></p> <p>FRAMEWORK</p> <p>Critical caring theory provided the framework for this study.</p> <p>DESIGN</p> <p>This study used a descriptive, qualitative design. Semi-structured interviews were conducted with seventeen nurses working in 11 different safety-net primary care clinics within a hospital-based system.</p> <p>RESULTS</p> <p>Three major themes emerged. Key findings included the importance of the nurse-patient relationship, the establishment of trust, and a caring, nonjudgmental approach to patients with unmet social needs. Nurses used knowledge of unmet needs to coordinate patient care, provide social support, and work collaboratively with care team members to refer patients to resources within the health care system and in the community.</p> <p>CONCLUSION</p> <p>Unmet social needs contribute to adverse health outcomes, and addressing social and medical needs is critical to eliminating health inequities and reducing health care costs. In this study, primary care nurses described relationships with patients that allowed for the sharing of sensitive information, leading the nurse to identify and address unmet social needs that could impact patient health.</p>
dc.identifier.submissionpathgsn_diss/55
dc.contributor.departmentGraduate School of Nursing
dc.identifier.orcid0000-0003-4425-4873


Files in this item

Thumbnail
Name:
eScholarship_Dissertation_Docu ...
Size:
2.087Mb
Format:
PDF

This item appears in the following Collection(s)

Show simple item record

Copyright © 2018 Natale
Except where otherwise noted, this item's license is described as Copyright © 2018 Natale