Social Determinants of Health in Clinical Practice Assignment Sample

• Subject Name : Nursing

Healthy Ageing

The healthy ageing is not only considered to be the absence of ageing of but it is the state that is related to better functionality that improves sustainability. The healthy ageing requires physical, emotional and social supports that help to build intrinsic capacity to improve health status (Michel et al., 2016). Nurses are considered to be the backbone of the care and their partnerships with the patient help to address the issue that is increasing complication for the patient. One of the important roles of the nurse is health promotions that assist the older adult to spend a healthy lifestyle (Wu et al., 2020). The essay will critically analyze the role of the registered nurse in empowering the older adult.

The older individuals need special attention due to increased risk for deteriorated health and different determinants directly affect the healthy ageing. Some of the factor that increases chances of disturbance in the ageing that includes physical environment, economic determinants, social determinant, personal determinant, behavioural determinant and health services determinant (Naah et al., 2020). Nurses are the key players in the care and their action has a direct impact on the health status of the individual. Nurse act can act positively as well negatively over the patient thus there is need to follow the nursing standard to improve the care that will increase healthy ageing rate. The registered nurse is expected to follow the standard and nursing principle to deliver the best care that aims to reduce the discomfort and improve the quality of life of the population (Verweij et al., 2018).

One of the studies presented by McPake & Mahal (2017) discussed that registered nurses are expected to address the need of the older population to improve their health status during ageing. The author has also indicated that a coordinated environment with the age-friendly physical environment. The author has discussed that less supportive physical environment directly impacts the mental as well as physical wellbeing. So the author enlightened that registered nurse is expected to improve the physical environment by increasing coordination that increases the accessibility of the older population. The findings are also supported by Pettersson et al., (2020) by adding that registered nurse plays an important role in improving the physical environment that is important to support and promote healthy ageing. The author also added that first there is needed to understand the enablers and barriers that are associated with the physical environment to improve the care. The author discussed that the supportive physical environment is made of two aspects that need to be incorporated by the registered nurse which are safety and accessibility. The closing statement of the author is to improve the physical environment registered nurse need to improve teamwork in the workforce to increase their participation in improving the different aspect.

The study presented by Ross et al. (2017) described that behavioural factor is one of the major constraints when it comes to healthy ageing that directly affects their mental and emotional wellbeing. The author added that registered nurse plays an important role in increasing health-promoting behaviour to address the mental and emotional aspect of the patient to improve healthy ageing. The registered nurse promotes the civility and support in the environment that help the older population to come together and help each other. The registered nurses also play an important role in conducting group activity to improve understanding. Some other points are added by Haley et al. (2017) by describing that empathy and active listening are the gold standard method to reduce barriers associated with behavioural aspect. The researchers also added that empathy and active listening help the older population to express freely their issue that is directly increasing their complication. The author also added that supportive behaviour will help to decrease the chances of mental issue that will directly improve the healthy ageing.

According to Donelan et al. (2019) registered nurses are an important aspect of the health care services and they are expected to improve the care procedure. The authors also discussed that registered nurse are expected to decrease the barriers associated with the health care services that can improve healthy ageing. The registered nurse is important to deliver the person-centred care that is important to address the specific need of the individual. The leadership quality of the registered nurse help to improve the equity in the care that is important to attain healthy ageing. The findings are also supported by Scholz et al. (2015) by discussing the importance of coordination in the care that will help the registered nurse to reduce the barriers that are associated with the health care services and deteriorating the healthy ageing. The authors also added that registered nurse utilizes their communication and rapport building skills to improve the perspective of the care by making person-centric that lead to healthy ageing. The author discussed that coordinated care help to improve the equity that includes helping the individual concerning the individual issue to provide personalized care.

One of the article presented by Andermann & CLEAR Collaboration (2016) discussed the role of the registered nurse to decrease the negative impact of the social determinant over the healthy ageing. The author described that registered nurse work over three levels to reduce the social determinant impact that includes interpersonally, intra-group and institutionally. The interpersonal level demands the cultural competent skills to help the individual by respecting their different cultural belief and values. The author added that at Intra-group level registered nurse try to improve the harmony in the different individual by increasing group activities. The last institutional level is addressed by the registered nurse by improving policies to improve the healthy ageing by fulfilling the need. 

The registered nurse works holistically to improve the different aspect of the determent factor that can directly influence the healthy ageing. The main roles of the registered nurse to ensure that not only physical but emotional and social need of population are satisfied to maintain the health status. The holistically working pattern of the registered nurse has been helpful to address the entire factors that are been directly responsible to disturb the healthy ageing. The registered nurses also play an important role in improving the self-awareness of the older population to improve and maintain healthy ageing. The holistic care delivered by the registered nurse helps the individual in improving the mind, body and emotion that directly improve the healthy ageing (Zamanzadeh et al., 2017).

The increased risk of the older individual to encounter the disorder increase the role of the registered nurse to improve the care that can able to address the different issuer and aim for the healthy ageing. The essay has discussed that registered nurse aims to decrease the different factor that directly impacts the healthy ageing. Some of the aspects that have been addressed by the registered nurse to improve the healthy ageing include physical environment, behavioural aspect, health services aspect and social determinant. The registered nurse may important role in the holistic care that aims to provide the person-centred care that is important to address the personalized issue. The healthy ageing needs to be established by addressing the mental, physical and emotional issue of the patient.

References for Social Determinants of Health in Clinical Practice

Andermann, A., & CLEAR Collaboration (2016). Taking action on the social determinants of health in clinical practice: a framework for health professionals. CMAJ: Canadian Medical Association Journal = Journal de l'Association Medicale Canadienne, 188(17-18), E474–E483. https://doi.org/10.1503/cmaj.160177

Donelan, K., Chang, Y., Berrett-Abebe, J., Spetz, J., Auerbach, D. I., Norman, L., & Buerhaus, P. I. (2019). Care management for older adults: The roles of nurses, social workers, and physicians. Health Affairs, 38(6), 941–949. https://doi.org/10.1377/hlthaff.2019.00030

Haley, B., Heo, S., Wright, P., Barone, C., Rao Rettiganti, M., & Anders, M. (2017). Relationships among active listening, self-awareness, empathy, and patient-centered care in associate and baccalaureate degree nursing students. NursingPlus Open, 3, 11–16. https://doi.org/10.1016/j.npls.2017.05.001

McPake, B., & Mahal, A. (2017). Addressing the needs of an aging population in the health system: the Australian case. Health Systems & Reform, 3(3), 236-247, https://doi.org/10.1080/23288604.2017.1358796

Michel, J. P., Dreux, C., & Vacheron, A. (2016). Healthy ageing: Evidence that improvement is possible at every age. European Geriatric Medicine, 7(4), 298–305. https://doi.org/10.1016/j.eurger.2016.04.014

Naah, F. L., Njong, A. M., & Kimengsi, J. N. (2020). Determinants of active and healthy ageing in sub-saharan africa: evidence from cameroon. International Journal of Environmental Research and Public Health, 17(9), 3038. https://doi.org/10.3390/ijerph17093038

Pettersson, C., Malmqvist, I., Gromark, S., & Wijk, H. (2020). Enablers and barriers in the physical environment of care for older people in ordinary housing: A scoping review. Journal of Aging and Environment, 34(3), 332-350, https://doi.org/10.1080/02763893.2019.1683671

Ross, A., Bevans, M., Brooks, A. T., Gibbons, S., & Wallen, G. R. (2017). Nurses and health-promoting behaviours: Kowledge may not translate into self-care. AORN Journal, 105(3), 267–275. https://doi.org/10.1016/j.aorn.2016.12.018

Scholz, J., & Minaudo, J. (2015). Registered nurse care coordination: Creating a preferred future for older adults with multimorbidity. OJIN: The Online Journal of Issues in Nursing, 20(3), https://doi.org/10.3912/OJIN.Vol20No03Man04

Verweij, L. M., Wehrens, R., Oldenhof, L., Bal, R., & Francke, A. L. (2018). Perspectives of nursing professionals and older adults differ on aspects of care for older people after a nationwide improvement program. BMC Health Services Research, 18(321), 1-8. https://doi.org/10.1186/s12913-018-3114-x

Wu, F., Drevenhorn, E., & Carlsson, G. (2020). Nurses’ experiences of promoting healthy aging in the municipality: A qualitative study. Healthcare, 8(131), 1-11.

Zamanzadeh, V., Jasemi, M., Valizadeh, L., Keogh, B., & Taleghani, F. (2015). Effective factors in providing holistic care: A qualitative study. Indian Journal of Palliative Care, 21(2), 214–224. https://doi.org/10.4103/0973-1075.156506

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