NSG 4068 Week 2 Discussion Social Determinants of Health

NSG 4068 Week 2 Discussion Social Determinants of Health

NSG 4068 Week 2 Discussion Social Determinants of Health

All patients deserve quality and accessible health care, and nurses have been instrumental in achieving this objective for a long time. To enhance outcomes, health care professionals apply different approaches such as collaboration and partnerships. Operation frameworks from states action coalitions have been pivotal in improving health and strengthening nursing. Action coalitions usually work to advance the Institute of Medicine (IOM) report’s recommendations. This discussion explores how Florida’s action coalition’s work aligns with IOM recommendations and the state’s progress toward meeting the recommendations.

Florida’s Action Coalition and IOM Recommendations

The IOM report on the future of nursing recommends four action areas for building a healthier America. They include nurses to deliver services to the full extent of their competence, nurses achieving the highest level of education possible, collaboration in practice, and effective workforce planning (Rekha, 2020). Florida’s action coalition’s work aligns with the four recommendations to a significant degree. For Floridians to access safe and high-quality care, the Florida Action Coalition leads in advancing the nursing profession and works towards a health care system where nurses work as essential partners in health care delivery (Campaign for Action, n.d.). The coalition has also established committees to work on the various action areas, including collaboration and workforce planning. On education, Florida is working to increase the number of registered nurses with a baccalaureate in nursing to 80% (FA Coalition, 2020). Undeniably, there are visible efforts to address each recommendation.

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Florida Action Coalition has made remarkable progress towards meeting the IOM recommendations. For instance, the coalition’s membership has various entities, including co-leads, partners, and stakeholders, supporting action on the report recommendations. The entities further engage coalition partners at the state and local levels to improve Floridians’ health (Adams, 2021). Getting nurses to work on community boards promotes nursing leadership and education models to streamline learning to earn advanced degrees transform nursing education. Such interventions enable nurses to work to the best of their capacity.

NSG 4068 Week 2 Discussion Social Determinants of Health Conclusion

The IOM report guides states’ action coalitions in building healthier communities. Through action coalitions, nurses serve as essential partners in health care provision. Florida Action Coalition’s vision is creating a healthier America supported by nurses as essential partners. The coalition also promotes leadership and collaboration, enabling nurses to deliver services to the full extent of their competence, as the IOM report recommends

NSG 4068 Week 2 Discussion Social Determinants of Health References

Adams, J. (2021). Nursing Action Coalition for Florida. Campaign for Action.

Campaign for Action. (n.d.). Florida Action Coalition.

FA Coalition. (2020). Florida Action Coalition.

Rekha, S. G. (2020). The future of nursing: leading change, advancing health. Journal of Pediatrics and Nursing Science, 3(3), 60-63.  DOI:10.18231/j.ijpns.2020.013


Social Determinants of Health (SDOH) have a big impact on individuals’ well-being, health, and equality of life. Therefore, it is important for healthcare professionals to have adequate knowledge regarding these SDOHs and use appropriate strategies, if possible, to modify them to help improve health outcomes and well being of the target population. The five domains of SDOH include social and community context, neighborhood and built environment, health care access and quality, education access and quality, and economic stability (Maness et al.,2020). An exploration of the community revealed various aspects of the five SDOHs. In reference to economic stability, three out of ten community members live in poverty and are unable to get adequate access to necessary health care. Up to 60% of the adult members have at least college education which has been reflected in 70% living above the poverty line. The community has an adequate amount of health centers allowing individuals to access patient care services, even though there is a percentage of the community who can not access adequate care due to poverty and lack of health insurance.

The neighborhood and built environment in reference to the community can be described as safe. There are low rates of violence, and the quality of air and water can be described as safe and with no safety risks. However, the rate of smoking in the neighborhood is considerably high, making the individuals exposed to second-hand smoke. In terms of social and community context, most of the families have close-knit relationships and positive relationships at home. The most affected groups are the children and pregnant women who are exposed to second-hand smoke. The major challenge found is the difficulty in exploring the economic conditions of the family members. I propose that smoking cessation programs and economic empowerment programs be initiatives to help lift up the economic status and exposure to second-hand smoke. One of the risk assessment instruments that can be used to assess the community is the Area Deprivation Index (ADI) which assesses employment, education, and income. Another instrument is the opportunity index. Health-related risks based on the community age groups include heart disease and potential drug and substance abuse among adolescents. Among the female population of reproductive age, one of the major risks is pregnancy complications and birth defects due to enhanced rates of smoking and exposure to second-hand smoke (Schuiling &Likis, 2020).


Maness, S. B., Merrell, L., Thompson, E. L., Griner, S. B., Kline, N., &Wheldon, C. (2021). Social determinants of health and health disparities: COVID-19 exposures and mortality among African American people in the United States. Public Health Reports136(1), 18–22. Doi: 10.1177/0033354920969169

Schuiling, K. D., &Likis, F. E. (2020). Gynecologic Health Care: With an Introduction to Prenatal and Postpartum Care: With an Introduction to Prenatal and Postpartum Care. Jones & Bartlett Learning.