This chapter reviews the most frequently cited SDOH frameworks used to guide education, research, and practice. We review the World Health Organization’s Framework developed by the Commission on Social Determinants of Health, the Healthy People 2030 Framework, Social-Ecological frameworks, and the National Institution of Minority Health and Health Disparities Research Framework for their utility in guiding the integration of SDOH into a nursing curriculum. These SDOH frameworks suggested domains of influence, levels of influence, and mechanisms by which SDOH content influences health disparities and health inequities. However, a new SDOH framework was needed. This framework is pragmatic for clinical and didactic classroom learning experiences and one easily understood and applicable for a health care profession that delivers holistic care to a diverse population within families, communities, and the broader society. The Nell Hodgson Woodruff School of Nursing Four-Pillar SDOH Framework considers Social, Cultural, Environment (Physical and Social), and Policy Conditions important to health outcomes. Although these Four-Pillars are explored separately for their contribution to disparities in health outcomes, in reality they are interwoven like puzzle pieces. That is, although one pillar may emerge and be prominent in the promotion of health or alleviation of disease, an imbalance in one is likely to influence the other three SDOH pillars. Moreover, it is important to consider that at any given time, any one or more of these four pillars can be protective or place individuals at risk for illness and health inequities.
- Social determinants of health
- SDOH nursing framework
- Health disparities related to SDOH
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Hamilton, J.B. (2023). Integrating a Social Determinants of Health Framework into Nursing Education. In: Hamilton, J.B., Swan, B.A., McCauley, L. (eds) Integrating a Social Determinants of Health Framework into Nursing Education . Springer, Cham. https://doi.org/10.1007/978-3-031-21347-2_2
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