Hi, my name is Alyssa, Nyla, Brooke, Will, Mickey, Justin, Linda, Harin, Kim, Imran, and we are a group of third-year osteopathic medical students from ATSU-SOMA. Our project is titled SDOH 101, Educating Nursing Students to Address Social Determinants of Health. Over the past year, we've been working with primary care physicians who serve the community of Southwest Ohio. When we conducted a needs assessment to determine the direction of our project, our preceptors mentioned how factors such as improved transportation services or increased health literacy could be beneficial to their patients' health outcomes. There was a common theme that improved knowledge of resources pertaining to social determinants of health could improve their practice and the health of their patients overall. When we delve deeper into the current literature surrounding the pedagogy of social determinants of health education, we found that only a small proportion of providers reported to be both competent and confident at identifying social determinant needs during their visits. Therefore, the objectives of our project were to increase the competence of health care students on addressing social determinants of health and to provide information on the predominant needs of the local community with resources available. We had the opportunity to work with nursing students at Southern State Community College. We designed a workshop that started with a didactic portion which taught the students about what social determinants of health are and the importance of screening for them. We then split off into groups where participants took on the role of a detective to try to discover which social determinant of health the simulated patient was struggling with by asking a variety of screening questions. For example, one of the simulated patients presented for a hypertension follow-up. The participants had to ask questions to figure out that the reason that the patient's hypertension was not resolving was due to a lack of transportation to the pharmacy to pick up their prescriptions. We as moderators then went over screening questions for transportation and security that have been written by reliable sources such as the American Academy of Family Physicians and the Center of Medicare and Medicaid Services. At the beginning and the end of the workshop, we distributed a virtual survey that measured the participants' knowledge, attitudes towards, and clinical application of social determinants. This was measured on a Likert scale with 1 being strongly disagree and 5 being strongly agree. Additionally, we passed out local resource cards that we designed at the end of the workshop which can be seen in the bottom left of the poster. These resources directly correlated with social determinants of health that we explored during the workshop. We also held a separate focus group over Zoom with volunteers from the workshop that were willing to expand on their attitudes towards social determinants of health and their experience with the workshop overall. There were a total of 18 participants who completed both the pre- and post-survey as well as two participants that attended the focus group. The ages of participants ranged from 18 to 40 years old and 89% of participants reported that they planned on working and living in Ohio after completing their program. A two-tailed paired t-test with our pre- and post-survey data showed that there was a statistically significant difference for every statement on the surveys with a p-value less than 0.001. This highlighted the efficacy of the workshop in increasing both knowledge and confidence towards screening for social determinants. 89% of the participants also strongly agreed that they would use the resources provided during the workshop. For the qualitative data, we coded the transcript for reoccurring themes. As for the participants' attitudes towards social determinants of health, they reported an increased degree of comfort and knowledge level, stating that, quote, After that seminar, I would feel more comfortable about approaching people with those kinds of issues. When evaluating the workshop, they showed a strong preference for hands-on learning methods. They also expressed high value and applicability in conducting this workshop for a variety of students and employees who are connected to the healthcare field, such as, quote, firefighters, EMTs, and the health department. Some limitations of our project included a small sample size and selection bias when it came to the participants of the focus group, but overall the workshop received extremely positive feedback from the participants. Both we as the researchers and the student participants enjoyed the interactive nature of the simulation-based workshop and can envision this project to serve as a model that can be conducted in various regions and professions in identifying and addressing social determinants of health. We would like to thank Mr. Bruce Fugate and the nursing faculty at Southern State as well as our RDMEs and epidemiology faculty for their support. Our references can be found on the bottom of the poster and you can contact Alyssa Kim at alyssa.kim at atsu.edu for any additional questions. Our group really enjoyed conducting this project and found it incredibly fulfilling. We are grateful for the opportunity to present our research today and thank you so much for listening.

SDOH 101

social determinants of health

nursing education

hands-on learning

healthcare workshops