Brigit Carter, PhD, MSN, RN Assistant Professor Project Director, Health Equity Academy

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1 Brigit Carter, PhD, MSN, RN Assistant Professor Project Director, Health Equity Academy

2 Conflict of Interest No conflict of interest to report

3 Acknowledgments Nursing Workforce Diversity Program, Bureau of Health Professions, Health Resources and Services Administration, Department of Health and Human Services (#D19HP25902) Duke University School of Nursing

4 Learning Objectives Describe components of the Health Equity Academy. Describe how components within the HEA PIN and PSN program enhance understanding and commitment to social determinants of health.

5 Strategies to Increase Underrepresented Minorities in Nursing

6 Components of HEA Socialization Social Determinants of Health Academic and Social Support Social Determinants of Health Teambuilding and Leadership Development Scholarship Support Pre-entry Immersion in Nursing Pathways to Success in Nursing

7 HEA PIN COMPONENTS Leadership Development Teambuilding Team development and navigation Create team charter Ropes course Weekly team sessions Learn communication skills Social/emotional intelligence Improving confidence, selfesteem and self-image Socialization Social Determinants of Health Teambuilding and Leadership Development

8 HEA PIN COMPONENTS - Socialization Professional nursing course Clinical shadow experiences Faculty mentor Peer or Alumni mentor Roundtables Guided Pathophysiology Transition to ABSN program Teambuilding Leadership Development Socialization

9 HEA PIN COMPONENTS Social Determinants of Health Pre-entrance webinar SDH Individual Assessment Followed by debrief with Social Worker Individual and group sessions with Social Worker Prescription for Success (ongoing) Pre and post social determinants of health test Seminars Introduction to SDH Community Assessment Introduction to the Pathophysiology of Disease Related to Social and Environmental Determinants of Health Unnatural Causes Windshield Survey Community engagement (CAARE/Durham Rescue Mission) Journaling/reflection Budgeting Teambuilding and Leadership Development Socialization Social Determinants of Health

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11 HEA PSN COMPONENTS - Scholarships HRSA NWD Scholarship DUSON Need-based scholarships HRSA NWD needbased stipend Financial seminars and counseling Identification of other sources of scholarships Academic Support Social Support Scholarship Support

12 HEA PSN COMPONENTS Academic and Social Support Mandatory study skills/strategies seminar Peer and Alumni Tutors for each clinical course (free) Access to course faculty for individual meetings Time management sessions HEA PD/Academic Coordinator quarterly individual meetings Quarterly individual or group social worker meeting Previous HEA or MADIN II Alumni Mentors Sunday Dinners Scholarship Support Academic Support Social Support

13 Post Graduation Mentorship Continued meetings, mentoring and advisement Assist with adaption to new role in social/family settings Goal setting (again!) Celebrating successes Ongoing leadership development Continue developing professional network

14 The Importance of Addressing Individual Social Determinants of Health SDH affects student enrollment, experiences in classroom and clinical settings, and progression towards professional goals. Enrollment Experiences Classroom Clinical setting Peer formation Progression

15 HEA Scholar s Reflection on SDH

16 SDH in the DUSON Curriculum Integrate concepts of determinants of health, levels of prevention and cultural competence into the nursing process across populations.

17 SDH Integration in Nursing Curriculum EVIDENCE in LITERATURE Relegating community health courses to own content related to SDH Lack of clinical experiences that introduce SDH as part of nursing assessment Collaboration with other health professionals Understanding and teaching the impact of SDH on the health of their patient. Mahoney & Jones, (2013). Social determinants of health in nursing education, research and health policy. Nursing Science Quarterly, 26, EXPERIENCE in DUSON Educating faculty and clinical instructors Integrating SDH into case studies and clinical experiences SDH simulations at second and final semester to determine effectiveness of curriculum to promote understanding and practical application of SDH.

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19 THANK YOU!

20 Questions Brigit M. Carter, RN, PhD, CCRN Duke University School of Nursing Project Director The Academy for Academic and Social Enrichment and Leadership Development for Health Equity (919)

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