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The impact of social determinants of health (SDOH) is understudied and until recently not a focal point in nursing education. The new Essentials coupled with the impact of the coronavirus (COVID-19) pandemic deem it necessary to address the intersection of SDOH and population health. The impact of COVID 19 disproportionately affects Black and Hispanic families. Couple the disproportionate numbers of COVID 19 among these groups with the growing incidence of food insecurity, and there is a need to explore intersecting links. Emerging research link the lack of social support systems and loneliness to food insecurity. In alignment with addressing competency-based education, it is critical to assess factors such as social support systems and loneliness and the intersection of its effects on such determinants as food insecurity. The article provides an overview for its readers in examining the incidence of food insecurity in older ethnic minority women along with postulated social attributes as contributing factors to the growth rates of food insecurity. The incidence of food insecurity among older ethnic minority women has grown exponentially amid the pandemic. The authors illustrate the role nurses can play in addressing primary, secondary, and tertiary interventions using Neuman's Theory. The intervention pathways are delineated through the lens of nursing theoretic framework created by Betty Neuman Systems Model.Health equity endorses that all persons are respected equally, and society must exert intentional efforts to eradicate inequities. selleck Race, frequently taught as an impartial risk factor for disease, is a facilitator of structural inequities stemming from racist policies. Nursing educators must help students understand the impact of structural racism on patient populations, communities, and society at large. This article illustrates the face of structural racism, highlights how structural racism impacts health care outcomes, and provides meaningful ways for educators to unmute racism and facilitate race-related discourse in the classroom to counter the impact of structural racism on health equity.Black pregnant patients experience perinatal morbidity and mortality rates greater than other ethnic groups. These health disparities exist primarily because of systemic racism, bias, and discriminatory acts within the health care system. The COVID-19 pandemic has reinforced health disparities experienced by all vulnerable populations in the United States, including black pregnant patients. This article highlights some of the factors that may impact the experience of black people as they navigate the COVID-19 pandemic and presents strategies that every provider can implement to minimize the detrimental effects of this devastating virus during pregnancy.The pandemics of COVID-19, systemic racism, and accelerating climate crises that have unfolded over the last 2 years highlight how social structures bear significant and disparate effects on individual health. The framework of structural competency offers a new way to understand and respond to health inequities in clinical care and health services delivery. Clinicians can work toward achieving structural competency at the individual, interpersonal, clinic, and community levels using the interventions described in the article.Despite the overwhelming evidence to support the benefits of vaccines for preventable diseases and improving health outcomes throughout the world, vaccine hesitancy and resistance continues to be a concern during the COVID-19 pandemic. Although Black, Indigenous, and People of Color (BIPOC) experience the highest rates of morbidity and mortality from COVID-19, mistrust and historical unethical research and medical practices continue to preclude this population from getting the vaccine. This article urges clinicians to subscribe to development and application of cultural intelligence to understand the impact of structural racism and cultural considerations of BIPOC to partner in strategy development.This is an actual case study of a young Native American man. The names have changed but the challenges remain the same. The intersectionality between the Native population, a rural community, and poverty intersects to create a compelling look at the challenges people face in these communities. Implications for Nursing in relation to practice, education, and policy are addressed.It is imperative that nurses are equipped to promote the health and well-being of diverse populations in United States, including the growing Latinx community, which experiences significant health disparities. This article summarizes the values, programs, and impact of the Duke University School of Nursing Latinx Engagement Health Equity Model. Collaborative partnerships with diverse community partners addressing Latinx populations across the life span were developed, spanning the education, research, and service missions of the university. Programs were rooted in cultural values and were delivered through diverse interprofessional teams and with support from the university. Programs included local and global immersion programs, volunteer work, courses in Medical Spanish, community engaged research projects, and leadership in coalitions. These models have resulted in favorable outcomes for learners, faculty and staff, and the Latinx community more broadly and can serve as a model for strategies to promote health equity at schools of nursing.Nurse residency programs were developed to improve novice nurse competencies, mitigate burnout, lower recruitment costs and nurse attrition, and the quality of patient care. The Office of Academic Affiliations (OAA), US Department of Veterans Affairs (VA), established a 12-month postbaccalaureate nurse residency (PB-RNR) program at 49 sites to develop competent, confident, practice-ready registered nurses equipped with the knowledge and skills to care for veterans. The OAA evaluation of the PB-RNR program demonstrated improved new nurse graduate competence, confidence, recruitment, and retention rates after completion of training at participating VA medical facilities.A strength-based nursing approach to recommendations for interpersonal collaboration and communication is used when caring for Veteran women in health care settings. Four areas are emphasized (1) using trauma-informed health care practices; (2) acknowledging and affirming the intersectional identities of Veteran women to individualize care and counteract health disparities; (3) engaging strategies to enhance a sense of belonging for Veteran women in health care settings; and (4) encouraging Veteran women to participate in potential research studies to better understand and improve care for this population.The purpose of this article is to provide an overview of risk and protective factors for suicide in the lesbian (L), gay (G), bisexual (B), transgender (T), and queer (Q) veteran population, identify the tools and resources necessary to address their mental health needs and outline an evidence-based approach for community health care professionals to use as a guide for treatment and suicide prevention in this unique population. The importance of applying an intersectional lens to the multidimensional identity of LGTQ veterans is emphasized. Recommendations are provided for safety planning, follow-up, and treatment.Social determinants of health (SDOH), the environments and circumstances in which people are born, grow, live, work and age, are potent drivers of health, health disparities, and health outcomes over the lifespan. Military service affords unique experiences, exposures, and social and health vulnerabilities which impact the life course and may alter health equity and health outcomes for older veterans. Identifying and addressing SDOH, inclusive of the military experience, allows person-centered, more equitable care to this vulnerable population. Nurses and other health professionals should be familiar with how to identify and address health-related social needs and implement interdiciplinary, team-based approaches to connect patients with resources and benefits specifically available to veterans.Children with neurodevelopmental disorders (NDD) are a vulnerable population diagnosed as having an impairment of the central nervous system caused by genetic, metabolic, toxic or traumatic factors. During the coronavirus disease 2019 (COVID-19) pandemic children with NDD benefitted from the swift transition to telehealth. Most found telehealth favorable but some encountered challenges with accessibility and technology. Racial disparity was found with accessibility challenges by marginalized groups within this already vulnerable population. Telehealth use should continue to be utilized by children with NDD but clinicians should be aware of how to address challenges.

Area-level socioeconomic factors are known to associate with chances to survive out-of-hospital cardiac arrest (OHCA survival). However, the relationship between individual-level socioeconomic factors and OHCA survival in men and women is less established. This study investigated the association between individual-level income and OHCA survival in men and women, as well as its contribution to outcome variability and mediation by resuscitation characteristics.

A cross-sectional cohort study using data from a Dutch community-based OHCA registry was performed. We included 5395 patients aged≥25 years with OHCA from a presumed cardiac cause. Household income, derived from Statistics Netherlands, was stratified into quartiles. The association between survival to hospital discharge and household income was analysed using multivariable logistic regression adjusting for age, sex and resuscitation characteristics.

Overall women had lower household income than men (median €18 567 vs €21 015), and less favourable r, but explained only little of outcome variability. A shockable initial rhythm was the most important resuscitation parameter mediating this association. Our results do not support the need for immediate targeted interventions on actionable prehospital resuscitation care characteristics.Pediatric obstructive sleep apnea (OSA) represents a different entity from its adult counterpart and therefore requires a different therapeutic approach. Adenotonsillectomy (AT) is the primary treatment of pediatric OSA, and evidence shows it is very effective. However, there is a growing understanding that residual OSA is common, and next steps for patients who fail primary AT are less certain. This article reviews current methods of evaluating and treating these complex patients.Rhinosinusitis in children, as in adults, can be classified by duration (acute, recurrent, and chronic) and by cause (viral, bacterial, and inflammatory) and needs to be treated accordingly after careful investigation which include through clinical history, laboratory tests, and, if necessary, nasal endoscopy and imaging studies.This review covers the broad topic of brain surgery in the treatment of pediatric intractable epilepsy. The authors review the latest advancements in the presurgical workup as well as the mandatory tests needed to explore the epilepsy workup in these children. They describe the different types of epilepsy from a surgical standpoint (temporal, extratemporal, multifocal, and hemispheric epilepsies) and various surgical procedures that can be proposed depending on the clinical scenario lesionectomies, lobectomies, hemispherectomies, neuromodulation, and palliative surgeries. They also describe the key differences of the pediatric patient as compared with the adult patient in such pathologic conditions.