294 - Relationship Between Patient Values and Social Determinates of Health
Description: Clinical IssueUnderstanding what patients value related to the healthcare system will impact their overall perioperative experience. Description of Team Movement is Life (MIL) is a collaborative group of healthcare providers, community leaders, faith-based and health advocacy leaders seeking to eliminate racial and ethnic disparities in musculoskeletal health. Preparation and Planning MIL convened experts to review the literature and identify social determinates of health (SDOH) which impact musculoskeletal health in African American, Hispanic/Latina and Caucasian women. Examples discussed were access and utilization, literacy and education, inequitable care, wealth gap and zip code. In order to increase their understanding of the patient’s perspective they agreed to host focus groups. Assessment The first step was to identify SDOH and then review the literature on Valued attributes of healthcare. Three focus groups were conducted to identify what patients value related to the healthcare system and assess the relationship to SDOH. Implementation Experts reviewed literature related to values in healthcare from the patient, provider and system perspective. To validate the findings, three patient focus groups were convened. The three groups were African American women (Cleveland, OH), Hispanic/Latina women (Chicago, IL) and Caucasian women (Hazard, KY). The findings were incorporated into a monograph. Outcome A qualitative analysis of data was performed for each of the three focus groups and several themes emerged including; Valued attributes of healthcare system, provider patient relationship and biased healthcare services. Values identified included personalized care, communication, behavior of healthcare professionals and understanding of insurance expenditure. There was a direct relationship between SDOH such as education, inequitable care, access and utilization. Implications for Perioperative Nurses Perioperative nurses should understand that there are many patients who are affected by SDOH and encourage open communication with shared decision-making. Communicating at the patient’s educational level, understanding what patients’ value and behaving in a more ethnically conscious and professional manner would positively impact the patient’s overall perioperative experience.