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Presentation Reflection
Please answer the questions below.

Regarding your presentation assignment, what did you learn about the research project?  
Would you have approached the assignment differently? Why or why not?

Please find the attached presentation!!!!
Please note, I also need 2 responses.It can be any additional comment adding additional information about the same topicThank you 

Submission Instructions:

Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.
You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.) 
All replies must be constructive and use literature where possible.
Late work policies, expectations regarding proper citations, acceptable means of responding to peer feedback, and other expectations are at the discretion of the instructor.
You can expect feedback from the instructor within 48 to 72 hours from the Friday due date. 

Grading Rubric 
Your assignment will be graded according to the grading rubric.
Discussion RubricCriteriaRatingsPoints
Identification of Main Issues, Problems, and Concepts
Distinguished – 5 points
Identify and demonstrate a sophisticated understanding of the issues, problems, and concepts.
Excellent – 4 points
Identifies and demonstrate an accomplished understanding of most of issues, problems, and concepts.
Fair – 2 points
Identifies and demonstrate an acceptable understanding of most of issues, problems, and concepts.
Poor – 1 point
Identifies and demonstrate an unacceptable understanding of most of issues, problems, and concepts.
5 points
Use of Citations, Writing Mechanics and APA Formatting Guidelines
Distinguished – 3 points
Effectively uses the literature and other resources to inform their work. Exceptional use of citations and extended referencing. High level of APA precision and free of grammar and spelling errors.
Excellent – 2 points
Effectively uses the literature and other resources to inform their work. Moderate use of citations and extended referencing. Moderate level of APA precision and free of grammar and spelling errors.
Fair – 1 point
Ineffectively uses the literature and other resources to inform their work. Moderate use of citations and extended referencing. APA style and writing mechanics need more precision and attention to detail.
Poor – 0 points
Ineffectively uses the literature and other resources to inform their work. An unacceptable use of citations and extended referencing. APA style and writing mechanics need serious attention.
3 pointsResponse to Posts of Peers
Distinguished – 2 points
Student constructively responded to two other posts and either extended, expanded or provided a rebuttal to each.
Fair – 1 point
Student constructively responded to one other post and either extended, expanded or provided a rebuttal.
Poor – 0 points
Student provided no response to a peer’s post.
2 pointsTotal Points 10
Search entries or authorNurse practitioners’ perceptions of social
determinants of health and patient
outcomes.
FNP Advanced Integration
Claudia Perez
St. Thomas University
Dr. Dormeus, Adline
June 3, 2023
Research Question
• Research Question:
“What are the perceptions of nurse practitioners regarding the impact of social determinants of health on patient outcomes
in the United States based on their experiences?“
Justification for Choosing Qualitative Research:
• Exploration of Perceptions: Qualitative research provides for a thorough examination of nurse practitioners’ views,
experiences, and subjective perspectives on the impact of social determinants of health on patient outcomes.
• Contextual Factors: Cultural, socioeconomic status, and environmental variables all have an impact on social
determinants of health. Qualitative research is well-suited to capture the intricacies and complexities of these contextual
elements, offering a fuller understanding of their impact on the perspectives of nurse practitioners.
• Subjective perspectives: Nurse practitioners can openly discuss their perspectives and provide extensive accounts of the
socioeconomic determinants of health affecting patient outcomes by employing qualitative methods such as interviews
or focus groups. This method enables for the examination of individual viewpoints, feelings, and motivations, which would
be difficult to capture using other methods.
Middle-Range Theory:
• In nursing research, the theories are narrower in scope than grand theories, but
they provide more detailed explanations and predictions.
• These theories serve as a link between abstract nursing theories and specific
practice scenarios.
• They provide frameworks for research, hypothesis generation, and action.
• The Health Belief Model (HBM) is a middle-of-the-road hypothesis that can be
used to the research challenge.
Middle-Range Theory
• The HBM can be used to investigate nurse practitioners’ views on the impact
of social determinants of health on patient outcomes (Im, 2021).
• It can aid in understanding how nurse practitioners’ views, attitudes, and
perceived barriers influence their understanding of socioeconomic
determinants and patient care decisions.
• We can acquire insights into the elements that drive nurse practitioners’
responses to social determinants.
Literature Review: Process
• The literature review entailed locating, selecting, analyzing, and synthesizing existing
research and scholarly papers related to the study issue in a methodical manner.
• The procedure starts with determining which databases, journals, and sources to search.
• To find publications that address the study issue, relevant keywords and search terms are
employed.
• Articles that match the inclusion criteria were then screened based on their title, abstract,
and full text.
• The publications chosen were thoroughly evaluated, and major findings and themes are
extracted.
Literature Review: Findings
• In the United States, social determinants of health have a considerable impact on patient outcomes.
• Nurse practitioners are critical in addressing the social determinants of health and their impact on patient
care (Bryant-Moore et al., 2018; Schneiderman & Olshansky, 2021).
• Social determinants of health are viewed by nurse practitioners as influential elements that have a direct
impact on patient outcomes (Choudhury & Asan, 2022; Kearney et al., 2022).
• Nurse practitioners’ ability to successfully address social determinants of health is hampered by barriers
such as limited resources, a lack of training, and institutional challenges.
• Collaboration with interdisciplinary teams and community resources improves nurse practitioners’ abilities
to reduce the impact of social determinants on patient outcomes (Kearney et al., 2012).
Purpose of the Study
• Investigate nurse practitioners’ perspectives on the influence of social
determinants of health on patient outcomes in the United States.
• Learn how nurse practitioners deal with social determinants of health in their
patient care.
• Determine the viewpoints of nurse practitioners on tackling social variables to
improve patient outcomes.
• Contribute to current knowledge and guide strategies addressing social
determinants of health and improving health equity.
Ethical Considerations
• To avoid plagiarism, sources must be properly cited and acknowledged.
• Assuring the secrecy and anonymity of writers and participants whose
works were reviewed.
• Addressing Ethical Concerns:
• I followed standard reference and referencing guidelines.
• By not publishing identifying information, we were able to protect the
confidentiality of the authors and participants.
Sampling Method:
• This study’s sample strategy included a thorough search and selection of relevant literature.
• A wide range of literature on nurse practitioners’ perspectives of the impact of social determinants of health on patient
outcomes was gathered using a variety of databases, academic publications, and credible sources.
• Inclusion and exclusion criteria were developed to guarantee that the literature chosen is relevant to the study question
and aims.
Strategy for Recruitment:
• Because the study relied on available literature, participant recruitment was not necessary.
• To discover and obtain relevant publications from scholarly databases, a detailed search approach was used.
• To screen and choose literature that gave insights into nurse practitioners’ opinions of social determinants of health and
patient outcomes, keywords, search phrases, and inclusion criteria were employed.
Data Collection Methods
• A systematic examination of existing literature was conducted to collect data for
this investigation.
• The research includes searching for and assessing published articles, reports, and
scholarly literature on nurse practitioners’ perspectives of the impact of social
determinants of health on patient outcomes.
• This study benefited from a systematic literature review because it allowed for a
thorough synthesis of available knowledge on the subject issue.
• The study could find similar themes, patterns, and trends in nurse practitioners’
assessments of socioeconomic determinants and patient outcomes by reviewing a
wide range of literature.
Data Analysis
• Thematic analysis was utilized to analyze the data in this study.
• Identifying patterns, topics, and categories within the collected literature
was the goal of thematic analysis.
• It gave insights into the role of social variables on patient outcomes and
permitted a full knowledge of nurse practitioners’ perceptions.
• Thematic analysis aided in the organizing and comprehension of the varied
material, assuring relevance to the study’s objectives.
Criteria for Judging Rigor
• Credibility: The honesty and believability of the findings, as determined by
means such as member checking and extended interaction with data.
• Transferability: Determines how well findings can be applied to other
situations or groups.
• Dependability: Reflects the findings’ stability and consistency, as obtained
by detailed documentation of procedures and analysis processes.
• Confirmability: Addresses the findings’ objectivity and neutrality, ensuring
they are not influenced by researcher bias.
Evaluation of Rigor using Four Criteria:
Credibility:
• To increase trustworthiness, extensive literature search approaches, including various databases and
reliable sources, were used.
• The inclusion of varied perspectives and multiple studies bolstered the findings.
• To assess the quality and relevance of the collected papers, a critical assessment of the literature was done.
Transferability:
• While transferability in a literature review is restricted, attempts were made to incorporate studies
conducted in various healthcare settings and populations to increase the potential applicability of the
findings.
• The inclusion of studies from various geographic places and people increased the study’s transferability.
Cont.
Dependability:
• Transparent and well-documented methods were used for the literature search,
selection, and data extraction processes.
• The inclusion and exclusion criteria were clearly defined and consistently applied.
• A systematic and replicable approach was followed throughout the review process,
ensuring dependability of the study.
Dependability:
• Transparent and well-documented methods were used for the literature search,
selection, and data extraction processes.
• The inclusion and exclusion criteria were clearly defined and consistently applied.
• A systematic and replicable approach was followed throughout the review process,
ensuring dependability of the study.
Findings
Several major findings :
• Social variables were identified by nurse practitioners as substantial drivers to health
disparities and patient outcomes.
• They identified a number of limitations and challenges in addressing socioeconomic
determinants in their work, such as inadequate resources and systemic constraints.
• Interdisciplinary collaboration and community collaborations were cited as useful
strategies for mitigating the influence of socioeconomic variables.
Limitations and Applicability
• The study’s credibility was proved by its use of rigorous methodology, transparent
reporting, and methodical search and analysis methods.
• Critical analysis of the included literature increased the findings’ credibility and reliability.
• The findings of this study have relevance for the nursing discipline because they emphasize
the need of addressing social determinants of health in patient care.
• The findings can be used to improve nursing practice, policy creation, and interventions
aimed at improving patient outcomes.
• The study adds to the current body of evidence by emphasizing the importance of
interdisciplinary collaboration and advocacy in addressing social factors and promoting
health equity.
References
• Bryant-Moore, K., Bachelder, A., Rainey, L., Hayman, K., Bessette, A., & Williams, C. (2018).
Use of service learning to increase master’s-level nursing students’ understanding of social
determinants of health and health disparities. Journal of Transcultural Nursing, 29(5), 473479.
• Choudhury, A., & Asan, O. (2022). Impact of accountability, training, and human factors on
the use of artificial intelligence in healthcare: Exploring the perceptions of healthcare
practitioners in the US. Human Factors in Healthcare, 2, 100021.
• Im, E. O. (2021). The Current Status of Theory Evaluation in Nursing. Situation Specific
Theories: Development, Utilization, and Evaluation in Nursing, 323-337.
• Kearney, L., Wiener, R. S., Dahodwala, M., Fix, G. M., Hicks, J., Little, F., … & Kathuria, H.
(2022). A mixed methods study to inform and evaluate a longitudinal nurse
practitioner/community health worker intervention to address social determinants of
health and chronic obstructive pulmonary disease self-management. BMC Pulmonary
Medicine, 22(1), 1-12.
• Schneiderman, J. U., & Olshansky, E. F. (2021, April). Nurses’ perceptions: Addressing social
determinants of health to improve patient outcomes. In Nursing Forum (Vol. 56, No. 2, pp.
313-321).

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