Hospital Nurse Perspectives on Barriers and Facilitators to Caring for Socially Disadvantaged Patients

作者：J. Margo Brooks Carthon, K. Jane Muir, Lee Cyn Ang, Kelvin Amenyedor, Daniela Golinelli, Shelli L. Feder, Ann Kutney‐Lee · 发表于：JAMA Network Open · 年份：2025 · DOI：10.1001/jamanetworkopen.2025.12397 · 被引用次数：6 · 研究领域：Cultural Competency in Health Care、Food Security and Health in Diverse Populations、Migration, Health and Trauma

Importance: Patients from socially disadvantaged backgrounds experience disproportionately worse health care outcomes. Nurses provide most care to patients in hospitals and are informants of health care quality and equity. Objective: To understand what hospital nurses say helps or hinders their ability to provide quality care to socially disadvantaged populations. Design, Setting, and Participants: This qualitative study involved a directed content analysis of open-text responses from the RN4CAST-NY/IL survey, which was conducted between April and June 2021. Participants were registered nurses licensed to work in 58 New York and Illinois hospitals identified as high-performing (25 hospitals) and low-performing (33 hospitals) for COVID-19 mortality outcomes in 2021 from a larger quantitative study. The Social Ecological Model informed the study codebook; inductive and deductive coding of the data and content analysis were conducted from March to October 2024. Exposure: Direct care hospital nurses who participated in the RN4CAST-NY/IL survey. Main Outcomes and Measures: Open-text responses were from nurses who answered the survey question, "What helps (or hinders) your ability to provide quality care to vulnerable populations? (e.g. low SES, housing insecurity/homeless, racial/ethnic minorities, immigrant, limited English proficiency)?" Results: A total of 1084 nurses (mean [SD] age, 47.1 [18.2] years) responded to the survey. Most respondents identified as female (986 responde...