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Public Health Rep. 2014 Jan-Feb;129:37-44. doi: 10.1177/00333549141291S208.

Integrating the 3Ds: a nursing perspective.

Public health reports (Washington, D.C. : 1974)

Antonia M Villarruel, April Bigelow, Carmen Alvarez

Affiliations

  1. University of Michigan School of Nursing, Ann Arbor, MI.
  2. George Washington University, Washington, DC.

PMID: 24385663 PMCID: PMC3863699 DOI: 10.1177/00333549141291S208

Abstract

The 3Ds (diversity, disparities, and determinants) that serve as a framework for this supplement are concepts that are key foundations of nursing education, practice, and research. Despite this fact, however, the nursing profession has faced challenges recognizing the full potential of these concepts. While their importance is documented and acknowledged, they are not clearly evident or easily recognized within the nursing profession. In fact, there are many barriers to the integration of these concepts. We identify and address two barriers to addressing health disparities and increasing diversity: disconnects and discrimination. Furthermore, we discuss three factors-dissemination, durability, and data-that may facilitate nursing's efforts to integrate the 3Ds into the profession. Five pivotal models that address these barriers and facilitators are presented as exemplars that have the potential to guide efforts to address diversity, disparities, and social determinants of health and act as catalysts for change within the nursing profession.

References

  1. J Health Care Poor Underserved. 2008 May;19(2):625-38 - PubMed
  2. Arch Intern Med. 2009 Feb 9;169(3):243-50 - PubMed
  3. Health Aff (Millwood). 2012 Feb;31(2):434-43 - PubMed
  4. J Health Care Poor Underserved. 2010 Nov;21(4):1169-83 - PubMed
  5. J Health Care Poor Underserved. 2011 May;22(2):562-75 - PubMed
  6. Nurs Educ Perspect. 2011 Jan-Feb;32(1):64-5 - PubMed
  7. AIDS Patient Care STDS. 2005 Apr;19(4):253-7 - PubMed
  8. J Midwifery Womens Health. 2012 Sep-Oct;57(5):476-81 - PubMed
  9. Qual Saf Health Care. 2007 Oct;16(5):349-53 - PubMed
  10. J Health Care Poor Underserved. 2012 May;23(2 Suppl):20-6 - PubMed
  11. J Nurs Educ. 2007 Jun;46(6):277-81 - PubMed
  12. Health Place. 2010 Sep;16(5):1038-52 - PubMed
  13. Am J Public Health. 2012 Oct;102(10):1833-6 - PubMed
  14. Matern Child Health J. 2010 Jul;14(4):528-34 - PubMed
  15. Qual Health Res. 2010 Oct;20(10):1393-405 - PubMed
  16. Arch Intern Med. 2008 Aug 11;168(15):1705-10 - PubMed
  17. J Ambul Care Manage. 2012 Jan-Mar;35(1):60-74 - PubMed
  18. JAMA. 1997 Oct 8;278(14):1153-8 - PubMed
  19. J Prof Nurs. 2011 Jan-Feb;27(1):35-42 - PubMed
  20. Public Health Nurs. 2008 Mar-Apr;25(2):176-93 - PubMed
  21. Health Aff (Millwood). 2008 Mar-Apr;27(2):413-22 - PubMed
  22. J Prof Nurs. 2009 May-Jun;25(3):145-50 - PubMed
  23. J Health Care Poor Underserved. 2012 Feb;23(1):446-59 - PubMed
  24. Mt Sinai J Med. 2010 Mar-Apr;77(2):166-77 - PubMed
  25. Osteoporos Int. 2009 Jan;20(1):37-42 - PubMed

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