Nursing Art and Science
Word count: 1510 words essay (reference list not included in the word count).
Arial font size 12 and in double line spacing.
Topic: Social Determinants of Health
Focus on (Education) a social determinant of health : Critically examine the impact of education as determinant of health on the given scenario from your field of Learning Disability nursing.
Scenario/ Learning Disability Nursing
Gladys is a 55-year-old female, who lives in Newham, London. She was born in the UK. Gladys used to enjoy Bingo twice a week but has stopped going since her husband died 5 years ago. She now lives alone in a bungalow. She has one niece, who lives 50 miles away.
Gladys has a diagnosis of a mild learning disability. Her niece has noticed when talking to her that she has been suffering from memory loss and has requested on Gladys’ behalf a dementia screening assessment with the local learning disability team. Gladys is not engaging with the health services for this assessment and there are concerns that Gladys has started to ‘see’ images of her late husband, which she has communicated to her niece when they speak.
Gladys receives some social benefits and is fearful about going out because of the high incidence of COVID-19 in the area of London and not feeling secure without her husband or niece with her. Her niece is unable to visit her due to the distance between them but will complete her food shopping online for her and get this delivered directly to Gladys home.
Written Assignment Outline
And /Note
Your assignment will focus on one determinant of health and will critically explore this determinant in terms of the individual, as well as the wider socio-political and economic context. Current evidence and policies in relation to the social determinant and its potential impact or relationship to the individual in the case study should be utilised to support this work. Critical writing needs critical reading. Is the source appropriate for your work? Is the content relevant to your work? What evidence can you use from this source?
Writing Critically
• Shows your own reasoning and ideas: instead of what, so what? • questioning processes: analysing, evaluating and creating • considers reasons for, implications and limitations of research • builds an evidence-based argument.
Show how your argument fits into the wider context. • strengthen your argument by showing it’s not just your subjective opinion. • help the reader evaluate the strength of your points.
What does the evidence mean altogether? • What are the implications, in practice? • How does this integrate with your thinking? • This is how your own thinking and reasoning, so it’s important for clarification.
Being the right amount of critical We need to find the right balance of criticality: • not being critical enough leads to largely descriptive work and weak arguments • being too critical might take apart too many ideas, instead of building a coherent argument.
Additional guidance
• In examining and selecting one determinant of health you may consider any of the following: the individual, their biopsychosocial factors and any associated lifestyle factors, the broader community provision and social networks surrounding that individual; their living and working conditions and the wider socio-political, economic and cultural contexts.
• The current context of health and healthcare provision in the United Kingdom and how this might impact on the individual should also be considered.
• Critique evidence from a range of sources for example, NICE, the Department of Health, Public Health England, the King’s Fund, World Health Organisation and other peer reviewed sources and publications.
• Demonstrate use of empirical research literature that informs your understanding and analysis of the context of this determinant of health
• Overall, the discussion should give a logical and coherent argument of the key issues and demonstrate an understanding of the factors that impact on health and illness.
• Use appropriate language for academic writing, which is structured, measured and precise.
• Demonstrate competence across the learning outcomes for the module.
• Check that the cited references and bibliography are presented in a consistent and acceptable format that conforms to HSK referencing guidelines.
• The assignment should be written in third person
The way in which an assignment is organised may vary from one student to the next. However, in all cases, the organisation should be logical. It should begin with a clear identification of what is to be studied and how that will be achieved and should be ended with a summary or conclusion.
Presentation of the written assignment
Your work must be written in Times New Roman or Arial font size 12 and in double line spacing with wide margins.
Please follow the Referencing Guidelines 2021/22 to ensure correct referencing.
Please note that plagiarism and collusion guidelines must be considered.
Written Assignment Checklist:
Did you?
• Consider a determinant of health in relation to the patient/service user in the field specific case study?
• Consider this in terms of local policy/best practice and specific evidence base alongside the wider socio-economic and political influences?
• Use appropriate language for academic writing which is measured and precise?
• Structure your work logically without repetition?
• Evaluate your findings
• Demonstrate competence across all learning outcomes for the module?
References and Bibliography
• Are the references cited and bibliography presented in a consistent and acceptable form?
• Are references cited relevant to the study?
• Does the reference list and bibliography reflect?
1. The issues identified.
2. Search for and/or development of valid and reliable evidence?
3. Search for and/or development of definitions of concepts?
4. Formulation of the needs identified.
5. Is the writing style organised, clear and objective?
Assignment planning: the framework below may help you with planning your assignment.
Nursing Art and Science – Overview of Planned Essay
Identifying a determinant of Health
Framework Utilised/Rationale
Key determinants associated with the field specific case study
Selecting the determinant
Overview and detail of rationale and precise relationship to this case study
For the individual described give a summary of key evidence/policy/best practice recommendations that relate to this determinant of health in terms of their individual context
Summary of key evidence/policy/best practice that relates more broadly-to the wider socio-political, economic factors that might be having a wider impact on this individual.
Determinants of health definition
The World Health Organisation (WHO,2019) states that determinants of health include: The social and economic environment The physical environment The personals individual characteristics
Critical Writing Example:
Marks (2014) states that communication is important in nursing because it helps patients trust us. It is important that patients trust nurses as this helps develop a therapeutic relationship. A therapeutic relationship increasing the concordance of a patient taking their medication correctly (Mosby, 2009). However, Mishlisk (2010) argues that nurses today do not have the time to communicate effectively. This is supported by Nobu (2013) in those complaints from patients are commonly related to communication issues. The case study focused on in this essay demonstrated this in that by not taking the time to communicate effectively inhibited the patients understanding of their inhaler technique.
Please note
As a general rule, your paragraphs should contain one main idea or argument. This should be outlined in the first sentences: • A reader should be able to look at just the first and last sentence of each paragraph and grasp what your main ideas are. • Each paragraph should provide new evidence to support the main idea. If you don’t have evidence to support a point, do not include it. • Evidence might include data, facts, quotations, arguments, statistics and research from your readings as evidence. Make sure that you include a reference and explain how and why you think this evidence supports your point. • Your paragraph should end by stating the significance of the point to the overall argument or idea, or link to the next paragraph if you are going to build upon that main point further (eg examine the same point from a different perspective)
Please include 13 or more references
Literature should be 10 years or younger except the Dahlgren and Whitehead 1971 model information which must be included.
References and info to be included in this essay
The current context of health and healthcare provision in the United Kingdom and how this might impact on the individual should also be considered.
• Critique evidence from a range of sources for example, NICE, the Department of Health, Public Health England, the King’s Fund, World Health Organisation and other peer reviewed sources and publications.
• Demonstrate use of empirical research literature that informs your understanding and analysis of the context of this determinant of hehealth.
Use only relevant academic books, journal and other resources that are focusing on the UK. No none UK resources please.
• Bury, M., & Gabe, J. (Eds.). (2003). The sociology of health and illness : A reader. Taylor & Francis Group. Sourced at ProQuest EBook Central 28/02/22
• Dahlgren and Whitehead’s (1971) model: Wider determinants od health.
• The Marmot Review- 2020. Marmot Review- Find the 2020 version of the marmot review here.
