DOI

10.21007/con.dnp.2025.0122

Faculty Advisor

Sally Humphrey, DNP, APRN, CPNP-PC; Tracy McClinton, DNP, APRN, AGACNP-BC, EBP-C

Document Type

Poster

Publication Date

Spring 5-1-2025

Disciplines

Endocrinology, Diabetes, and Metabolism | Health and Medical Administration | Investigative Techniques | Medicine and Health Sciences | Nursing | Nursing Administration | Pediatric Nursing | Pediatrics | Quality Improvement

Abstract

Purpose/Background

Social determinants of health (SDOH) have a significant impact on health outcomes. Pediatric patients with type one diabetes mellitus (T1DM) with adverse SDOH have inferior glycemic control, higher healthcare utilization, and increased risks of complications. SDOH screenings are not standard practice in pediatric T1DM care despite literature demonstrating that screening can improve outcomes. This scoping review aims to summarize existing evidence surrounding SDOH screenings and their impact on pediatric T1DM outcomes.

Methods

A scoping literature review was conducted from August 2022 to November 2024 via CINAHL, Cochrane, EBSCO, Elsevier, and PubMed. Inclusion criteria included peer-reviewed articles, English language, publication within fifteen years, and free, full-text availability. The Ohio State University rapid critical appraisal tool was used to assess validity and reliability. Twelve articles were selected based on their relevance and quality. An outcomes table was utilized to identify common effects and recommendations among these articles.

Results

This review determined that SDOH influence pediatric T1DM outcomes and that SDOH screenings can improve outcomes, including glycated hemoglobin levels. The literature recommends various screening tools and implementation strategies, but no standard tool or strategy has been established. We were unable to conduct a study evaluating real-time T1DM patient biomarkers or outcomes following SDOH screening without student access to our local facility’s electronic charting system. However, our literature review was able to outline SDOH screening’s positive influence on outcomes in this population.

Implications for Nursing Practice

Our review demonstrates that the literature supports universal implementation of SDOH screenings. Their incorporation can improve glycemic control, healthcare utilization, and caregiver support. This scoping review highlights a need for further research to establish a standard SDOH screening tool and evaluate its effect on pediatric T1DM outcomes.

Download

Share

COinS