Faculty Advisor

Diana Dedmon, DNP, APRN, FNP-BC

Document Type


Publication Date

Spring 4-20-2022


Analytical, Diagnostic and Therapeutic Techniques and Equipment | Bacterial Infections and Mycoses | Diseases | Family Practice Nursing | Health and Medical Administration | Health Services Administration | Health Services Research | Investigative Techniques | Maternal and Child Health | Medical Specialties | Medicine and Health Sciences | Nursing | Nursing Administration | Pediatric Nursing | Pediatrics | Public Health | Public Health and Community Nursing | Quality Improvement


Purpose/Background: Pediatric health is significantly affected by social determinants of health. Screening for and addressing social determinants of health helps to decrease negative effect on health outcomes. The purpose of this project is to determine if there is an association between addressing or not addressing social determinants of health by the healthcare provider and parents’ adherence to treatment recommendations in children with urinary tract infections.

Methods: Between October 2020 and November 2021, a literature review was performed to obtain data from studies regarding urinary tract infections, social determinants of health and adherence to treatment recommendations. The University of Tennessee Health Science Center (UTHSC) online databases, Pubmed, CINAHL, Medline and EBSCO were used to obtain data using the search terms listed above and others. Using these methods and a modified version of the PICOT question, “In children who experience urinary tract infections, how do provider inquiries regarding social determinants of health affect caregiver adherence to treatment plans?”, data were obtained from relevant articles. The primary goal was to determine if addressing or not addressing social determinants of health affected treatment adherence in patients with urinary tract infections.

Results: During research and data collection, 13 articles were cited and consisted of cross sectional surveys, controlled trials without randomization, randomized controlled trials, quality improvement projects, case controlled/case-case study and an expert panel report. Four articles maintain a positive relationship between race/ethnicity, socioeconomic status and risk of urinary tract infection. Also, comprehensive education of parents on urinary tract infections improves outcomes.

Implications for Nursing Practice: Provider screening for and addressing social determinants of health can help mitigate the negative effects of these social determinants of health on the family. This and equipping parents with knowledge will also help in the care of their children with urinary tract infection.