What is inclusion health and why is it important for all nurses and midwives?

Waterall, Jamie; Newland, Rita; Campos-Matos, Inês; Stannard, Jeremy

doi:10.12968/bjon.2021.30.14.866

Cited by 4 publications

(2 citation statements)

References 2 publications

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“…There is agreement in the literature that population health concepts should sit at the core of health curricula [ 39 ], with a focus on inclusion health groups [ 40 – 42 ]. However, due to the multi-disciplinary background of the public health workforce, development of a health protection-specific health equity training is recommended.…”

Section: Discussionmentioning

confidence: 99%

The role of health protection teams in reducing health inequities: findings from a qualitative study

Allison¹,

Roberts²,

Briggs³

et al. 2023

BMC Public Health

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Introduction The UK Health Security Agency’s (UKHSA) Health Protection Teams (HPTs) provide specialist public health advice and operational support to NHS, local authorities and other agencies in England. The development of a three-year UKHSA Health Equity strategy creates a unique opportunity for HPTs to reduce health inequities within their work. Aims This study aimed to understand current health equity activities and structures within HPTs, and to propose future HPT-led health equity activities. Methods Between November 2021 - March 2022, HPT staff from the nine UKHSA regions were invited to participate in a semi-structured interview or focus group. Results Twenty-seven participants covering all nine UKHSA regions took part in a total of 18 interviews and two focus groups. There was enthusiasm to address health inequity, and many reported this as their motivation for working in public health. All HPTs routinely engaged in health equity work including, variously: liaising with other organisations; advocacy in case and outbreak management meetings; developing regional HPT health equity action plans; and targeting under-served populations in day-to-day work. HPT staff discussed the challenge of splitting their time between reacting to health protection incidents (e.g., COVID as the main priority at the time) and pro-active work (e.g., programmes to reduce risk from external hazards for vulnerable populations). Although COVID had raised awareness of health inequities, knowledge of health equity among the professionally diverse workforce appeared variable. Limited evidence about effective interventions, and lack of clarity about future ways of working with other organisations were also shared as barriers to tackling health inequities. Conclusion HPTs welcomed the development of UKHSA’s health equity strategy, and through this study identified opportunities where HPTs can influence, support and lead on tackling health inequities. This includes embedding health equity into HPTs’ acute response activities, stakeholder working, and staff management. This study also identified a need for health equity training for HPTs to improve knowledge and skills, utilising evidence-based approaches to health equity. Finally, we have identified areas where HPTs can lead, for example using brief advice interventions and through developing resources, such as standard operating procedures that focus on vulnerable populations. These findings will support a more integrated approach to addressing health equity through health protection work.

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Section: Discussionmentioning

confidence: 99%

The role of health protection teams in reducing health inequities: findings from a qualitative study

Allison¹,

Roberts²,

Briggs³

et al. 2023

BMC Public Health

View full text Add to dashboard Cite

show abstract

“…Registered nurses (RNs) are trained to perform an integral role in providing equitable healthcare for all people [ 1 ]. The basis to this is inclusion health [ 2 ], a research, service and policy agenda that seeks to promote health and target health inequities among marginalised communities [ 3 ]. Inclusion health is particularly salient for women experiencing homelessness due to their high rates of physical and mental health illnesses [ 4 – 7 ], exposure to violence, abuse, and addiction [ 4 , 6 , 8 – 10 ], and higher mortality rates than their male counterparts, or the general population [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

The relationship between attitudes to homelessness and perceptions of caring behaviours: a cross-sectional study among women experiencing homelessness, nurses and nursing students

et al. 2022

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Background Women experiencing homelessness have complex and multifaceted healthcare needs and yet they are an underserved population across healthcare services. Nurses are trained to perform an integral role in the provision of equitable healthcare and their attitudes towards homelessness may therefore influence the care that women experiencing homelessness receive. This study aimed to examine correlations between attitudes towards homelessness and caring behaviours, and to test if these correlations differed between the groups of women experiencing homelessness, registered nurses, and nursing students. Methods A cross-sectional design using convenience sampling was used to recruit women experiencing homelessness (n = 37), registered nurses (n = 90), and nursing students (n = 138) in Stockholm, Sweden between August 2019 and December 2020. The participants answered two questionnaires: the Attitudes Toward Homelessness Inventory and the Caring Behaviours Inventory-24. Correlations between ordinal variables were calculated using Spearman’s rank correlation ρ. Tests of equality between two independent correlations were performed using a Z-test applied to Fisher’s z-transformed correlations. An advisory board of women with lived experience of homelessness supported the interpretation of the results. Results Weak, negative correlations were identified between the Attitudes Toward Homelessness Inventory and Caring Behaviours Inventory-24. The Attitudes Toward Homelessness Inventory mean total scores (SD) were 4.1 (0.6), 4.2 (0.6), 4.1 (0.5) points for the women experiencing homelessness, registered nurse, and nursing student groups, respectively, with the corresponding scores for the Caring Behaviours Inventory-24 being 4.1 (1.1), 5.2 (0.5), 4.8 (0.7) points, respectively. Conclusions To promote equitable health for women experiencing homelessness, healthcare providers and nurse educators should consider the role of stigmatising attitudes in relation to caring behaviours.

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Nursing: a voice to lead in the 2020s

Waterall¹

2022

Br J Nurs

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What is inclusion health and why is it important for all nurses and midwives?

Cited by 4 publications

References 2 publications

The role of health protection teams in reducing health inequities: findings from a qualitative study

The role of health protection teams in reducing health inequities: findings from a qualitative study

The relationship between attitudes to homelessness and perceptions of caring behaviours: a cross-sectional study among women experiencing homelessness, nurses and nursing students

Nursing: a voice to lead in the 2020s

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