Leveraging Narrative Reflective Writing to Teach Nursing Students About Social Determinants of Health by Harnessing "Small Moments"

Background: There is increasing recognition that social determinants of health (SDOH) profoundly affect health outcomes. Frontline nurses must grasp how SDOH shape health disparities and inequities. Purpose: This paper describes an innovative pedagogical approach that leverages didactic, experiential, and reflective methods, specifically a "small moments" writing activity, to enhance students' understanding of SDOH. Methods: Nursing students (n = 135) from a southeastern U.S. university participated in the activity, and 72 provided consent for inclusion in this analysis. Themes related to students' understanding of SDOH were identified, and implications for nursing practice were considered. Results: This integrative approach deepened students' understanding of SDOH. Narratives highlighted economic instability, cultural barriers, and systemic inequities as drivers of health disparities. Students described greater awareness, empathy, and culturally competent care. Conclusion: Student narratives showed evidence of critical thinking, empathy, and advocacy, crucial skills for addressing health disparities.