期刊
NURSING RESEARCH
卷 71, 期 6, 页码 E48-E60出版社
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/NNR.0000000000000605
关键词
nursing research; social determinants of health; symptom management; Symptom Science Model 2; 0; symptom science research
类别
资金
- NIH/NINR Clinical and Translational Intramural Research Training Awards
- Tau Chapter small research grant
- Sigma Theta Tau, School of Nursing and Health Studies, Georgetown University
- Robert Wood Johnson Foundation
- Thrive Behavioral Sciences
This concept development paper synthesizes justifications to strengthen the original National Institutes of Health symptom science model (SSM) and proposes a revised conceptual model-SSM 2.0 with three new concept elements. The inclusion of social determinants of health, patient-centered experience, and policy/population health components empowers nursing scientists and scholars to address specific symptom science public health challenges and expand the utility of the model in healthcare settings.
Background The National Institute of Nursing Research developed the National Institutes of Health symptom science model (SSM) in 2015 as a parsimonious conceptual model to guide symptom science research. Objectives This concept development paper synthesizes justifications to strengthen the original model. Methods A literature review was performed, discussions with symptom science content expert stakeholders were held, and opportunities for expanding the current model were identified. Concept elements for a revised conceptual model-the SSM 2.0-were developed. Results In addition to the four original concept elements (complex symptom presentation, phenotypic characterization, biobehavioral factors [previously biomarker discovery], and clinical applications), three new concept elements are proposed, including social determinants of health, patient-centered experience, and policy/population health. Discussion There have been several calls to revise the original SSM from the nursing scientific community to expand its utility to other healthcare settings. Incorporating three additional concept elements can facilitate a broader variety of translational nursing research symptom science collaborations and applications, support additional scientific domains for symptom science activities, and produce more translatable symptom science to a wider audience of nursing research scholars and stakeholders during recovery from the COVID-19 pandemic. The revised SSM 2.0 with newly incorporated social determinants of health, patient-centered experience, and policy/population health components now empowers nursing scientists and scholars to address specific symptom science public health challenges particularly faced by vulnerable and underserved populations.
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