Structural competency: A pilot study
Colleen Woolsey, Robin Narruhn
Abstract
OBJECTIVE: The objective of this study is the use of structural competency (SC) as a tool to broaden the view of nursing students beyond individual, behavioral, biological, and cultural frameworks to encompass the structural determinants of health. DESIGN: This mixed-methods pilot study consists of a concurrent nested strategy in which close-ended, forced-choice questions are the drivers while open-ended questions are embedded therein. SAMPLE: The sample consists of second-year doctor of nursing practice students. MEASURES: The short-term impact is measured through the use of a survey tool. INTERVENTION: The 3-hr SC educational module focuses on six learning objectives: knowledge of structural terms, identifying SC effects on population and patient health; strategizing responses to these influences, student readiness to create change at the individual, organizational, and systems-level, identifying needed tools, and assessing empowerment and burnout. RESULTS: Students understand structural terms and are willing to create systemic change but lack necessary tools which may result in burnout. CONCLUSIONS: Careful thought about curricula incorporating SC and skills to offset the potential impact of burnout is needed.