Social Determinates of Health Simulation Library
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This series was developed by the UofL School of Nursing team: Christina Pennington, Simulation Director; Dr. Diane Riff, RN-BSN Online Program Director; Dr. Heather Mitchell, Associate Dean of Undergraduate Programs; and Joel Schmidt, Grant Program Manager. It comprises eleven open-source, video-based simulation scenarios accompanied by facilitator and learner materials.
This work was made possible through funding from HRSA’s NEPQR-IPCP LPN-BSN Pathway grant. The simulations integrate social determinants of health into teaching and assessment, promote equity-minded clinical judgment and communication, and support learners in engaging with the communities where they live and work.
Simulation Videos
Social Determinants of Health Domains: Economic Stability; Health Care Access and Quality; Social and Community Context; Neighborhood and Built Environment
Summary: A 17-year-old migrant worker with back pain faces unsafe work and housing and limited access to care. The NP provides culturally responsive education and connects the family to injury-prevention and chronic-disease resources.
Social Determinants of Health Domains: Economic Stability; Social and Community Context; Neighborhood and Built Environment; Health Care Access and Quality
Summary: A 5-day-old with jaundice requires home phototherapy, but a utility shutoff disrupts treatment. Two versions contrast therapeutic versus non-therapeutic communication while teaching SDOH analysis and person-centered care.
Social Determinants of Health Domains: Health Care Access and Quality; Neighborhood and Built Environment; Economic Stability; Social and Community Context; Education Access and Quality
Summary: A rural former miner with worsening symptoms is diagnosed with Alpha-1 Antitrypsin Deficiency via a mobile unit. The team educates the family, recommends relative testing, and coordinates financial support and mobile infusion access.
Social Determinants of Health Domains: Health Care Access and Quality; Social and Community Context; Economic Stability; Education Access and Quality
Summary: A first-time Black mother’s concerns are dismissed, leading to an emergent C-section and newborn distress. The case focuses on bias mitigation, timely escalation, and respectful maternity care.
Social Determinants of Health Domains: Social and Community Context; Health Care Access and Quality; Economic Stability; Education Access and Quality
Summary: A 70-year-old caregiver with shoulder pain worries about sustaining care and future guardianship. The NP treats pain, refers to PT, and initiates long-term planning with empathetic support.
Social Determinants of Health Domains: Neighborhood and Built Environment; Social and Community Context; Health Care Access and Quality; Economic Stability
Summary: A 27-year-old with a gunshot wound is stabilized and moved to the ICU. Transition planning emphasizes interprofessional teamwork, safety, and linkage to violence-prevention and recovery resources.
Social Determinants of Health Domains: Social and Community Context; Health Care Access and Quality; Economic Stability; Education Access and Quality
Summary: A refugee child with severe dental pain receives interpreter-supported care, help with costs, and culturally tailored oral-health education to enable follow-up.
Social Determinants of Health Domains: Social and Community Context; Health Care Access and Quality; Economic Stability; Education Access and Quality
Summary: A full-time worker caring for a parent with Alzheimer’s shows burnout. The NP provides education and connects the caregiver to respite, counseling, support groups, and social work; follow-up shows improvement.
Social Determinants of Health Domains: Neighborhood and Built Environment; Social and Community Context; Economic Stability; Health Care Access and Quality; Education Access and Quality
Summary: An unhoused man with schizophrenia is admitted in crisis. The team uses trauma-informed care and coordinates discharge with housing and community supports to address systemic barriers.
Social Determinants of Health Domains: Social and Community Context; Health Care Access and Quality; Economic Stability; Neighborhood and Built Environment
Summary: Rural parents of a preterm infant face travel, lodging, and work-leave barriers. The NICU team maintains connection and links the family to transportation and lodging resources to support bonding and follow-up.
Social Determinants of Health Domains: Health Care Access and Quality; Social and Community Context; Economic Stability; Education Access and Quality
Summary: A 35-year-old woman with mild intellectual disability seeks sexual-health counseling and contraception. The NP supports autonomy while navigating MPOA concerns and legal-ethical considerations.
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