title: Integrating the 3Ds: a nursing perspective.
abstract: The 3Ds (diversity, disparities, and determinants) that serve as a framework for this supplement are concepts that are key foundations of nursing education, practice, and research. Despite this fact, however, the nursing profession has faced challenges recognizing the full potential of these concepts. While their importance is documented and acknowledged, they are not clearly evident or easily recognized within the nursing profession. In fact, there are many barriers to the integration of these concepts. We identify and address two barriers to addressing health disparities and increasing diversity: disconnects and discrimination. Furthermore, we discuss three factors-dissemination, durability, and data-that may facilitate nursing's efforts to integrate the 3Ds into the profession. Five pivotal models that address these barriers and facilitators are presented as exemplars that have the potential to guide efforts to address diversity, disparities, and social determinants of health and act as catalysts for change within the nursing profession.
authors.affiliation: University of Michigan School of Nursing, Ann Arbor, MI.
authors.forename: Antonia M
authors.initials: AM
authors.lastname: Villarruel
authors.affiliation: University of Michigan School of Nursing, Ann Arbor, MI.
authors.forename: April
authors.initials: A
authors.lastname: Bigelow
authors.affiliation: George Washington University, Washington, DC.
authors.forename: Carmen
authors.initials: C
authors.lastname: Alvarez
mesh_terms: D018864:Cultural Diversity; D004506:Education, Nursing / Q000458:organization & administration; D054624:Health Status Disparities; D006801:Humans; D008913:Minority Groups / Q000706:statistics & numerical data; D009729:Nursing / Q000458:organization & administration* / Q000706:statistics & numerical data; D063505:Racism; D064890:Social Determinants of Health; D014481:United States / Q000453:epidemiology; D014488:United States Health Resources and Services Administration / Q000458:organization & administration; D000078329:Workforce