Smith Gloria R
Policy Polit Nurs Pract. 2007 Nov;8(4):285-91. doi: 10.1177/1527154408314600.
Health disparities result from lack of caring within the society. Central to nursing, caring makes the profession best suited for leadership in reducing disparities. Nursing is losing its capacity for caring. Nursing's progress in gaining status has alienated it from the needs of other oppressed groups. It has also been seduced by the scientific model and does not always use its best judgment of truths about human suffering. Research has identified unequal treatment, discrimination, workplace and social status, income inequality, and policy decisions to deplete resources as social and economic determinants of health. All involve relationships. Nursing is the profession for which relationships are primary. Nursing can rebuild the capacity for caring and social and relational practice through transforming nursing education on the principle of mutuality. Nursing can also promote nurse-managed primary care and focus on changing local, state, and national policies to increase access, equity, and health protection.
健康差距源于社会缺乏关爱。关爱是护理工作的核心，这使得该职业最适合在减少差距方面发挥领导作用。护理正在丧失其关爱的能力。护理在提升地位方面取得的进展使其与其他受压迫群体的需求脱节。它还受到科学模式的诱惑，并不总是运用其对人类痛苦真相的最佳判断力。研究已确定不平等的待遇、歧视、工作场所和社会地位、收入不平等以及消耗资源的政策决策是健康的社会和经济决定因素。所有这些都涉及人际关系。护理是以人际关系为首要的职业。护理可以通过基于相互性原则转变护理教育来重建关爱的能力以及社会和关系实践能力。护理还可以促进由护士管理的初级保健，并专注于改变地方、州和国家政策，以增加医疗服务可及性、公平性和健康保护。
