Bell Sue Ellen, Hulbert James R
Minnesota State University, Mankato, Minnesota 56001, USA.
Clin Nurse Spec. 2008 Nov-Dec;22(6):293-9; quiz 300-1. doi: 10.1097/01.NUR.0000325387.22589.d7.
Translating social justice into clinical nurse specialist (CNS) practice involves not only facilitating equitable access to healthcare resources but also changing the definition of health from individual centric to population based. Clinical nurse specialists working within hospitals or healthcare systems generally have not explored the ethical conflicts between demand and available healthcare resources. Application of social justice to CNS practice requires microallocation decisions in direct patient care and macroallocation decisions in the distribution of all societal goods that alleviate health disparities. This article reviews the meaning, history, and current basis for the application of the principle of social justice to CNS practice.
将社会正义转化为临床护理专家(CNS)的实践,不仅涉及促进公平获取医疗资源,还涉及将健康的定义从以个体为中心转变为以人群为基础。在医院或医疗系统中工作的临床护理专家通常尚未探讨需求与可用医疗资源之间的伦理冲突。将社会正义应用于CNS实践需要在直接的患者护理中进行微观分配决策,以及在所有减轻健康差距的社会商品分配中进行宏观分配决策。本文回顾了将社会正义原则应用于CNS实践的意义、历史和当前基础。