Villeneuve Michael J
Canadian Nurses Association, Ottawa, Ontario, Canada.
Policy Polit Nurs Pract. 2008 Nov;9(4):334-41. doi: 10.1177/1527154408328661. Epub 2008 Dec 11.
Nurses in the 21st century are being called to rise to new levels of practice, including a more influential leadership at senior levels of policy development. Decades of research, good will, and a revolutionary civil rights movement have not resolved the world's staggering health outcome disparities. Nursing has a solution: Many of the most troubling disparities are amenable to effective intervention by the world's nurses through their clinical and policy work. The author challenges nurses to imagine the impact on global health if the elimination of disparities is the core goal of nursing for the 21st century. Moving from individuals and communities to systems levels, nurses must be versed in a range of system-level vital signs that affect policy development including economics, demographics, and access to care. Setting our sights on the elimination of health disparities offers a rallying point around which nursing can coalesce and set human health on a new and more equitable course.
21世纪的护士被要求提升到新的实践水平，包括在政策制定的高层发挥更具影响力的领导作用。数十年的研究、善意以及一场革命性的民权运动并未解决全球令人震惊的健康结果差异问题。护理有一个解决方案：许多最棘手的差异可以通过全球护士的临床和政策工作得到有效干预。作者向护士们提出挑战，设想如果消除差异是21世纪护理的核心目标，对全球健康会产生怎样的影响。从个人和社区层面转向系统层面，护士必须精通一系列影响政策制定的系统层面的关键指标，包括经济、人口统计学和医疗服务可及性。将消除健康差异作为目标，为护理提供了一个凝聚点，围绕这一点，护理可以团结起来，让人类健康走上一条新的、更公平的道路。
