University of Alberta, Edmonton, Alberta, Canada.
Nurs Inq. 2010 Sep;17(3):269-80. doi: 10.1111/j.1440-1800.2010.00500.x.
Reducing health inequities is a priority issue in Canada and worldwide. In this paper, we argue that nursing has a clear mandate to ensure access to health and health-care by providing sensitive empowering care to those experiencing inequities and working to change underlying social conditions that result in and perpetuate health inequities. We identify key dimensions of the concept of health (in)equities and identify recommendations to reduce inequities advanced in key global and Canadian documents. Using these documents as context, we advocate a 'critical caring approach' that will assist nurses to understand the social, political, economic and historical context of health inequities and to tackle these inequities through policy advocacy. Numerous societal barriers as well as constraints within the nursing profession must be acknowledged and addressed. We offer recommendations related to nursing practice, education and research to move forward the agenda of reducing health inequities through action on the social determinants of health.
减少健康不平等是加拿大和全球的优先事项。在本文中，我们认为，护理有明确的任务，即为那些经历不平等的人提供敏感的赋权护理，并努力改变导致和延续健康不平等的潜在社会条件，以确保获得健康和医疗保健。我们确定了健康（不平等）概念的关键维度，并确定了在全球和加拿大主要文件中提出的减少不平等的建议。我们利用这些文件作为背景，倡导一种“批判关怀方法”，以帮助护士了解健康不平等的社会、政治、经济和历史背景，并通过政策倡导来解决这些不平等问题。必须承认和解决众多社会障碍以及护理专业内部的限制。我们提出了与护理实践、教育和研究相关的建议，通过对健康决定因素采取行动，推进减少健康不平等的议程。
