Merry Lisa
School of Nursing, McGill University, Montreal, Quebec, Canada.
Can J Nurs Res. 2012 Dec;44(4):20-35.
This article draws on the literature to present a conceptualization of global health (GH) that corresponds with the discipline of nursing and defines the contributions of nursing to GH. The author's perspective is that "health" should be defined and considered holistically to reflect the fact that GH involves more than the eradication of disease and that health as a fundamental right of every human being must be made explicit. "Global" refers to the supraterritorial links among the social determinants of health located at points anywhere on earth within a whole-world context. The focus of GH is the supraterritorial determinants and its ultimate objective is health equity for all nations and all people. The contributions of nurses are advocacy, healing and alleviating suffering through caring, and increasing nursing capacity globally. To truly advance the GH agenda, a new world order is needed, one in which political decision-making is guided by our shared humanity.
本文借鉴相关文献，提出了一种与护理学科相符的全球健康概念，并界定了护理对全球健康的贡献。作者认为，应从整体上定义和考量“健康”，以反映全球健康不仅仅涉及疾病根除这一事实，且必须明确健康是每个人的基本权利。“全球”指的是在全球背景下，地球上任何地点的健康社会决定因素之间的超领土联系。全球健康的重点是超领土决定因素，其最终目标是实现所有国家和所有人的健康公平。护士的贡献包括倡导、通过关怀治愈和减轻痛苦，以及在全球范围内提高护理能力。要真正推进全球健康议程，需要一个新的世界秩序，即在这个秩序中，政治决策以我们共同的人性为指引。
