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全球健康中的社会公正概念分析。

A concept analysis of social justice in global health.

机构信息

University of Saskatchewan, College of Nursing, Saskatoon, Saskatchewan, Canada.

出版信息

Nurs Outlook. 2019 May-Jun;67(3):244-251. doi: 10.1016/j.outlook.2018.12.023. Epub 2018 Dec 25.

Abstract

BACKGROUND

Fundamental nursing responsibilities include health promotion, disease prevention, and alleviation of suffering both locally and internationally.

PURPOSE

To examine the state of knowledge and provide clarity on the concept of social justice in global health.

METHOD

Using a modified Walker and Avant approach, literature was synthesized based upon discipline, including: nursing, public health, social work, philosophy, international law, international development studies, and religious studies. A theoretical definition, antecedents, defining attributes, and consequences were identified along with gaps in current knowledge and understanding. A model case was followed by direction for further concept development.

FINDINGS

Social justice in global health nursing is a fundamental human right to be protected and a moral obligation demonstrated by action. It results in change that improves the health of individuals and populations both locally and globally by recognizing and confronting injustice, oppression, and inequity while promoting participation, opportunity, justice, equity, and helping relationships.

DISCUSSION

Nursing must bring its unique perspective to policies and practices pertinent to issues of inequity. As the largest group of health care providers globally, nursing has the responsibility and political potential to mediate change and address factors integral to ensuring social justice in global health.

摘要

背景

基础护理职责包括在本地和国际上促进健康、预防疾病和减轻痛苦。

目的

考察全球健康领域社会正义概念的知识现状并提供清晰认识。

方法

采用修改后的沃克和阿凡特方法,根据学科综合文献,包括:护理、公共卫生、社会工作、哲学、国际法、国际发展研究和宗教研究。确定了理论定义、前提、定义属性和后果,以及当前知识和理解方面的差距。通过模型案例为进一步的概念发展提供了方向。

结果

全球健康护理中的社会正义是一项受保护的基本人权,是通过行动表现出的道德义务。它通过认识和应对不公正、压迫和不平等,同时促进参与、机会、正义、公平和帮助关系,从而改善个人和人群的健康,这种改变既发生在本地也发生在全球。

讨论

护理必须为与不平等问题相关的政策和实践带来独特的视角。护理作为全球最大的医疗保健提供者群体,有责任和政治潜力来调解变革,并解决确保全球健康中的社会正义所必需的因素。

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