利用护理科学在社会和健康结构决定因素的背景下推进政策和实践。
Using nursing science to advance policy and practice in the context of social and structural determinants of health.
机构信息
M. Louise Fitzpatrick College of Nursing, Villanova University, Villanova, PA.
出版信息
Nurs Outlook. 2023 Nov-Dec;71(6):102060. doi: 10.1016/j.outlook.2023.102060. Epub 2023 Oct 16.
BACKGROUND
Social and structural determinants of health play a large role in health inequities.
PURPOSE
To highlight how nursing science can be used to advance policy and practice in the context of social and structural determinants of health.
METHODS
This paper reports on the author's keynote presentation from the 2022 State of The Science Conference on Social and Structural Determinants of Health presented by the Council for the Advancement of Nursing Science. Key concepts are overviewed and defined, followed by examples of two community-engaged research projects with findings that inform practice and policy. The author concludes with individual-, social- and structural-level recommendations as a clarion call for nurses to use research to eliminate health inequities and promote justice for all.
CONCLUSION
What we know is, in part, only as good as what we do with that knowledge. When lives are at stake, gone are the days of knowing something and failing to act on that knowledge.
背景
健康的社会和结构性决定因素在健康不平等中起着重要作用。
目的
强调护理科学如何能够在社会和结构性健康决定因素的背景下用于推进政策和实践。
方法
本文报告了作者在 2022 年由护理科学促进理事会举办的社会和结构性健康决定因素科学现状会议上的主题演讲。概述并定义了关键概念，然后介绍了两个以社区为基础的参与式研究项目的例子，这些项目的研究结果为实践和政策提供了信息。作者最后提出了个人、社会和结构层面的建议，呼吁护士利用研究来消除健康不平等，促进所有人的公正。
结论
我们所知道的，在某种程度上，仅仅取决于我们如何利用这些知识。当生命处于危险之中时，知道某件事而不采取行动的日子已经一去不复返了。
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