Urmia University of Medical Sciences.
Nurs Ethics. 2024 Aug;31(5):759-776. doi: 10.1177/09697330231200566. Epub 2024 Jan 31.
Social inequities in the healthcare system threaten global health. Efforts to establish equity in healthcare is a key goal of healthcare systems worldwide. Social justice is a basic value of the nursing profession that always merits attention.
This study aimed to identify and explain the processes of the nursing profession's participation in establishing social justice in healthcare system.
This qualitative study was conducted using the grounded theory method.
Data were collected through in-depth, semi-structured, individual interviews with 26 participants, 23 of whom were members of the nursing profession. Sampling started purposefully and, then, continued with theoretical sampling. Field notes were also taken for data collection. Data analysis was performed using Corbin and Strauss' 2015 method.
The research was approved by the Ethics Committee of Urmia University of Medical Sciences in Iran.
The was the study's core category. This theory is the result of nine main categories: "inefficient professional authority," "social justice, a neglected component in education," "clinical concerns, barriers to nurses' presence in society," "individual input reserves to facilitate social justice," "inadequate maturity of the profession in the path of equity in health," "promoting justice in clinical practice," "a tendency to community-oriented profession," "use of personal approaches for justice promotion," and "emerging justice-expanding nursing." These categories cover the underlying factors, strategies, and outcomes of the nursing profession's participation in establishing social justice process in healthcare.
The theory of can be used as a practical guide to describe the role of nurses in establishing social justice. Further studies with a quantitative approach to applying this theory are recommended.
医疗体系中的社会不平等威胁着全球健康。努力在医疗保健中实现公平是全球医疗体系的一个关键目标。社会正义是护理专业的基本价值观，始终值得关注。
本研究旨在确定并解释护理专业参与建立医疗保健系统社会正义的过程。
这是一项使用扎根理论方法的定性研究。
通过与 26 名参与者（其中 23 名为护理专业人员）进行深入、半结构化的个人访谈来收集数据。抽样从有目的开始，然后继续进行理论抽样。还为数据收集记录了现场笔记。数据分析采用 Corbin 和 Strauss 于 2015 年提出的方法进行。
这项研究得到了伊朗乌尔米亚医科大学伦理委员会的批准。
“无效的专业权威”是研究的核心范畴。该理论是九个主要范畴的结果：“社会正义是教育中被忽视的组成部分”、“临床关注，护士在社会中存在的障碍”、“促进正义的个人投入储备”、“专业在公平道路上不成熟”、“促进临床实践中的正义”、“倾向于社区导向的专业”、“使用个人方法促进正义”和“扩大正义的新兴护理”。这些范畴涵盖了护理专业参与建立医疗保健中社会正义过程的潜在因素、策略和结果。
“无效的专业权威”理论可以作为描述护士在建立社会正义中的作用的实用指南。建议进一步进行采用这种理论的定量方法研究。
