CNA Social Justice in Practice.

Question 1

how many parts is the new code of ethics for RNs written in 2008 divided into and what is contained in each part

how does social justice relate to this

Answer 1

two parts

part I: lays out 7 primary values and the corresponding ethical responsibilities

part II has 13 statements describing ethical endeavours nurses may undertake to address social inequities affecting health and well-being

Question 2

are the ethical endeavours in part II essential core components of ethical responsibilities

what are they tools for

Answer 2

they are not part of nurses’ core ethical eresponsibilities but they are part of ethical practice

theya re motivational and educational tools

Question 3

what is the purpose of this paper is

Answer 3

to enhance nurses understanding of SJ and help raise awareness of how the code can guide them in SJ endeavours

Question 4

what is social justice

Answer 4

Social justice means the fair distribution of resources and responsibilities among the members of a population, with a focus on “the relative position of one social group in relationship to others in society as well as on the root causes of disparities and what can be done to eliminate them”

Question 5

considering definition of SJ what resources are they talking about distributing equally in relation to health

Answer 5

term resources is taken to mean not just direct basically the SDOH

aka
services but also other facets of life that can have a positive effect on health, such as food security, adequate housing, gainful employment and acceptable working conditions, adequate income, adequate education, social inclusion and the presence of a social
safety net

Question 6

which theories most inform SJ

Answer 6

critical and feminist theories

which focus on the negative effects of oppression of any kind

Question 7

what kind of inequalities do we have here in Canada

i included all their stats..probably not nec but just in case

Answer 7

in summary around 10% of Canadians live in poverty, many of them kids
poverty highest in BC and lowest in PEI
many regional differences in welfare income
immigrants and first nations have particularly hgih levels of poverty

Canada is not immune to unequal social relationships. The Canadian Council on Social Development (n.d.) reports that as of 2004 about 3.5 million Canadians were living in poverty, including 865,000 children under the age of 18, with rates highest among female lone-parent families. Poverty rates were highest overall in British Columbia (14.2%), and lowest in Prince Edward Island (6%). In 2005 about 5 per cent of the Canadian population relied on welfare. There were important regional differences in welfare income across provinces: in 2005 a single employable person in New Brunswick received $3,201, while in Newfoundland and Labrador payments were $7,189. That same year, only British Columbia increased welfare income for those with disabilities. And according to Campaign 2000 (2007), one in four First Nations children living in First Nations communities lives in poverty, while one in two children in recent immigrant families lives in poverty.

Question 8

is social justice just a sociopolitical activity to be practiced on large scale

Answer 8

no it should be incorporated into everyday practice and every encounter as well.
Striving to overcome oppression and discrimination wherever they are encountered in the health-care system is important in nursing

Question 9

which values from the code support trying to uphold SJ

Answer 9

The nursing values of “providing safe, compassionate competent and ethical care,” “promoting health and well-being” and “preserving dignity”

Question 10

in which kind of nursing was SJ important from the start

who that we learned about in chapter 1 is assoc with this

Answer 10

public health and mental health

lilian wald in the 1900s said inequities must be addressed to have healthy population

Question 11

how did the focus on SJ dissipate and wh

Answer 11

individualism and autonomy were seen to be more important and health was indiv responsibility. Nurses were educated in hospital schools and werent taught about SJ anymore

Question 12

which reports contributed to SJ being looked at once again

what did they conclude

Answer 12

Romanow 2002
Mazankowski 2002

they said that we were focusing too much on illness care and that SDOH were a huge influence on health

Question 13

how did nursing curriculum change to include SJ more

Answer 13

nursing schools employed a feminist approach

globalization made us more aware

nurses are prime candidates for social change

Question 14

is social justice a means to an end

Answer 14

“social justice is a means to an end as well as an end in itself

Question 15

do these statements from the code of ethics relate to SJ “preserving dignity” and “promoting justice” speak to the importance of safeguarding human rights and having a non-judgmental, non-discriminative stance toward those receiving care

Answer 15

YES. these are from part I of the code

Question 16

should nurses just focus on SJ issues in Canada. what part of the code would tell you?

Answer 16

Part II basically address it wherever it exists

“relate to the need for change in systems and societal structures in order to create greater equity for all” (p. 20), both nationally and internationally. It draws nurses’ attention to broader, global issues such as war, violence and hunger, and encourages nurses to consider taking action individually and collectively, to the extent of their ability, to address social injustice
wherever it arises.

Question 17

if you had a health center only open one day a month in a remote community is this ethical? what is necessary?

Answer 17

advocat[e] for a full continuum of accessible health-careservices tobe provided at the right time and in the right place” (p. 20, item iv).

Question 18

how are nurses supposed to address violence in the code

Answer 18

prevent and minimize it

Question 19

how do some nurses who are oppressed treat others

Answer 19

they can continue the oppression towards others

Question 20

how can one learn about SJ issues

Answer 20

Many opportunities exist for nurses to learn about social justice issues. The websites of provincial, territorial, national and international nursing organizations offer helpful resources. Attending nursing conferences, such as those organized by CNA and the International Council of Nurses, is another way to strengthen awareness of socialjusticeissues.TheInternationalCentreforNursing Ethics

also WHO, public health canada

Question 21

what kind of health care is important to help achieve SJ

Answer 21

primary health care

Question 22

how are the ethical endeavours of the code concerned with the environment and what should nures do

Answer 22

the env is important for health

Supporting environmental preservation and restoration and advocating for initiatives that reduce environmentally harmful practices in order to promote health and well-being

Question 23

is it nurses or governments who should help expand the range of health care services offered to people who cant get it for geographical or other reasons

Answer 23

nurses should advocate

gov could be involved too

Question 24

awareness of what issues is important

Answer 24

Maintaining awareness of major health concerns such as poverty, inadequate shelter, food insecurity and violence. Nurses work individually and with others for social justice and to advocate for laws, policies and procedures designed to bring about equity.

Maintaining awareness of broader global health concerns such as violations of human rights, war, world hunger, gender inequities and environmental pollution. Nurses work individually and with others to bring about social change.

Question 25

how and what are nurses obligated to discuss

Answer 25

Advocating for the discussion of ethical issues among health-care team members, persons in their care, families and students. Nurses encourage ethical reflection, and they work to develop their own and others’ heightened awareness of ethics in practice.

Question 26

how are nurses involved with creating a moral community

Answer 26

Working collaboratively to develop a moral community. As part of the moral community, all nurses acknowledge their responsibility to contribute to positive, healthy work environments

Question 27

CNA nursing values and ethical responsibilities from pg 89

Answer 27

providing safe compassionate and ethical care
promoting health and wellbeing
promoting and respecting informed decision making
preserving dignity
maintaining privacy and confidentiality
promoting justice
being accountable