CNA Social Justice in Practice. Flashcards
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
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
are the ethical endeavours in part II essential core components of ethical responsibilities
what are they tools for
they are not part of nurses’ core ethical eresponsibilities but they are part of ethical practice
theya re motivational and educational tools
what is the purpose of this paper is
to enhance nurses understanding of SJ and help raise awareness of how the code can guide them in SJ endeavours
what is social justice
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”
considering definition of SJ what resources are they talking about distributing equally in relation to health
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
which theories most inform SJ
critical and feminist theories
which focus on the negative effects of oppression of any kind
what kind of inequalities do we have here in Canada
i included all their stats..probably not nec but just in case
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.
is social justice just a sociopolitical activity to be practiced on large scale
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
which values from the code support trying to uphold SJ
The nursing values of “providing safe, compassionate competent and ethical care,” “promoting health and well-being” and “preserving dignity”
in which kind of nursing was SJ important from the start
who that we learned about in chapter 1 is assoc with this
public health and mental health
lilian wald in the 1900s said inequities must be addressed to have healthy population
how did the focus on SJ dissipate and wh
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
which reports contributed to SJ being looked at once again
what did they conclude
Romanow 2002
Mazankowski 2002
they said that we were focusing too much on illness care and that SDOH were a huge influence on health
how did nursing curriculum change to include SJ more
nursing schools employed a feminist approach
globalization made us more aware
nurses are prime candidates for social change
is social justice a means to an end
“social justice is a means to an end as well as an end in itself
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
YES. these are from part I of the code
should nurses just focus on SJ issues in Canada. what part of the code would tell you?
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.
if you had a health center only open one day a month in a remote community is this ethical? what is necessary?
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).
how are nurses supposed to address violence in the code
prevent and minimize it
how do some nurses who are oppressed treat others
they can continue the oppression towards others
how can one learn about SJ issues
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
what kind of health care is important to help achieve SJ
primary health care
how are the ethical endeavours of the code concerned with the environment and what should nures do
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
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
nurses should advocate
gov could be involved too
awareness of what issues is important
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.
how and what are nurses obligated to discuss
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.
how are nurses involved with creating a moral community
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
CNA nursing values and ethical responsibilities from pg 89
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
