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Structural violence: A concept analysis to inform nursing science and practice.

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Structural violence, or indirect harm from inequitable systems, negatively impacts health outcomes. Nurses must understand this concept to address patient health disparities caused by social, political, and economic structures.

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Area of Science:

  • Nursing Science
  • Social Sciences
  • Public Health

Background:

  • Structural violence, identified by Johan Galtung, refers to harm caused by inequitable social, political, or economic structures.
  • Systemic discrimination based on race, ethnicity, religion, gender, or sexual orientation creates oppressive conditions.
  • These oppressive conditions lead to significant physical, psychological, and socioeconomic harm, resulting in disparate health outcomes.

Purpose of the Study:

  • To elucidate the concept of structural violence.
  • To explore its implications for nursing science and practice.
  • To specify meanings and applications of structural violence within nursing.

Main Methods:

  • Conceptual analysis using techniques from Chinn and Kramer (2018).
  • Literature review drawing from clinical, historical, and social sciences.
  • Database searches in CINAHL, PubMed, JSTOR, and PsychInfo for "structural violence."

Main Results:

  • Structural violence is evident where individuals/groups are disadvantaged by socially constructed systems (e.g., race, gender, economic privilege).
  • This violence contributes to health disparities and predisposes individuals to health risks.
  • Nurses encounter structural violence in various patient populations and clinical contexts.

Conclusions:

  • Nurses need to be familiar with the concept of structural violence.
  • Understanding structural violence is crucial for addressing health disparities in patient care.
  • Applying the concept of structural violence can inform nursing practice and advocacy.