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Nursing With the People: Reimagining Futures for Nursing
Jessica Dillard-Wright1, Vanessa Shields-Haas
1Augusta University, College of Nursing, Augusta, Georgia.
ANS. Advances in Nursing Science
|February 24, 2021
Summary
Nurses must integrate political and economic analysis into their practice, prioritizing equity and justice. This involves developing alternative healthcare models beyond profit-driven systems to address rising costs and health disparities.
Area of Science:
- Nursing Theory
- Health Policy
- Social Determinants of Health
Background:
- Rising healthcare costs and widening health disparities necessitate a re-evaluation of current nursing practices.
- The conventional, profit-driven healthcare system in the United States transforms nursing into a commodity, exacerbating inequality and worker exploitation.
Purpose of the Study:
- To advance a theory of nursing that centers equity and social justice.
- To advocate for alternative healthcare delivery models that are not constrained by conventional employment and profit-driven structures.
- To encourage nurses to act as change agents and whistleblowers within the healthcare system.
Main Methods:
- Theoretical analysis of nursing's role in sociopolitical and economic contexts.
- Critique of the current US healthcare system's impact on equity, environment, and nursing professionals.
- Exploration of historical and potential alternative care delivery models.
Main Results:
- The current healthcare system reinforces inequality, environmental harm, and worker exploitation.
- Nursing has a dual history of upholding oppressive systems and driving innovative change.
- Alternative models are essential to realize nursing's emancipatory potential.
Conclusions:
- Nursing must critically examine its role in maintaining oppressive structures.
- Sociopolitical engagement, focusing on equity and justice, is central to nursing's ethos.
- Reconstructing healthcare is possible, and nurses are vital agents for this transformation.
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