Emancipatory Nursing Praxis Essay

As indicated from the article “Expert Voices” (2015), including the subtitle of what we do to end health disparities is a merit question for everybody to ask and then act and think about it. As a community nurse, my potent goal is to work with people in the community, dig down deeply to find the root of the problems, inform the people and solve it (Alvaro, C., 2014).

From this film, the key points that were mentioned about how socioeconomic backgrounds and race impact one’s health is something that is not as emphasized as it should be in the public eye. Especially how health and wealth are intertwined with each other is particularly frustrating since health should be a human right and people should receive the health they need regardless of their economic

Nursing is defined as the promotion, protection and the prevention of illness and Injury, the treatment of a patient’s disease or diseases, the patient’s response to a disease, as well as one big thing that nurses are known for, and that is being a patient’s advocate nursing has been one of the fastest growing fields since the 1990’s (Mueller et al.,2012). Advocacy is defined as an action in which a person speaks out, argues a cause, supports and defends on the behalf of others. I believe that the role of being a patient advocate is one of the most important things a nurse can do because there are many patients that cannot speak on their behalf, I believe that it is up to the nurses to be those patients as well as all patient’s voices (Mueller et al., 2012).

Nursing is very broad and beyond nursing process; assessing, planning, implementing and evaluating. Nursing deals with knowledge and knowing. “The nature of knowledge changes with time, but the fundamental values that guide nursing practice have remained remarkably stable.” (Chin and Kramers , 2011, p. 5). Nursing is a practice that focuses on wellness and healing in wholeness; body, mind and soul. As we practice nursing, we take into action acquired knowledge, experiences and insight from various aspects of our lives within the ethical limitations or frameworks. One of these fundamental values includes emancipatory knowing. According to Chin and Kramers (2011); “Emancipatory knowing is the human capacity to be aware of and to critically reflect upon the social, cultural, and political status quo and to figure out how and why it came to be that way”. Take for instance, the incident that happened in Utah in July 26th, 2017, between the Salt Lake Police officer and a University of Utah Nurse; where she was unjustly arrested because she refused to give blood sample of an unconscious patient to the police officer even after reading the hospital policy as it relates to obtaining blood sample from an unconscious patient. The hospital policy states that for blood samples to be obtained from an unconscious patient, there has to be; a court order, electronic warrant, patient consent, or a patient been under arrest. In this case, none of this applied to the patient and so the nurse

It is important to know that the task a nurse performs is within the scope of practice. So that a nurse can perform his/her task in a permitted way safely.

“The nurse has a basic concern for people as human beings, confidence in the fundamental power of personality for good, respect for religious beliefs of others, and a philosophy which will sustain and inspire others as well as herself” (ANA, 1940; p. 980). The documentary “The American Nurse”, explores some of the biggest issues the United States faces today- aging, war, poverty, and prisons- through the lives of five very different nurses and their work as health care providers. The film examines real life people in their everyday lives as nurses which changes the way one looks at and thinks about the entire concept of nursing. Nursing is not merely a job, nor is it simply an occupation or a profession. To be a nurse, one must uphold the finest of standards and ethics, dedicating their entire lives to helping and serving others. Therefore, it cannot simply be a behavior; it is a lifestyle.

According to the World Health Organization (WHO, 1978), health can be defined not only in terms of absence of disease, injury or infirmity, but also, as a state of mental, physical and social well-being. Over the last decades, many studies have emphasized the role of social circumstances on health status. The tight link between health and a wide range of socioeconomic, environmental and demographics factors have been increasingly recognized and proffer an alternative perspective on how to consider public health, social justice and even restructuring of the health care system (Daniels et. al., 2004). The increasingly acknowledgement that health is also a result of cumulative experience of social conditions and exposure to environmental

I assume that in today’s world, there is a lot of information and scholarly research available that shows factors such as economic status, income, social situations, education, ethnicity, employment, availability of affordable housing and geographical (place where one was born and lives) conditions have a tremendous impact on the health and well-being of individuals, countries and communities (Amaro, 2014). Inequalities in health and well-being are created by social determinants and economic conditions for many in our community (Brannigan &Boss). The people that are affected the most are people with low income and minority groups here in the United States. This creates health disparities and unequal care (Brannigan &Boss). In many developing and under-developed countries, the situation is dire: lack of modern health services, illiteracy, poor economic conditions has created a cultural situation of desperation and unhealthy behaviors. Corruption by African governments is rampant. To improve the health and wellbeing of communities, we need to start thinking of how we can create a culture of health.

Sociology: Some guiding principles Social exploration of health – Group & individual experiences – Unique, individual factors of health/illness BUT also shared, social  factors Medical knowledge, practice, & technology  – Often constructed as THE TRUTH, without reference to the historical  and cultural development of medicine ‐ sociology critiques what is  meant by TRUTH. Health is socially shaped – What is means to be healthy or ill shifts between generations and  within generations; across cultures and within cultures 3 2/17/2016 Identifying a sociological approach Key features of a sociological approach:   Social distribution and production of health patterns of health and illness eg gender, class, age Social construction of health defining and meanings of health and illness Social organisation of health social processes to manage health and illness eg power; which health services receive funding priority etc., ‘who does what and to whom’

As the society acknowledges the importance of human rights and dignity, the issues among the poverty, homeless, violence victims are now more considered. Although there are difference in roles between nurses from acute care, intensive care, and emergency settings nurses, community nurses engage those issues to become advocates for social justice. Health care nurses collaborate to identify strategies for incorporating social justice aims into their work environment (Johnstone, 2011). As a public nurses, there has been many researches to address vulnerability, diversity, health literacy, health care access, health care disparities and issues of particular populations such as ethnic and racial minority health, gay and lesbian health and the health of children, women and older adults (Johnstone, 2011). For example, affordable health care 2010 was implied for equitable delivery of healthcare for all individuals in United States. Although there are pro and cons on success of the system, it was aimed to promote the justice of human need to have least of health care when necessary. Among with the issues of inequality and unfairness of worldwide insurance system, this act was to provide fair access to health care. To achieve the aims of a just, accessible, affordable health care system for all, public health nurses make an effort to engage the professional advocacy.

Nursing is a health care service mandated by society; the practice of nursing stems from the beliefs and ideals of the department of nursing (Nursing Management Faculty, 2013). My healthcare organization’s mission statement: A commitment to creating caring healing environments with authenticity and intentionality for all we reach and touch through practice excellence,

Today there are many nursing theorists who have developed their own nursing philosophies that help nurses shape their personal nursing philosophy. Rosemarie Rizzo Parse is a nursing theorist that captures some of the essentials of nursing philosophy and created the Human Becoming Theory of Nursing. Parse’s Theory of nursing causes one to think differently about the client, health, environment and nursing. This theorist has caught my attention because it focused on many of the beliefs and values that I identify with. My personal values include: compassion, integrity, professionalism and commitment.

When looking at Nursing as a profession, it is important to identify the body of knowledge which pertains to its profession. According to Carper (1978) the body of knowledge that serves as a rationale for nursing practice has patterns, forms and structure. Understanding these patterns is essential for the teaching and learning of nursing as a profession. Carper (1978) identifies four fundamental patterns of knowing and are known to be empirics, ethical, aesthetics and personal knowledge. Chinn & Kramer (2008) added the fifth pattern to knowing called Emancipatory knowing to address the issues of equality and justice. This essay will explain the five ways of knowing and show how it relates to my nursing practice.

Social justice refers to fairness (Potter & Griffin-Perry, 2009). In the health care field it is the fair distribution of health care resources regardless of socioeconomic background. As nurses it is our responsibility to identify and minimize social barriers; making it easy for any member of society to gain access. To promote social justice, systems have to be implemented so that the resources are fairly distributed. For example, placing organ recipient on a list and selecting them through a lottery system. This ensures that the organ been donated is not going to someone who is more financially stable. Nursing students can take advantage of the resources available to them through their

This addressed ways in which the nurses could increase their participatory involvement in their professional community. One of the most telling facets of the meeting was the in depth discussion of key issues and challenges within the nurse force. Many issues broached during the meeting included ethical, emotional, relational and corporate concerns. The discourse on these pervasive problems served a few functional purposes. Firstly, they explained issues commonly faced by nurses, allowing people to find a sense of common ground. The communal dilemma among all nurses suddenly became evident, in spite of their differences in education or background. This served to advance and evolve the nurses as a whole, making them more empathetic contributors to the healthcare field.