Nursing is rooted in social justice principles, yet achieving health equity remains challenging, particularly given the unclear perceptions of social justice among newly graduated registered nurses (NGRNs). High turnover rates in this group further threaten progress toward equity goals. This study explored how NGRNs understand, cocreate, process, and respond to social justice in practice using a constructivist grounded theory approach. Analysis of 28 NGRNs' narratives from virtual interviews led to the development of a theoretical framework encompassing four co-constructed processes of Best Care for All, No Matter What; Importance of Making the Human Connection; Novice Emancipators; and a Supportive Organizational Environment and a fluid process. Based on these findings, a situation-specific theory titled the NGRN Evolving Identity of Social Justice was proposed. The study highlights the need to foster social justice identity during NGRNs' transition to practice. Implications include integrating social justice into nursing curricula, onboarding programs, leadership strategies, and policy initiatives to promote person-centered care and health equity. Supporting NGRNs as advocates for social justice may strengthen retention, improve patient outcomes, and position nursing at the forefront of systemic change toward equity.
Despite increased recognition of the necessity of inclusive research and writing to encompass the diversity of human experience, discrepancies regarding how we conceptualize and describe disability persist. Differences in language signify differences in thinking, yet there also exist opportunities for reconciliation that center disability justice as a core tenet of rehabilitation research and practice. The purpose of this article is not merely to encourage academics to use the "right" language, but to question how we think about disability in our work and world. Bringing together literature from rehabilitation and critical and feminist disability studies, we propose a crip reimagining of rehabilitation research and practice. Rooted in feminist and queer theory, "to crip" means to apply a disability justice lens and unsettle ableist assumptions. Incorporating approaches from disabled scholars and activists encourages the adoption of a disability justice framework that centers the desires and needs of disabled people. In yet another political moment when disabled people face existential threats to their lives and well-being, it is essential that rehabilitation psychologists and other professionals follow the lead of disabled people to advance efforts for disability justice. Disability justice demands not the eradication of disability, but the creation of a world in which disability is recognized as part of human variation, an effort that starts without our own discipline. We must find ways to continue recognizing and promoting possibilities for treatment and support, while also understanding that many disabled people live meaningful, fulfilling lives with or without our assistance. (PsycInfo Database Record (c) 2026 APA, all rights reserved).
Nursing ethics has long taken the bedside encounter as the moral center of practice. Yet this focus becomes incomplete when the material conditions of care are treated as ethically external to nursing itself. Ordinary clinical supplies such as gloves, masks, gowns, syringes, drapes, and linens are commonly understood as neutral instruments of safe and competent care. This paper argues that such neutrality is philosophically misleading. The materials through which nursing is enacted are embedded in global systems of labor, extraction, manufacture, circulation, use, and disposal that may involve exploitation, ecological degradation, and unequal distributions of risk. Using gloves and personal protective equipment as an entry point, this paper asks: To what extent are nurses ethically responsible for challenging the use of clinical supplies produced through labor exploitation or environmental injustice? Drawing on feminist political economy, care ethics, and materiality-oriented perspectives, I argue that care is not only an interpersonal act but also a relational, material, and politically organized practice. From this standpoint, procurement is part of nursing's moral field rather than a merely managerial concern. The paper advances a bounded account of professional responsibility grounded in epistemic attentiveness, discursive engagement, advocacy, and collective political action. A nursing philosophy of procurement justice enlarges, rather than dilutes, the meaning of care, responsibility, and advocacy. If nursing remains committed to dignity, justice, and the reduction of harm, it cannot regard the workers and communities who materially sustain care as ethically invisible. Nursing ethics must therefore extend beyond the bedside into the hidden infrastructures through which care becomes possible.
In this paper, I consider a group of patients that is often taken to be incapable of providing legitimate informed consent - populations with psychiatric disorders. I suggest this view is misguided using the philosophical tools of standpoint theory and epistemic injustice. Given that psychiatric patients are members of socially marginalized groups, standpoint theory would suggest that they are socially situated in ways that give them privileged epistemic access to relevant features of their worlds relative to the non-marginalized. Standpoint theory explains why patients like these have a particular perspective that enables them to see important elements of their experience that others do not. Epistemic injustice, on the other hand, enables us to see not only how and why these patients have special epistemic standing, but the ways in which this standing is systematically ignored. This disregard can then ultimately lead to injustice in the treatment of psychiatric service users.
Across the delivery of oral health care, whether in the halls of learning environments or the operatories of individualized clinicians, corporations, or even unverifiable private equity led acquisitions, ethics is largely seen as a theoretical exercise separate from the day-to-day realities of clinical practice. A call for relational ethics, not merely traditions' ethical principlism, is more than theoretical exercise or an intellectual inquiry. This call is quite literally coming from both inside and outside of the proverbial oral health house. In examining the absence of holistic community-centered commitments of principles such as veracity and justice, this article provides a framework for conceptualizing a reimagined professionalism across various domains of oral health care delivery. Anchored by truth-telling and anti-oppressive justice, the author explores educational practice and pathways, models of care delivery, barriers to optimal learning and clinical environments, while providing individualized and systemic recommendations for change, While the goals are robust, [re]building trust and shifting dentistry and oral health toward outcomes advancing real health equity is imperative for this hour. True ethical dental education and practice must move beyond individual behavior of patients and providers alike, toward systems of accountability, truth-telling, and community engaged partnership.
Children's dignity in hospital care is often framed as a matter of privacy, etiquette, communication, or procedural compliance. A more demanding account is needed. Drawing on the philosophical framework of epistemic injustice, this conceptual article argues that dignity-related harms in paediatric nursing also arise when children are denied credibility, interpretive support, or meaningful authority over knowledge of their own embodied experiences. Children may not always describe pain, shame, embarrassment, fear, or boundary violation through adult-like verbal testimony. Their experiential knowledge may instead appear through silence, withdrawal, humour, bodily resistance, hesitation, gaze avoidance, or apparently compliant behaviour. When such expressions are dismissed as immaturity, difficulty, exaggeration, or non-compliance, the child is harmed not only as a vulnerable patient but also as a knower. This reframing connects paediatric dignity with children's rights to participation, privacy, and respect under the United Nations Convention on the Rights of the Child and the EACH Charter. It also positions paediatric nurses as central agents of epistemic repair because nursing work occurs at the intersection of intimate bodily care, sustained relational proximity, communication, documentation, and advocacy. The article proposes an epistemic justice practice bundle for paediatric nursing: credibility-oriented listening, embodied attunement, developmentally attuned communication, protected communicative spaces, minimal substitution by adult proxies, and voice-preserving documentation. The analysis extends nursing philosophy by showing that dignity is not only protected around the child but co-produced through relational practices that make children's experiences visible, credible, and actionable within clinical care.
This discussion paper examines how care-based nursing judgement becomes recognised, narrowed or excluded as professional knowledge within healthcare organisations. Nursing care is often described as relational, ethical, practical or compassionate, yet these descriptions may obscure its epistemic content: trained perception, contextual interpretation, anticipatory reasoning, moral judgement, continuity work and practical synthesis under uncertainty. Drawing on epistemic injustice, nursing knowledge development, care ethics and organisational governance, the paper argues that injustice in nursing knowledge is not only interpersonal but organisational. It identifies three mechanisms through which care-based nursing knowledge may be downgraded: credibility distortion, interpretive narrowing and restricted epistemic uptake. The paper further develops the idea of reductive recognition: care may become visible in organisational systems only after being translated into categories that diminish its nursing rationality. Five organisational conditions are proposed for recognising care as knowledge: credible reception, hermeneutic infrastructure, shared knowledge governance, educational preparation and balanced standardisation. The central contribution is to shift the question from whether nurses possess knowledge to how healthcare organisations decide which forms of nursing knowledge are allowed to count.
Despite advances in acknowledging the importance of community, relational and family systems, and social adversities for mental health, responses in research and policy are limited. This calls us to explore methods to reconceptualize social dynamics as they relate to mental health outcomes. In this paper, we map out the potential of one framework, which directs attention to the domains associated with the social determination of poor mental health, the socio-political economy of global mental health. In this essay, we outline the need for such a framework, the theoretical underpinnings that inform it, as well as the potential social domains for inclusion. We conclude by outlining the potential implications of such a framework in shaping new practice in global mental health that is oriented towards a broader social justice lens - beyond emphasis on redistributive approaches, and towards collective and collaborative action to change the conditions that make poor mental health a reality for many - as part and parcel of our care systems.
Long-acting injectable buprenorphine (LAIB) is increasingly used in the Criminal Justice System (CJS) for treating people with opioid use disorder; however, little is known about these patients' experiences. We aimed to understand the perspectives of participants commenced on LAIB in prison as a part of the Understanding NSW Long-Active Opioids in Custody-Treatment (UNLOC-T) study. Results of an open-ended survey administered by UNLOC-T researchers underwent analysis. Participants were adults, recruited November 2018-July 2019, with moderate-severe opioid use disorder and ≥ 6 months remaining on their sentence. We conducted a thematic analysis using a pragmatic, descriptive coding approach. Sixty-seven participants were included, of which 82% were male. Five primary themes were identified that described participants' experiences and highlighted issues that can directly inform service delivery: medication effectiveness, social and relational considerations, dosing frequency, financial aspects, and health and wellbeing. There was considerable variation in participant perspectives within themes. Perspectives on LAIB are diverse, suggesting a need to individualise treatment and ensure person-centered care. While LAIB offers benefits to warrant including it as a treatment option, challenges remain. Future research into LAIB in the CJS would allow for triangulation, as well as further exploration of ongoing acceptability in the post-release period. Our findings could help to improve the way LAIB is offered as a treatment option or delivered to people in the CJS. There are also lessons for prescribers in counselling and tailoring treatment, and broader policy considerations around access to treatment formulations and patient autonomy.
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Conspiracy mentality - the tendency to view important events as the product of secret plots by powerful groups - is known to arise from collective victimization and discrimination. Yet less is understood about how adversities such as illness, financial loss, or trauma, unrelated to social identity, foster such beliefs. Drawing on social and clinical perspectives, we conducted three preregistered studies (total n = 1284) to test whether lifetime adversity contributes to conspiracy mentality via perceived injustice. Study 1 (n = 275) supported this hypothesis, showing an indirect link between lifetime adversity and conspiracy mentality through injustice perceptions. Study 2 (n = 471) employed a controlled comparison group design, showing that victims of violence (vs. non-victims) reported stronger perceptions of injustice, which were positively associated with conspiracy mentality. Study 3 (n = 538) experimentally manipulated perceptions of justice, demonstrating that perceived injustice (vs. justice) increased conspiracy beliefs. While the effect was not significantly moderated by lifetime adversity, exploratory analyses replicated Study 1's mediation pattern. Additional analyses revealed that adversity predicted institutional distrust via injustice and political conspiracy beliefs. These findings advance interdisciplinary understanding and identify the psychological mechanisms linking adversity to conspiracy beliefs, with relevance for understanding social trust and resilience.
The United States lags peer nations in infant mortality, with persistent racial and geographic inequities. In Missouri, Black infants experience mortality rates more than double those of White infants. Addressing these disparities requires community-driven interventions beginning before conception and extending beyond routine perinatal care. We describe the development and feasibility of Women & Person-Empowered Community Access for Reproductive Equity (WE CARE)-Jackson County (JC), a reproductive justice-informed intervention adapted from the Detroit WE CARE model to address reproductive health and infant mortality disparities. WE CARE-JC used a two-phase, mixed-methods design. Phase 1 included listening sessions with advocacy groups and reproductive-age women, and a community survey (N = 537) to identify needs, barriers, and engagement strategies. Phase 2 piloted the intervention in a safety-net hospital's emergency department. Intervention components included the "One Key Question," MyPath decision-support tool, community health worker-led counseling, and follow-up care navigation. Listening sessions identified trusted providers as preferred sources of family planning guidance, while stigma, limited provider access, and knowledge gaps were key barriers. Survey data showed social (13% housing, 22% food, and 35% transportation insecurity) and medical (51% comorbid condition) vulnerability. In the pilot, 45 women were enrolled (85% of those approached), of whom 58% scheduled follow-up care and 10 (39%) attended appointments. Feedback from eight attendees showed high acceptability of the MyPath tool, counseling, and navigation support. WE CARE-JC demonstrated feasibility and acceptability of a reproductive justice-informed, community-engaged model to reduce barriers and improve equitable access to reproductive health care. This model provides a scalable framework for addressing upstream drivers of infant mortality inequities.
Cisgender women who inject drugs (WWID) face gendered health inequities and unique barriers to accessing healthcare services. We explored WWID's sexual and reproductive health (SRH) needs to inform the development of integrated care for this population. The HPTN 094 (INTEGRA) study tested the efficacy of delivering mobile integrated services for people who inject drugs. Semi-structured interviews were conducted with 116 INTEGRA participants and staff to identify barriers and facilitators for medication for opioid use disorder (MOUD) and HIV prevention and treatment. We conducted a thematic analysis of qualitative data from 38 interviews (n = 23 participants; n = 15 staff; n = 31 cisgender women; n = 3 cisgender men; n = 3 nonbinary) containing narratives around WWID's SRH. Findings were contextualized within the Sexual and Reproductive Justice Framework (SRJF) to understand WWID's SRH experiences and to inform equitable integrated care. We identified three themes related to SRJF. First, aligned with the justice-based perspective (i.e., the socio-structural factors impacting SRH), participants detailed the "real-life" implications of being a WWID, including the disproportionate reproduction, parenting, and household management responsibilities (i.e., "responsibility of care") that impede SRH service utilization. Second, participants highlighted how systemic barriers (i.e., limited access to specialized providers and pervasive stigma) undermine care. Third, aligned with the rights-based perspective (i.e., promoting reproductive freedom), participants underscored the importance of centering WWID's voices to inform equitable SRH services. Findings highlight the disproportionate responsibility of care WWID face, how this responsibility and stigma negatively impact SRH access, and the need for mobile, integrated care options that address the needs of WWID.
Evidence shows Birthing on Country services are cost-effective and improve outcomes for First Nations women and newborns. This has led to increasing reference to Birthing on Country; however, the term has varying meanings and definitions, resulting in misunderstanding and inaccurate use. In 2022, over 240 delegates from across Australia convened in Mparntwe to build a collective vision and address persistent inequities for First Nations families. Our aim was to explore delegates' understandings and meanings of 'Birthing on Country' as captured in videoed interviews. An exploratory qualitative study design was used, involving participants recruited through purposive and convenience sampling. We applied reflexive thematic analysis remaining closely attentive to participants meanings. Seventy-seven delegates participated in interviews. Analysis generated seven themes: (1) diversity:meaning different things to different people; (2) connections between humans, Ancestors, lands, seas, and the non-human world; (3) all babies in Australia are born on First Nations Country; (4) feeling safe, supported, and healthy; (5) cultural practices and revitalisation; (6) learning and being guided; and (7) First Nations rights and justice. This is the first study to explore what Birthing on Country means across a diverse range of stakeholders. Findings demonstrate Birthing on Country's potential to redress colonisation and advance health equity for First Nations women and communities. The study offers a shared understanding grounded in connection, cultural identity, and reproductive justice, with insights to guide future service design and delivery for Australian First Nations families.
Contemporary bioethics operates within pluralistic societies, where ethical reasoning is not confined to prescriptive frameworks but rather involves deliberation across competing moral perspectives. Although the dominant approaches remain largely Western, there has been an increasing interest in integrating non-Western philosophical traditions. This study examines whether Al-Farabi's ethical framework can contribute to contemporary bioethical discourse without assuming direct conceptual equivalence. The study employed a sequential mixed-methods design integrating lexical analysis, hermeneutic reconstruction, and empirical validation. A corpus of seven key works by Al-Farabi, including The Attainment of Happiness and The Virtuous City, was analysed to identify recurring ethical concepts. These concepts were then subjected to contextual hermeneutic interpretation and subsequently operationalised into survey constructs. Data were collected from 265 medical and bioethics professionals and analysed using ANOVA, Pearson's correlation, logistic regression, and chi-squared tests. The findings indicate statistically significant, albeit weak, associations between the reconstructed ethical constructs of Al-Farabi and contemporary bioethical attitudes. The justice construct was negatively associated with the acceptance of gene-editing interventions (F(1, 263) = 4.02, p = 0.047; r = - 0.122; odds ratio (OR) = 0.78, 95% confidence interval (CI) [0.62-0.98], p = 0.041; chi-squared (χ²) test, 1 degree of freedom (df), p = 0.047). The virtue construct was positively associated with support for government involvement in reproductive policy (F(1, 263) = 4.18, p = 0.043; r = 0.124; OR = 1.21, 95% CI [1.01-1.45], p = 0.038; χ²(1) = 4.11, p = 0.043). A weak positive correlation was observed between justice and autonomy (r = 0.144, p = 0.019). Model fit remained low (Nagelkerke R² = 0.03-0.06). The results suggest a limited but consistent alignment between the reconstructed elements of Al-Farabi's ethical framework and contemporary bioethical reasoning. While these findings do not indicate conceptual equivalence, they support the inclusion of non-Western philosophical perspectives as complementary analytical resources in bioethics, particularly in deliberative and intercultural contexts.
In 1997, 3 years ahead of WHO's target of delivering Health for All, critical health scholarship was energised by the mainstreaming of social determinants and the optimism of the new public health. Yet alongside these collective ambitions, lifestyle discourses, rooted in 1970s healthism, proliferated across consumer cultures, framing health as a matter of personal responsibility. Over the past three decades, these individualising logics have intensified. Initially expressed through behavioural risk management, they now extend into molecular and algorithmic regimes, producing the 'genomic citizen', tasked with managing biological futures via data-driven infrastructures and market-mediated technologies. Framed as empowering, these paradigms obscure structural determinants and embed health within a political economy of anticipation, where promissory narratives justify investment while deepening responsibilisation. The COVID-19 syndemic exposed the fragility of individualised discourses, reaffirming the salience of systemic inequality. In response, this paper reflects on the concept of metabolic justice, a framework that reframes the relationship between behavioural and biological discourses while foregrounding redistribution, ecological embeddedness and systemic reform. By situating health within networks of exposure and dependency rather than individual optimisation, metabolic justice revives the ambitions of Health for All and its descendants as a materially grounded, politically transformative project for an era of social inequality and stratified medicine.
Settler research in Indigenous country continues to emerge as problematic scholarship, often complicit in an invasive and extractive knowledge production. Drawing on the Unearthing Justices project-a collaborative research initiative that shares and showcases Indigenous-led initiatives for the MMIWG2S communities-this article examines the ontological and methodological possibilities for settler research. Foregrounding a practice of witnessing that is relational, embodied, and land-based, the article proposes this approach as a generative intervention into conventional settler research. While acknowledging the inherent tensions and incommensurability of settler presence, this article argues that settler research cannot stand outside colonial systems; instead, it must be reshaped through accountable collaborations that advance Indigenous intellectual sovereignty and community-defined justice. Rather than offer a prescriptive methodology, it invites researchers to stay with the complexities, contradictions, and responsibilities of research in Indigenous country.
Energy poverty remains a critical barrier to sustainable development, particularly in emerging and developing economies. Whereas solar technologies enjoy a positive public perception compared to fossil fuel infrastructure, the phenomenon of 'green first' or support for renewable energy can mislead government officials or policymakers into believing that social acceptance is not a key issue when deploying innovative renewable energy projects. In spite of technological advances that have progressed in the field of perovskite solar cells (PSCs), critical ethical and environmental problems surrounding their application remain unresolved. Although, significant progress with PSCs, attention has focused on performance and scalability; few studies have integrated PSC toxicity, recycling, and environmental impacts within the energy justice framework applied to sub-Saharan Africa, Indo-Pacific regions, Latin America and other parts of the world. This review synthesizes evidence-based PSC environmental risks, recycling feasibility, and circular economy models, and links to potential impacts on equitable energy access in the context of environmental vulnerability and eco-safe resource constraints. The key findings show that while PSCs can dramatically reduce the cost of decentralised solar energy and enhance energy access, they can also support successful transitions that achieve the procedural, recognition, and equitable distribution and inclusivity necessary for energy justice globally.
Firearm violence arises from a complex interplay of local conditions and state regulations. Using coincidence analysis (CNA), we examined how combinations of city-level prevention efforts and state-level firearm policies correspond to fatal shooting rates across 100 US cities. Drawing on data from the Community Justice Violence Prevention Index, Everytown's gun-law rankings, the US Census Bureau, and the Gun Violence Archive, we identified configurations of state policies and local efforts associated with relatively low rates of firearm-related fatalities. Five distinct pathways characterized cities with lower shooting rates, involving combinations of regional location, restraining order prohibitors, authority to deny firearm purchases, police use-of-force data collection, microstamping for new handguns, city population, ban-the-box initiatives, city-wide reporting for hate crimes, school-based violence prevention programs, and local emergency response improvements. Findings underscore how multilevel policy environments jointly shape firearm violence outcomes and demonstrate the value of configurational methods for public health and policy research.
This study examines the role of community participation in the post-disaster recovery processes of individuals who experienced the February 6, 2023 Kahramanmaraş earthquakes from an anti-oppressive social work perspective. Although community participation and solidarity are increasingly emphasized in the post-disaster recovery literature, qualitative studies remain limited on how these processes intersect with institutional trust deficits, inequalities in access to services, stigmatization, power relations, and disaster survivors' experiences of regaining agency. A phenomenological qualitative research design was adopted. Semi-structured online interviews were conducted with 20 participants recruited through snowball sampling. Data were analyzed using MAXQDA software in accordance with Braun and Clarke's thematic analysis approach. Four main themes were identified: erosion of trust in institutional support systems; the restorative and limiting nature of informal solidarity; stigma and inequalities in access to psychosocial support; and the reconstruction of belonging and agency through community participation. The findings indicate that community participation is shaped by institutional shortcomings, unequal aid distribution, stigmatization, and unsustainable solidarity practices. Post-disaster recovery cannot be explained solely through individual psychological recovery or community solidarity. An anti-oppressive social work perspective highlights the need to address recovery through social justice, rights-based service delivery, institutional accountability, participation, and human dignity. Post-disaster social work interventions should be structured through trauma-sensitive, rights-based, participatory, and anti-oppressive approaches. The findings contribute to more equitable, inclusive, and sustainable recovery strategies for post-disaster social work practice and policy.