1. A 16-year-old African American female patient presents to a clinic reporting she missed her last menstrual period. The patient has been with five partners in the past 2 weeks and reports discharge and vaginal itching.
a. In what ways do patients’ preferences and behaviors affect access to care?
b. In what ways do healthcare system factors affect access to care?
c. In what ways do provider-related factors affect the use of birth control methods?
2. A 35-year-old G1P1 woman comes to a clinic with abdominal pain. She was recently diagnosed with pelvic inflammatory disease (PID) but was unable to take all of her medication. She reports her medications were stolen. She is facing housing and food insecurities and has been sleeping on the streets since being treated for PID. She has a 17-year-old child who is currently in foster care.
a. In what ways do her behaviors affect access to care?
b. What healthcare system factors may affect care?
c. What provider-related factors may affect her care?
3. A 35-year-old G6P4 African woman presents to the clinic for a postpartum visit. The patient speaks Amharic and needs an interpreter. Her two youngest children are 13 months apart, and the patient does not want to start a contraceptive method, yet desires better birth spacing.
a. What is optimal birth spacing?
4. A 17-year-old female patient presents to the clinic for an annual exam. She is sexually active and does not want a birth control method.
a. Does pregnancy intention always match contraceptive use?
b. What are strategies you could use to increase contraceptive knowledge?
36 Chapter 3 Intersection of Racial Disparities and Privilege in Women’s Health
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37 References
▸ Introduction
This chapter explores how social justice was conceptualized in the nursing literature between the years 2000–2018. Analysis of this literature reveals that various authors subscribed to social, distrib- utive, and market views of justice. Most authors, however, do not explicitly define the type of jus- tice used in their work, or attend to the differences among these concepts. The three predominant models of justice are reviewed first in this chapter, and then a framework for how nurses can focus on injustice awareness, amelioration, and transformation as forms of social justice action is pre- sented. The multiple methods of promoting a social justice agenda, from consciousness raising to the re-creation of social policies, are also delineated. Recognizing the many ways to promote social justice can have a transformational impact on how nurses teach, research, and practice.
Although social justice is not a new concept, the nursing literature lacks a coherent and com- plex understanding of its implications for studying societal health (Buettner-Schmidt & Lobo, 2012;
Drevdahl, Kneipp, Canales, & Dorcy, 2001; Grace & Willis, 2012; Lipscomb, 2011). Social justice is
OBJECTIVES
At the end of this chapter, you will be able to:
1. State differences in how social justice is defined in nursing.
2. Compare and contrast the definitions of social justice used in the nursing literature.
3. Develop a concise statement about how to incorporate social justice awareness, amelioration, and transformation into nursing research, education, or practice actions.