NUR 370 Denver School of Nursing Week 9 Social Justice Nursing Discussion

 

 

Step 1 Post a response to the discussion board. In your post, respond to the following prompts:

• Describe the difference between market justice and social justice.
• While maintaining confidentiality, discuss a situation you experienced in practice, or another situation, where there was tension between market justice and social justice.
• Summarize the nursing role in achieving social justice.

Step 2 Read other students’ posts and respond to at least two of them by Friday at 11:59pm MT.

Use your personal experience, if it’s relevant, to support or debate other students’ posts. If differences of opinion occur, debate the issues professionally and provide examples to support opinions. NUR 370 Denver School of Nursing Week 9 Social Justice Nursing Discussion

Cite any sources in APA format.

Peer Discussion (Maya)

Market justice has to do with self. Think about it as “individualism, self-interest, personal effort, and voluntary behavior” (Market justice and moral compass 2018). The difference is that social justice basically “allocates goods and services according to the individual’s needs” (Market justice and moral compass, 2018). This would mean that everyone could get the care that they need and that access to care was guaranteed.

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A situation that I experienced in my practice is that of being forced to advocate for my patient despite the demands of her children. The patient was in the intensive care unit, intubated, and on the maximum dose of vasopressors. The patient was dying however, her two adult children were insisting that she be kept alive until after midnight. After conversation with her children, they wanted her kept alive for four more hours so that they could go to the bank and cash her retirement pension check before she died because it wasn’t legal to cash it if she was already dead. The resident on the team that night, told the family we would keep her alive. Not only was it wrong to ensure someone that we could keep a patient alive, it was wrong to provide futile care to someone for no reason other than another person’s financial gain. Because of this situation, I was able to advocate for the patient, who signed a do not resuscitate order, prior to intubation. I contacted the attending medical staff and social worker. In the end, the patient was allowed to die in her own time without unwanted and unnecessary medical interventions, just as she wanted. In this situation, the patient’s children were an example of market justice (self) while the actions of the team working to allow her a death per her wishes was for the greater good of the patient and is an example of social justice.

Being an advocate for the patient is probably the most important thing a nurse can do (Social justice, 2020). It is our responsibility to educate our patients and to stand up for what is right for them. Advocating between patients and other health care providers is a big part of our profession even if it means doing something as simple as requesting a social worker consult for a patient at risk.

Market justice and moral compass. (n.d.). Retrieved August 17, 2020, from http://www.pnhp.org/news/2008/january/market_justice_and_m.php

Social justice. (2020). Denver College of Nursing. Retrieved on 18 August 2020 from https://media.pearsoncmg.com/pls/us/edaff/1323455930/nur370_lps/nur370_cdn_09_03_01.html

Peer Discussion (Elizabeth)

Social justice and market justice ultimately have the same end goal, however, both have different ways of achieving this goal. “Social justice and market justice denote different situations in society although they do share particular characteristics. While social justice is concerned with the creation of a society in which individuals live in unity, share responsibilities and are accorded equal rights by the state, the notion of market justice is based on the creation of a society or a situation where individuals depend on themselves and their personal efforts to survive”(Skyler, 2018). While social justice focuses on society as a whole, where as market justice focuses on the self-interest of the individual. NUR 370 Denver School of Nursing Week 9 Social Justice Nursing Discussion

During my clinical experience I had a patient who was recovering from surgery and was also heavily addicted to opioids. This patient insisted he was in excruciating pain and I felt that many people on the healthcare team deemed him as drug seeking. While they still administered some form of pain medications I always wondered if he was not opioid dependent would the situation have been handled differently. “Social justice emphasizes treating the people in the society, including the poor and the rich, as equals to ensure unity in the society. Market justice, on the other hand, emphasizes giving every individual participating in the exchange of goods and services an equal chance to succeed” (Skyler, 2018). That being said, I felt that this individual would have in-fact needed even more pain killers then the average person because his tolerance to opioids was very high. NUR 370 Denver School of Nursing Week 9 Social Justice Nursing Discussion

References

Skyler, H. (2018, May 04). What Is Free Market Capitalism? Retrieved September 01, 2020,  from https://bizfluent.com/13711418/what-is-free-market…