Nursing as a transformative action
Abstract
In the current times, there is an increasing need to recognize the impact of social and structural factors impacting health care and care experiences of individuals. Increased structural vulnerabilities (e.g., structural stigma and discrimination) among individuals from underserved populations result in inequalities. The term health inequalities broadly refers to health differences and social structures, including health-damaging behaviors and unjust health conditions among underserved populations.
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23. Tsimane TA, Downing C. Transformative learning in nursing education: A concept analysis. International Journal of Nursing Sciences. 2019;7(1):91-8. doi:10.1016/j.ijnss.2019.12.006
24. Bondurant PG, Armstrong L. Nurses: leading change and transforming care-expert opinion. Newborn and Infant Nursing Reviews. 2016 Sep 1;16(3):155-60. doi:10.1053/j.nainr.2016.07.004
25. Robinson A. Transformative ‘cultural shifts' in nursing: participatory action research and the’project of possibility‘. Nursing Inquiry. 1995 Jun;2(2):65-74.
26. Renigere R. Transformative learning in the discipline of nursing. American Journal of Educational Research. 2014;2(12):1207-10. doi:10.12691/education-2-12-12
27. Ali A, Sichel CE. Structural competency as a framework for training in counseling psychology. The Counseling Psychologist. 2014;42(7): 901-18. doi:10.1177/0011000014550320
2. Braveman P. Monitoring equity in Health : a policy-oriented approach in low- and middle-income countries. World Health Organization: Department of Health Systems; 1998. https://iris.who.int/handle/10665/65228
3. Whitehead M. The concepts and principles of equity and health. Health Promotion International. 1991;6(3):217-228. doi:10.1093/heapro/6.3.217
4. Braveman P. Health inequalities, disparities, equity: what’s in a name? American Journal of Public Health. 2025;115(7):996-1002. doi:10.2105/ajph. 2025.308062
5. Hosseinzadegan F, Jasemi M, Habibzadeh H. Factors affecting nurses’ impact on social justice in the health system. Nursing Ethics. 2020;28(1):118-130. doi:10.1177/0969733020948123
6. Braveman P. Health disparities and health equity: concepts and measurement. Annual Review of Public Health. 2006 Apr 21;27(1):167-94. doi:10.1146/annurev.publhealth.27.021405.102103
7. Braveman P, Arkin E, Orleans T, Proctor D, Acker J, Plough A. What is health equity?. Behavioral Science & Policy. 2018 Apr;4(1):1-4.
8. Gómez CA, Kleinman DV, Pronk N, Gordon GL, Ochiai E, Blakey C, Johnson A, Brewer KH. Addressing health equity and social determinants of health through healthy people 2030. Journal of Public Health Management and Practice. 2021 Nov 1;27(Supplement 6):S249-57.
9. Velasco RAF, Reed SM. Nursing, social justice, and health inequities. Advances in Nursing Science. 2022;46(3):249-64. doi:10.1097/ans.0000000000000445
10. Van Kraaij J, Lalleman P, Walravens A, Van Oostveen C. Differentiated nursing practice as a catalyst for transformations in nursing: A multiphase qualitative interview study. Journal of Advanced Nursing. 2021;78(1):165-75. doi:10.1111/jan.15001
11. Mertens DM. Transformative research: personal and societal. International Journal for Transformative Research. 2017;4(1):18-24. doi:10.1515/ijtr-2017-0001
12. Gonzalo A. Jean Watson: Theory of Human Caring. Nurseslabs. Published April 29, 2024. Available at: https://nurseslabs.com/jean-watsons-philosophy-theory-transpersonal-caring/
13. Nematollahi A, Farnam F, Gharibzadeh S, Khoda-Khah P. Discrimination, violence, and suicide in transgender women in Iran. Health Care for Women International. 2021;43(7-8):861-72. doi:10.1080/07399332.2021.1920944
14. Farnam F, Nematollahi A. The Role of Community-based Health Services in Sexual and Reproductive Needs of Transgender People. International Journal of Community Based Nursing and Midwifery. 2023 Jan;11(1):69-70. doi:10.30476/IJCBNM.2022.97523.2188
15. Skuban-Eiseler T, Orzechowski M, Steger F. Why do transgender individuals experience discrimination in healthcare and thereby limited access to healthcare? An interview study exploring the perspective of German transgender individuals. International Journal for Equity in Health. 2023 Oct 10;22(1):211.doi:10.1186/s12939-023-02023-0
16. Beck DM. Creating the Nightingale Initiative for Global Health: theoretical reflections to follow in Florence Nightingale’s footsteps. Revista latino-americana de enfermagem. 2021 Aug 30;29:e3430. doi:10.1590/1518-8345.4720.3430
17. Freeman M, Vasconcelos EFS. Critical social theory: Core tenets, inherent issues. New Directions for Evaluation. 2010;2010(127):7-19. doi:10.1002/ev.335
18. Stievano A, Tschudin Verena. The ICN code of ethics for nurses: A time for revision. International Nursing Review. 2019;66(2):154-6. doi:10.1111/inr.12525
19. Bellier-Teichmann T, Roulet-Schwab D, Antonini M, Brandalesi V, O’Reilly L, Cara C, Brousseau S, Delmas P. Transformation of clinical nursing practice following a caring-based educational intervention: A qualitative perspective. SAGE Open Nursing. 2022 Mar;8:23779608221078100. 2022;8. doi:10.1177/23779608221078100
20. Habibzadeh H, Jasemi M, Hosseinzadegan F. Social justice in health system; a neglected component of academic nursing education: A qualitative study. BMC Nursing. 2021 Jan 12;20(1):16. doi:10.1186/s12912-021-00534-1
21. Ystaas LMK, Nikitara M, Ghobrial S, Latzourakis E, Polychronis G, Constantinou CS. The impact of transformational leadership in the nursing work environment and Patients’ Outcomes: A systematic review. Nursing Reports. 2023;13(3):1271-90. doi:10.3390/nursrep13030108
22. Sumpter D, Blodgett N, Beard K, Howard V. Transforming nursing education in response to the Future of Nursing 2020–2030 report. Nursing Outlook. 2022;70(6):S20-31. doi:10.1016/j.outlook.2022.02.007
23. Tsimane TA, Downing C. Transformative learning in nursing education: A concept analysis. International Journal of Nursing Sciences. 2019;7(1):91-8. doi:10.1016/j.ijnss.2019.12.006
24. Bondurant PG, Armstrong L. Nurses: leading change and transforming care-expert opinion. Newborn and Infant Nursing Reviews. 2016 Sep 1;16(3):155-60. doi:10.1053/j.nainr.2016.07.004
25. Robinson A. Transformative ‘cultural shifts' in nursing: participatory action research and the’project of possibility‘. Nursing Inquiry. 1995 Jun;2(2):65-74.
26. Renigere R. Transformative learning in the discipline of nursing. American Journal of Educational Research. 2014;2(12):1207-10. doi:10.12691/education-2-12-12
27. Ali A, Sichel CE. Structural competency as a framework for training in counseling psychology. The Counseling Psychologist. 2014;42(7): 901-18. doi:10.1177/0011000014550320
| Issue | Articles in Press | |
| Section | Letter to Editor(s) | |
| Keywords | ||
| transformative social justice underserved population | ||
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How to Cite
1.
Masih Y. Nursing as a transformative action. Nurs. pract. today. 2025;:X-X.
