Social inclusion/exclusion as matters of social (in)justice: a call for nursing action

• Published in: Nursing inquiry 2015-06, Vol.22 (2), p.121-133
• Main Authors: Yanicki, Sharon M, Kushner, Kaysi E, Reutter, Linda
• Format: Article
• Language: English
• Subjects: Canada; discourse; ethics; Ethics, Nursing; health; Healthcare Disparities - ethics; Humans; inequalities; Models, Theoretical; Morals; nurse roles; Nurse's Role; Nursing; Social Isolation; social justice; Social Justice - ethics
• ISSN: 1320-7881; 1440-1800
• DOI: 10.1111/nin.12076

Social inclusion/exclusion involves just/unjust social relations and social structures enabling or constraining opportunities for participation and health. In this paper, social inclusion/exclusion is explored as a dialectic. Three discourses – discourses on recognition, capabilities, and equality and citizenship – are identified within Canadian literature. Each discourse highlights a different view of the injustices leading to social exclusion and the conditions supporting inclusion and social justice. An Integrated Framework for Social Justice that incorporates the three discourses is developed and used to critique the dominant focus on distributive justice within foundational Canadian nursing documents. We propose a broader conceptualization of social (in)justice that includes both relational and structural dimensions. Opportunities for multilevel interventions to promote social justice are identified. This framework is congruent with nursing's moral imperative to promote health equity and with the multiple roles played by nurses to promote social justice in everyday practice.