Factors Affecting Nurses’ Impact on Social Justice in the Health System

Background: Social inequities in health systems are threats to global health. Considering the important
role of nurses in establishing social justice, identification of factors affecting nurses’ participation in this area
can contribute to the development of social justice.
Objective: This study aimed to identify factors affecting nurses’ participation in establishing social justice
in the health system.
Research design and methods: The study was conducted using conventional qualitative content analysis
approach. Purposive sampling was used to select 14 participants in 2019. The data were collected through
semi-structured interviews and analyzed concurrently with data gathering.
Participants and research context: In total, six faculty members, five nursing managers, and three
clinical nurses from three different universities were interviewed.
Ethical considerations: The research was approved by the Ethics Committee of Urmia University
of Medical Sciences in Iran.
Findings: Four main themes were found, including inadequate professional authority, insufficient attention
to social justice in the area of education, clinical concerns as barriers to professional presence in society, and
reflection of personality traits in the profession. These are the main factors affecting nurses’ participation in
establishing social justice in the health system.
Discussion: Authorities need to take effective steps to establish social justice through reforming the health
system’s policy-making and power-acquisition domains, promoting nurses’ involvement in social factors in
health issues, and adding professional values as a part of nursing curriculum. The clinical practice
environment can also be helpful through providing quality, safe, and cost-effective services. In addition,
fair and efficient recruitment process for new nurses can contribute to the establishment of social justice in
the health system.
Conclusion: Macro-level managerial factors such as policy, education, and clinical environment, along with
personal factors, play a significant role in the participation of nursing profession in establishing social justice.