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DOI: 10.1177/1527154404272145 Striving for Congruence: The Interconnection Between Values, Practice, and Political Action
College of Nursing and Health Sciences at the University of Vermont
University of Rochester School of Nursing
In the current U.S. health care system, both good health and a higher quality of health care are more likely to be experienced by those who have access to money, power, and privilege. Consequently, serious health disparities exist between the rich and poor, White people and people of color, and men and women. The American Association of Colleges of Nursing (AACN) has made explicit the values that form the cornerstone of professional nursing: altruism, autonomy, human dignity, integrity, and social justice. In this article, the authors explore the interconnections between values explicated by the AACN and nursing practices and policies. The authors draw on work in the field of pain management, cultural competency, and harm reduction as exemplars of this interconnection. The authors propose that through political action, nurses can strive for congruence between their professional values, practice, and policies and subsequently effect change and improve health outcomes.
Key Words: harm reduction • health policy • health disparities • political activism • nursing practice • nursing values
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