She suggested that systems and structures become hidden because of the individual focus and must we look outside of the box to build bridges towards social justice. These bridges are built by investing time and money into health promotion, creating policies for the community, and fighting for the social justice of all. As an Emergency Room Manager, I have experienced this barrier to social justice in a patient centercare health system. The medical director and I had the opportunity to attend an excellent three day seminar in Chicago regarding effective emergency department management. The hospital administrators met with us after the seminar to present our initiatives we were wanting to implement in the emergency department. One initiative was excellent evidence based presentation on how to control pain medications abuse in your community with polices addressing those known to abuse the system for pain medications on weekly basis. The initiative was declined based on the perception of individual rights and the needs of the patient. Care-focused …show more content…
They emphasize the need for developing relationships and providing nurturing caring environment for our patients. Tong (2012) states that there is flaws with caring too much and the phenomenon of nurse burnout could attest to this fact. Nurses are expected to meet the individual needs of the patients even when those needs of the patients are considered unhealthy behaviors or morals. Providers have limited their practice of promoting heathy behaviors secondary to perception of discriminating or fear of not providing excellent satisfactory care perceived by patient. I found that many nurse are reluctant to promoting changes in unhealthy behaviors because they might be reprimanded for being mean and possible perceived as discriminating the rights of the