learning objectives
- Describe Critical Social Theory in your own words.
- Explain how nurses can apply CST to their practice.
- Explain how CST relates in family, hospital and society
- Discuss the sociopolitical context of CST.
Small Group Discussion
Sociopolitical Context
Other CST Application to Nursing
~15 min
Social Determinants of Health
- Patient's Bill of Rights
- http://www.cps.ca/documents/position/treatment-decisions
- Among healthcare staff/hospital policy
- How do socially derived power structures filter into healthcare practices?
- Examine how deficits in health are assessed and managed
- CST affects communication between nurses and patients
- Where to find this information about your patient in clinical? Why?
- Privacy, Rights & Confidentiality
https://nursing.ucsf.edu/research-center-symptom-management
1. Describe how CST can be applied in the family, hospital, and society settings
2. Discuss how Clinical Social Theory applies to:
Andrew (1)
Sarah (2)
Chelsea (3)
3. How would you as a nurse advocate for these patients (1,2,3)?
What is the nurse's role to promote CST?
- Nurse-patient relationship
- trust
- equality
- Empowerment
- Awareness
Nursing Example
diabetes example (Mohammed, 2006)
- diabetes higher in non-white ethnic groups
- systemic racism and economic oppression affected their access to healthcare services/ability to manage diabetes
- educate adolescents about proper nutrition, increased physical activity
- medical system that restricts our attention to individuals
- pediatric nurses:
- examine oppressive arrangements in society (poverty housing, food scar)
- assess whether patients have discrimination or healthcare services
- nurses can consider how they themselves participate in reproducing social structures
DISCUSSION
What do you think Critical Social Theory is?
Methodology for applying CST
1. Critique
2. Context
3. Politics
4. Emancipatory Intent
5. Democratic structure
6. Dialectic analysis
7. Reflexivity
Critical Social Theory defined/includes:
(Fontana, 2004)
- creation of a more just society resulting from change brought about by education and praxis
- emancipation and liberation of the oppressed
(Mohammed, 2006)
- no unified definition
- population inequalities
- power imbalance
Discussion Question:
What are some population inequalities?
Theorists
Jurgan Habermas
Paulo Freire
- Research assistant in 1950s in frankfurt school
- He was a critique of coercive nature of society
- Examines relationships of power and the underlying structures in society that produce population inequalities (Mohammed, 2006)
- Brazilian educator - pedagogy
- Believed that people must emancipate themselves, overcome false consciousness caused by oppression
- Stated that liberation is a process of dialogue, problematization and increasing critical consciousness
EXAMPLES
- types of employment and wages made available to certain groups of people
- distribution of wealth
- access to education
But First... definitions.
syn. liberation, freedom, release
the fact or process of being set free from legal, social, or political restrictions; liberation.
a system of methods used in a particular area of study or activity
the method and practice of teaching, especially as an academic subject or theoretical concept
process by which a theory, lesson, or skill is enacted, embodied, or realized
References
- Fontana, J. (2004). A methodology for critical science in nursing. Advances in Nursing Science, 27(2), 93-101. http://0-search.ebscohost.com.innopac.lib.bcit.ca/login.aspx?direct=true&db=c8h&AN=2004151028
- Fraser Health (2017). Privacy, Rights and Confidentiality. Retrieved from http://www.fraserhealth.ca/patients-and-visitors/privacy-rights-and-confidentiality/.
- Harrison, C. (2004, Feb 01). Treatment decisions regarding infants, children and adolescents. Retrieved from http://www.cps.ca/documents/position/treatment-decisions.
- Mohammed, S. (2006). Scientific inquiry. (Re)examining health disparities: critical social theory in pediatric nursing. Journal for Specialists in Pediatric Nursing, 11(1), 68-71. http://0-search.ebscohost.com.innopac.lib.bcit.ca/login.aspx?direct=true&db=c8h&AN=2009119383
- Perry, S.E., Hockenberry, M.J., Lowdermilk, D.L, & Wilson, D. (2013). Maternal Child Nursing Care in Canada. Toronto, Canada: Elsevier Canada.
- Sumner, J. & Danielson, E. (2007). Critical Social Theory as a Means of Analysis for Caring in Nursing. International Journal for Human Caring. 11(1), 30-37.
Critical Social Theory