Urban Health Nursing

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Urban Health Nursing (UHN) has a community based practice focused within the profession of nursing. UHN strives for goal of continual health improvements in urban areas. According to Schim, Benkert, Bell, Walker, & Danford (2007), “an urban area has a population density of 1000 people per square foot that has a high presence of economic and social integration” (pg. 74). UHN tackle such issues as: 1. economic and social marginalization of inhabitants 2. disparate access and use of healthcare systems 3. higher mortality rates from an array of acute and chronic diseases 4. Higher rate of morbidity from preventable diseases (Schim, Benkert, Bell, Walker, & Danford, 2007; pg. 74) Based on these issues UHN deems it necessary to incorporate social justice into the traditional nursing metaparadigm. Social justice in an aspect that is currently not in the profession of nursing. Social justice envisions a society that is equal in all matters to create physical and psychological safety. Social justice in the realm of healthcare demands that all individuals have the right to basic human dignity and have their economic needs met on a basic level. UHN has a commitment to bring social justice to the forefront of care in diverse cities and bring awareness that social factors affect all aspects of health. It is difficult for government agencies to address issues of violence and trauma without bringing awareness to racism, poverty, classism, sexism, homophobia and other stigmas that has been placed on various cultures. This has lead UHN to raise awareness to inequalities that have been ignored for years (Schim, Benkert, Bell, Walker, & Danford, 2007). Urbanization has a significant impact on health in the 21st century. As predicted by the World Health Organization, by 2050 70% of the worlds population will take residence in urban cities. Factors that influence urban
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