Please Complete the 2 responses below and answer the replies down below as well. Please cite references in APA format with in-text citations. Please add the links to the websites used. Each discussion response and reply should be at least a paragraph long. Thank you!

Discussion #1- Social Justice

In your post, respond to the following prompts:

· Describe the difference between market justice and social justice.

· While maintaining confidentiality, discuss a situation you experienced in practice, or another situation, where there was tension between market justice and social justice.

· Summarize the nursing role in achieving social justice.

Affordable Care Act (ACA) – glossary. (n.d.). HealthCare.gov. 

https://www.healthcare.gov/glossary/affordable-care-act/Links to an external site.

 Budetti, P. P. (2008). Market justice and US health care. 
JAMA, 
299(1). 

https://doi.org/10.1001/jama.2007.27Links to an external site.

National Academies Press (US). (2021). 
The role of nurses in improving health equity. The Future of Nursing 2020-2030 – NCBI Bookshelf. 

https://www.ncbi.nlm.nih.gov/books/NBK573898/Links to an external site.

Response #2:

Market Justice– In such a system, medical care and benefits are distributed on the basis of people’s willingness and ability to pay (Rucci, 2023). An example of market justice is an employer-based health insurance benefit. In 
Social Justice, the equitable distribution of healthcare is a societal, rather than an individual responsibility (Rucci, 2023). Medicare and Medicaid are examples of social justice.

In a situation where I feel there is tension between the two, is an individual who is fully insured versus an individual who has no insurance. I have seen patients with insurance receive more diagnostic tests and their symptoms are further investigated than those without insurance. 

As nurses, we must continue to advocate for all patients regardless of financial status. We need to collaborate as a team with others in assessing the needs of less fortunate individuals and ensuring that they receive the same adequate care. In my previous research, it has been noted that the uninsured, low-income, and the homeless, often suffers more from conditions that can be easily managed with proper care and treatment. Social Justice is action-oriented. It needs to be applied in two levels: direct action to assure that the care of patients or populations is just; and action and advocacy at the level of policy and regulation to institute structures or to remove the barriers that keep people vulnerable (Donley, 2010). 

References:

Donley, R. (2010). Nursing social justice and the marketplace. 
Journal of the Catholic Health Association of the United States. 

https://www.chausa.org/publications/health-progress/archive/article/may-june-2010/nursing-social-justice-and-the-marketplaceLinks to an external site.

Rucci, E. (2023). A nurse’s perspective on the u.s. healthcare system. 
Nursing CE Central. 

https://www.nursingcecentral.com/us-healthcare-system/Links to an external site.

Discussion #2

What is QSEN? Explain how QSEN relates to research and evidence based practice course?

Response #1:

What is QSEN?

The Quality and Safety Education for Nurses (QSEN) as described by Dolansky et al. (2013), is an initiative aimed at integrating quality and safety competencies into nursing education. It was developed in response to the need for improving the American healthcare system, as identified in the Institute of Medicine’s reports. It’s important because QSEN focuses on equipping nurses with knowledge and skills to enhance the quality and safety of healthcare delivery, with an emphasis on moving from individual patient care to a broader system thinking approach, ultimately aiming to accelerate improvements in healthcare quality and safety. 

Explain how QSEN relates to this course.

QSEN, the Quality and Safety Education for Nurses initiative, is closely related to research and evidence-based practice in nursing. It emphasizes the integration of research findings and evidence-based principles into nursing education, training nurses to make informed, evidence-based decisions to improve patient care and safety. This connection ensures we as nurses are exposed to research principles and critical thinking skills early in our education promoting a culture of quality and safety improvement in the healthcare system. 

Reference: 

Dolansky et al. (2013). Quality and Safety Education for Nurses (QSEN): The Key is Systems Thinking. The Online Journal of Issues in Nursing. 

https://ojin.nursingworld.org/table-of-contents/volume-18-2013/number-3-september-2013/quality-and-safety-education-for-nurses-/#:~:text=The%20Quality%20and%20Safety%20Education,safety%20competencies%20into%20nursing%20educationLinks to an external site.
.

Response #2:

What is QSEN?

QSEN refers to nurse quality and safety education. It is a national initiative to improve patient care in the United States. In 2004, the National Quality Forum and the Institute of Medicine launched the initiative. The mission of QSEN is to improve patient care quality and safety by expanding nurse education and training in the United States. All nurses must be able to deliver high-quality, safe patient care that is focused on the needs of the patients they serve as part of the QSEN competency set.

Explain how QSEN relates to this course.

This course helps to develop a safety-first mentality that begins with inquiry and presence of mind, as well as a willingness to raise questions about practices that are possibly questionable. Whether that practice is based on the best evidence and is it open to constructive feedback.

Reference

Sherwood, G. (2021). Quality and safety education for nurses: Making progress in patient safety, learning from COVID. 
International Journal of Nursing Sciences, 
8(3), 249–251. 

https://doi.org/10.1016/j.ijnss.2021.05.009Links to an external site.