There is tension in the US healthcare system due to conflicting goals of maximizing the public's health and at the same time ensuring shareholder profit among the many private organizations that provide care to those in need. As a result, nurses (often the frontline workers in this mixed public/private and economized system) may experience dissonance between their professional values and the capitalistic values embodied in the healthcare system. Beyond the workplace, nurses are also committed to championing health and wellness, to advocating for social justice, and driving health policy. Yet, constrained by the conflicts between neoliberal values in an economized system and the values of care that inspire many to join the healthcare profession, nurses may lose the ability to live up to their moral ideals, to champion social justice, and to improve public health outcomes. In this paper, we use the critical theory of Juergen Habermas to explore these tensions and to suggest a path forward for nurses. We suggest that by engaging in dialog with each other and the public, and working for greater inclusivity, nurses can find ways to deconstruct ideologies inherent in our current healthcare system, to consider alternatives, and liberate healthcare from the dominance of market forces.

中文翻译：

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沟通行动，解决护理与企业医疗保健价值观之间不一致的途径

由于为有需要的人提供医疗服务的许多私人组织既要最大限度地提高公众健康，又要确保股东利润，两者的目标相互冲突，导致美国医疗保健系统存在紧张局势。因此，护士（通常是这个混合的公共/私人和经济体系中的一线工作人员）可能会遇到他们的专业价值观与医疗保健系统中体现的资本主义价值观之间的不一致。除了工作场所之外，护士还致力于倡导健康和保健、倡导社会正义和推动卫生政策。然而，由于经济体系中的新自由主义价值观与激励许多人加入医疗保健行业的护理价值观之间的冲突，护士可能会失去实现道德理想、捍卫社会正义和改善公共卫生的能力。结果。在本文中，我们利用尤尔根·哈贝马斯的批判理论来探讨这些紧张局势，并为护士提出前进的道路。我们建议，通过与彼此和公众进行对话，并努力实现更大的包容性，护士可以找到方法来解构我们当前医疗保健系统固有的意识形态，考虑替代方案，并将医疗保健从市场力量的主导地位中解放出来。