Notwithstanding the significant representation of social justice as a theoretical ideal of public health nursing (PHN), there is little agreement about how the concept is applied in PHN practice and supported by nurse leaders and organizations. A framework for social justice praxis in PHN was developed after a critical review of the literature to advance the ability of nurse leaders and healthcare administrators to support social justice praxis in PHN. This conceptual framework provides a foundation from which nursing leaders can launch meaningful conversations and make specific efforts toward achieving social justice to improve health equity.