provide feedback on the rough draft. Remember, your rough draft must appear here as well as in the Rough Draft assignment.In your response posts, offer some constructive criticism to your classmates. Read through this webpage containing advice for putting together and receiving meaningful feedback.Use the questions below to make sure that you cover the multiple facets of a good peer review. You may include further information as well, but use these questions as a guide. Be sure to point out specific instances and examples of what is done well and what needs improvement.Does your peer provide adequate background and context for the subject that he or she is taking on? Before your peer’s position is made known, do you know enough about the topic that he or she is taking a stance upon?Is your peer’s thesis statement – naming the problem and its solution – made clear early on in the paper? What is the thesis statement? How could it be improved?Are your peer’s body paragraphs unified, coherent and developed? Do they have strong topic sentences and smooth transitions between paragraphs, and do they provide enough support from the sources he or she has chosen to use? How could your peer improve his or her body paragraphs?Is the problem clearly explained? Is the solution clearly explained and in order? Do you see any logical problems with how the solution is presented?Does your peer effectively use the research of others? Is the research cited and referenced properly? Are the sources credible ones?Does your peer effectively round out the paper, bringing it to a clear close? If not, how could your peer improve his or her conclusion?1
In a career involved with nursing, there will be easy and hard times. The easy times will
seem like a breeze and will make the job as painless as possible. But, when those rare hard times
roll around, they will make one of the best jobs seem like hell on Earth. Being a nurse means
campaigning and having all of the patient’s best interest at heart even when it may seem as if
nobody else does; this can be difficult at times, especially when one feels as if they are being
ignored, but you can not complain, you just continue advocating for a patient and their family,
until someone listens. Being a nurse also means long hours and very little rest, but this can be
even worse, and close to impossible, when there are little to no people to help cover shifts and
help with the patients. There are so many other things that make the work we do in the nursing
field more difficult for anyone who dares to try. Throughout the many experiences I have had as
a nurse, both good and bad, if I had the power to completely eliminate some of these issues that
I have had in the workplace, I would take away, understaffing issues, some of my encounters
and decision making challenges when working with doctors, the weight of having to make the
decision of when to speak out against these ethical issues, and the burden of having to help
families make tough decisions or at times having to make the decision because there is no
family available at the time.
When being a nurse in a large facility, like a hospital, there may be many challenges that
come along, but one of the most evident problems that may come along is the issue of
understaffing. According to an article from the Scientific American online magazine, “We have
more nurses in the U.S. than we’ve ever had before”, says Linda Aiken, director of the Center
for Health Outcomes and Policy Research at the University of Pennsylvania. “It’s really the lack
of budgeted positions in hospitals”, meaning in my eyes that understaffing could be avoided in
almost all instances. When a nurse is on a shift with more patients than they can handle, then
they are not fully prepared for any instance that may happen. If a nurse has two patients, and
they are both experiencing complications at the same time, and there is no one else available or
on call, then that one nurse is responsible on choosing which patient to tend to first, and
responsible for any unexpected outcomes that arise from that previous choice they made. The
outcomes for situations like these can go a number of ways, with very few of them being
positive. The choices a nurse make during their hours on duty determine if a person may live or
die, and they should not be taken lightly or forced upon someone. A nurse must be quick on
their feet while they’re on duty and pretty much ready for anything that comes their way, but
when you do not have the ample and necessary supplies to do so, this makes the environment at
work very hostile for everyone.
At hospitals, decisions are made with the patient or the patient’s best interest at heart, but
in not many circumstances when making a rash decision to save a person’s life do people
consider where the family stands. In the article from John Hopkins University, the story begins
with a nurse’s account of an ethical issue she endured while on the job, Naomi Cross, a
registered nurse, who was recently promoted to becoming a perinatal bereavement coordinator
for Johns Hopkins Hospital, was called in to talk to a couple who just experienced the death of
their child. Cross, said she felt so uncomfortable by the issue and told the doctor, “We can no
longer make decisions about {what to tell the parents} because we are afraid to hurt their
feelings or offend them. We need to give them all the information,” she was placed in a position
where the family had no choice because the doctor had already made the decision for the family
before they could make an input on what they wanted to be done. This makes the environment
awkward, especially when a family witnesses something completely different than what they
were told, because a doctor or nurse is trying to spare feelings of the family. This makes a
person seem untrustworthy and brings up the subject of ones morals.
When working in a hospital, nurses work very hard to keep others safe and healthy. With
all that nurses do to care for other people, there still remains the question, when do nurses have
time to care for themselves? Caring for others in hospital setting includes, helping patients move
in and out of bed, making sure the patient’s needs are met. Nurses walk from floor to floor
sometimes during their shift to ensure that their patients get the best care possible, and that can
take a toll on their health. According to American Nurses Association (ANA), “For the
practicing RN, staffing is an issue of both professional and personal concern. Inappropriate
staffing levels can not only threaten patient health and safety, and can lead to greater complexity
of care, but also impact on RNs’ health and safety by increasing nurse pressure, fatigue, injury
rate, and ability to provide safe care”. A nurse’s health can be an issue that could be completely
avoided, if there was more focus on making sure there are enough nurses to maintain the
hospital if there ever was an injury that took a toll on a nurse’s ability to perform her duties.
While all these issues are major to making sure that hospitals run as effectively as
possible and ensuring that all patients are safe and healthy. If none of these issues are ever
reported or spoken about to someone who could make a change, then why even complain about
these things? A nurse may go through all of these things on a daily basis but one of the main
issues that most nurse’s may have in a large hospital is the inability to speak out about their
problems, or feeling to uncomfortable in the workplace to say anything. This is one of the most
stressful things about working in a hospital. There are all these things that people know need to
be changed and things that people want changed, but no one wants to be the voice of reason and
speak on it, in order to get things to change. According to the US National Library of Medicine,
“Younger nurses and those with fewer years experience encountered ethical issues more
frequently and reported higher levels of stress. Nurses from different regions also experienced
specific types of ethical problems more commonly”. This cycle should not continue with nurses.
As a nurse, when one does not advocate for themselves, they truly can not say they are
advocating and trying to help others. The problems that nurses face in the workplace not only
affects us as a team, but it affects our patients as well.
Working as a nurse in the hospital is one of the things I love to do, but facing as many
issues as there are today in the field, a change is really needs to be made in the nursing
community. From understaffing, to not seeing eye to eye with the doctors and patients families,
it takes a very large toll on a person as a nurse. The unlimited amount of work that we do
everyday to ensure the comfort of others is merely a small reward in comparison to all that
nurses have to endure working in the hospital. But upholding a certain level of work for the
patients is what being a nurse is all about. As a nurse I uphold not only my values, but the values
of my patients, their families as well. These are all more important than any issue that I have
experienced in the workplace, and while us nurses would like for these things to be changed. We
know would much rather these things stay the same if we can continually do what we love
everyday, which is helping our patients get back to health and ensuring their loved ones are
apart of their care as they heal.
Top Issues for Staff Nurses. (n.d). Retrieved May 20, 2016, from
Top Ethical Issues in Nursing. (n.d). Retrieved May 20,2016, from
Ulrich, C. M., Taylor, C., Soeken, K., O’Donnell, P., Farrar, A., Danis, M., & Grady, C.
(n.d). Everyday Ethics: Ethical Issues and Stress in Nursing Practice. Retrieved May 20, 2016,
Kriemer, S. (n.d). Five Ethical Challenges in Healthcare. Retrieved May 20, 2016, from
Nursing is Hard. Unaddressed ethical issues make it even harder. (2015) Retrieved May 20,
2016, from
Jacobson, R. (n.d). Widespread Understaffing of Nurses Increase Risk to Patients. Retrieved
May 20,
2016, from

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