i can't make a blanket statement that all nurses have a voice.
we could if we chose to.
speaking for myself as a nurse, i undoubtedly have a voice.
and i am also heard, whether they like it or not.
if it's important enough to command my attention, then i make sure that my concerns are heard.
too many times they have tried to sweep it under the carpet.
i would finally write my professional assessment of the situation, interventions (or lack thereof) and outcome down in the report book; often in the nurse's notes.
every time, panic was rampant, i was heard and the patient got the care they so needed.
i did not do anything illegal but probably politically incorrect. who cares? tptb were total idiots who cared more about $$ saved than the well being of the pt.
so yeah, we can all have voices but there can also be repercussions (getting fired) for doing what is right.
after alot of reflection, there is still nothing i would have done differently.
i effected change in several situations.
my last 'voice' got the facility and DON in alot of trouble, hence the termination.but i know however awkward, i had to speak the truth for the sake of the pts.
ahhh, after 7 yrs, God wanted me out of there anyway.