Harmony2

Who protects the nurses from institutions that do not follow their own policies and force nurses to break their professional code? Who is that voice for nursing? Situation is centered around doctors versus nurses..

Tough day! My best advice is when you have a difficult person such as the daughter. Politely leave and call your supervisor to assist. Taking it up the chain is often better than trying to handle it yourself. Family members are not always as they appear.

Effectively communicates vital signs, behavior changes and blood sugar values with appropriate follow up as instructed per the RN.

Concerning Canada, "Thecountry has little reason to worry about illegal immigration. The UnitedStates shares a long southern border with a country suffering from highlevels of crime, unemployment and income inequality. But there aren't millionsof Americans yearning to get into Canada. To put it another way, the United States'buffer zone from the eager masses is a shallow river. Canada's is the UnitedStates. That reduces unauthorized migration to Canada and eases public anxietyabout it. Canada also has a smaller population and lower birth rate than theUnited States--it needs immigrants for population growth." http://www.economist.com/blogs/democracyinamerica/2011/05/immigration 50 % ofCanadian immigrants arrive with a Bachelor's degree. Providing health care for another countriescitizen is very controversial especially, when people in our own backyard aresuffering. Although Canada's situationis admirable, it is also unique to Canada and not most other countries.

Why do you care? Are you feeling unappreciated at work?

I encountered this post during a Google session. After reading your “rant”, I was compelled to participate in your post. Nursing turnover is more than natural attrition and deserves respect and compassion. Those new to the profession along with the experienced are valuable to the establishment and securing them in positions that serve the patient is vital to the health care system. High turnover rates are relevant matters that affect everyone and compromise the care given to patients along with increased health care cost. Many studies have addressed this topic and defined employment factors that lead to high turnover rates. If you read this study http://www.uexcel.com/resources/articles/NursingTurnover.pdf, it will list areas for improving nursing retention. When I read the study, it appeared to me that strong leadership was needed to correct these situations. I recently completed a book by DePree that addressed similar issues listed in the study on nursing turnover. Many of the major complaints such as; lack of trust with coworkers, lack or role clarity, poor communication on critical issues with management and lack feeling respect for contributions can be solved through good leadership. Great leaders are more than our managersor supervisors. They are also our coworkers. It is important to remember nursing is the profession that employees the most people in the health caresystem. If we all recognize that, we can be supportive to our fellow nurses and find solutions together.