One may have wondered how the doctors at the hospitals and other medical establi shments are

able to deal with large amounts of injuries and illnesses. The answer is with nurses and technicians. In the up coming years, the "Bab y Boomers" will be of retirement age. There will be a large shortage of doctors and nurses leaving an immense job op portunity for all those in the medical workforce. The nursing field will be a promising possible career because of its reputable history, various types of nursing careers and the training and future prospects in the nursing field. One might consider nurses a foundation stone under the building of health car e, without it, the building would not be as strong and would most likely fall. Nursing is an important aspect and career to the medical field that is known of today and the medical field that will exist tomorrow. Almost 50 per cent of nurses surveyed in a New Zealand-first study have consider ed quitting after struggling with moral issues beyond their control. More than 400 hospital-based nurses took part in the moral distress survey by Ma ssey University School of Health and Social Services researchers. Dr Martin Woods, a nursing ethics and education expert, says preliminary results show 48 per cent had considered leaving their current position after experienci ng moral distress. Sixteen per cent were currently considering leaving their clinical position. It s very disturbing; half the nursing workforce at some stage have had such moral disquiet that they wanted to leave. The national survey reveals the causes and impact of moral distress. This survey uncovers the ethical issues and constraints affecting nurses, Dr Woods says. It shows moral distress is a reality nurses are struggling with and they are real ly struggling. Stories of burnout and leaving not just a given position but nurs ing itself must be taken seriously. He explains it can lead to feelings of depression, burnout and stress and resear chers plan to use the results to develop guidelines for nurses and health care a gencies to address and minimise its effects. Although nursing societies have identified end-of-life care practices, Volker b elieves that many issues regarding dignified dying have not been well explored. Evidence of what constitutes a good death for the patient is lacking, she says. The assumption that people should have control over life and death may be influe nced by culture, education and social class, she says, adding that previous rese arch has concluded that control of one s future may even be a Western notion. A nursing diagnosis a historical as well as contemporary nurse would encounter i s Physical Injury (Trauma). Two types of trauma for which nursing treatment ha s evolved over time, are severe burns and injuries caused by war. Treatment of nursing diagnosed burn trauma, especially pediatric, has been an area of treatment that has progressed in the US over history. In the early 1 900 s burn patients, were expected to die shortly after they were injured, and thu s there was no real solution or developed nursing treatment. With the help of me dicine advancement and nursing therapeutics for burn victims during the 1940 s, th e role changed of the nurse in helping to heal these victims. Educated nurses ha d learned the skills and new methods of administering and using the correct drug s for treating burns, something they had no experience with earlier in history. The current proper interventions nurses do to treat injury are to first identify individual risk factor and needs in an assessment, then protect clients anatomi cal structure by positioning and aligning the body correctly.

A nursing diagnosis may be part of the nursing process and is a clinical judgeme nt about individual, family, or community experiences/responses to actual or pot ential health problems/life processes. Nursing diagnoses are developed based on data obtained during the nursing assessment. An actual nursing diagnosis presents a problem response present at time of asses sment. nursing care plan outlines the nursing care to be provided to an individual/fam ily/community. It is a set of actions the nurse will implement to resolve/support nursing diagn oses identified by nursing assessment. The creation of the plan is an intermediate stage of the nursing process. It gu ides in the ongoing provision of nursing care and assists in the evaluation of t hat care. [edit]Characteristics Its focus is holistic, and is based on the clinical judgment of the nurse, using assessment data collected from a nursing framework. It is based upon identifiable nursing diagnoses (actual, risk or health promotio n) - clinical judgments about individual, family, or community experiences/respo nses to actual or potential health problems/life processes. It focuses on client-specific nursing outcomes that are realistic for the care r ecipient It includes nursing interventions which are focused on the etiologic or risk fac tors of the identified nursing diagnoses. It is a product of a deliberate systematic process. It relates to the future.