Analysis paper of article “The Rhetoric of Rupture” by Nelson and Gordon (2004)

Analysispaper of article &quotThe Rhetoric of Rupture&quot by Nelson andGordon (2004)

Analysispaper of article &quotThe Rhetoric of Rupture&quot by Nelson andGordon (2004)

Betterwork hours, less workplace bullying, and more compassionate care arejust some of the things that need to be changed in nursing as apractice. For many years, the nursing practice has not developed likethe other careers. Though it has not completely stagnated, a lot moreshould be done to improve the current situation.

Thereis a need for less administrative work. There is a call for thenurses to spend more time with the patient instead of documentinganything and everything to fulfil an accreditation requirement. Manythings that nurses document have got nothing to do with the problemsfor which a patient is currently being treated. Also, it would begood for the nurses to have more time for patient care and have tospend much less time on time-wasting administrative duties. Besides,the nursing policies should aim at reducing double and triple entryof data into different computer databases. Have clerical staff 24/7to input all nonclinical data, for nurses/midwives who work inmedical wards can`t do all the other data entry. The nurses havealways been on the frontline in noticing subtle changes in ourpatients, but with all the piles of paper and computer work, theymiss the small things that arguably mean the deviation between lifeand death for the patient (Armstrong,Rispel &amp Penn-Kekana2015).

Moreautonomy is needed in the nursing sector. Nurses would love to seemore protocols established where nurses can use theircritical-thinking skills to choose which treatment would best benefittheir patients. How often do we have to call doctors when theyalready know the right answer? It would be good to make sure nursescould charge for their care, advice, teaching, educating, and tasksindependently of physicians. Lack of trust from the hospitaladministrators is a critical issue facing the nurses. It would begood to change the lack of confidence from hospital administratorstoward nursing personnel when research and `up-to-datedness` requiresInternet access to information.

Advancedpractice nurses should not be called `extenders` or `mid-levels`anymore. Also, there is a need for all oversight to be done by theBoard of Nursing, including prescriptive authority. Nursepractitioners must continue to show that nurses give safe, efficientcare and police on their own. Nurses are caring for increasinglycomplex patients and are not `extenders` anymore! All nurses willingand supported to practice to their full scope would be motivating tothem. There exists a significant difference in people`s quality oflife by `nursing` than prescribing medications. Managerialinterference in patient care should be stopped hence fullresponsibility for care should be entirely assigned to qualifiednurses. Autonomy of nurses should be brought back. Rispel(2015) points out that nursesshould be left to use their critical-thinking skills. Nursingpractice can only be enhanced by some independent decision-making andan integrated approach, and through strengthening nursing ethics.

Betterbenefits are essential to motivate the nurses. Since they spend mostof their lives in the healthcare field, nurses should at least havehealth insurance and a pension when retired. In this case, theyshould be subject to better healthcare without having to belong to aunion. They work long and hard, yet they have very mediocre healthcare, no perks, and darn little clout as a large workforce. Thenurses` representatives should find a way to charge for nursingservices so that facilities see nurses as a source of revenue ratherthan just a cost to their bottom line. Working on shifts and alteringthe circadian rhythm brings on many problems that should becompensated in some way (monetary or not).The biggest change thatnurses must make is to become a country-wide bargaining entity.

Morecamaraderie is needed for nurses. The nurses need to build each otherup, instead of participating in a culture of blame andfinger-pointing in situations such as night shift didn`t do this, thelast nurse didn`t complete the admission and others. Ideally, thereshould be a social meeting every two weeks or once a month to cometogether with all local nurses, to build a support network and learnfrom each other and our various roles (Auerbach,et al 2013).Another thing that should be changed is the `nurses eat their young`and the `nurse bullying` environment. It`s not just a myth—ithappens. A change of the culture of nurses socially excluding newgraduates or nurses who are new to a floor, as well as the prevalenceof bullying, hostility, and withholding information that couldenhance another nurse`s ability to take care of patients is needed.The working interaction between nurses needs to be changed.

Everynurse should be required to take a yearly mandatory education classon how to treat their peers. Disrespect and not helping one anotheris common also, withholding information on how to do tasks happens alot. It would be good to see nurses looking out for each other intheir clinical practice, support and guidance not perceived as acriticism, but rather watching each other`s backs and making it okayto question. This sort of interaction would promote teamwork,increase vigilance, support critical thinking, and improve patientsafety.


Armstrong,S. J., Rispel, L. C., &amp Penn-Kekana, L. (2015). The activities ofhospital nursing unit managers and quality of patient care in SouthAfrican hospitals: a paradox. GlobHealth Action,8,26243.

Auerbach,D. I., Staiger, D. O., Muench, U., &amp Buerhaus, P. I. (2013). Thenursing workforce in an era of health care reform. NewEngland Journal of Medicine,368(16),1470- 1472.

McCarthy,C. F., Voss, J., Salmon, M. E., Gross, J. M., Kelley, M. A., &ampRiley, P. L. (2013). Nursing and midwifery regulatory reform ineast, central, and southern Africa: a survey of key stakeholders.Humanresources for health,11(1),1.

Rispel,L. C. (2015). Transforming nursing policy, practice and management inSouth Africa. Globalhealth action,8.