Everyday American businesses find innovative ways to progress in the economy, the question is, are they progressing the ethically correct way? Journalist, Esther Kaplan argues in her article, “Americans Are Working So Hard, It’s Actually Killing People” that companies overwork their employees to exhaustion. Kaplan effectively supports her claim with powerful evidence and statistics, followed by cited sources and strong word choice that creates vivid images which allow the readers to identify with the employees, and pulls the reader in with emotions such as horrifying shock and anger. Kaplan introduces us to some nurses from Wilkes-Barre General Hospital who explain the inefficiency of increasing the patient-to-nurse ratio, making it harder …show more content…
Referring back to the nurse who had to handle ten patients on her own when she had only worked at Wilkes-Barre for a few months, Kaplan quoted her statement, “I was drowning.” By using the word “drowning” which quite literally means to submerge without air, the nurse informed Kaplan that handling the profusion of patients made her feel like she couldn’t breathe. Another example that the author uses is when she presents meat-packing worker, Juan Martinez. She explains that after only four years of working at a Cargill beef processing plant, Martinez “had hands so disfigured from making repetitive cuts that he could no longer work…” and that “[h]e still experiences pain so intense it feels like nails are being hammered into his fingers.” The words used by the author to describe Martinez’s pain clearly paints a picture in the mind of the reader. Kaplan pairs her strong word choice with cited sources by telling the readers which employee said what, supporting her appeal to ethos. During the middle of the article, the author states that she visited a hospital where nurses were on strike due to inadequate staffing. Kaplan described the surroundings as, “an exhausted, sweaty group of organizers…” and appeal to ethos by herself being a credible source for physically being at the strike …show more content…
Towards the end of the article Kaplan provides the reader with evidence that produces anger. She quotes nurse Wheeler from Wilkes-Barre Hospital after asking her about breaks during work by adding her response, “I don’t think I’ve ever.” The audience not only is shocked by this nurse’s statement; they may feel anger because every employee should be entitled to take a break after long strenuous hours of nonstop work. Another piece of evidence that supports Kaplan’s appeal to pathos is when she lets the audience know that nurses and nurse aides are two of the main occupations that lead to musculoskeletal injuries. The reader cannot help but feel horrified when finding out that nurses easily garner injuries due to inadequate staffing. Half-way into the article and referring to the inadequate staffing from many employers, actor Tracy Morgan is introduced with a small anecdote. Kaplan informs the readers that a Walmart trailer driver who was trying to reach his destination for the final delivery was speeding when he hit the actor’s car, killing the passenger that was in the vehicle with the actor. She fuels the readers’ anger and shock by stating that the driver had not slept for over twenty-four hours
The author used different elements of ethos, logos, pathos, and kairos to effectively communicate with the reader. Eve Tushnet the author of this essay does not have a whole lot of ethos. Eve is lacking credibility and character because she is not an established author. Eve is not a credible author because she is a freelance writer. Eve does not have good credibility because she blogs and contributes to an opinion magazine and website.
State-mandated nurse-to-patient ratios remains a controversial topic in healthcare. Sufficient nurse staffing is key to ensure adequate patient care, while scarce staffing effects patients’ safety and puts nurses at risk for burnout. Determining nurse-to-patient ratios in nursing facilities remains a challenge for the nursing profession. There are many factors to consider when determining staffing methods, such as cost, nurses’ satisfaction, patient outcomes and safety. Mandating ratios is one attempt at ensuring nurses’ workloads do not exceed what is needed for adequate patient care and safety.
One Flew Over the Cuckoo’s Nest What would one expect if one's idea of society and normality was manipulated and engineered by someone else? This is the case in Ken Kesey’s 1962 novel One Flew Over the Cuckoo’s Nest. The novel is articulated by Chief Bromden, a schizophrenic patient, and is set in an insane asylum with a strict tyrannical administrator, Nurse Ratched. The significance of “Big Nurse Ratched” is how she is considered to be the representative of society as she tries to mold everyone directly into her picture- perfect vision.
During McMurphy’s stay at the ward, he has created a name and reputation for himself as the tough guy. Despite the fact that the nurses perceived simply as a troublemaker and a disturbance to their daily routine, the other patients look up to him as their lifesaver. It is evident that this is the case when they begin to adopt his habits during the road trip. Kesey writes that they act “like he did” to articulate the way that others perceive him as superior and want to be like him.
Moreover, several studies have been conducted to examine the effects of low nurse staffing on patients hospitalization experiences, as well as its effect on nurse careers in the long run. A recent study by Frith, Anderson, Tseng, and Fong (2012) to explore the relationship between nurse staffing and medication errors, demonstrated that medication errors were higher in a cardiac care unit and non-cardiac care unit when staffing levels were lower. In addition, Frith et al. (2012) pointed out that medication errors increase by 18% for every 20% decrease in nurse staffing below the average due to failure to follow medication administration protocol As mentioned earlier, nurses perform the last and the most important step of medication administration. Thus, having adequate time to assess each patient efficiently and following the medication rights is critical to provide safe patient care and prevent errors.
That situation affected the organization to the insufficient of excellent nurses available to care for patients and have an effect on those who continued working in a troubling work environment. Granstra (2015) researched that “Bullying results in increased turnover when nurses choose to leave the organization instead of remaining in a workplace where they are unhappy” (p.
The article broke down one of the most horrific natural disasters of the century. For many, the wounds have yet to heal and with this article, those individuals and their families are forced to show us their scars again. This was equally hard for Fink to report after talking to survivors from Katrina. She unbiasedly informed her audience who may have been oblivious to what the conditions were for just this hospital alone. The help in the recovery of these sick and injured souls was not treated as a life or death emergency like it should have been.
In addition to Rose establishing ethos, in the latter part of the essay Rose mentions a study he did about the thought processes of blue collar workers. His study validates him as someone that should be taken more seriously. Mike Rose concluded that even though physically demanding work does not require a high school diploma, there is a lot of reading and note taking that takes place (282). Thus, Rose also establishes logos. Rose uses the knowledge he accumulated from his study and educates the reader about what he has discovered.
Mandatory overtime is an issue faced by many nurses across the nation. It is seen as a solution to the nursing shortage crisis; however, it is not a sustainable solution as it has led to an increase in medical errors, increased patient mortality, decreased job satisfaction, nurse fatigue, and deficits in nurse’s work performance. Several states have enacted or are considering laws to prohibit this problem. According to Rubenfire, “This is something that's been going on in hospitals for a very long time,” Ruben noted. “But it is not as focused on as much in the past.”
Escape Fire “Escape Fire: The Fight to Rescue American Healthcare” is a documentary concerning the state of health care in the United States. It alleges that the American healthcare system is a broken system that mainly focuses on getting as many people treated the healthcare system, without actually treating their true medical issues. It challenges that the healthcare system is more about bringing in revenue than providing adequate medical care. It further contends that the healthcare system is more about increasing healthcare numbers than improving health.
Nursing Shortage is a problem we all should be aware of. There are many factors that may lead to a nursing shortage, such as having stressful and unsafe working environments, and our nurses are being overworked. This is a problem we should be aware of because it is affecting the patient care. Nurses would not have enough time to stay with a patient if they have more patients to worry about. Nurses play a big role in our hospitals and communities, “Nurses play significant roles in hospitals, clinics and private practices.
“Better Nurse Staffing and Nurse Work Environments Associated with Increased Survival of In-Hospital Cardiac Arrest Patients” states that, “In 2012, registered nurses had 11,610 incidents of MSDs (musculoskeletal disorder), resulting in a median rate of eight days away from work. Among all healthcare practitioner and technical occupations, there were 65,050 nonfatal occupational injuries and illnesses that required a median of seven days away from work.” While we are unable to attribute every workplace related injury to stress, burnout, and poor work conditions, it is easy to correlate extreme fatigue with decrease in concentration and increase in avoidable
Violence against healthcare providers is a significant problem that has been receiving growing attention. Incidents of workplace violence are experienced by nurses and physicians on a day-to-day basis, especially in emergency departments. The corollary of this phenomenon has become a significant matter due to the psychological stress it is placing on healthcare providers, hence affecting their efficiency and productivity. We may often undermine the consequences of workplace violence, but studies show that it may cause distress, apathy, rage, disappointment, helplessness, anxiety, self-doubt, and insecurity of healthcare workers. (Öztunç 360-365)Hence, their entire job performance is decreased and absenteeism is increased.
Theoretical Framework on Violence in the Workplace Violence can be experienced by many different people in different situations in health care. In the healthcare world, nurses are one of the most exposed groups to workplace violence in the world. Circumstances that lead patients to the hospital can be very stressful which can lead to anxiety, agitation, depression. Through using the theoretical framework developed by Ida Jean Orlando, workplace violence can be viewed and applied to address or even prevent violence experienced by nurses possibly. Violence has been a long-standing issue in the workplace.
Large patient loads combined with a stressful work environment affects nurses’ abilities to provide quality healthcare. Patient safety should never be compromised. It is our responsibility to learn from research and improve our current nurse staffing ratios. Nurse staffing is key and affects all other outcomes. Without nurses administering the right treatment at the right time to the right patients, all other healthcare interventions are not effective.