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Dear editor,

I Shujait Ali student of Generic BSN. I have faced alot of problems during clinical days at Civil Hospital Karachi and also Kharadar General Hospital, when I was doing my duty in ER a patient came to check the vital I told him to sit and wait for his turn but the patient start argument that first check my vitals, then others and also started misbehaving with staff nurse. Although these cases are rare, unfortunately they can take place. Violence towards nurses can range from a verbal attack to something a little more serious. According to WHO found that between 8% and 38% of health workers have suffered some kind of physical violence during their career.

Yours Sincerely,

Shujait Ali

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To the editor
From Baldia Town Karachi
As a civilian of baldia town , I would like to discuss recent issues of baldia town that citizen are facing now a days .From intrance  in baldia gate to site police station several roads are not maintained there is lot of duges  on road which result accidents. It should be repaired by union counsel.which can prevent lots of problem that we are facing
We will thankful to you

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Izhar Uddin S/O Nizam Uddin,

Student ID:   55/2019/124,

5th Semester, 3rd Year,

Kharadar General Hospital,

Institute Of Nursing Kharadar.

March 4, 2022

To,
Khalid Hussain sub-editor,

At Jang Group of Newspapers,

Printing House, I.I. Chundrigar Road,

Karachi-74200.

Dear Mr: Khalid Hussain:

Thank you for your attention. I am a student of Generic B.ScN at kharadar General Hospital. I am going to discuss nursing issues in Pakistan and elaborate on their huge responsibilities and restricted authorities.

First of all, as we know that there is a huge burden on nurses in the hospitals due to insufficient nursing staff. According W.H.O Average daily patient-nurse ratio (ADPNR) 11.9: 1.9: Secondary hospital: 13.1: 2.0: Tertiary hospital: 10.7: 0.7: Standardized average daily patient-nurse ratio (standardized ADPNR) 1.1: 0.1: Secondary hospital: 1.1: 0.2: Tertiary hospital: 1.2: 0.1. But in Pakistan, a single nurse deals with a huge number of patients. On the other hand, if we compare the graph of responsibilities of a nurse with the authorities so it will disappoint you deeply. Nursing staff work under a head nurse but they are bound to the doctor’s orders. Doesn’t matter it’s ok or not but they will follow the orders. Interestingly you will shock when you listen that for others’ mistakes nurses are to hold responsible for that mistakes. In nursing education, nurses study medicine and diseases deeply as well. So if the govt. make policies for nurses that they can also prescribe medicine. Govt. also allows nurses to give emergency medicine to the patient for temporary relief. Nurses need authorities by which they can prevent further complications and they can give critical care to the patient.

There are a lot of issues that should discuss but I enlist some important issues. I hope you will help me with this to point out these issues in front of society’s related department administrators. I shall be very thankful to you for this kindness.

Thank you

Best regards

Izhar Uddin

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Latter to editor on nursing issues.

Factors contributing towards nursing shortage in Pakistan are low salary, lack of career development, migration, marriages, pregnancies, domestic problems, less educational opportunities, poor infrastructure of teaching and learning resources, lack of involvement in decision making at different level of healthcare system, and violence and so forth. Literature also highlights that nurses feel lack of appreciation for their work from their managers. Moreover, nursing is considered as female centered profession; professional training and job is submissive to medical practice. This difference has affected public image of nursing as low profile job. To gain respect, dignity and professionalism in nursing profession, nurses need a quality educational and professional regulatory bod

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Muhammad Shahbaz Shaikh (Problems of Pakistani Nurses and Nursing students)

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Muhammad Shahbaz Shaikh (Problems of Pakistani Nurses and Nursing students)

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Among many problems, English language is one of the most faced problems in Nursing field. Most of the Nurses and Nursing students are not good at spoken and written skills because of poor educational background. The Nursing council of Pakistan has included English as a compulsory subject in the curriculum but that is not enough for we can see that nurses don't get proper environment to learn, acquire and imply the spoken skills.
Another attention worthy problem is that all the field-related courses designed by the PNC is in English and so are the recommended books. It shows that the students have no other choice. This thing, sometimes, brings a sense of deprivation in their mind and they are compelled to think that their native language does not have status of even a language. We have examples of countries like France, Germany, Japan etc. which converted all kind of knowledge in their native languages and boycotted all foreign languages. In my opinion, PNC and HEC should take measures to promote Urdu language in higher education, specifically, in medical fields.
thank you!

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TOPIC : NURSING ISSUES
Workplace violence occurs on a frequent basis in nursing most violent acts remain unreported we do not know the actual frequency of the occurrence of workplace violence this requires research of nurses actions following workplace violence and identification of reasons why most injured person do not report violent acts in the appropriate manner To explore violence in nursing as experienced by nurses. The nurses want to do explore violence and to remove a infamy from there own sholder.
Remove the stain of this stigma from your shoulder, lift your head, get yourself out of the cage, and make a law for a future environment of violence so that future nurses do not have to suffer from this environment.

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Dear editor,

I Sidra Yousaf student of Generic BSN Kharadar General Hospital School Of Nursing Karachi. I have noticed Working long hours due to staff shortage, job turnover, and other factors can result in chronic overtime, placing another burden on nurses.

Long hours and overtime aren’t a new issue. Nurses are repeatedly expected to complete 12-hour shifts with additional overtime too. This problem mainly stems from staff shortage but nurses often stay at work when there’s a serious accident too.
Working as a nurse is physically and emotionally stressful and it's important you have enough time to rest. When you’re exhausted at work, you aren't working your best.

Yours Sincerely,

Sidra Yousaf

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SADIQ UR REHMAN TOPIC.PROVIDE LESS SALARY TO NURSE.

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SADIQ UR REHMAN TOPIC.PROVIDE LESS SALARY TO NURSE.

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Dear editor,

I am a student of GENERIC BSN semester 5th from kharadar general school Karachi. I am writing about one of the serious nursing issue.that is provide less salary to nurses because the nurse give their time to job more than 12 hour's and the management of hospital give all the responsibilities of the patients to nurse staff but the government institution and hospitals give them very less salary which cannot fulfill their requirements so i want your action and focus on this issue of nurse and please resolve this problem of nurses.

Your sincerely,

Sadiq Ur Rehman

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Abdul Hayee
#103 Jatpat leemarket
Karachi.
Phone:................
Email: abhayee8@gmail.com
Date 15 February 2022

To,
The Editor
ABC News
Subject: Nursing Issues In Pakistan

Dea editor.
I am student of Genetic BSN at SON, Kharadar General hospital. During my clinical work, I've noticed this issue, particularly in government hospitals. When I was on duty in a civil hospital, I noticed that there was no sterile protocol to follow, and nursing staff were ignoring hygiene during patient medication.
Please take strict stand against them, as the state of government hospitals will deteriorate day by day if you do not.

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Arshad javaid
#1568 khada market  Karachi
Phone:.....
Email arshadjavaidkhan@.com

Date 20 February 2022

The Editor
XYZ news
Subject: Nursing issues in Pakistan
Dear Editor
I am Arshad javid student of GBSN.i am writing to draw your attention on the nursing issues
there are number's of nurses. They have a lot of clinical experience and they teach to the doctors in clinics but the government does not allow nurses for clinical practice.  and specialy There is a shortage of doctors in rural areas. The government should allow nurses for clinical practice.

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To
Editor
XYZ news
Karachi

Subject: nursing issue over time OR long working hours
I am a nursing student from karachi today I want to discuss one of the serious problem mostly of nurse's face those problems which  is over time the are already performed 8to12 hour duty on a daily basis. But most of the hospitals management take their extra timing which is an extra vagent with nurse's. May I request to higher authority to take action against this issue.
Your sincerely
Yaseen khan

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To,
The Editor,
XYZ news Karachi.
Subject: letter on unpunctuality of nursing staff at government sector.

Dear Editor,
During my clinical at government hospital ABC karachi.There I observe the staff was unpunctual and non serious with their duties because  they always came late and went  early because mostly staff was doing private jobs with their government job so due to their unpunctuality and non-serious attitude patient facing alot of problems so  I requested to higher authorities please concentrate on this big issue and solve this issue.

Your's sincerely,
Kashif Ali
Thank you

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Letter about nursing issues
Dear,
Editor
Abc news
As nurses dedicate their lives to caring for others, their own professional and personal needs may fall by the wayside.Thats why organization like the ANA and dozen of others membership support and advocate for the more than 4 million U.S nurses.As part of that work the ANA has zeroed in on some of the challenges you may face today in your nursing career.here are their top issues for staff nurses
Shariqa gul

Thank you

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Lal Chand ,                             Issues in Nursing. 

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Lal Chand ,                             Issues in Nursing. 

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To the Editor .
I am here to write about facing issues in nursing practice. During clinical duty i was observed that the trainee is facing lots of problems like senior staff's behave attitude and rudeness. Rudeness in workplace can damage moral and performance.

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To ,
Editor,
Karachi .

Subject : load shedding in hospital

Dear editor ,
I am nursing student from Karachi . My clinical duty was in civil hospital . I was reading the file of patients during that time the lights were continuesly diming . And I was having trouble in reading the file of patients . And there were many electrical medical instrument that were messed up at that time . So it's humble request to notice this and solve as quickly as possible .

So we can work comfortable without any hindrance .
Thank you
Your sincerely
Xyz

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TO,
EDITOR

SUBJECT : SHORTAGE OF STAFF
I am student in GBSN 5 semester being short staffed for brief period of time is common in most professional and in many of those situation it is minor in convenience .A study published in the journal of nursing administration found that too much over time inhibit collaboration.Healthcare and social service workers face on increase risk of work related assault resulting primarily from behavior of their patients .
Your sincerly
Seema bano

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To
The
Editor
Dawn newspaper Karachi Pakistan
Subject:- Issues of low salary of nurses in Pakistan
I am writing to draw your attention in a serious issue of nurses in Pakistan .  The duty of nurses in Pakistan is longer then required time and there responsibility is more then that of Doctors and nurses get less pay and less respect from the hospital
Therefore we requested to the Government of Pakistan to improve their salaries and provide more facilities to nurses
Thanks
Your sincerely
Salman Khan Mohmand

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To,
Editor

Subject respect of nurse not in eye of  patient

I am nursing student from Karachi where I have noticed that most of nursing staff are not well treated by patient .they even not respect well even they give treatment well to
patient . They are life saver so we should respect them .

I hope this will overcome in future

Your sincerely
Arsalan Khan

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T0,
Editor
BBC news Karachi

Subject : in most of government on hospital no proper management
I am Nursing student from karachi. I have notice that most of senior staff do not work and they are to irresponsible toward there client by providing late medicine So I will like to say please solve this issue so that client did not suffer there pain .

Your sincerely :
NOMAN AHMED

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Complaining about unsanitary conditions inthe hospitals under nurses supervision.

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Complaining about unsanitary conditions inthe hospitals under nurses supervision.

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Dear editor,
I am Generic (BSN) student from kharadar General Hospital. I have observed this problem during my clinicals specially in Government hospital .when I was doing my duty in civil hospital I saw there was no any protocol for sanitary conditions even the nursing staff were avoiding hygiene during the medication of patients .
Kindly take a strick action against them because if you don't do this the condition of government hospitals  will get worse day by day .

Your sincerely
Fatima Yousuf

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Muhammad Asif Roll .No 29 Class BSN Generic Nursing Semester (V) Topic Nursing issue 

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Muhammad Asif Roll .No 29 Class BSN Generic Nursing Semester (V) Topic Nursing issue 

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I am writing this letter to inform you my problem that I face civil hospital Karachi my duty is surgical Ward I tlod you that nurse in my ward whom duty in the surgical Ward I am don't know why he come in ward and says iam your head incharge if you don't follow my instruction the issue of nursing is duty timing issue come on not proper time and staff over issue patient. I was feeling so worn because the most of the senior staff are not doing there duties for that the Government paying them and who Will guidelines how the juniors nurses will learn it's reason in the Pakistan enough ratio of nurse .
Thanks you

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ANISHA WILLIAM. TOPIC=letter About NURSING ISSUES .
Dear Editor,

I'm the student of GENERIC BSN semester 5 . Nursing is a great profession. Which have many benefits. Nursing is a high-pressure job.Healthcare is important but there are currently many problems that cause issues for nurses. These are the six biggest problems facing nursing which are; Staff Shortages, Meeting Patient Expectations,

Long Working Hours,

Workplace Violence,

Workplace Hazards,

Personal Health.The nurses staff must be need awarness about their issues and problem that effect  career.

Hospitals can help nurses by making sure there are enough nurses available on shift so everyone has extra support available. But it's also important that nurses look after themselves as being stressed at work can cause health issues.Sometimes nurses have confliction with patients and his family there are a lot of problem facing in there situation.where there is no clear easy choice or answer.
Thank u for
Allowing me to
Express my opinion
Your Sincerely,
ANISHA WILLIAM

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To the editor
From Clifton Karachi
As a nursing student i wanna highlights same issues that students facing in clinical practices in government/ private hospitals , when a student goes to his/her clinical practice there senior staffs are not treating like new students, they  ignoring the students , here staff could do in there supervision  for   ordering student for any procedure of patients and  student can  perform it, as the results these students will be good nurses for society in future
Thank you

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Islamuddin
Lee market Karachi
Phone:03088580631
Email: islamuddin03088@gmail.com

Date 16 February 2022
The Editor
XYZ news
Subject: Nursing issues in Pakistan
Dear Editor
I am Islamuddin student of GBSN.i am writing to you in order to highlight the nursing issues in Pakistan health propesionals face ethical challenges in their daily practice, especially the nurses, the largest workforce in health. They are required to provide autonomous and collaborative care to individuals of all ages, while adhering to the ethical principles. The situation becomes particularly complex for nurses who work under severe resource constraints. Ethical issues in the nursing practice attract little attention, resulting in the creation of moral distress, poor professional care, unproductivity and conflict. compromised professional accountability to patient, uncooperative behaviour of peers and poor image of a nurse in society
Thank you
Your sincerely
Islamuddin

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To,
Editor

Subject :  nursing student are noting getting proper guidelines for clinicals

Dear editor
I am nursing student from karachi i have noticed that most of student are not getting proper guide in clinicals and also not getting practice to work in certain hospital so it my humble request that please allow all student to practice in best environment and they are over future nurses

So we can get best quality nurses

Your sincely
Arslan bhatti

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Dear Editor.

I am a student of GBSN .I am going to writing about nurses bad Hygiene.because most of the nurses does not make good hygiene .due to bad hygiene most of the microorganisms  are transferred from nurses to patients alot of the nosocomial infections transfer to patients that's why the hospital management do a strick action against those nurses who does not make a good hygiene.

Daniyal khan.

Feb-16-2022

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Topic : Issues of Nurse
Dear editor  .
being a   student of Generic  BsN. I am going  to writing here about shortage of nurse .
In hospital one thing which we are seeing  in nursing  .
That is shortage of nurse in hospital.There are more patients  and less  Nurse  but if we compare  patients  ratio to the nurse .
we have too short  nurse in hospital .
So it's very important  thing that  nurse face in hospital if we sort out the shortage of nurse in hospital  will be good for nurse as well as patients
when we have more nurse then we can care properly  patients  we don't know  Why government  not   take any  action  against shortage  of nurse .
Due to shortage  of nurse current  nurse unable to manage   their daily  routine .
That is reason  some nurse suffer from depression
so my opinion  about it is that the government  have power to solved the problem they can solved  but why they not
I don't  know
So it is humble request you to take a action on those medical stafs who donot work properly if we see the goevrnmt Schedule it is different and the staff whom duty is in the hospital they dont perform there duties according to it so it is bed for our society i request you take instruct action.  Thank you for given me chance  to shere my opinion  about  shortage  of nurse.
Sincerely
Pardeep kumar

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Dear Editor

I am Student of GENERIC BSN Semester 5. I was in XYZ Hospital's Emergency ward there was 20-30 beds for Critical Patient's care but there embrassing was that 2 to 3 senior Staff Nurses and 1 senior Doctor. I was feling so worsen because the Most of the senior staff are not doing there duties for that The Government paying them and who will  guidlines how the junior Nurses will learn. it's reason In Pakistan Enough ratio of nurses.

Thankyou

Your Sincerely
Saud Ahmed

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The key nursing working staff job turnover and other factor placing another burden on nurses staff nurse across the nation are reporting a dramatic increase in the use of mandatory overtime as a staff tool they have also a salary problem

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Letter to the editor regarding nursing issues
Respected sir
I am writing this letter that as a nurse dedicated their lives to caring for other and their own professional and personal needs may fall by the way side for patients safty but still they face so many problem like work force because of inadequate staffing and also long working hours.poor images of nursing .lack of respect from doctors work place hazards and violence
Your sincerely
Abc

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To,
Editor
The News
Karachi.
Subject: Nursing Staff Shortage in Hospitals
There is a shortage of nursing staff in all over Pakistan not only in government sector but in private sector. According to WHO the patient to nurse ratio should be 3:1 but in our country there is less.
Therefore patients can not get proper gain and nurses are over burdenies too. I hereby request to higher authorities to look into this matter and understand the problem of patients and nurses and resolve this issue by hiring more nurses and fulfill the blank vacancies.

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To
Editor
BBC news
Karachi

Subject: hygienic issue of nursing hospitals.
I see this issue in civil hospital during my clinical duty, I feel very bad to see (pan),(garbage),(dust) everywhere in wards, nurses not take care of their own and patients hygein,sweepers
And other staff are not hygeinic and collaborative for their patients, I am not negative minded, but I think about the solving of this problem
So kindly sir focuse on the solving of this big issue that decrease the number patients in hospitals.
Thanks

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To,
Editor
XYZ news
Karachi

Subject: nurses are not properly hegiene .
I am nursing student from Karachi nursing school where I was in a clinical placement where I have noticed that most of nurses are not  well hegiene most of them have bigger nails and put nail polish on nails .so this can effect I'll  patient so we need to be in proper manner and organize so that we can prevent spreading of bacteria from our hand .

Your sincerely
Abc

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Atta ur rehman : misbehaving of nurse towards patient 

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Atta ur rehman : misbehaving of nurse towards patient 

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To,
Editor
Abc news
Karachi
Subject: misbehaving of nurse towards patient .
I am nursing student I have noticed that most of nurse are not responsible and they are not treating their patient properly , even most of nurses are not giving medicine to patient with their name nor with Mra number .
Please we need to overcome this problem fastly so that people get save environment.

Your sincerely
Abc

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To,
Editor
Abc news
Karachi

Subject: sterlies instrument are not used
I am nursing student of Karachi . I have noticed that in government hospital most of instrument are not properly sterile by infection disease control department and they are also using blood comtainmed instrument so these speard disease to other patients .

Your sincerely,
XYZ

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Latter to the editor on nursing issues
XYZ news
I would like to bring to your attention the problem nursing are facing today.
They don't get any respect specially from the doctor who talk badly to them.
We also need to have more educated nurse's with the knowledge to treat patient.
Some of the nurses don't have enough clinical experience so they aren't capable to correct patient care.
More nursing colleges need to be astablishe in Pakistan and nursing should be given great respect as a profession because they dedicated their lives to looking after other people.

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Shoaib Ali Street No 2 block 5 City Karachi

February 14, 2022

Dr. Usama Balouch                      Street No 5 block 8                              City Islamabad

Subject: problem I face in my ward
Dear Sir,

I am writing this letter to inform you my problem that I face in my civil hospital Karachi skin ward as I told you that a nurse in my ward whom duty is in the cardiovascular ward but I don’t know why he comes in my ward and he says me I am your head incharge if you don’t follow my instruction I will disembody from your duty. He says me you work as I tell you I also work hard and give best treatment best hardworking for my patient and I come on my time whom the department of incharge officer given time in my roaster. I proud of my work It is very difficult and I cannot tolerate his canaille.
There are so many wards in the civil hospital Karachi if you come and visit it may be difficult but if you come and visit our hospital you must know my problems that I face in my ward beacause the patient in my ward they are very active patients and they are Very well educated they know all things you must ask them about my hardworking and treatment whom I give them. So I will thankfull to you if you Will  solve my problem.

Thank you.

Yours obediently

Shoaib Ali

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Letter about nursing issues
Dear ,
Editor
Abc news
As nurses dedicated their lives to caring for others.Their own personal and professional needs may fall by the way side. There are lots of issues and problem related to nurses in this professional life or clinical side.some of them are given . During clinical side doctors behave very baby with nursing staff they do not give proper respect to them .The another issue is nurses do not have their proper values . The another issue is some nurses are not properly education due to which they did blunders at clinical side so proper education is provide to nurses before they come in clinic side . The another issues is some have have. Not proper clinical experience due to which they can not perform the patients procedures confidentiality so every nurse should be proper train with highly experience.The another problem is when there is a high number of patients so they do not maintain patients privacy due to which patients are not satisfy with the medical staff so always Maintain patients privacy.
Your sincerely
Jannat bibi.                        Thank you

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Topic (letters about nursing issues)
In response by the topic and ongoing problem after reading with the interest with the abdudance of letters on the nursing issues topic.
I am a student of Generic bscn for 3years and now after one year later I complete my reading.
It is my belief that  I can be nothing that can must be take an action on it.
The nurses staff must be need awarness about their issues and problem that effect our career. There are a lot of problems that can be faced by nurses which are short staffing, long working hours, work place hazard, work place violence, meditory overtime etc.
We solve our problems to contact information our legislators with our solution.
The nursing shortage and nursing wold should be recommend for items that educate nurses and there real complex issues and explain how these issues impact our practices.
Thank u for
Allowing me to
Express my opinion
Sincerely
Jamshidabibi888@gmail.co bibi

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Topic( letter about nursing issue)
Dear Editor
Nursing is a high-pressure job.As a nurse have alots of responsibilities helping patient assists in procedure updating paper work and much more.Health care is unbelievable important but there are currently many problem that cause issues for nurses . Sometimes nurses have confliction with patients and his family there are a lot of problem facing in there situation.where there is no clear easy choice or answer.A difficult choice exist between action that conflict with the needs of persons.The choice is effected by personal feelings and by particular context of situations.The big problem is an ethical problem.

Your sincerely
Abida Parveen.
Thank you.

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Rizwan Sadruddin : less quality nurses in Pakistan 

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Rizwan Sadruddin : less quality nurses in Pakistan 

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Dear ,
Editor
Abc news
Karachi

Subject: less quality nurse in pakistan

I am student of generic bsn , in pakistan we have nurses but not to fulfill with the requirements of world health Organization , most nurse are not properly talking to patient not tell them about the procedure , not even about the basic the problem they can face  during surgery. Most nurse are not really follow basic nursing ethics to talk to staff, patient and attendees. I think we should increase  quality of nursing in pakistan for better future.

Your sincerly
Xyz

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BHAWNA KISHAN. TOPIC=letter About NURSING ISSUES .

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BHAWNA KISHAN. TOPIC=letter About NURSING ISSUES .

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Dear Editor,

I'm the student of GENERIC BSN semester 5 . I'm writing to you  about the nursing issues. The first thing we are seeing today is nursing shortage. In hospitals we see more patients and less nurse. We don't know the reason but it seems that may be hospitals are trying to meet their budget and save costs, whenever they can. The nurses have been facing a lot of issues since them. Which has put a lot of pressure on them. Due to the shortage of nurses, the patient cannot get proper attention because the number of nurses is less and the number of patients is more. And the second issue is personal health protection, such as the lack of nurses is putting a lot of burden on the current nurses and they have to work for a long time in this hope she can not take care of her health. They have to face all the problems like back problem and sore feet .

In my opinion, kindly eliminate the issue of staff shortage, so that  the nurses who are working in this hospitals are not burdened too much. therefore, this issue should be solved.

Thank you for allowing me to express my opinion.

Sincerely,

Bhawna Kishan.