A movie of social relevance - Sigwa Essay Example for Free

A movie of social relevance Sigwa Essay Sigwa began with Dolly (Dawn Zulueta, Megan Young) returning to the Philippines to look for her long lost daughter. She was a Filipino-American journalist sent to the Philippines in the 1970’s to write about the rising social unrest at that time. But later, she found herself being recruited to the revolutionary and underground youth group Kabataang Makabayan. While looking for her daughter, Dolly is also reunited with her fellow comrades, almost 40 years since they last saw each other. They were Rading (Jaime Pebanco, Jay Aquitania) an urban poor out-of-school-youth activist, Oliver (Tirso Cruz III, Marvin Agustin) an arrested student activist who later became a presidential spokesman, Azon (Gina Alajar, Lovi Poe) who grew frail and weak caused by the trauma of the rape when she was arrested, and Cita (Zsa Zsa Padilla, Pauleen Luna), once a student activist now a leader of the New People’s Army. Sigwa was simply amazing. The cast was great as well as their portrayal of their roles. It seemed so real. After watching Sigwa, I have realized that the movie provided more than just a retrospect of Philippine history. It also brought me back to the First Quarter Storm of the year 1970, where I have witnessed Martial Law through the lives led by six young activists. It is more than just a commemorative film: it had relived the tempest of our country’s history and allowed us to reflect about its significance in the present. Sigwa gave us only a glimpse of how the Filipinos in the past have struggled to attain democracy, to relive the history of the Filipinos struggle against Martial Law, and to show our continuing aspiration for democracy, peace and justice. And yet through the movie, I had reflected from the country’s history how we continuously try to reach total democracy today; that the recurring problems about democracy that we are facing today are also the same in the past; watching the movie enlightened me more about the Martial Law and the events that took place during the First Quarter Storm.

A Study On Music Videos

A Study On Music Videos Music videos have a big impact on how the world is viewed today. Many videos disrespect women and portray them in a negative way. Most videos stereotyped race, womens body types, and skin color. These videos have influenced the younger generation lives and how they should act. Mainly all music videos teach the youth unhelpful information that they do not need to know in their everyday lives. Today individuals minds are twisted with images from songs, melodies, and lyrics in which music videos have influenced and made a big impact on peoples attitude and there lifestyles; these images shape the way people think in their everyday lives. Regardless of what an artist is singing or rapping about in their music video you will always see a sexual hint. Clearly you can see women being portrayed in music videos in sexual way this may not affect how you feel at first, but after seeing this happen over and over in different music videos may makes people treat women with less respect. How women are portrayed in this way comes with many consequences. Most rap videos today show sexually disapproving and harmful depictions and treatment of women, mainly women of color. Women are stereotyped in music videos because they are often portrayed as hypersexual, selfish, and amoral, examinations of music videos have publicized this. They are also portrayed as non-educated and very getable. By watching music videos people might bring to a close that the world is made up of light skin and white women. Disregarding the massive series of colors in between, a lot of women in music videos today are light skin, white, Asian, and Latina and it could be hard on women and young girls who dont like this. Their representation frequently overemphasizes their sexualized, physical looks and places them as attractive objects rather than active agents in the music videos. Most artists nowadays use light skin, Asians, and Latinos in their videos because they think they will lose viewers. These artists that havent used other races of women in their videos have already lost a lot of views because there are different races of women all over the world; people dont want to keep seeing the same thing over and over. Artist try to go with what they think everybody else would like to see instead of what they like. Women bodies today are very important to society. Television shows, movies, music videos, and magazines also play a big part in displaying women bodies in a negative way. These types of sources portray what the media thinks is the ideal of a perfect female body. Most men think that light skin women are the pretties, and that they have the curviest bodies and big behinds. There are also other women that have the same types of bodies, but they are rarely showcased in the videos. America needs to include women with different types of figures. By doing t his it would seriously expand the worlds thoughts and definition of what true beauty should look like. When women go out to clubs, or just out to have a good time men think that they can just walk up to them and grab them and say anything they want. Most women in music videos are always half naked, dancing in an inappropriate manner, and are insulted in different ways. By the women in these videos acting in this way it shows the world that all women are the same and they really are not, because most music videos have the same concept. So many music videos display these kinds of actions, and men dont realize that these videos are not real and they cant treat women with disrespect. The media have affected young girls today on becoming thinner. Half of Americans basic school students between the first and third grades are trying to become thinner. By the age of ten children are scared of being classified as overweight. Most young girls watch music videos and are influence that they are not beautiful, because there are always thin girls in the videos. When music videos showcase thin women all the time it makes young girls feel like they have to look a certain way. Young children shouldnt have to worry about problems like this at their age but people have forced so much on the youth and they become overwhelmed with these issues. Most music videos make women feel bad about the way they look, because of how the women look in them. The women in the videos are always skinny, white, Asian, or Latino anything but black, and if they are she is very light. What men fail to realize is that not all women look like this, and that they should put all types of women in their videos so viewers wont feel bad about their physical appearance. There are all different sizes, shapes, colors, and races of women, and to just limit the videos to certain races and skin color, and one body type makes women look at their self in a different way. It makes them wonder if men think that only women that look like this is beautiful than what about the rest of the women in the world, how do men look at them? The result that popular music has on children and young peoples behavior and emotions is a big concern today in society. Several of hip-hops well-known songs have influenced violence, drugs, alcohol, sex, disrespect for authority, and lack of respect for woman. The view and the result of musicvideomessages are important, as research has reported that it contacts to sexual messages, sexual stereotypes, and use of substances of violence in musicvideos might produce major changes in behaviors and attitudes of young viewers. There is a relationship between violence in music and the youth culture. For many young children and teenagers by listening to this music it creates an atmosphere that is harmful to their lives and education. Does violence in music videos cause violence in the youth culture? Yes it does because teenagers watch these music videos and act upon what they see. Most rappers make songs about using drugs and children look up to them and they imply that its okay to use drugs when really is not. Young children and teenagers in todays society are always looking for a role-model and some type of fashion to copy. A teenagers favorite types of music could be related to certain behaviors preformed in music videos. Children and teenagers rewinds songs and learn the lyrics. The youth culture will not become better into artists really think about who listens to their music and watches their videos the most, and think about what they are teaching the young people. When young girls watch music videos and see how women act and are disrespected over and over, most of them will grow up thinking that it is ok to let a men treat them with disrespect. What do boys think when they see these type of things displayed on television how women are portrayed as sex objects. Half of Boys that view music videos will grow up not caring about females feeling or how they treat them because most music videos show lack of respect for women. Children are losing their innocence from watching, listening, reading, and wearing the clothing they see in music videos. Parents shouldnt want their children studying violence, but with the technology today like headphones, and downloads they are unsure of what is going on. The mass media tells children that the artists in the music videos are not who they portray to be. African American females that spend more time watching music videos have a higher opportunity of drinking and having several sex partners, and more liable to test positive for marijuana. American teenagers use up about four and a half hours a day listening to music and studying music videos, According to American according to American Medical Association. 48% of Americans say violence in music should be regulated. In popular music parents are tired of suggestive, violent, lyrical content. There are so many music videos in the hip hop culture that stereotypes women in so many ways. In these videos women expose themselves in ways that you would never imagine. Nas feat. Braveheart Oochie Wally, Ludacris booty poppin, Jadakiss knock yourself out, 50 Cent disco inferno, and Nelly tip drill. Nellys video tip drill is the most degrading of women that I ever saw the lyrics and how the women carry themselves. Nellys music video Tip Drill really stereotypes women, in this video he says â€Å"I said it must be ya ass cause it aint ya faceI need a tipdrill, I need a tipdrill† (Nelly). This stereotypes that if a women has a big beheld than men really dont take their time to look at her face, they just want to see what her body looks like. A tip drill is another name for running a train on a girl in the video ali verse say â€Å"I said it aint no fun less we all get some I need a tipdrill, we need a tipdrill† â€Å"Now come on girl you know what we came here for Is You a tipdrill, we need a tipdrill† (Ali). The women in this video really dont care if they are being exposed â€Å"You lookin well in them shorts but they look better on the floor Cause yous a tipdrll, cause yous a tipdrill† ( Kyjuan). Women in this video are walking around Naked, letting the touch on them in any kind of way, touch on other women â€Å"Now ya see I want to let you ride but the rubber m ight slide Yous a tipdrill, girl you a tipdrill† (Murphy Lee). â€Å"Turn that ass up mama put that dip in ya back And let me tipdrill, just let me tipdrill† this videos degrade women and make other countrys look at us in a negative way. The girls in the video have a part and they say â€Å"It must be ya money, cause it aint ya faceYou a tipdrill, nigga you a tipdrill† â€Å"My apple bottom look right, I know you wanna bite Yous a tipdrill, I heard you was a tipdrill† I got you payin my bills and buyin automobiles Yous a tipdrill, nigga you a tipdrill â€Å"I know you a trick go spend that shit You old tipdrill, you monkeyass tipdrill â€Å". These videos degrade women and make other countrys look at us in a negative way; it makes men feel like they have power over women. Music videos in todays society have misled people to how the American culture should be viewed. Women are stereotyped all the time because other women want to expose their self in a negative way in music videos. If society try to put a stop to what going on in these videos there will be less valence, and abuse. If artist try to make music videos that are more positive, and stop putting stereotypes of women in their videos children would have someone to look up to. Sawa Kurotani, Learning what hip hops all about, December 16, 2008 Tuesday, http://www.lexisnexis.com/us/lnacademic/results/docview/docview.do?docLinkInd=truerisb=21_T7909056810format=GNBFIsort=RELEVANCEstartDocNo=1resultsUrlKey=29_T7909056813cisb=22_T7909056812treeMax=truetreeWidth=0csi=145202docNo=16 Delilah Cummings,The Effects of Hip Hop Music on Todays Youth, 10/31/03, http://media.www.msuspokesman.com/media/storage/paper270/news/2003/10/31/Perspectives/The-Effects.Of.Hip.Hop.Music.On.Todays.Youth-547432.shtml Policy StatementImpact of Music, Music Lyrics, and Music Videos on Children and Youth. Pediatrics 124.5 (2009): 1488-1494. Academic Search Complete. EBSCO. Web. 2 Dec. 2009. http://web.ebscohost.com/ehost/detail?vid=7hid=2sid=bf1584aa-9f34-4439-beb9-eb33944df1cc%40sessionmgr4bdata=JnNpdGU9ZWhvc3QtbGl2ZQ%3d%3d#db=a9hAN=45407672 Peterson, Shani H., et al. Images of Sexual Stereotypes in Rap Videos and the Health of African American Female Adolescents. Journal of Womens Health (15409996) 16.8 (2007): 1157-1164. Academic Search Complete. EBSCO. Web. 2 Dec. 2009. http://web.ebscohost.com/ehost/detail?vid=13hid=2sid=bf1584aa-9f34-4439-beb9-eb33944df1cc%40sessionmgr4bdata=JnNpdGU9ZWhvc3QtbGl2ZQ%3d%3d#db=a9hAN=27063114#db=a9hAN=27063114 2002-2009 DirectEssays.com, Portrayal of Women in Music Videos, All Rights Reserved http://www.directessays.com/viewpaper/103197.html 2002-2009 DirectEssays.com, the Female Body, the Media, an, All Rights Reserved. http://www.directessays.com/viewpaper/34603.html 2002-2009 DirectEssays.com. All Rights Reserved, Lyrical Violence, http://www.directessays.com/viewpaper/18773.html Joan Morgan (1999) sings of life in the USA, Boston New York, Sonia Maasik, and Jack Solomon Cheryl Wetzstein, Rap music perpetuates stereotypes of women, june 22, 2008 Sunday, http://www.lexisnexis.com/us/lnacademic/results/docview/docview.do?docLinkInd=truerisb=21_T8067453482format=GNBFIsort=RELEVANCEstartDocNo=1resultsUrlKey=29_T8067453495cisb=22_T8067453494treeMax=truetreeWidth=0csi=8176docNo=11 2002-2009 DirectEssays.com. All Rights Reserved. The Female Body, the Media, an, http://www.directessays.com/viewpaper/34603.html Nelly, Tip Drill, 11/25/03, music video, September, 16, 2007 http://www.muvids.com/2725_video_nelly_tip_drill

Admissions Essay: To Fly Alone :: Medicine College Admissions Essays

Admissions Essay: To Fly Alone "Dr. Johnson ... Dr. Johnson...." As I wearily walked down the artificially lit corridor, I realized it was my father's doctor being paged. I turned and ran towards the intensive care unit I had left a few minutes ago. The sterilized odor of the hospital overwhelmed me as I raced through a maze of white walls to confront his death. After bolting through heavy metal doors, I saw doctors and nurses rushing frantically around the room. I could only hear one sound. It filled the air and was audible above all the commotion and the heavy pounding of my heart. The monotonous beep of the monitor meant Daddy was gone forever. While sitting next to his cold body, I focused at the crimson drops, which stained the yellow linoleum floor and slowly remembered what a terrible ordeal the past six weeks of hospitalization had been. My Life had changed forever since the day I sped through traffic with my Dad shivering in the back seat next to my worried mother. I was scared to death without even knowing that the killer was Leukemia. Although the chemotherapy proceeded well, it gradually wore my father away. The first side effects were a loss of appetite accompanied by nausea and vomiting. His hair fell out next, and I could tell my Father's courage was beginning to waver. A look of pain and anguish had replaced his usual smile and with each passing day he looked more like my grandfather. It all seemed like a bad dream. While packing up hours after he had passed away, I found a note directed towards me. It was in Father's handwriting; blurry scribbles because the medicine made his hands shake. I sat down and cried because it said in Spanish, "My son, it is time for you to fly alone." It is hard to understand Dad's absence, and that he left on my 17th birthday. Although I miss him everyday I am grateful for all the time we spent together and everything my father taught me. He pointed me in the right direction and made me believe in myself. There is good in this beautiful world, and life will always receive my best effort. I will never be embarrassed by my heritage and will succeed. I know he is proud of me.

The Christian Perspective on Capital Punishment and Rehabilitation Ess

Abstract Christian’s hold three distinct perspectives on capital punishment, namely Rehabilitationism, Reconstructionism and Retributionism. Rehabilitationism is the view that death sentence should not be allowed for any crime; Reconstructionism holds that death penalty should be allowed for any serious crime; Retributionism recommends death sentence for some capital crimes. The last two positions share a somewhat similar view. This paper focuses on rehabilitationism. Proponents of this view comprise those who appeal to the Bible for justification and those who do not. The paper presents the arguments of those in the former group. Contrary to the view of the rehabilitationalists that the aim of punishment is reformatory or remedial, the paper argues that the aim of capital punishment is justice and a good society. Conceptualization of Capital Punishment and Rehabilitationism Capital punishment is the taking of an offender’s life for a crime which he has committed and found guilty of by a court or tribunal under law. For Etuk, capital punishment is the death penalty when it is executed after a due process of law carried out by a society’s duly constituted apparatus (2000, 6). It is distinguished from other forms of extra-legal killings such as shooting on sight of suspected criminals, assassinations, disappearance of persons carried out by state agents, among others. Capital punishment thus defined has existed in almost all civilizations and the modes of its execution have varied from country to country. Amnesty International in 1989 listed out the following modes of execution in current use: hanging, shooting, electrocution, lethal injection, gassing, beheading and stoning (Etuk, 6). In Nigeria, the most prominent me... ...ence†. SOPHIA: An African Journal of Philosophy, Vol. 2 No 1, 2000, pp 1 – 18. Geisler, N. L. Christian Ethics. Grand Rapids: Baker Book House, 1989. Ige, E.    â€Å"Death Penalty in the Dock: Seminar that Explores its Retention or Abolition†. Vanguard, November 1, 2002. Iwe, N. S. S. Socio-Ethical Issues in Nigeria. Oruowulu – Obosi: Pacific Publishers, 1991. Stamps, D. C. (ed.) The Full Life Bible Study. Grand Rapids: Zondervan Publishing House, 1992. Walvoord, J. F. & Zuck, R. B. The Bible Knowledge Commentary (Old Testament). USA: Cook communications Ministries, 1983. Walvoord, J. F. & Zuck, R. B. The Bible Knowledge Commentary (New Testament). USA: Cook communications Ministries, 1983.

Music Is Cool!!! :: essays research papers

I love music my TWO greatest type of genries are Rap and Alternative. I was really surprised how great that DR. Dre did! I think that Eminem and dre are great. Eminem is definetlt a new era of a rap star he is puttin out some mad skillz. Papa Roach has just came out with a super great song that is called last resort.I play basketball and i am a very emotional person i like songs that have a deep impact on me and a true meaning. Here is how the billboard charts are as of today:1 1 8 'N Sync: No Strings Attached 7 Jive | 41702 1 2 - 1 Soundtrack: Mission:Impossible 2 Hollywood | 162244 2 3 6 48 Santana: Supernatural 12 Arista | 19080 1 4 3 24 Sisqo: Unleash The Dragon 4 Dragon/Def Soul | 546816* 2 5 4 4 Joe: My Name Is Joe Jive | 41703 2 6 7 33 Creed: Human Clay 4 Wind-up | 13053* 1 7 5 3 Toni Braxton: The Heat LaFace | 26069 2 8 2 2 504 Boyz: Goodfellas No Limit | 50722* 2 9 14 37 Dixie Chicks: Fly 5 Monument | 69678 1 10 16 27 Faith Hill: Breathe 3 Warner Bros. (Nashville) | 47373 1 11 15 42 Macy Gray: On How Life Is 2 Epic | 69490* 4 12 9 42 Destiny's Child: The Writing's On The Wall 4 Columbia | 69870* 5 13 11 72 Kid Rock: Devil Without A Cause 8 Lava/Atlantic | 83119* 4 14 12 26 Dr. Dre: Dr. Dre -- 2001 4 Aftermath | 490486* 2 15 8 3 Cypress Hill: Skull & Bones Columbia | 69990* 5 16 10 20 Jay-Z: Vol. 3... Life And Times Of S. Carter 2 Roc-A-Fella/Def Jam | 546822* 1 17 20 14 3 Doors Down: The Better Life Republic | 153920 17 18 13 21 DMX: ...And Then There Was X 3 Ruff Ryders/Def Jam | 546933* 1 19 - 1 Hanson: This Time Around MOE/Island | 542383 19 20 18 38 Christina Aguilera: Christina Aguilera 6 RCA | 67690 1 21 - 1 Mandy Moore: I Wanna Be With You 550 Music | 62195 21 22 31 26 Celine Dion: All The Way... A Decade Of Song 6 550 Music | 63760 1 23 26 33 Marc Anthony: Marc Anthony 2 Columbia | 69726* 8 24 19 5 No Doubt: Return Of

Things Fall Apart Uchendu’s Speech

Uchendu’s Speech: Saving Ourselves My friends and fellow Ibo, I come to tell you the evils of the abomination called Christianity. To see what I have seen in my homeland Mbanta, I cannot look upon these people with respect and camaraderie. They have stolen our brothers and sisters, angered our gods, and assaulted our age old culture. As a member of this tribe, I cannot stand by and watch the destruction of our people’s traditions. My son-in-law, Okonkwo, was known throughout his fatherland and all neighboring villages as one of the greatest men of his time.His achievements were famous, and he had always hoped his son would carry on his legacy. His oldest son, Nwoye, had betrayed Okonkwo by converting to the new religion. You may ask how one can ignore the lessons of his father and the examples of hard work, dedication, and loyalty to our customs. But the even the protective mother lion can lose her young cub who runs after a little bug. Nwoye was intrigued by the new pe ople, and unfortunately he had been tainted; he did not want to return to us.I understand the Christians say they teach our people civil behavior, but to take a young boy away from his own father is just inhumane. We must raise our children right and protect our sons and daughters from being taken by the Christians. They tear families apart. They have soiled our tribe, our traditions, and our hopes. If this continues, Mbanta, Umuofia, and Mbaino will be no more unless we stick to our customs. If our sons and daughters convert to the new religion, any hopes of preserving our history will be ruined.

Perioperative nursing

Perioperative nurses take the responsibility of safeguarding the rights of surgical patients before, during and after his surgery. The nurse’s decisions during this period of the patient’s institutionalization are based on universal moral principles. As the patient’s advocate or representative during this crucial period, the nurse ensures the quality and continuity of care that a surgical patient needs.This is simply based on the premise that patients during this period cannot functionally and actively participate, decide and monitor the regimen of care that best suits them particularly during and after sedation. Often, Perioperative nurses are faced with decisions necessary when caring for surgical patients. They are therefore necessarily prepared to recognize that soon ethical dilemmas will occur and the nurse must take appropriate courses of action through responsible nursing decisions. Not only are they expected to make clinical and technical decisions but al so ethically and morally sound decisions suitable for the treatment of their patient.In a daily encounter and exchange with the patient, nurses often have the potential to develop relationships with their patients based on trust. Patient’s trust that nurses will support and follow through with any concerns or issues that have been discussed ((Seifert, 2002: 306). At the same time nurses provide a listening ear  Ã‚   to their patient while providing encouragement and support.Likewise, nurses are provided with the opportunity to learn and gather information essential to the health concerns of their patients including fears and apprehensions. This provides an ample opportunity for nurses to exact information that could be relayed to physicians and other family members pertinent to the regimen of treatment acceptable to the patient. Base on the parameter of therapeutic use of self, nurses are encouraged to maintain a professional and therapeutic relationship between nurses and patients and their family members (Rushton et al, 1996: 186).The Nurses’ RoleWithin the framework of the nursing process, nurses’ work in collaboration with the other health team members in order to achieve desirable patient outcomes (AORN, 2004:16). They are enjoined to use the tools of the nursing process to meet the needs of the patient undergoing invasive procedures. Although much of the practice involves technicalities, the patient is still the main focus of the perioperative nurse rather than on her technical functions. The goal is still to provide care and support for the patient and for their families (Spry, 2005:3).As the perioperative nurse, one is likewise expected to assist the patient and their families in making sound decisions to meet the overall desired outcome of wellness after surgery and a healthy return to normal life. Along the lines of perioperative nursing, care is provided in various settings based on three major aspects of providing direct care ; coordinating comprehensive care and educating patient and their families (Spry:3).The impact of illness particularly when invasive procedures are due usually limits the patients’ individual autonomy and ability to make decisions, thereby placing the perioperative nurse in a powerful position.   Patients and family members often feel helpless in a health care setting; how much more when a love one is scheduled for operation? The patient is therefore vulnerable at this stage so the role of the nurse as an advocate for the patient is stressed as vital to patient care.It would most likely help the patient and his family t know that the nurse during a perioperative setting and procedure ensure a continuous assessment of care for the patient while in the OR, thereby providing ample assurance that the patient’s needs are being met. The nurse, as a moral agent of the patient, must therefore be ready and be able to act and advocate for the patient’s needs whenever ne cessary while providing perioperative care.In addition, the nurse’s role includes informing patients of their rights and to ensure that patients are given all the necessary information necessary to make/participate in the decision making and likewise support them in whatever decision they undertake. Although the nurse has a responsibility in safeguarding the patient from the incompetence of other health care professionals her main ethical duty is the prevention of a potential injury to the patient and to third parties (Kohnke, 1980: 2039).Nurses in general and in particular perioperative nurses must act as an advocate for the patient, co-worker, family members and students (Seifert, 2002: 307). By virtue of her relationship with the patient, her obligation is to provide a safe, professional and ethical care particularly during the perioperative phase when the patient and family members are most vulnerable. Likewise, technically, the patient and the family member are not equip ped to understand the aspect of perioperative invasive procedures which is why the nurse should come as an advocate for the rights of the patient and their families. Thus it is in principle the duty of the nurse to provide patients with ethical care they ought to receive during this particular phase of their treatment.Promoting perioperative nurses’ safetyIt is therefore another vital job of a perioperative nurse to ensure and create an environment that fosters ethical behavior. As a duty to herself, the nurse must engage in a life-long learning experience, maintaining competence, and promoting personal and professional values, supports the establishment and maintenance of an ethical workplace (Seifert, 2002:306).Nurses must be able to establish, maintain, and improve the work environment and maintain an ability to preserve their integrity and moral self respect. Other virtues and excellence of character like loyalty and honesty further promote nurses’ abilities to ful fill moral obligations and cited as exemplary qualities of the moral person to behave in an ethical manner (ANA, Sec.20). The environment strongly influences in the acquisition of virtues and excellence that may support or impedeethical behavior. Certain policies, procedures and position often help in influencing behavior that can affect the delivery of care. Certain intolerable policies that become inconsistent with a nurse job like mandatory overtime can greatly become an impediment to an employee’s ethical performance.When nurses are exposed under a strong foundation of ethical practice, standards can positively guide in her performance in the surgical setting. Not only will she be able to identify activities and interventions that help her achieve specific patient outcome but also link her actions t ethical behavior. Most set standards are often based on clinical mandates with virtues of wisdom, honesty, loyalty and courage that are the same qualities of the moral person (AORN, 2002: 492). Nurses who are exposed to this professional standard are likely to employ these standards and view them as a normal practice essential to improve unethical and unsafe practices within her responsibility.Providing a therapeutic work setting or enhancing a safe environment will likewise be a concern to all perioperative nurses. Potential hazards, risks, and unsafe conditions abound in the surgical arena where constant distractions, excessive noise, hasty reviews of patient records, and frequent interruptions can produce situations where the likelihood of error increases. It is always right to alert physicians and others within the health team of any unsafe or deteriorating patient condition that can lead to an active error like sending the wrong patient for surgery; patient morbidity and perhaps mortality. An enlightened approach to this error is to replace blame and punishment with learning and improving (Reeder, 2001:117).Facing Ethical DilemmasA nurse, for exampl e, has a statutory duty to report suspected cases of abuse or potential for injury, and this situation may arise when a coworker demonstrates incompetent practice. This is an ethical dilemma facing nurses and it seems that nurses are no closer to a solution of how they can be effective advocates for patients without compromising their working identity or facing conflicts of loyalty (Martin, 1998:156). In essence, the nurse would exercise moral alignment with the patient rather than with the physician or the hospital.The nurse will not do any injustice if she takes on the role as the patient’s advocate in all aspects of health care (Seifert, 2002:309). In truth, all health care providers should function as patient advocates (Kohnke, 1980:2040). In instances such as clarifying consent issues, perioperative nurses may act as advocates in a potential ethical conflict (Spry, 2005:3). It may be that all cases in which nurses advocate involve ethical action, but not all cases may ne cessarily involve ethical conflict (Seifert, 2002:309).The nurse’s role in perioperative practice has two components which implies supporting the patient’s autonomy or his right to choose freely, regardless of whether the nurse is in agreement with the patient’s decision. One of the fundamental duties of nursing is to promote and defend patients’ rights (Segesten and Fagring, 1996:142). The act of suppressing an individual’s rights serves as the catalyst response of the nurse to act as the patient’s advocate which is her second role.If advocacy implies speaking up for someone, then it is her duty to speak up for the welfare and benefit of the patient. Again, this could be an identifiable problem because not all nurses are comfortable with conflict situations. Others may not recognize any rights violations; the nurse may not have a level of experience or communication skills that will facilitate advocacy; they may not be empowered as related to a restrictive care environment; or they just may not have a level of understanding about advocacy in general (Seifert, 2002:308).During an error occurrence during the perioperative phase communication and interdisciplinary relationships is the common cause coupled with disruptive physician behavior; institutional responses to such behavior; and the effects of such behavior on nurse satisfaction, morale, and retention (Rosenstein, 2002: 34).When errors or mistakes do occur, it is imperative that nurses learn what occurred, identify systems gaps that represent latent conditions that can lead to errors, collectively review the causes of the error, and share lessons learned.(Reeder, 2001 118). Unfair, illegal, or unethical practices challenge the creation of a moral environment thus collaboration, fairness, and respect for patients and all members of the health care team are more likely to support fulfillment of ethical obligations(Reeder, 2001:118).Conclusion:As an ethical practice, the nurse acts in behalf of the patient, the institution and for herself. This creates confusion particularly when the nurse is faced with a dilemma that conflicts between her personal values and professional obligations (Segesten and Fagring:144). Nurses must therefore act in accordance with the practice standards and code of ethics in coordination with her own values. Speaking up in behalf f the perioperative patient suggest that she is favorably acting as the patient’s advocate particularly during the perioperative phase.This should be viewed as her essential role as a professional and should base her actions according to ethical principle and values. She should speak up when an injustice occurs although in some cases, she would face danger for her actions such as loosing her job. Insofar as ethical practice is concern, an individual must be able to choose whether to sacrifice oneself for her patient and follow a principle of justice. Otherwise if a nurse has any problems with this, she can choose a field that may not compromise her personal beliefs, values or ethics when challenged.The advocacy training for nurses starts within the confines of the nursing education and working environment for the nurse. The philosophy of nursing in which nursing practice stems from supports an individual to promote his/her well-being which is the ethics f practice (Gaylord, 1995:18). In the nursing school, one must be prepared to identify the ethical issues in patient care and understand the ethical principles and philosophies found in the daily practice and be trained to recognize the patient’s rights, wishes and care issues (Seifert, 2002:312). The knowledge of such ethical principles allows the nurse to stand as an advocate for the patient and speak in his behalf using effective communication skills. Related essay: â€Å"Ati RN Community Health Online Practice 2016 B†Works CitedSpry, Cynthia. (2005). Essentials of Perioperative Nursing (3rd ed.) Aspen: Jones and Barlett.Rushton, C., Armstrong, L., McEnhill, E.(1996,June).Establishing therapeutic boundaries as patient advocates. Pediatric Nursing 22, 185-189.Seifert, P.C. and American Nurses Association. (2002, August). Ethics in perioperative practice: Duty to self. AORN Journal 76, 306-313.United States. American Nurses Association. Code of Ethics for Nurses with Interpretive Statements, 20.Segesten, K. and Fagring, A. (1996, October). Patient advocacy: An essential part of quality nursing care. International Nursing Review 43, 142-144.Gaylord,N. and Grace, P.(1995,March). Nursing advocacy: An ethic of practice. Nursing Ethics 2, 11-18.Martin, G. (1998, March). Communication breakdown or ideal speech situation: The problem of nurse advocacy. Nursing Ethics 5, 147-157.Rosenstein, A. (2002, June). Original research: Nurse-p hysician relationships: Impact on nurse satisfaction and retention. American Journal of Nursing 10, 26-34.Reeder, J. (2001,April). Patient Safety, Errors and mistakes, and perioperative Nursing. Seminars in Perioperative Nursing 10, 115-118.Kohnke, M.(1980, November). The nurse as advocate. American Journal of Nursing 80,2038-2040. Perioperative nursing Perioperative nurses take the responsibility of safeguarding the rights of surgical patients before, during and after his surgery. The nurse’s decisions during this period of the patient’s institutionalization are based on universal moral principles. As the patient’s advocate or representative during this crucial period, the nurse ensures the quality and continuity of care that a surgical patient needs.This is simply based on the premise that patients during this period cannot functionally and actively participate, decide and monitor the regimen of care that best suits them particularly during and after sedation. Often, Perioperative nurses are faced with decisions necessary when caring for surgical patients. They are therefore necessarily prepared to recognize that soon ethical dilemmas will occur and the nurse must take appropriate courses of action through responsible nursing decisions. Not only are they expected to make clinical and technical decisions but al so ethically and morally sound decisions suitable for the treatment of their patient.In a daily encounter and exchange with the patient, nurses often have the potential to develop relationships with their patients based on trust. Patient’s trust that nurses will support and follow through with any concerns or issues that have been discussed ((Seifert, 2002: 306). At the same time nurses provide a listening ear  Ã‚   to their patient while providing encouragement and support. Likewise, nurses are provided with the opportunity to learn and gather information essential to the health concerns of their patients including fears and apprehensions. This provides an ample opportunity for nurses to exact information that could be relayed to physicians and other family members pertinent to the regimen of treatment acceptable to the patient. Base on the parameter of therapeutic use of self, nurses are encouraged to maintain a professional and therapeutic relationship between nurses and patients and their family members (Rushton et al, 1996: 186).The Nurses’ RoleWithin the framework of the nursing process, nurses’ work in collaboration with the other health team members in order to achieve desirable patient outcomes (AORN, 2004:16). They are enjoined to use the tools of the nursing process to meet the needs of the patient undergoing invasive procedures. Although much of the practice involves technicalities, the patient is still the main focus of the perioperative nurse rather than on her technical functions. The goal is still to provide care and support for the patient and for their families (Spry, 2005:3). As the perioperative nurse, one is likewise expected to assist the patient and their families in making sound decisions to meet the overall desired outcome of wellness after surgery and a healthy return to normal life. Along the lines of perioperative nursing, care is provided in various settings based on three major aspects of providing direct ca re; coordinating comprehensive care and educating patient and their families (Spry:3).The impact of illness particularly when invasive procedures are due usually limits the patients’ individual autonomy and ability to make decisions, thereby placing the perioperative nurse in a powerful position.   Patients and family members often feel helpless in a health care setting; how much more when a love one is scheduled for operation? The patient is therefore vulnerable at this stage so the role of the nurse as an advocate for the patient is stressed as vital to patient care. It would most likely help the patient and his family t know that the nurse during a perioperative setting and procedure ensure a continuous assessment of care for the patient while in the OR, thereby providing ample assurance that the patient’s needs are being met. The nurse, as a moral agent of the patient, must therefore be ready and be able to act and advocate for the patient’s needs whenever necessary while providing perioperative care.In addition, the nurse’s role includes informing patients of their rights and to ensure that patients are given all the necessary information necessary to make/participate in the decision making and likewise support them in whatever decision they undertake. Although the nurse has a responsibility in safeguarding the patient from the incompetence of other health care professionals her main ethical duty is the prevention of a potential injury to the patient and to third parties (Kohnke, 1980: 2039).Nurses in general and in particular perioperative nurses must act as an advocate for the patient, co-worker, family members and students (Seifert, 2002: 307). By virtue of her relationship with the patient, her obligation is to provide a safe, professional and ethical care particularly during the perioperative phase when the patient and family members are most vulnerable. Likewise, technically, the patient and the family member are not eq uipped to understand the aspect of perioperative invasive procedures which is why the nurse should come as an advocate for the rights of the patient and their families. Thus it is in principle the duty of the nurse to provide patients with ethical care they ought to receive during this particular phase of their treatment.Promoting perioperative nurses’ safetyIt is therefore another vital job of a perioperative nurse to ensure and create an environment that fosters ethical behavior. As a duty to herself, the nurse must engage in a life-long learning experience, maintaining competence, and promoting personal and professional values, supports the establishment and maintenance of an ethical workplace (Seifert, 2002:306). Nurses must be able to establish, maintain, and improve the work environment and maintain an ability to preserve their integrity and moral self respect.Other virtues and excellence of character like loyalty and honesty further promote nurses’ abilities to fulfill moral obligations and cited as exemplary qualities of the moral person to behave in an ethical manner (ANA, Sec.20). The environment strongly influences in the acquisition of virtues and excellence that may support or impede  ethical behavior. Certain policies, procedures and position often help in influencing behavior that can affect the delivery of care. Certain intolerable policies that become inconsistent with a nurse job like mandatory overtime can greatly become an impediment to an employee’s ethical performance.When nurses are exposed under a strong foundation of ethical practice, standards can positively guide in her performance in the surgical setting. Not only will she be able to identify activities and interventions that help her achieve specific patient outcome but also link her actions t ethical behavior. Most set standards are often based on clinical mandates with virtues of wisdom, honesty, loyalty and courage that are the same qualities of the moral person (AORN, 2002: 492). Nurses who are exposed to this professional standard are likely to employ these standards and view them as a normal practice essential to improve unethical and unsafe practices within her responsibility.Providing a therapeutic work setting or enhancing a safe environment will likewise be a concern to all perioperative nurses. Potential hazards, risks, and unsafe conditions abound in the surgical arena where constant distractions, excessive noise, hasty reviews of patient records, and frequent interruptions can produce situations where the likelihood of error increases. It is always right to alert physicians and others within the health team of any unsafe or deteriorating patient condition that can lead to an active error like sending the wrong patient for surgery; patient morbidity and perhaps mortality. An enlightened approach to this error is to replace blame and punishment with learning and improving (Reeder, 2001:117).Facing Ethical DilemmasA nurse, for example, has a statutory duty to report suspected cases of abuse or potential for injury, and this situation may arise when a coworker demonstrates incompetent practice. This is an ethical dilemma facing nurses and it seems that nurses are no closer to a solution of how they can be effective advocates for patients without compromising their working identity or facing conflicts of loyalty (Martin, 1998:156). In essence, the nurse would exercise moral alignment with the patient rather than with the physician or the hospital. The nurse will not do any injustice if she takes on the role as the patient’s advocate in all aspects of health care (Seifert, 2002:309). In truth, all health care providers should function as patient advocates (Kohnke, 1980:2040). In instances such as clarifying consent issues, perioperative nurses may act as advocates in a potential ethical conflict (Spry, 2005:3). It may be that all cases in which nurses advocate involve ethical action, but not all case s may necessarily involve ethical conflict (Seifert, 2002:309).The nurse’s role in perioperative practice has two components which implies supporting the patient’s autonomy or his right to choose freely, regardless of whether the nurse is in agreement with the patient’s decision. One of the fundamental duties of nursing is to promote and defend patients’ rights (Segesten and Fagring, 1996:142). The act of suppressing an individual’s rights serves as the catalyst response of the nurse to act as the patient’s advocate which is her second role. If advocacy implies speaking up for someone, then it is her duty to speak up for the welfare and benefit of the patient. Again, this could be an identifiable problem because not all nurses are comfortable with conflict situations. Others may not recognize any rights violations; the nurse may not have a level of experience or communication skills that will facilitate advocacy; they may not be empowered as related to a restrictive care environment; or they just may not have a level of understanding about advocacy in general (Seifert, 2002:308).During an error occurrence during the perioperative phase communication and interdisciplinary relationships is the common cause coupled with disruptive physician behavior; institutional responses to such behavior; and the effects of such behavior on nurse satisfaction, morale, and retention (Rosenstein, 2002: 34). When errors or mistakes do occur, it is imperative that nurses learn what occurred, identify systems gaps that represent latent conditions that can lead to errors, collectively review the causes of the error, and share lessons learned.(Reeder, 2001 118). Unfair, illegal, or unethical practices challenge the creation of a moral environment thus collaboration, fairness, and respect for patients and all members of the health care team are more likely to support fulfillment of ethical obligations(Reeder, 2001:118).Conclusion:As an ethical practice, the nurse acts in behalf of the patient, the institution and for herself. This creates confusion particularly when the nurse is faced with a dilemma that conflicts between her personal values and professional obligations (Segesten and Fagring:144). Nurses must therefore act in accordance with the practice standards and code of ethics in coordination with her own values. Speaking up in behalf f the perioperative patient suggest that she is favorably acting as the patient’s advocate particularly during the perioperative phase. This should be viewed as her essential role as a professional and should base her actions according to ethical principle and values. She should speak up when an injustice occurs although in some cases, she would face danger for her actions such as loosing her job. Insofar as ethical practice is concern, an individual must be able to choose whether to sacrifice oneself for her patient and follow a principle of justice. Otherwise if a nurse has a ny problems with this, she can choose a field that may not compromise her personal beliefs, values or ethics when challenged.The advocacy training for nurses starts within the confines of the nursing education and working environment for the nurse. The philosophy of nursing in which nursing practice stems from supports an individual to promote his/her well-being which is the ethics f practice (Gaylord, 1995:18). In the nursing school, one must be prepared to identify the ethical issues in patient care and understand the ethical principles and philosophies found in the daily practice and be trained to recognize the patient’s rights, wishes and care issues (Seifert, 2002:312). The knowledge of such ethical principles allows the nurse to stand as an advocate for the patient and speak in his behalf using effective communication skills.Works CitedSpry, Cynthia. (2005). Essentials of Perioperative Nursing (3rd ed.) Aspen: Jones and Barlett.Rushton, C., Armstrong, L., McEnhill, E.(1 996,June).Establishing therapeutic boundaries as patient advocates. Pediatric Nursing 22, 185-189.Seifert, P.C. and American Nurses Association. (2002, August). Ethics in perioperative practice: Duty to self. AORN Journal 76, 306-313.United States. American Nurses Association. Code of Ethics for Nurses with Interpretive Statements, 20.Segesten, K. and Fagring, A. (1996, October). Patient advocacy: An essential part of quality nursing care. International Nursing Review 43, 142-144.Gaylord,N. and Grace, P.(1995,March). Nursing advocacy: An ethic of practice. Nursing Ethics 2, 11-18.Martin, G. (1998, March). Communication breakdown or ideal speech situation: The problem of nurse advocacy. Nursing Ethics 5, 147-157.Rosenstein, A. (2002, June). Original research: Nurse-physician relationships: Impact on nurse satisfaction and retention. American Journal of Nursing 10, 26-34.Reeder, J. (2001,April). Patient Safety, Errors and mistakes, and perioperative Nursing. Seminars in Perioperative Nursing 10, 115-118.Kohnke, M.(1980, November). The nurse as advocate. American Journal of Nursing 80,2038-2040. Perioperative nursing Perioperative nurses take the responsibility of safeguarding the rights of surgical patients before, during and after his surgery. The nurse’s decisions during this period of the patient’s institutionalization are based on universal moral principles. As the patient’s advocate or representative during this crucial period, the nurse ensures the quality and continuity of care that a surgical patient needs.This is simply based on the premise that patients during this period cannot functionally and actively participate, decide and monitor the regimen of care that best suits them particularly during and after sedation. Often, Perioperative nurses are faced with decisions necessary when caring for surgical patients. They are therefore necessarily prepared to recognize that soon ethical dilemmas will occur and the nurse must take appropriate courses of action through responsible nursing decisions. Not only are they expected to make clinical and technical decisions but al so ethically and morally sound decisions suitable for the treatment of their patient.In a daily encounter and exchange with the patient, nurses often have the potential to develop relationships with their patients based on trust. Patient’s trust that nurses will support and follow through with any concerns or issues that have been discussed ((Seifert, 2002: 306). At the same time nurses provide a listening ear  Ã‚   to their patient while providing encouragement and support. Likewise, nurses are provided with the opportunity to learn and gather information essential to the health concerns of their patients including fears and apprehensions. This provides an ample opportunity for nurses to exact information that could be relayed to physicians and other family members pertinent to the regimen of treatment acceptable to the patient. Base on the parameter of therapeutic use of self, nurses are encouraged to maintain a professional and therapeutic relationship between nurses and patients and their family members (Rushton et al, 1996: 186).The Nurses’ RoleWithin the framework of the nursing process, nurses’ work in collaboration with the other health team members in order to achieve desirable patient outcomes (AORN, 2004:16). They are enjoined to use the tools of the nursing process to meet the needs of the patient undergoing invasive procedures. Although much of the practice involves technicalities, the patient is still the main focus of the perioperative nurse rather than on her technical functions. The goal is still to provide care and support for the patient and for their families (Spry, 2005:3). As the perioperative nurse, one is likewise expected to assist the patient and their families in making sound decisions to meet the overall desired outcome of wellness after surgery and a healthy return to normal life. Along the lines of perioperative nursing, care is provided in various settings based on three major aspects of providing direct ca re; coordinating comprehensive care and educating patient and their families (Spry:3).The impact of illness particularly when invasive procedures are due usually limits the patients’ individual autonomy and ability to make decisions, thereby placing the perioperative nurse in a powerful position.   Patients and family members often feel helpless in a health care setting; how much more when a love one is scheduled for operation? The patient is therefore vulnerable at this stage so the role of the nurse as an advocate for the patient is stressed as vital to patient care. It would most likely help the patient and his family t know that the nurse during a perioperative setting and procedure ensure a continuous assessment of care for the patient while in the OR, thereby providing ample assurance that the patient’s needs are being met. The nurse, as a moral agent of the patient, must therefore be ready and be able to act and advocate for the patient’s needs whenever necessary while providing perioperative care.In addition, the nurse’s role includes informing patients of their rights and to ensure that patients are given all the necessary information necessary to make/participate in the decision making and likewise support them in whatever decision they undertake. Although the nurse has a responsibility in safeguarding the patient from the incompetence of other health care professionals her main ethical duty is the prevention of a potential injury to the patient and to third parties (Kohnke, 1980: 2039).Nurses in general and in particular perioperative nurses must act as an advocate for the patient, co-worker, family members and students (Seifert, 2002: 307). By virtue of her relationship with the patient, her obligation is to provide a safe, professional and ethical care particularly during the perioperative phase when the patient and family members are most vulnerable. Likewise, technically, the patient and the family member are not eq uipped to understand the aspect of perioperative invasive procedures which is why the nurse should come as an advocate for the rights of the patient and their families. Thus it is in principle the duty of the nurse to provide patients with ethical care they ought to receive during this particular phase of their treatment.Promoting perioperative nurses’ safetyIt is therefore another vital job of a perioperative nurse to ensure and create an environment that fosters ethical behavior. As a duty to herself, the nurse must engage in a life-long learning experience, maintaining competence, and promoting personal and professional values, supports the establishment and maintenance of an ethical workplace (Seifert, 2002:306). Nurses must be able to establish, maintain, and improve the work environment and maintain an ability to preserve their integrity and moral self respect.Other virtues and excellence of character like loyalty and honesty further promote nurses’ abilities to fulfill moral obligations and cited as exemplary qualities of the moral person to behave in an ethical manner (ANA, Sec.20). The environment strongly influences in the acquisition of virtues and excellence that may support or impede  ethical behavior. Certain policies, procedures and position often help in influencing behavior that can affect the delivery of care. Certain intolerable policies that become inconsistent with a nurse job like mandatory overtime can greatly become an impediment to an employee’s ethical performance.When nurses are exposed under a strong foundation of ethical practice, standards can positively guide in her performance in the surgical setting. Not only will she be able to identify activities and interventions that help her achieve specific patient outcome but also link her actions t ethical behavior. Most set standards are often based on clinical mandates with virtues of wisdom, honesty, loyalty and courage that are the same qualities of the moral person (AORN, 2002: 492). Nurses who are exposed to this professional standard are likely to employ these standards and view them as a normal practice essential to improve unethical and unsafe practices within her responsibility.Providing a therapeutic work setting or enhancing a safe environment will likewise be a concern to all perioperative nurses. Potential hazards, risks, and unsafe conditions abound in the surgical arena where constant distractions, excessive noise, hasty reviews of patient records, and frequent interruptions can produce situations where the likelihood of error increases. It is always right to alert physicians and others within the health team of any unsafe or deteriorating patient condition that can lead to an active error like sending the wrong patient for surgery; patient morbidity and perhaps mortality. An enlightened approach to this error is to replace blame and punishment with learning and improving (Reeder, 2001:117).Facing Ethical DilemmasA nurse, for example, has a statutory duty to report suspected cases of abuse or potential for injury, and this situation may arise when a coworker demonstrates incompetent practice. This is an ethical dilemma facing nurses and it seems that nurses are no closer to a solution of how they can be effective advocates for patients without compromising their working identity or facing conflicts of loyalty (Martin, 1998:156). In essence, the nurse would exercise moral alignment with the patient rather than with the physician or the hospital. The nurse will not do any injustice if she takes on the role as the patient’s advocate in all aspects of health care (Seifert, 2002:309). In truth, all health care providers should function as patient advocates (Kohnke, 1980:2040). In instances such as clarifying consent issues, perioperative nurses may act as advocates in a potential ethical conflict (Spry, 2005:3). It may be that all cases in which nurses advocate involve ethical action, but not all case s may necessarily involve ethical conflict (Seifert, 2002:309).The nurse’s role in perioperative practice has two components which implies supporting the patient’s autonomy or his right to choose freely, regardless of whether the nurse is in agreement with the patient’s decision. One of the fundamental duties of nursing is to promote and defend patients’ rights (Segesten and Fagring, 1996:142). The act of suppressing an individual’s rights serves as the catalyst response of the nurse to act as the patient’s advocate which is her second role. If advocacy implies speaking up for someone, then it is her duty to speak up for the welfare and benefit of the patient. Again, this could be an identifiable problem because not all nurses are comfortable with conflict situations. Others may not recognize any rights violations; the nurse may not have a level of experience or communication skills that will facilitate advocacy; they may not be empowered as related to a restrictive care environment; or they just may not have a level of understanding about advocacy in general (Seifert, 2002:308).During an error occurrence during the perioperative phase communication and interdisciplinary relationships is the common cause coupled with disruptive physician behavior; institutional responses to such behavior; and the effects of such behavior on nurse satisfaction, morale, and retention (Rosenstein, 2002: 34). When errors or mistakes do occur, it is imperative that nurses learn what occurred, identify systems gaps that represent latent conditions that can lead to errors, collectively review the causes of the error, and share lessons learned.(Reeder, 2001 118). Unfair, illegal, or unethical practices challenge the creation of a moral environment thus collaboration, fairness, and respect for patients and all members of the health care team are more likely to support fulfillment of ethical obligations(Reeder, 2001:118).Conclusion:As an ethical practice, the nurse acts in behalf of the patient, the institution and for herself. This creates confusion particularly when the nurse is faced with a dilemma that conflicts between her personal values and professional obligations (Segesten and Fagring:144). Nurses must therefore act in accordance with the practice standards and code of ethics in coordination with her own values. Speaking up in behalf f the perioperative patient suggest that she is favorably acting as the patient’s advocate particularly during the perioperative phase. This should be viewed as her essential role as a professional and should base her actions according to ethical principle and values. She should speak up when an injustice occurs although in some cases, she would face danger for her actions such as loosing her job. Insofar as ethical practice is concern, an individual must be able to choose whether to sacrifice oneself for her patient and follow a principle of justice. Otherwise if a nurse has a ny problems with this, she can choose a field that may not compromise her personal beliefs, values or ethics when challenged.The advocacy training for nurses starts within the confines of the nursing education and working environment for the nurse. The philosophy of nursing in which nursing practice stems from supports an individual to promote his/her well-being which is the ethics f practice (Gaylord, 1995:18). In the nursing school, one must be prepared to identify the ethical issues in patient care and understand the ethical principles and philosophies found in the daily practice and be trained to recognize the patient’s rights, wishes and care issues (Seifert, 2002:312). The knowledge of such ethical principles allows the nurse to stand as an advocate for the patient and speak in his behalf using effective communication skills.Works CitedSpry, Cynthia. (2005). Essentials of Perioperative Nursing (3rd ed.) Aspen: Jones and Barlett.Rushton, C., Armstrong, L., McEnhill, E.(1 996,June).Establishing therapeutic boundaries as patient advocates. Pediatric Nursing 22, 185-189.Seifert, P.C. and American Nurses Association. (2002, August). Ethics in perioperative practice: Duty to self. AORN Journal 76, 306-313.United States. American Nurses Association. Code of Ethics for Nurses with Interpretive Statements, 20.Segesten, K. and Fagring, A. (1996, October). Patient advocacy: An essential part of quality nursing care. International Nursing Review 43, 142-144.Gaylord,N. and Grace, P.(1995,March). Nursing advocacy: An ethic of practice. Nursing Ethics 2, 11-18.Martin, G. (1998, March). Communication breakdown or ideal speech situation: The problem of nurse advocacy. Nursing Ethics 5, 147-157.Rosenstein, A. (2002, June). Original research: Nurse-physician relationships: Impact on nurse satisfaction and retention. American Journal of Nursing 10, 26-34.Reeder, J. (2001,April). Patient Safety, Errors and mistakes, and perioperative Nursing. Seminars in Perioperative Nursing 10, 115-118.Kohnke, M.(1980, November). The nurse as advocate. American Journal of Nursing 80,2038-2040.