Question

• Reflect on nursing practice and describe a significant nursing clinical issue, topic of interest, or practice problem that is important to you. Describe why you chose the problem/topic.
• Develop a searchable, clinical question in the PICO(T) format for your nursing practice problem. *To format your clinical question using PICO(T), use the AAACN Toolkit: Template for Asking PICOT Questions found in your required reading or access the following link.

Answer 1

Clinical issues

• Offers private tutoring to students
• Use teacher unions to avoid disciplinary sanctions
• Takes advantage of personal relations to be recruited

Poor evaluation system

• Lack of performance appraisal
• Lack of encouragement for sincere workers
• Not accepting leave request as per they need

Lack of quality of nursing services

• Provision of affiliation with out fulfilling requirements
• Profit based markets

Health service structure

• Very conservation in nature
• Only doctors are placed in high policy making level in the health structure
• After government abolished Department of nursing from the ministry of the Health in the early 1900s. Nurses have been denied of the right to manage and control nursing services.
• In the absence of common platforms where nurses could be heard collectively, the frustration continues.

Further, only limited positions are included for nurses in health structure at the national, regional.