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The Discourse Community of Nursing and Health

Natalia Torres-Bargallo
Pasadena City College

















Abstract
In this paper I explain what is to be in a Discourse Community of Nursing and health and reason why I
will love to part of it. A discourse community is a group of people who communicate about their similar
interests that they have in common with each other. Discourse communities take place all over the
world and play a key role of communication. In a discourse community that are characteristics which is
very important in a group. A few of them are having similar goals throughout the group, the
communication of one another, and the importance of members that make up the group. A discourse
community is a part of many different career paths. My field of study is in the career of nursing and I
would love to be a part of the discourse community of nursing and health. I also talk about problems
and solutions that go on in this discourse community. I go more into what goes on in the nursing field
and what a great community it is to be in. I explain the characteristic you need to be in this field and the
expectation as nurse you need achieve as well the attitude you need for the job. Nursing is a very
popular career now these days and how its a wonderful career because its a job that you learn
something new every single day. I also talk about why myself, I will like to in this discourse community
and one of the reasons are I absolutely love to help people, I think it is the most fulfilling thing in the
world, and nursing will allow me to do this on a daily basis. Also, it provides endless job opportunities as
well as endless opportunities to volunteer in my community.






Dear Sarah,
First, Id like to thank you for taking the time to read this letter. The discourse community of nursing
really caught my eye and Im very excited to be looking more into it.Why Nursing? Personally, I want to
be a nurse because I have always been interested in the medical field and I have always wanted to have
a career in which I change lives. In nursing, I could possibly even save lives. I absolutely love to help
people, I think it is the most fulfilling thing in the world, and nursing will allow me to do this on a daily
basis. Also, it provides endless job opportunities as well as endless opportunities to volunteer in my
community.Im writing this letter to you because I wanted to bring up an issue I will love to get a
bachelors in biology because its an open door to the medical field and I was wondering if as a nurse I
can get that bachelors as well. I do know to become a nurse you can get your associates or a bachelor's
in Nursing but I havent heard for biology. I will love to get a minor degree in communications I know its
such an important trait to have especially in nursing because as a nurse you are constantly communicate
on a patients health. I believe I have the ambition and passion for this job to become a great nurse.
Again, Thank you for taking the time to read this, Ill keep working to become someone like you and
continue learning more about this field and getting inspired to motivate myself to work in the medical
field, thank you.















Outline
Thesis Statement: What is a Discourse Community and Characteristic
A. Discourse Community
1. Group of people who have similar interests and goals
2. Takes all over the place and usually about careers
3. Its a community you bond with
B. Characteristic
1. Communication
2.Similar goals throughout the group
3. The importance of members that make up the group.
Thesis Statement: Communication in the Nursing field
A. Communication
1.Handwritten charts
2. Technology charts
3.Radios, phones, and intercoms
4. Journals
B. Importance of Communication in the nursing field
1. big key of a discourse community but especially in this field because you are constantly
communicating important information to one another about patients.
2. Health charts keep doctors and nurses updated with a patients status.
3. It is important to be able to help one another with questions or teaching new things or how to do
something in a proper way.
Throughout my life, I have always been a person who wanted to help other people. The discourse
community I believe I want to be in is majors in biology particularly in nursing. I also love communicating
with people and I believe nursing has both. In nursing its very important to communicate among others.
I not quite sure if nursing but it differently has my eye. That is why I want to join this discourse
community because it will give me the chance of combining the two things I love into one community
with other people who share the same love as I do. My goal in life is to differently work in the medical
field helping others to recover and get better. Since I was little I was very social and very helpful the only
thing was I thought medical field was to hard. This is a goal that I want to achieve, anyone is capable
being anything they want to be and I am willing to achieve that goal even if its challenging myself.
The medical is beauty because its a learning process and each time you go in your shift you always learn
something new. I remember I use to watch shows of emergency room and I was like wow this is so
extraordinary and I believe that the medical field gives you a new perspective in life. I like nursing
because you are very involve hands on with the patients. I believe you create this bond with your
patient and its an amazing community to be a part of. Majoring in biology will keep your doors open to
the medical field but also it will be amazing for nursing. Nursing isnt easy program really does prepare
you for the field.You need to want it and have the confidence being a nurse because you dont want to
walk in a room and talk to a patient with no confidence. When you are confident, people respect you
and listen to you. Also this discourse community you grow so much as a person as in knowledge of the
human body, having confidence, working with others, and also very importantly communication. As a
nurse you are constantly communicating during your shift based on patients health and communication
gives a trait to lead and manage others. Being able to communicate and being articulate with your
peers can help you as a leader. Leader skills dont only help you achieve the degree you are trying to get
or your dream job but it helps you in life. When you are leader, people look up to and follow your
footsteps. There will be nurses who will come up to you and ask you for help. Myself I work at a animal
hospital and I have learn to communicate with my co-workers and ask every question and now that I
have been there for while I have new employees come ask me for questions and that has made me grow
as person. Its amazing how anyone can be a leader , if you love what you do.
To reach the discourse community of my dreams I am going to have to work hard and always do my
best. I will have to obtain a major in biology to eventually work at my dream job at a hospital. I am
looking forward to getting on with my life and what it has in store for me. I am going to use all the skills I
have, to do the best I can to reach the goals I set in life for myself. I want to be apart of this discourse
community because its such a rewarding job. I want to be part of saving someones life and I know this
job has it has its high points and lows points but nothing beats its highest points. I will work hard to be
in the discourse community of nursing and health.
A discourse community is a group of people who communicate about their similar interests that they
have in common with each other. Discourse communities take place all over the world and play a key
role of communication. In a discourse community that are characteristics which is very important in a
group. A few of them are having similar goals throughout the group, the communication of one another,
and the importance of members that make up the group. A discourse community is a part of many
different career paths. My field of study is in the career of nursing and I would love to be a part of the
discourse community of nursing and health.
Nursing as a discourse community have the same characteristics followed, common goals would
be caring for patients, doing what is best for them, and fully completing the required tasks during their
shift. Communication is the big key of a discourse community but especially in this field because you are
constantly communicating important information to one another about patients. Now these days
communication in the nursing also involves in technology. Charts of the patients have been done by
handwriting and some are still done that way .Some places they are using a screen that looks like a
computer that usually CNAs or other nurses type.This benefits the nurses because they are able to know
how they can best care for the patients by knowing how much they have eaten, what they ate, and what
medication would be best for their patients.
Another beneficial way in the healthcare facilities for nurses but also for other works are
phones,radios, wireless internet connections, telephone handsets with ability to have a hands- free
voice capabilities.Phones are way to income workers and also radios are a primary source of
communicating during their shifts. They are used for emergency calls when more help is required or just
asking questions to one another to help each other out and this can be lifesaving when patients are in
critical care. In this field it is important to help each other as team work to do what you love which is
take care of people. It is important to be able to help one another with questions or teaching new things
or how to do something in a proper way.
Health charts keep doctors and nurses updated with a patients status. The charts describe how the
patients health has improved or decreased over a certain amount of time. They provide information
about the patients behavior, health, food including the amount and ingredients of what the patient
consumed.Nurses utilize charts in determining when and how much medication, antibiotics etc. to give a
patient. Charting is essential in the medical facility because it keeps a patients information organized as
well as makes the information easily accessible by nurses doctors, and other healthcare providers. The
amount of importance of a patients chart is very high and it is mandatory that a nurse fully comprehend
the use and need of patient charts. If the nurses do not complete their charting correctly then, it can
affect the care of the patient.
Different types of communication in this discourse communities of nursing. Another type of text
for communication used in the field of nursing is journals. Important topics and information are written
in form of articles and published in different medical journals. Journals are written about the nursing
career by professors who teach nursing courses or by nurses themselves. Nurses use medical
terminology, mostly used in text. Language of the medical field is what differentiates the medical field
from any other.
I will love to be a part of this community because I want that rewarding feeling of being part of
helping people in critical care. You learn so much about yourself and obviously about human bodies and
it gives you a different aspect in life. I want to surrounded with people who love their job because it
makes your work environment better and having people with the same attention like you is a good
feeling. Of course this field can be stressful like any other but thats why is a community where everyone
can help each other. In this field there are different levels in nursing some have been doing this for years
and some haven't but thats the great part you grow. I will love to communicate with people and doing
something I love which is helping peoples health. This is an important discourse community in our
society to be in.

Nursing as a discourse community has the same characteristics followed, common goals would be caring
for patients, doing what is best for them, and fully completing the required tasks during their shift. Any
discourse community has its own stress, nothing is easy but if you put your mind to it you can
accomplish anything. In this Discourse Community of Nursing and health has can be very stressful and
there can be conflicts.The nursing and health community is very important you follow the goals and you
need to love what you do in this feel. This field takes a lot of commitment emotionally, work ethic,
mentally, and time. As every career it has its ups and downs and if you love what you do nothing beats
the ups.
Communication is the big key of a discourse community but especially in this field because you are
constantly communicating important information to one another about patients. In this discourse
community like many others, there can be conflicts. For an example lacking of communication, not
communicating with your co-workers about important information about the patient. Lets say that the
patient is very picky and doesnt like certain food or maybe is allergic to certain food then its important
that in your discourse community one another helps each other to not displease your patient and
yourself. Charting is essential in the medical facility because it keeps every patients information
organized as well as it is easy to access by nurses or other healthcare providers. Charts provide the
information about the patients behavior, health, food in which how was eaten or what the patient ate,
and medication knowing which medication was given to which patient and at what certain time and the
reason the medication was given. In this discourse community there is expectation in nurses because
nurses need to know how important is to communicate in those charts. If the nurses do not complete
their charting correctly then, it can affect the care of the patient.
Another big problem we have is people getting emotionally emotional with decisions that are made for
patients improving their health or feeling better. You cant let your emotions make the decision because
it might not the best choice for the patient and it might not be a pleasant choice but if its the best way
to recuperate the patient then it has to be done. In this feel yes, you have to lack emotions for your own
health and for others.Emotional problems can also show different symptoms and arise from a number
of causes. Similarly, past events may lead to very different form of present behaviours.
Another problem in this discourse community that is very common and very important to solve is the
safety of the job. Staff nurses work hard on the job, but they shouldnt have to risk their health as well.
There are many ways how this job can be dangerous and its important to imply all the safety tips and
rules to the job. One common danger that a nurse can face with their health is handling patients Back
injuries are always a danger, includes greater education and training, workplace information on
increased use of assistive equipment, and efforts to reshape government ergonomics policies to protect
nurses. Another danger in the job is handling needles, It is important to very alert and safe when it
comes to having a needle you have used on a patient and also keep a need sterile and clean before
implying it on the patient. Another one is wearing proper clothes while treating a patient for an example
wearing gloves, proper x-ray equipment, wearing masks while youre sick or other reasons, and always
wash your hands.
Another problem in this discourse community is become frustrated during the job. It is important to
keep a positive energy in a job, especially in a stressful environment. In this field it can get stressful
because you have working to save peoples life. Doctors, patients, rvts, and yourself can get frustrated
with one another.You dont want to do that to yourself, we all have our bad and good days but you need
to know how to handle your emotions. That is one problem we face you dont want to have a mad
frustrated nurse to come into a room and treat you. That is a big issue because you want to have a
pleasant, professional, positive environment in the hospital.A lot of nurses can take things personal and
that is one issue, you can not take things personal. In this job there will be more high level nurses and
the job of this beauty its a learning process. You will want to imply everything you learned with safeness
and awareness and most importantly conference that you have learned from professionals.
Nurses are the front line of patient outcomesmonitoring conditions, identifying problems, and ready
for rescue. Multiple studies show the relationship between nurses quality of care and patient ratio.
With increasing workload a registered nurse spends less time with the patients at the bedside which
undermines the quality of care.The pressure from increasing patient safety, decreasing nurses burnout
and retention have led many health systems to take a close look at nurse staffing in acute care settings.
Staffing ratios have been established by the amount of time spent by registered nurses (RNs) on direct
care activities as defined through the use of patient classification systems and nursing care hours
(Upenieks, Akhavan, Kotlerman, Esser, & Ngo, 2007, p. 243). The problem of identifying what is
minimum safe staffing level in nursing, however, remains contentious. It is impossible to assume that
every medical-surgical unit among different hospitals has the same acuity of patients, number of
admissions, and nurses of the same educational level and skills. These are some problems you will find
in this discourse community of health and nursing field.
However just like there are problems there are solutions to this discourse community of nursing and
health. One of the major problems I discuss earlier was nurses having hard time lacking emotions and in
order to resolve the issue of having an emotional attachment, the nurse must personally make the effort
to not become to involved in a patient's health. Nurses must be understanding of the inevitable event of
death. Nurses need to understand that his or her patient might be in pain and that he or she must do
what she can to help them and provide emotional help without becoming too involved. By becoming too
involved too deeply with a patients health,the nurse may make emotional choices in the way he or she
treats the patients issue.
Another important issue there is the safety of the job and therefore the hospital has applied rules to
keep the hospital safe for the patient and the nurses. Its important during your shift as a nurse to be
aware and cautious while using needles. We all make mistakes but we also need to catch our mistakes
and make sure we dont do it so often. The rules have to be followed for the safety of the hospital and
its the responsible of the supervisor or you s yourself a nurse carry on the message to someone else. Its
important as a nurse you are responsible to teach and aware your co-workers about the rules. Another
solution to this problem is that certain places they do have a safety exam to make sure you are aware of
the rules that apply to your title as a nurse and you need to know the safety for you and others. The test
is to reassure your supervisor and yourself that you know the safely rules and if you dont pass you will
have to read over and take the exam until you pass. This solution has help and provide the hospital the
safety of their employees. Another problem I discuss was having a negative attitude during the job and
putting that attitude upon others. In this field, you are working with people lifes and patients are relying
on you to treat them to recover. It is very important in an environment that is stressful already to have a
positive energy.You a role model to people and to other new nurses and you want to show the best of
this field. People who are in this field really love what they do and its important you show that. Yes, in
this field its not always beautiful but you putting your part and doing the best you can with a positive
energy is important. As a nurse you are surrounded with many other nurses, doctors,a patient,
assistants and there will be time where someone might get frustrated and put that frustration upon you
and you have to have a open mind to that. Always know this job is always a learning process because
you will learn something new each time maybe not exactly about your duties but as a person. A a
solution its important to have personality test in this field because people want to know the people
they work around with and how they are in certain situations. You have to remind yourself that you love
this field and know this field has its rough and rewarding moments and realize nothing beats those
rewarding times you.
The most major problem in this discourse community is Communication, you can not lack in
communication in this field. Communication is the big key of a discourse community but especially in
this field because you are constantly communicating important information to one another about
patients. Now these days communication in the nursing also involves not only in handwritten charts but
in computers,radios, and phones. One popular way of communicating is the charts ands it provides the
information about the patients behavior, health, food in which how was eaten or what the patient ate,
and medication knowing which medication was given to which patient and at what certain time and the
reason the medication was given. In this discourse community there is expectation in nurses because
nurses need to know how important is to communicate in those chats. If the nurses do not complete
their charting correctly then, it can affect the care of the patient. As a solution its the responsibility of
more experience or high level nurses who are looking out for you to talk to you about your mistake and
explain that you cant forget to write on the charts. Also you as yourself can ask the doctor questions or
yourself ask your supervisor.In this discourse community you relauze you become a family because its a
huge staff and its impiortant to help one another out to take care of patients best you can. This is an
amazing discourse community and I want to be in. I myself work in the medical field and its such a
rewarding feeling helping people to get better.Anyone who is interested in this field should go for it and
follow their dreams. Yes, it can be stressful but as long as you have a smile and do what you love its
never work for you. The beauty of this discourse community of nursing and health is you learn
something every single day its a learning processes.




Annotated Bibliography
Cardillo, Donna. "American Nurse Today." American Nurse Today. N.p., n.d. Web. 06 May 2014.
In Cardillos article she explains how nursing is not a job, but a profession. She went on to say that
nurses use their specialized knowledge to benefit the health of another. Cardillo added that nursing isnt
a job that anyone can apply for and become without proper training and experience. I used her article to
add a backbone to my information on the difficulties of being a nurse. The difficulties agree with her
view that nursing is a profession.

"Summary." U.S. Bureau of Labor Statistics. U.S. Bureau of Labor Statistics, n.d. Web. 05 May 2014.
In an post by the Bureau of Labor Statistics, the Bureau gave very interesting and useful background
information regarding nurses. The data provided includes salary level of education, future outlook and
required experience as well as much more information. the website also contains a few tabs in which go
more in debth in each specific aspect

Telang, Veethi. "Different Fields of Nursing." Buzzle. Buzzle.com, n.d. Web. 06 May 2014.

This article really informs the reader on the different fields of nursing and what each requires. The
article states the 16 different types of nursing which include: Emergency Nursing, Pediatric Nursing,
Anesthetist Nursing, Ambulatory Care Nursing, Geriatric Nursing, Agency Nursing, Midwife Nursing,
Military Nursing, Cardiac Care Nursing, Case Management Nursing, Forensic Nursing, Urology Nursing,
Legal Nursing, Gastroenterology Nursing, Dermatology Nursing, Women Health Nursing.



"Angela Lee Duckworth: The Key to Success? Grit." TED: Ideas worth Spreading. TED, n.d. Web. 18 Jan.
2014.

According to Angela Lee Duckworth from the video, Grit is the way to be successful in life. Its an
important characteristic to have and a way to built it is too have a growth mindset. In the video she
describes Grit as a running marathon not a sprint its, working hard for months,years, and for the rest of
our lives. Grit take times but its a depilince because it takes time and in that time you have to learn from
mistakes, give it your 100%, be passionate, work hard, and never give up. This video is useful for anyone
people in schools,jobs, etc. This video is very motivated and it ends saying to be Grit is one of the most
ways to be successful.








Work sited
Bleich, Michael R. et al. Analysis of the Nursing Workforce Crisis: A Call to Action. The American Journal
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Nursing , Vol. 103, No. 4 (Apr., 2003), pp. 66-74.

Todd, Aubrey. "Nursing As An Important Discourse Community." N.p., n.d. Web.

Harris, Joseph. The Idea of Community in the Study of Writing. Writing About Writing. Ed.Wardle,
Elizabeth, Doug Downs. Boston: Bedford/St.Martins, 2011. 589, 591. Print.
Swales, John. The Concept of Discourse Community. Writing About Writing. Ed

"Angela Lee Duckworth: The Key to Success? Grit." TED: Ideas worth Spreading. TED, n.d. Web. 18 Jan.
2014.

Telang, Veethi. "Different Fields of Nursing." Buzzle. Buzzle.com, n.d. Web. 06 May 2014.

"Summary." U.S. Bureau of Labor Statistics. U.S. Bureau of Labor Statistics, n.d. Web. 05 May 2014.
Cardillo, Donna. "American Nurse Today." American Nurse Today. N.p., n.d. Web. 06 May 2014.