This document discusses several key issues and challenges facing nursing as a profession. It outlines 4 main issues: 1) Lack of health workers and nurses in poor rural areas due to personal orientations, working conditions, and lack of plantilla positions. 2) Low wages and poor working conditions due to lack of full implementation of relevant laws and benefits being given only partially. 3) Heavy workload due to understaffing resulting in overtime or 16-hour shifts with lack of equipment and supplies. 4) Unfair labor practices such as demands for experience and oversupply of nurses leading to volunteerism. Options proposed include fully implementing relevant laws, increasing health budget allocation, and positioning nurses as leaders in primary healthcare.