Live data from Hacker News

Worn-out nurses hit the road for better pay, stressing hospital budgets, morale

text.npr.org

11–20 of 97 posts

Re: Worn-out nurses hit the road for better pay, stressing hospital budgets, morale

#11

Could this also be a result of forced vaccinations on healthcare workers (who were on the front lines for us early in the pandemic) who then move to states without mandates.

The mandate is Federal - any facility that takes Medicaid or Medicare is subject to it. That's pretty much everything except a few small private practices. Traveling nurses will almost always be required to be vaccinated.

Re: Worn-out nurses hit the road for better pay, stressing hospital budgets, morale

#12

Isn't the solution simple? Pay nurses like 80%-100% of what traveling nurses make, instead of 50% or less.

You're assuming that hospitals wouldn't rather pay double to have nurses who see themselves as transient cogs in the machine and give few shits about anything beyond hitting the KPIs they need to keep getting paid.

Yeah, but that's really where this article should be focusing.

Hospitals are basically at the "We tried nothing and we are out of ideas!"

The solution to a lot of nurse burnout is really pretty simple, increase their wages, hire more than the minimum of travel nurses so they aren't all working overtime.

Re: Worn-out nurses hit the road for better pay, stressing hospital budgets, morale

#13

Could this also be a result of forced vaccinations on healthcare workers (who were on the front lines for us early in the pandemic) who then move to states without mandates.

AFAIK, mandatory vaccinations for healthcare workers aren't new.

Re: Worn-out nurses hit the road for better pay, stressing hospital budgets, morale

#15

Could this also be a result of forced vaccinations on healthcare workers (who were on the front lines for us early in the pandemic) who then move to states without mandates.

Amazing how even raising this as a question gets you downvoted.

Yes, I’m sure it’s a factor, and needlessly so considering the vaccine seems to have a negligible effect on transmission.

Prepared for my own downvotes after sharing some particularly uncomfortable truths.

Re: Worn-out nurses hit the road for better pay, stressing hospital budgets, morale

#16

Could this also be a result of forced vaccinations on healthcare workers (who were on the front lines for us early in the pandemic) who then move to states without mandates.

AFAIK, mandatory vaccinations for healthcare workers aren't new.

FWIW, experimental gene therapy's mandated by emergency use authorization only are.

Re: Worn-out nurses hit the road for better pay, stressing hospital budgets, morale

#17

Could this also be a result of forced vaccinations on healthcare workers (who were on the front lines for us early in the pandemic) who then move to states without mandates.

The example was a nurse who moved to California. Pay, as the article states, seems to be a better explanation than a political boogeyman.

Nurses were on strike in Texas?

How is a mandate that some are against a 'boogeyman'? Is a law requiring employers to provide health insurance a 'boogeyman'?

These are simple things that obviously exist. And one nurse moving doesn't indicate much of anything.

Re: Worn-out nurses hit the road for better pay, stressing hospital budgets, morale

#18

Could this also be a result of forced vaccinations on healthcare workers (who were on the front lines for us early in the pandemic) who then move to states without mandates.

The number of people who leave because of vaccine mandates are a few percentage points. It's been borne out again and again as mandates are put in effect that the vast majority end up complying and only a few percentage points end up leaving from them. This is a much bigger phenomenon related to how hospital administration cuts nursing to the bone and the lack of organized labor pushing for safer standards of work an…

Wait, there isn't union for nurses?!

Re: Worn-out nurses hit the road for better pay, stressing hospital budgets, morale

#19

Earlier quoted context omitted.

You're assuming that hospitals wouldn't rather pay double to have nurses who see themselves as transient cogs in the machine and give few shits about anything beyond hitting the KPIs they need to keep getting paid.

Yeah, but that's really where this article should be focusing. Hospitals are basically at the "We tried nothing and we are out of ideas!" The solution to a lot of nurse burnout is really pretty simple, increase their wages, hire more than the minimum of travel nurses so they aren't all working overtime.

Wages are orthogonal to burnout

Burnout is a psychological factor

Re: Worn-out nurses hit the road for better pay, stressing hospital budgets, morale

#20

Isn't the solution simple? Pay nurses like 80%-100% of what traveling nurses make, instead of 50% or less.

That’s not how business works in 2021. You hire traveling nurses to suppress wages.

The hospital my wife worked in merged into a big network and gave every RN a 25% haircut, and laid off a few key departments (ER most notably), replacing them with travel nurses and a contracted medical practice. A few exceptions were made in high margin lines if business.

Net result? Care sucks, finances are green. They purged the mid-career people and now have a young and dumb workforce. There was a particular emphasis on hiring military wives as they are transient. The key thing is to stave off unions.

Like any other consulting thing, they eventually purge the hired guns. The traveling nurse boom is a COVID thing. As COVID wanes, these folks will be back in the meatgrinder.

Post reply on HN