Report: 90% of nurses considering leaving the profession in the next year • Hacker News Board

Re: Report: 90% of nurses considering leaving the profession in the next year

#101

Post by citizenpaul » Wed, Apr 27, 2022, 3:39 PM UTC

tmp_anon_22 wrote: post #68

mfer wrote: post #46

I've spent a fair amount of time talking with nurses about the problems. I'm related to a bunch of people who are nurses across disciplines (ER, ICU, med/surg, etc). It's been enlightening hearing them talk about the problems... 1. Many new nurses make the same or more and long time nurses. It's frustrating when the nurse in charge with the most experience is making less than new nurses. Some hospitals are even tryin…

> This one is big for product designers. I think this is looking at the problem wrong. The problem is that implementing positive change in these systems is impossible for reasons far outside the control of any product designer or developer currently on the team. This software is old, has byzantine requirements, probably cut costs all over the place, and conceived in a board room without the benefit of an adequate dev…

>executives are having them push a feature that earns a few more million

I've worked here before... Half our customers are complaining about feature X that doesn't work right/ is inconvenient. Exec: we don't care they are already paying us on a 3 year contract. Hack this new feature into the program that a potential new customer wants.

Horrible places to work they are. Thats why I avoid using any long term contracts like the plague. The second I see call for pricing I close the window.

Re: Report: 90% of nurses considering leaving the profession in the next year

#102

Post by titzer » Wed, Apr 27, 2022, 3:39 PM UTC

xyzzyz wrote: post #64

mfer wrote: post #46

I've spent a fair amount of time talking with nurses about the problems. I'm related to a bunch of people who are nurses across disciplines (ER, ICU, med/surg, etc). It's been enlightening hearing them talk about the problems... 1. Many new nurses make the same or more and long time nurses. It's frustrating when the nurse in charge with the most experience is making less than new nurses. Some hospitals are even tryin…

> 2. Patients in COVID have become downright mean. Add this to the problems nurses have management and doctors (who are often rude and arrogant) and it's a poor culture. The quality of the environment, from a mental health standpoint, is on the decline. Mean customers, and rude coworkers? I sympathize, but this is a reality in a lot of industries. I have no reason to believe that healthcare here is worse than average…

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Re: Report: 90% of nurses considering leaving the profession in the next year

#103

Post by icelancer » Wed, Apr 27, 2022, 3:39 PM UTC

belval wrote: post #52

brightball wrote: post #39

Earlier quoted context omitted.

Insurance companies. Everything is controlled by insurance companies. You can’t do anything unless it’s exactly how insurance wants and only for what insurance will pay. It limits everything, including how every profession can be compensated simply because you can’t easily hire somebody for more than what insurance will pay for their services. You can, but the funds have to come from somewhere.

I doubt that it's as simple as that. Nurses are also leaving in Canada and we don't have insurance breathing down their neck.

Insurance / government repayment is mostly the same thing. A layer of bureaucracy.

Re: Report: 90% of nurses considering leaving the profession in the next year

#104

Post by [deleted] » Wed, Apr 27, 2022, 3:39 PM UTC

gadflyinyoureye wrote: post #42

gjsman-1000 wrote: post #2

A family friend was talking to a doctor who was considering quitting. The reason why, at least for that doctor, wasn't really the stress from patients. It was all the damned paperwork and the stress that created.

The software in this space is terrible. The system is designed for admins not practitioners. For example blood pressure entry is odd with two boxes. Note capture is slow due to needing it be typed rather than written. Sharing out of the core system is onerous. FHIR would be a good idea, but in practice its hard to correlate a patient across the systems. Few hospitals and doctors setup a push notification for when the…

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Re: Report: 90% of nurses considering leaving the profession in the next year

#105

Post by lucidone » Wed, Apr 27, 2022, 3:39 PM UTC

I have family members who work in health care here in Canada. The fact that their wages are subject to regulation (e.g., they are effectively getting a paycut this year with inflation), they realistically cannot strike to improve their working conditions (people will die), and that their work is very demanding (physical labour, emotional labour, shift work, constantly understaffed) makes this an unsurprising statistic from my anecdotal experience.

Re: Report: 90% of nurses considering leaving the profession in the next year

#106

Post by shantnutiwari » Wed, Apr 27, 2022, 3:40 PM UTC

The article seems to focus too much on : How can IT fix this problem?

Ugggh, maybe it can't? As the main problems seem to be political, not tech related?

You might as well ask how IT can be used to fix homelessness or police brutality?

Re: Report: 90% of nurses considering leaving the profession in the next year

#107

Post by zdragnar » Wed, Apr 27, 2022, 3:40 PM UTC

duxup wrote: post #41

FactualActuals wrote: post #7

High stress environment, stagnant wages unless you're a travel nurse, underappreciated during the pandemic, and having friends turn on you because they associate you with some crazy conspiracy theory. These are all reasons I've heard of career nurses quitting and going into other industries.

I was under the impression that nurses were paid pretty well (generally speaking).

It depends on where you go (and when; things have changed somewhat recently) but I know some CNAs who never became RNs because the time it would have taken to claw back the money spent on the degree wasn't worth the added stress of actually being an RN.

Re: Report: 90% of nurses considering leaving the profession in the next year

#108

Post by fitba72 » Wed, Apr 27, 2022, 3:40 PM UTC

In my experience, most nurses come in, socialise and cheer you up, take your blood pressure and temperature with automated devices, that one can buy for home use, and give you medicines that a doctor has prescribed (someone can also can do at home if they are feeling up to it). This is a wonderful profession and they should be highly paid but do they really need a bachelor's degree or master's degree to do this job? Some specialised nurses can even draw blood but, again in my experience, many of those were unable to "find a vein" and had to call on someone more experienced or a doctor. Pretty sure some experienced heroin users could do a better job at this. Just my experience.

Re: Report: 90% of nurses considering leaving the profession in the next year

#109

Post by monkpit » Wed, Apr 27, 2022, 3:40 PM UTC

PheonixPharts wrote: post #58

monkpit wrote: post #3

The survey sample was 200 RNs in the USA.

Standard error in this case, assuming the 200 are randomly sampled is: sqrt((p*(1-p)/n) sqrt((0.9*0.1)/200) = 0.021 So 95% confidence interval for this ~ 0.86 - 0.94 Does that radically change the message of this article?

It’s good information to have in the comments, I was not making any judgement.

Re: Report: 90% of nurses considering leaving the profession in the next year

#110

Post by notch656a » Wed, Apr 27, 2022, 3:40 PM UTC

n8cpdx wrote: post #62

petermcneeley wrote: post #16

Most people work for money so I would take all this with a grain of salt. If you are a RN what are you going to do if not nursing? The same applies to all fields including Physicians.

There’s a huge labor shortage, they could do just about anything and get a pretty sizable bonus to sign up. I’ve heard $20k bonus for trucking, local transit agency is offering 7.5k to sign up as a bus driver, police nationwide are desperate and the requirements for the local agency consist of any 2 year degree + being willing to be drug tested, construction industry is trying to recruit women now, etc.

Probably true in certain areas, but nurses are unique in that they occupy one of the few high-wage jobs in rural areas. Nurses, on average, are probably more likely to be in places where it is difficult to find alternative jobs of equal pay.

If you're a typical white-collar professional in say some business/science/engineering field you'll typically, unlike nurses, live somewhere with abundant other high wage jobs.