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

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

#31

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.

Both physicians and nurses have a lot of options beyond working at a hospital. Private practice, small clinics, education, consulting, etc. People who will be leaving in these next few years won't necessarily be retiring.

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

#32
post #17

While it's anecdote, every single peer in bedside medical care I know without exception has either left the field, or has immediate plans to as soon as student loan debt is repaid. The few older medical professionals in my family are simply sticking out the last few years until they can retire early. This was generally the case prior to pandemic due to how poor the work environment has become, but the pandemic seems…

> How doctors of all professions lost their professional agency to do-nothing administrators within a generation is quite puzzling and a bit terrifying to me.

I would bet it's caused by:

- stifling bureaucracy

- hostile legal climate

- massive start up costs

The only winning move is not to play. Let the system fall apart and join on the later upswing. The unfortunate part is all the needless suffering people will endure during this process.

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

#33

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.

Conflicts with patients and their families. Politicians claiming you are overpaid and your friends and family believing them. Increased responsibilities without increased pay, something experienced nurses really feel.

I'm trying to think of how any of those can be solved with "technology" :-/

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

#34
Nurses complain about their work conditions, but I don't understand them. They had this massive leverage during the pandemic to discuss improvements. Some people may say "Oh but it is illegal for nurses to strike in country X", but what will governments and companies realistically do if all nurses decide to stop, arrest everyone and let the health system collapse? Not a reasonable option.

There's just something masochist about their profession.

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

#35

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.

[deleted]

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

#36

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.

My wife is a PA - here are a few things we've (anecdotally) noticed:

1. A few doctors left practices after they got taken over by a bigger entity and the hoops they had to jump trough weren't worth it, so they retired.

2. The insurance companies - they control EVERYTHING. One thing that happens a lot is that they don't allow her to order an MRI unless she orders an X-Ray first - even if what they're testing for wouldn't show up on an X-Ray. And this slows down the process of diagnosis by days. There are more examples of things like this - things that should be up to the provider, but end up being up to the insurance company (what drug to prescribe or what treatment to pursue first) - it makes no sense (at least from what I hear from her).

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

#37
No surprise at all. A lot of unnecessary stress (yes, more than enough, even for a pandemic) and the top-down approach of the institutions really broke the trust of the public in many healthcare systems worldwide. I think the sentiment would be the same even if wages would be raised (and in many cases they have been).

Considering it was bothersome for both healthcare workers and the public, in my opinion the friction is more between the healthcare workers and management/government entities (& their policies) rather than "some patient bothered me" cases.

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

#38

U.S. nursing salaries relative to average U.S. wages are above the OECD average: https://www.oecd-ilibrary.org/sites/health_glance-2017-58-en... So pay isn't the problem. The U.S. is also above the OECD average for the number of nurses per 1000 population: https://www.researchgate.net/publication/334515420/figure/fi... So staffing isn't the problem either. The U.S. is below the OECD average for the number of doctors…

It sounds like your last statistic means that U.S. nurses need to do more work than their counterparts in other countries (to make up for a lack of doctors), which suggests that pay and staffing might well be the problem...

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

#39
post #17

While it's anecdote, every single peer in bedside medical care I know without exception has either left the field, or has immediate plans to as soon as student loan debt is repaid. The few older medical professionals in my family are simply sticking out the last few years until they can retire early. This was generally the case prior to pandemic due to how poor the work environment has become, but the pandemic seems…

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.

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