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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

#391
My sister is a RN training to be a NP. Caring for others has always been in her blood. But I can tell she's not happy over the last few years (even prior to covid).

This survey has such a low number of responses to make any meaningful conclusion from. 200 people surveyed. Non surprising stats like 71% of respondents having 15+ years of experience wanting to quit.

What really should be the lesson here is that capitalism does what capitalism does best:

It cuts costs.

- More patients to nurse ratio (Simply unsafe given most medical professionals already lack sleep)

- Little to no compensation relief on the way. (Huge boom of travel nursing during pandemic)

- Excess job responsibilities (More paperwork/aid duties, less actual nursing)

- New talent / old talent challenges (Larger incentive to switch jobs, hard to properly train)

We better figure out something soon. The medical field feels like it's holding on by a thread. Insurance companies run rampant with no end in sight. Health care continues to increase in costs and fail patients to the point of walking out or even dying to get care.

While I think generally speaking, nurses like my sister just want to feel appreciated like other jobs people are burning out in. You can do that in many different ways:

- Don't overwork them.

- Don't underpay them.

- Don't give them unwanted responsibilities.

- Most importantly, listen to them.

I think you may find that people actually do love the profession as it's one of the most noble professions out there, just that they are being forced out of doing something they love because of greed. Greed is not good.

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

#392

I have a close relation that works for one of the oldest pediatric hospitals in the country. It was recently revealed that they will be shuttering almost all pediatric services in the next year because they can 10x their profits by only serving elderly clients. The entire purpose of this organization was to provide pediatric healthcare, and it wasn’t losing money… Sometimes, it feels like we’re min-maxing ourselves t…

> they can 10x their profits by only serving elderly clients.

I knew of certain defunct malls that decided to get rid of things that doesn't make money and only keep the high profit inventories.

Soon people stopped coming and they went under..

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

#393
post #85

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.

Insurance is the only industry where they agree to pay for something (in this case, "medical care"), but then after service has been rendered can decide to pay less, or not pay at all, or stop paying that provider altogether, etc. This combined with hospitals being run by non-physicians*, and people thinking being able to Google and read WebMD qualifies them to argue with their doctor about treatment plans**, healthc…

Opposite anecdote: For done reason about 10 years ago my asthma that had just been a minor nuisance and didn’t stop me from running, teaching fitness classes part time, etc. for a decade, sent me to the hospital and kept me coughing for nearly a year.

The doctors and specialists gave me every treatment under the son to no avail.

Then I did my own research and read I should try OTC psuedophredrine. It worked like a charm. Now every time I catch a cold (and when I got Covid), I pop psuedophredrine for a few days and I am good.

Yes, psuedophredrine is suggested to treat Covid if you have virus induced asthma.

Second anecdote: I have relatively mild cerebral palsy. As I’ve gotten older, my affected foot tightens up especially in the winter. My neurologist said it was physical and not neurological. I went on vacation and was drinking more alcohol than I usual do. I noticed I was walking without pain. I did my research when I got home and found a prescription muscle relaxant with the fewest side effects and ask my doctor about it. He prescribed it to me.

He didn’t bother telling me that I should get blood work done to check for liver problems. I had to bring it up to him.

I can now walk without pain and run when properly conditioned.

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

#394

Earlier quoted context omitted.

People who are sick, in pain, or possibly dying might be slightly less emotionally regulated than your typical customer.

It doesn't help that hospital systems tend to be garbage at customer service, so the person's been told to wait an indefinite (but always very long) period without any indication of how long it'll be, and asked to tediously fill out the same information five different times on five different pieces of paper and iPads, all while feeling terrible, before they finally snap at a poor nurse who isn't to blame for their ho…

You didn’t even mention the anxiety patients are enduring over the billing the entire time.

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

#395

Earlier quoted context omitted.

Actually, that’s exactly how unfettered “free market” capitalism operates. The end game is big companies end up controlling everything, including the regulations in order to tip the scales in their favor.

Regulatory capture is the issue that needs to be solved. Not free markets. Free markets are the most efficient way for information to be transferred throughout the system. Stricter campaign finance laws, ending revolving-door politics, etc. But putting the blame on free markets seems like a mistake.

Instead of advocating for and gambling on a "free market" health care system that has never been tried successfully anywhere, and hoping that it will work out (because dogma?), why not advocate for systems that have been tried all over the world that have been proven to work?

I'd sign up for a significant increase in my taxes if the US system were replaced by the system that I experienced in Belgium for the first 30 years of my life.

And by successfully, I mean: everybody, irrespective of income or status, can expect to get the care they need.

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

#396

They'll leave with the teachers. Female-coded professions being derided for political capital as often as "inner-city crime" might tempt one to wonder which came first, the female-coding or the disrespect. Just kidding. Teachers used to almost all be male until public schooling and the resultant budgeting turned them female (to pay them less.) It's like reverse computer-programming where the profession turned male wh…

There's no need to politicize this off completely unrelated tangent. The whole industry is under stress. It won't change. They will just hire foreign workers to deal with shortages.

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

#398
There's even more in here beyond the headline about nurse satisfaction.

USA healthcare pretty broken, and sliding into catastrophe. Nurse dissatisfaction is just the tip of the iceberg, or the canary in the coalmine.

> Eighty-four percent of emergency room nurses and 96% of intensive care or critical care nurses have a 4:1 ratio, which is double the optimal target of 2:1.

> Thirty-six percent of nurses said they've seen patients with acute health conditions walk out of the ER because of the wait times for an inpatient bed. And 37% said that surgeries had to be rescheduled because of bed shortages.

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

#399
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…

I have training similar to a WFR that I got in Argentina. I wanted to certify as an EMT in California because why not? It's 160 hours of classes plus 24 hours or practical or something like that for the national exam and then it's the state requirements. Private training is around 2000 dollars. Ok I'm cool with that.

There's no way to get a certification with online learning or with any kind of in person time schedule compatible with my job... ok... maybe I can get time off? I have to re-get all sorts of immunizations I already have and re-do medical checks that I already had to get for my green card, like a year ago... ok... that's a lot more time off. Oh, they drug check me! well... I guess even I would work on healthcare more for vocational reasons I'm not doing it while I'm in California. It's just too much of a hassle and with the staff shortages I feel I'm just being taken advantage off.

In Nevada it's only take the course, pass the exam and you can already go on an ambulance, so are most other states.

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

#400
post #85

Earlier quoted context omitted.

Insurance is the only industry where they agree to pay for something (in this case, "medical care"), but then after service has been rendered can decide to pay less, or not pay at all, or stop paying that provider altogether, etc. This combined with hospitals being run by non-physicians*, and people thinking being able to Google and read WebMD qualifies them to argue with their doctor about treatment plans**, healthc…

> I strongly believe that only physicians should be running hospitals. This is how it is for other professional industries. As an attorney, you can lose your license for sharing any profits with someone who isn't a lawyer. I believe states typically require accounting and engineering firms to either be wholly or two-thirds owned by such professionals as well.

What does that even mean? All lawyers have support staff where the lawyers “share” their billable votes with non lawyers
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