Anecdotally, many of my partner's coworkers have been on the school setting therapist -> hospital setting therapist -> burnt out craft store employee pipeline over the last couple of years, and my partner is desperate to join them once we have enough savings to allow her to quit her job. This is within the Speech/Language, Physical, and Occupational Therapist realm, so not nurses exactly, but it's similarly bad for a lot of medical-adjacent jobs right now.
Report: 90% of nurses considering leaving the profession in the next year
461–470 of 1001 posts
Re: Report: 90% of nurses considering leaving the profession in the next year
#462My mom was a RN (Registered Nurse) for 30+ years. She quit doing what most people think of as "being a nurse" about 10-15 years ago and switched to related work (home checkups, teaching, medical billing, etc.) because of how stressful and demanding working the floor in a hospital was.
Last year she retired from the profession entirely, a few years ahead of "normal retirement age", and now she works part-time at a local farm/fruit stand. The main things that drove her to retire early was management insisting on 12 hour shifts and not hiring enough staff.
Re: Report: 90% of nurses considering leaving the profession in the next year
#463Earlier quoted context omitted.
And, alas, found guilty: https://www.npr.org/sections/health-shots/2022/03/25/1088902...
Jfc that is terrible.
But the electorate continues to reward "tough on crime" prosecutors. Their incentives are all towards maxing out the savagery towards defendants, systemic repercussions be damned.
From the article:
> Janie Harvey Garner, the founder of Show Me Your Stethoscope, a nursing group on Facebook with more than 600,000 members, worries the conviction will have a chilling effect on nurses disclosing their own errors or near errors, which could have a detrimental effect on the quality of patient care.
> "Health care just changed forever," she said after the verdict. "You can no longer trust people to tell the truth because they will be incriminating themselves."
That's the exact opposite of how the NTSB operates. It satisfies the infantile urge to blame and shame a supposed evildoer, to the great detriment of everybody in the long run.
Re: Report: 90% of nurses considering leaving the profession in the next year
#464Earlier quoted context omitted.
The one I think you are missing is that nurses are and have been overworked for a WHILE now. (that's what I get from /r/nursing) Hospitals have made sure they hire JUST ENOUGH nurses to cover shifts and no more. With covid hitting, this blew out the number of nurses needed resulting in a lot of "I know you've already worked 60 hours, but can you do another 20? we are short!". Rather than hiring permanent people or up…
From a Canadian stand point you American nurses are already highly paid. My brother works in the US and was recently thinking of coming back to work closer to where he grew up. The best deal he could get here was $20usd less then what he makes there. So on top of making $20 more then a nurse here he is also making it in USD. He is making huge amounts of cash as a nurse down there. How much more do nurses need?
Apparently quite a bit if 90% hate their jobs
Re: Report: 90% of nurses considering leaving the profession in the next year
#465Earlier quoted context omitted.
We’re facing some massive generational crises at this point, and it feels like the only solution is to wait for the current leadership to die off, and hope the gen x’ers fix it. The WWII generation fixed the ozone hole, but their kids didn’t lift a finger for global warming. Subsequent generations are scrambling to pick up the pieces for our kids, while crap like this, and our rapidly collapsing democracy keep sabota…
It's possible we have too much democracy. A lot of stuff got changed because we thought the previous configuration didn't make sense but it may have been that way for a reason.
Which things do you thing should change back and what should they change back into?
Re: Report: 90% of nurses considering leaving the profession in the next year
#466Earlier quoted context omitted.
> This one is big for product designers. You're right that there are definitely opportunities for improvement here. As a Product person that has worked in EMR/Healthcare IT systems, I can tell you the biggest challenge is most of the decisions are driven by legally-required compliance. In many cases, you literally cannot make it better because the brokenness is /by design/ to comply with the law. Nearly across the bo…
HITRUST certification is the most demoralizing thing I've done in my life. You need a policy, a procedure and evidence of things like this: Shared system resources (e.g., registers, main memory, secondary storage) are released back to the system, protected from disclosure to other systems/applications/users, and users cannot intentionally or unintentionally access information remnants.
I mean, if it was really a very high security system, ensuring that confidential info in memory cannot be written unencrypted to a swap file, does seem like a reasonable requirement.
Re: Report: 90% of nurses considering leaving the profession in the next year
#467While 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…
I frequently say that administrators have killed both the education (esp. tertiary) and medical fields in the US. I’m pretty sure both of these will implode under the bureaucratic weight at some point — the financial and social costs of the excessive administrators is not justified by their (often minimal or negative) value added.
Yes, it's like someone held up a mirror when you look at what has happened in Higher Ed when the professors stopped running things, and Health Care when doctors stopped running things. Costs skyrocketed, outcomes stagnated or declined, satisfaction plummeted.
Re: Report: 90% of nurses considering leaving the profession in the next year
#468I'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…
My partner is a physician in an ICU and a lot of her colleagues have talked about leaving the field as well. Their complaints are #2 & #3 along with:
5. Pay cuts - Most of the critical doctor specialties (ER, ICU, primary) that were the backbone of the pandemic got "raises" that were less than inflation (hers was 1.5%) while profitable elective specialties got big raises. The root cause is the billing system where elective surgeries bill pay out more than critical roles. Still, it's extremely demoralizing to be called a "pandemic hero" and have your pay get cut.
6. Criminal and Financial Liablity - Healthcare is delivered by a team yet the financial and criminal penalties for mistakes are assessed at the individual level. Recently a nurse was given a criminal sentence for a drug mistake which many believe was systematic failure (bad UI / IT systems, bad hospital practices, AND negligence on the nurse). Imagine getting sued or jail time as an engineer for dropping a production database. The few malpractice cases my partner has been involved in, it was very clear that the issues were systematic and perpetuated by hospital practices. However, if they had gone to trial, an arbitrary worked would d have been sued and the hospital wouldn't change its crappy practices. Institutions have effectively dodged liability in many cases.
7. Chronic understaffing and burnout - most ICUs have been understaffed throughout the pandemic. From an economics POV it seems crazy that their is a labor shortage but salaries are effectively dropping.
Re: Report: 90% of nurses considering leaving the profession in the next year
#469Earlier 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.
>Free markets are the most efficient way for information to be transferred throughout the system.
Would such a market allow NDAs?
Re: Report: 90% of nurses considering leaving the profession in the next year
#470Earlier quoted context omitted.
The one I think you are missing is that nurses are and have been overworked for a WHILE now. (that's what I get from /r/nursing) Hospitals have made sure they hire JUST ENOUGH nurses to cover shifts and no more. With covid hitting, this blew out the number of nurses needed resulting in a lot of "I know you've already worked 60 hours, but can you do another 20? we are short!". Rather than hiring permanent people or up…
From a Canadian stand point you American nurses are already highly paid. My brother works in the US and was recently thinking of coming back to work closer to where he grew up. The best deal he could get here was $20usd less then what he makes there. So on top of making $20 more then a nurse here he is also making it in USD. He is making huge amounts of cash as a nurse down there. How much more do nurses need?
Without starting values and locations (COL) you can’t compare values in this way.