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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

#632

Earlier 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…

> Hospitals have made sure they hire JUST ENOUGH nurses to cover shifts and no more. This is a two-edged sword. If you hire more than you need, the nurses' hours will be cut during normal situations and they won't make enough money. If hospitals don't cut extra hours and instead keep the staff on the clock, a public scandal will erupt surrounding well-paid medical professionals sitting around doing nothing.

You can pay people fixed monthly salary + overtime hours. You don’t need to cut their hours and their pay, though that’s often the choice that employers make.

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

#633
post #587
post #577

Earlier quoted context omitted.

I actually think that this is just one example of many across a ton of disciplines where people like Nurses basically are forced to deal with costs and responsibilities offloaded onto them from above the responsibility chain. Resources are eaten up at the top of the chain to their benefit and costs are offloaded down the chain until it reaches people like Nurses at the end of the line who have to deal with it because…

I think this is due to Pournelle's Iron Law of Bureaucracy : https://www.jerrypournelle.com/reports/jerryp/iron.html "In any bureaucratic organization there will be two kinds of people: First, there will be those who are devoted to the goals of the organization. Examples are dedicated classroom teachers in an educational bureaucracy, many of the engineers and launch technicians and scientists at NASA, even some agric…

Thanks for the link, I'll check it out.

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

#634
post #403

Earlier quoted context omitted.

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?

End to NIMBYism. Current homeowners should not be able to block new developments and encase a neighbourhood in amber.

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

#635
post #550

Not to be mean, but 'leave nursing' and then what ? Nursing is a well paying middle-class job without a lot of transferable skills to other professions. Don't say programming. It isn't the solution to everything. Other low-entry-barrier jobs pay much less and have exploitation problems of their own. For a lot of middle class families, dual income is essential to maintain their lifestyle. So SAHM is not an option. Nur…

I was thinking the same as your first point. I'm a career military officer and know a lot of military families[1]. My observation is that the spouses who are doctors and nurses are the only ones who can reliably find middle-class employment. Becoming a nurse is much easier than becoming a doctor, and pays much better than other common things like retail, food service, house cleaning, and photography (probably more of a hobby).

[1] The labor participation and employment rates for military spouses (especially when adjusted for age and education) are so low that they're almost off the charts. The causes are frequent cross-country moves to economically struggling locations, and an extreme need for flexible schedules (e.g. for when service members get deployed and spouses become de facto single parents). Medicine seems to be unique in that it's everywhere, always hiring, and often allows for part-time employment.

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

#638

Earlier quoted context omitted.

> Hospitals have made sure they hire JUST ENOUGH nurses to cover shifts and no more. This is a two-edged sword. If you hire more than you need, the nurses' hours will be cut during normal situations and they won't make enough money. If hospitals don't cut extra hours and instead keep the staff on the clock, a public scandal will erupt surrounding well-paid medical professionals sitting around doing nothing.

At the rate that healthcare charges in the US, hospitals can more than afford to keep X+1 or +2 needed nurses around in three 8-hour shifts. They just don't.

Not even close. Most hospitals have trouble staying afloat as is. And there are disciplines within nursing, so you'd have to overstaff by quite a bit more such that closer to 2x is a backup but leads back to the GP's point.

They employ on-call, PRN, contract nurses, etc to fill in the gaps which mostly works in non-pandemic situations.

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

#639
post #577

Earlier quoted context omitted.

I actually think that this is just one example of many across a ton of disciplines where people like Nurses basically are forced to deal with costs and responsibilities offloaded onto them from above the responsibility chain. Resources are eaten up at the top of the chain to their benefit and costs are offloaded down the chain until it reaches people like Nurses at the end of the line who have to deal with it because…

I don't disagree nurses DESERVE to be paid more (I'm not sure if the economics bear out but they're certainly as WORTHY as many other professions), but wouldn't the fact that these nurses continue to work in nursing despite considering leaving bolster the argument even further that they are receiving adequate compensation? Staying when you want to leave indicates there's enough compensation to 'make it worth it' at l…

Are you familiar with the US? I don't see how you can in good faith argue that if people don't like what they have to do and/or what they get paid for it, they can just go do something else.

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

#640
post #54

I work in tech with no college degree and about 9 years of programming experience. I make mid 100,000's per year. My S/O has 6 years of Emergency Department experience and a bachelors degree and she made about 65k at our local hospital. I think pay is an enormous factor in this. Her local hospital has nurses with less than 1 year of experience being preceptors to new grads.

How long did it take you to break 100k? Be sure to include those pre-employed years when you didn't even know what 'if' statement meant. A nurse can hit that in 6 years easy through BSN+NP, and that's starting at literally NOTHING. (Alternatively there's a like path for PAs to practice in a mid-level practitioner role that is comparable to NP in those same 6 years)

Anyone can become a nurse. It doesint take exceptional talent or brains. Programming does though. A nurse can't beat a programmer for salary, they're in different leagues
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