It's the bare-minimum staffing that's done in nursing, in addition to the bizarro pay scale.
Report: 90% of nurses considering leaving the profession in the next year
671–680 of 1001 posts
Re: Report: 90% of nurses considering leaving the profession in the next year
#672Earlier 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…
As somebody with experience at NASA, this made me chortle. I would NOT characterize the average civil servant that I worked with as "devoted to the goals of the organization." That includes the lowest level field organizations. Unfortunately, for the average employee, it eventually gets treated like any other job.
It's possible this dichotomy works in theory only. Being generous, it's possible they just disagree about the goals of the organization.
Re: Report: 90% of nurses considering leaving the profession in the next year
#673Earlier quoted context omitted.
> 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…
> 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. A developer working on something is different from a product designer. For product designer I don't mean a UI/UX developer. I mean someone empowered to design the thing. This is often a leader or…
> A better UX would reduce the amount of time nurses spend using these systems. That productivity could be used to do more other work (like taking on more patients). I don't like this argument but it's easy to make in terms of cost effectiveness.
I don't think the companies developing the software care, because they're getting paid either way.
Re: Report: 90% of nurses considering leaving the profession in the next year
#674Earlier quoted context omitted.
> 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..
>> they can 10x their profits by only serving elderly clients. > Soon people stopped coming Ah, yes. Why didn't we think of this before? By increasing the cost of (geriatric) healthcare, we can destroy demand. That's how supply/demand curves work right? In this way the invisible hand delivers unto us a fountain of youth ;)
They may 10x their profit by serving elderly clients but that is assuming x more elderly clients would want to suddenly come.
But why? Are elderly clients underserved in that area? Are they going to ditch their original care provider and all come here?
Re: Report: 90% of nurses considering leaving the profession in the next year
#675Re: Report: 90% of nurses considering leaving the profession in the next year
#676Earlier quoted context omitted.
The solution isn't that Radonda Vought, who killed a patient through a string of crassly negligent actions should walk free - one would like to see the whole chain of command be given serious prison time. It's clear that patient safety at Vanderbilt isn't a priority - training and safety culture reflects that. Strange to see that HN, which is generally suspicious of copaganda, falls for very transparent nursepaganda.
Imagine if aviation functioned like health care in the US. We'd have a magnitude more crashes and deaths.
Just one magnitude… ?
Re: Report: 90% of nurses considering leaving the profession in the next year
#677Earlier quoted context omitted.
Agree with all of this, and just to add one thing: liability. Look at the RaDonda Vaught case or the Michelle Heughins case; terrifying to be looking at jail time for a med error. Many nurses are watching these cases more closely and deciding that since staffing isn't getting any better and they won't be protected, it's not worth the risk.
Married to an RN and absolutely sympathetic to the staffing/pay plight they're currently facing. I'm unfortunately not very familiar with the case of Michelle Heughins, but I've heard a lot of the RaDonda Vaught case. The high points of the case as I understand them: * Vaught stated her department was not understaffed, nor was she tired. The incident also occurred in 2017, so pre-pandemic * Vaught went to dispense Ve…
I'm not familiar with the case, but assuming what you've outlined above is accurate, I have no doubt a jury would convict. Negligence actually sounds like too nice of a word for that train wreck of events.
Re: Report: 90% of nurses considering leaving the profession in the next year
#678Earlier quoted context omitted.
Don't forget that nurses can now legally be thrown under the bus with criminal charges for malpractice while hospitals walk away scotch-free [1]. This is huge in the nursing community right now. [1] https://www.npr.org/sections/health-shots/2022/03/24/1088397...
This kind of thing is going to further disassociate nurses from interacting like a human with their patients. If you risk criminal prosecution and prison time from making a mistake, everyone starts walking on eggshells and become afraid of doing anything beyond box ticking. They'll start turning a blind eye to things they know are wrong, because the system doesn't see them. All work will align towards pure compliance…
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Re: Report: 90% of nurses considering leaving the profession in the next year
#679Earlier quoted context omitted.
The existence of travel nurses should really be indicative of a problem.
Travel nurses serve a need, like if another nurse gets injured or has a child, and they will need to be temporarily replaced.
Shouldn't travel positions exist for every other profession?
The reason why it's expected for nursing in particular is the indicator that something here is very wrong.
Re: Report: 90% of nurses considering leaving the profession in the next year
#680A lot of us are saying we need to increase the pay of nurses, but we also believe that medical care is too expensive. So, where is all that money going? There are a lot of flippant answers but they never seem to lead anywhere actionable.
One example is drug waste. Insulin for example is charged per vial to the patient but usually only a minimal fraction is actually used and the remainder is disposed of.