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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

#821
post #235

Earlier 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…

> The WWII generation fixed the ozone hole, but their kids didn’t lift a finger for global warming. Let's not pretend these are comparable challenges. > our rapidly collapsing democracy keep sabotaging our efforts. When people say stuff like this, are they being hyperbolic or do they actually mean it? How long is the democratic tradition in the US that is collapsing?

> Let's not pretend these are comparable challenges.

Not only that, but global warming was an already known problem at the time CFCs and ozone were being solved.

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

#822
post #809

Earlier quoted context omitted.

> It pays far worse than other jobs at the same rate given the effort and stress the job entails. Depends on location. Most professions I know with that much effort and stress get paid a lot less than $100K, which is the median nurse pay in my area. Amazon pays a lot less.

Not sure what you're responding to. My point is that you can get a BA and go sit at a decently cushy desk job for 60k-80k/year in many parts of the US. Nursing might pay a bit more but at much greater cost to one's health. > Amazon pays a lot less. Yes, I wasn't comparing nursing to jobs with much lower wages.

One difference is that you don't need a Bachelor's degree for nursing. Associate's degree suffices.

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

#824
post #601

Earlier quoted context omitted.

> 'leave nursing' and then what When we got married, my wife (Physicians Assistant) made handily more than I did. $140k to my $82k midwest, software development job. 10 years later, she makes $130k (after cutting hours back) and I make $4-500k as a software engineer in the midwest. The two markets crossed drastically Where are they going? For us, home.

$500K as a software engineer? That's the very tip of the unicorn's horn. My friend works as a CEO of a (smallish) software company and makes half that.

It's the difference in working at a public company that offers RSUs and bonuses vs working for a startup. Your base salary will be somewhat similar, but startups can't compete on total compensation.

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

#825
post #587

Earlier quoted context omitted.

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…

I had no idea that Pournelle was claiming credit for that! He nicked it from Robert Michels, who wrote about the Iron Law of Oligarchies in 1911: https://en.wikipedia.org/wiki/Iron_law_of_oligarchy I was reading some old Analog magazines the other day, and man, Pournelle was one deranged man in his "non-fiction".

Politically he was somewhat to the far right of Atilla the Hun

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

#826
post #611

Earlier quoted context omitted.

Steve jobs mentioned this as a reason he never wanted to do enterprise sales. The user and the purchaser are two different people.

I wonder how this is handled inside apple? Are apple internal tools good or terrible?

It's an interesting question but probably covered by an NDA. I wouldn't be surprised if a lot of their enterprise software is bespoke, however.

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

#827
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…

When I was young, in the 1950's. Nurses were respected, as were teachers and so on - we generally learned from and respected our elders. In the intervening period disrespect has grown, and chastisement has declined. Respect and disrespect are still there - we have Lord of the Flies played out in our school yards daily. The strong and socially facile bully/beat and establish gang structures. When I was young = 95% white, and the weapons were fists. Now gangs are color coded and are better armed. Disrespect a person now = diss someone, and you either yield = be the toad = toady in the manner of toads. Humans seem to need to be closely supervised to forestall this = Big $$ for watchers. Our school was square with long halls with class rooms on each side, wide double run stairs, three floors. Every hall segment between stairs = 1 teacher. Every landing = teacher. Recess was boys and girls apart grades 1-8. Mixed above, but every yard area had 2 teachers. Now these areas are ungoverned and the gang hierarchies rule the areas.

I think a computer guided system would help. My experience in lower grades, high school, college and grad school is that there is a consistent lack of showing students the concept of self-study, this is exemplified with the famous self studiers AKA autodidacts, like Newton as a prime example. This skill is a very important one to develop early in children. Sort of give a person a fish a day - or teach him how to fish. Online teaching at all levels up to and perhaps including grad school is well suited to complex programs that show a student a module of this or that. This can be history or mechanics. After the module is presented, the student is queried on the facts of the lesson and then asked what he can deduce from the lesson. Say the 300 against the Persians - why did the Persians fail? The student should then deduce that because the front of battle was only 30 people wide that it was a battle of 30 against 30, and better training, armor, skill and weapons that meant the Persian masses were useless - it was an attritive war of 30:30 until one side lost enough men that it became 30:29, 30:28....30:1 = war over. Some students have greater intelligence and will analyze this aspect correctly. Those that do not are sent to the first fork..... and on to the full analysis. In this case, the Greek better arms/skills may well have endured until the entire 300,000 Persians were killed, via re-supply from various Greek city-states - in this case, the Persians did an end run and were able to change the combat ratio to the point where the Greeks were overwhelmed.

Going to the general case:- The auto-didactic skill of the student needs to be developed one-on-one via the skillful design of the course material, with forks and subforks and re-entrant forks into the stream as each student masters an item and proceeds. At every point there should be a fork for every fail point - you can have as many forks as needed to imbue understanding. Modern computer systems are quite capable of this degree of complex interaction - but it requires a good amount of work with both masters in topics(many of them to variegate the forks) and up to now I have seen few produced. Large amounts of $$ and time have been spent on thousands of parallel minimalist approaches - it needs a central command/fund structure. /rant...

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

#828
post #775
post #762

Earlier quoted context omitted.

Hospitals operate 24×7. Someone has to work those shifts. Usually it ends up being the employee with the least seniority. What's the alternative?

My first year at the movie theater I had to work Christmas Eve, Day, New years eve and day, all for minimum wage. People are just more entitled now a days.

"My life was hard, so your life should be hard as well."

Yeah, let's keep not evolving as a species.

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

#829

Earlier quoted context omitted.

>> 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?

> They may 10x their profit by serving elderly clients but that is assuming x more elderly clients would want to suddenly come.

Or by cutting the cost.

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

#830
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…

This reads too much like a generalization of the standard complaints about management and their stupid meetings, the basic thesis of that web comic that was neither funny nor true, Dilbert. The criminal justice system may be overwhelmed, but its reaction certainly isn't to just let criminals "exit like a revolving door". The US is still incarcerating people at 10x the rate of other wealthy countries. Nurses being ove…

I was introduced to the Dilbert comic strip while working in the Bay Area in the '90s. Customer's rep literally pulled me aside and asked how I could work for my boss. Said "this is your boss!"
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